A Study to Evaluate the Safety and Tolerability of ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
Primary Purpose
Rhegmatogenous Retinal Detachment - Macula Off
Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
ONL1204
Intravitreal Injection
Collection of ocular fluids
Sponsored by
About this trial
This is an interventional treatment trial for Rhegmatogenous Retinal Detachment - Macula Off
Eligibility Criteria
Inclusion Criteria:
- Males and females, ≥ 18 to 80 years old
- Able to give informed consent and comply with all study visits and procedures
Patients who:
- Present between 1 week (7 days) and 4 weeks (28 days) of a macula-off RRD (based on patient-reported history of loss of central vision)
- For whom standard retinal reattachment surgery by means of a pars plana vitrectomy (with or without scleral buckle) and gas tamponade is indicated, and
- In the opinion of the investigator, can safely undergo all study procedures.
- Best corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity of 20/100 to hand motion in the study eye
- Best corrected ETDRS visual acuity in the fellow eye of 20/60 or better
Exclusion Criteria:
- Presence of giant retinal tear defined as greater than 3 clock hours or other type of complex retinal detachment in the study eye
- Presence of vitreous hemorrhage in the study eye
- Presence of ocular or periocular infection or intraocular inflammation in either eye
- Intraocular Pressure > 22 mmHg in the study eye
- Any other significant ocular disease in the study eye including media opacity that, in the opinion of the investigator, would preclude a visual acuity of at least 20/25 following successful vitrectomy or limit adequate visibility of the retina
- Any other ocular pathology in the study eye requiring treatment with topical ophthalmic drops or intravitreal injection
- History of previous ocular surgery in the study eye other than uncomplicated cataract surgery with posterior chamber intraocular lens and intact posterior capsule (which must have occurred at least 6 months prior to the baseline visit)
- Participation in other clinical trials or use of any other investigational drugs or devices within 3 months prior to study participation
- Females who are pregnant or lactating and women of childbearing potential who are not using adequate contraceptive precautions (e.g., intrauterine device, oral contraceptives, barrier method, or other contraception deemed adequate by the investigator)
- Known retinopathy, known hepatic disease (or history of significant chronic liver disease), or known renal disease. Patients with diabetes and no known retinopathy may be enrolled
- History of uncontrolled hypertension
- History of stroke, transient ischemic attack, or major cardiac surgery within 3 months prior to study, or current treatment for systemic infection
- Any ocular or systemic condition that in the opinion of the investigator could compromise the safety of the patient, or may interfere with the safety and tolerability assessments or study procedures of the trial
Sites / Locations
- Save Sight Institute, Sydney Eye Hospital
- Royal Adelaide
- Queensland Eye Institute
- Center for Eye Rearch Australia
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Active Comparator
Active Comparator
Active Comparator
Active Comparator
Arm Label
Cohort 1 Dose A
Cohort 2 Dose B
Cohort 3 Dose C
Cohort 4 Dose D
Arm Description
Intravitreal injection of 50 μl of ONL1204 liquid formulation to deliver dose 1
Intravitreal injection of 100 μl of ONL1204 liquid formulation to deliver dose 2
Intravitreal injection of 50 μl of ONL1204 liquid formulation to deliver dose 3
Intravitreal injection of 100 μl of ONL1204 liquid formulation to deliver dose 4
Outcomes
Primary Outcome Measures
Vital sign-systolic and diastolic blood pressure
Systolic and diastolic blood pressure in mmHg
Vital sign-heart rate
Heart rate in beats per minute
Best corrected visual acuity
ETDRS chart (number of letters read)
Intraocular pressure
Intraocular pressure in mmHg
Slit lamp biomicroscopy
Slit lamp biomicroscopy (using US FDA clinical grading scale 0-4; 0=normal, 4=very severe changes)
Complete blood count
White blood cells with differential, hemoglobin, hematocrit and platelet count
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03780972
Brief Title
A Study to Evaluate the Safety and Tolerability of ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
Official Title
A Phase 1 Open-Label, Dose Escalation Study to Assess the Safety and Tolerability of Intravitreal ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
Study Type
Interventional
2. Study Status
Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
October 21, 2019 (Actual)
Primary Completion Date
August 24, 2021 (Actual)
Study Completion Date
August 24, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ONL Therapeutics
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety and tolerability of ONL1204 in participants with Macula-off, Rhegmatogenous Retinal Detachment (RRD). RRD is an acute and serious vision threatening condition in which a tear in the retina, typically resulting from a vitreous detachment, allows liquid to accumulate under the retina, detaching the photoreceptor (PR) layer of the retina from the retinal pigment epithelium (RPE). As the RPE is the principal source of nutritional support for the PR layer, the photoreceptors begin a cascade of inflammation and cell death. Photoreceptor cell death is the primary mechanism of vision loss after retinal detachment.
ONL1204 is a first-in-class inhibitor of Fragment Apoptosis Stimulator receptor (Fas)-mediated cell death. ONL1204 has demonstrated protection of multiple retinal cell types in numerous preclinical models of acute ocular injury. This will be a first-in-human (FIH) study to evaluate safety and tolerability of a single-dose of ONL1204 in participants with macula-off RRD. The standard of care for surgical repair of macula-off RRD is reattachment surgery within 7 days of the macula detaching. Participants in this study will receive a single intravitreal injection upon diagnosis and enrollment in the study, followed by standard of care surgery. The surgery includes vitrectomy, a procedure that removes the bulk of drug remaining in the vitreous.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rhegmatogenous Retinal Detachment - Macula Off
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1 Dose A
Arm Type
Active Comparator
Arm Description
Intravitreal injection of 50 μl of ONL1204 liquid formulation to deliver dose 1
Arm Title
Cohort 2 Dose B
Arm Type
Active Comparator
Arm Description
Intravitreal injection of 100 μl of ONL1204 liquid formulation to deliver dose 2
Arm Title
Cohort 3 Dose C
Arm Type
Active Comparator
Arm Description
Intravitreal injection of 50 μl of ONL1204 liquid formulation to deliver dose 3
Arm Title
Cohort 4 Dose D
Arm Type
Active Comparator
Arm Description
Intravitreal injection of 100 μl of ONL1204 liquid formulation to deliver dose 4
Intervention Type
Drug
Intervention Name(s)
ONL1204
Intervention Description
Administration of ONL1204 - inhibitor of Fas(CD95) signaling by intravitreal injection
Intervention Type
Procedure
Intervention Name(s)
Intravitreal Injection
Intervention Description
Injection of study drug into the eye
Intervention Type
Procedure
Intervention Name(s)
Collection of ocular fluids
Intervention Description
vitreous and aqueous fluid collection by a tap and during vitrectomy
Primary Outcome Measure Information:
Title
Vital sign-systolic and diastolic blood pressure
Description
Systolic and diastolic blood pressure in mmHg
Time Frame
24 weeks
Title
Vital sign-heart rate
Description
Heart rate in beats per minute
Time Frame
24 weeks
Title
Best corrected visual acuity
Description
ETDRS chart (number of letters read)
Time Frame
24 weeks
Title
Intraocular pressure
Description
Intraocular pressure in mmHg
Time Frame
24 weeks
Title
Slit lamp biomicroscopy
Description
Slit lamp biomicroscopy (using US FDA clinical grading scale 0-4; 0=normal, 4=very severe changes)
Time Frame
24 weeks
Title
Complete blood count
Description
White blood cells with differential, hemoglobin, hematocrit and platelet count
Time Frame
24 weeks
Other Pre-specified Outcome Measures:
Title
Exploratory outcome-ONL1204 concentration
Description
Measurement of ONL1204 in plasma (ng/ml) after drug administration
Time Frame
24 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males and females, ≥ 18 to 80 years old
Able to give informed consent and comply with all study visits and procedures
Patients who:
Present between 1 week (7 days) and 4 weeks (28 days) of a macula-off RRD (based on patient-reported history of loss of central vision)
For whom standard retinal reattachment surgery by means of a pars plana vitrectomy (with or without scleral buckle) and gas tamponade is indicated, and
In the opinion of the investigator, can safely undergo all study procedures.
Best corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity of 20/100 to hand motion in the study eye
Best corrected ETDRS visual acuity in the fellow eye of 20/60 or better
Exclusion Criteria:
Presence of giant retinal tear defined as greater than 3 clock hours or other type of complex retinal detachment in the study eye
Presence of vitreous hemorrhage in the study eye
Presence of ocular or periocular infection or intraocular inflammation in either eye
Intraocular Pressure > 22 mmHg in the study eye
Any other significant ocular disease in the study eye including media opacity that, in the opinion of the investigator, would preclude a visual acuity of at least 20/25 following successful vitrectomy or limit adequate visibility of the retina
Any other ocular pathology in the study eye requiring treatment with topical ophthalmic drops or intravitreal injection
History of previous ocular surgery in the study eye other than uncomplicated cataract surgery with posterior chamber intraocular lens and intact posterior capsule (which must have occurred at least 6 months prior to the baseline visit)
Participation in other clinical trials or use of any other investigational drugs or devices within 3 months prior to study participation
Females who are pregnant or lactating and women of childbearing potential who are not using adequate contraceptive precautions (e.g., intrauterine device, oral contraceptives, barrier method, or other contraception deemed adequate by the investigator)
Known retinopathy, known hepatic disease (or history of significant chronic liver disease), or known renal disease. Patients with diabetes and no known retinopathy may be enrolled
History of uncontrolled hypertension
History of stroke, transient ischemic attack, or major cardiac surgery within 3 months prior to study, or current treatment for systemic infection
Any ocular or systemic condition that in the opinion of the investigator could compromise the safety of the patient, or may interfere with the safety and tolerability assessments or study procedures of the trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Matthew Simunovic, M.D.
Organizational Affiliation
Save Sight Institute, Sydney Eye Hospital, Australia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Save Sight Institute, Sydney Eye Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2000
Country
Australia
Facility Name
Royal Adelaide
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Facility Name
Queensland Eye Institute
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
4101
Country
Australia
Facility Name
Center for Eye Rearch Australia
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
VIC 3002
Country
Australia
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Study to Evaluate the Safety and Tolerability of ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
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