FOCUS: A Phase I/II First in Human Study to Evaluate the Safety and Efficacy of GT005 Administered in Subjects With Dry AMD
Dry Age-related Macular Degeneration, Macular Degeneration, Retinal Disease
About this trial
This is an interventional treatment trial for Dry Age-related Macular Degeneration focused on measuring Dry Age-related Macular Degeneration (Dry AMD), AMD, Atrophic AMD, Geographic Atrophy (GA), Dry-AMD, Dry AMD
Eligibility Criteria
Inclusion Criteria:
- Able and willing to give consent to study participation
- Have a clinical diagnosis of GA secondary to AMD in the study eye, as determined by the Investigator, and a diagnosis of AMD in the contralateral eye (except if the subject is monocular)
Cohorts 1 to 6: GA lesion(s) total size in the study eye must be ≥1.25mm2 and ≤17.5mm2.
Cohort 7: GA lesion(s) total size in the study eye must be ≥1.25mm2
- GA lesion(s) in the study eye must reside completely within the FAF fundus image
- Cohorts 1 to 3: BCVA of ≤50 letters (6/36 Snellen acuity equivalent or worse) using ETDRS charts in the study eye Cohorts 4 to 7: BCVA of ≥24 letters (6/95 and 20/320 Snellen acuity equivalent or better) using ETDRS charts in the study eye
- Aged ≥55 years
- Able to attend all study visits and complete the study procedures
- Women of child-bearing potential need to have a negative urine pregnancy test within two weeks prior to receiving the drug. A pregnancy test is not required for postmenopausal women (defined as being at least 12 consecutive months without menses) or those surgically sterilised (those having a bilateral tubal ligation/bilateral salpingectomy, bilateral tubal occlusive procedure, hysterectomy, or bilateral oophorectomy)
Exclusion Criteria:
Have evidence or history of Choroidal Neovascularisation (CNV) in the study eye. Subjects are permitted to have CNV in the fellow eye defined as either:
- Non-exudative/sub-clinical fellow eye CNV identified at screening, or
- Known history of fellow eye CNV with either ≥2 years since diagnosis or with no active treatment required in 6 months prior to screening
- Presence of moderate/severe non-proliferative diabetic retinopathy or worse in the study eye
- Have history of vitrectomy, sub-macular surgery, or macular photocoagulation in the study eye
- History of intraocular surgery in the study eye within 12 weeks prior to Screening (Visit 1). Yttrium aluminum garnet capsulotomy is permitted if performed >10 weeks prior to Visit 1
- Have clinically significant cataract that may require surgery during the study period in the study eye
- Presence of moderate to severe glaucomatous optic neuropathy in the study eye; uncontrolled IOP despite the use of more than two topical agents; a history of glaucoma-filtering or valve surgery is also excluded
- Axial myopia of greater than -8 diopters in the study eye
- Have received any investigational product for the treatment of GA within the past 6 months or 5 half-lives (whichever is longer), other than nutritional supplements such as the Age-Related Eye Disease Study (AREDS) formula
- Have received a gene or cell therapy at any time
- Have a contraindication to the specified protocol corticosteroid regimen
- Are unwilling to use two forms of contraception (one of which being a barrier method) for 90 days post-dosing, if relevant
- Active malignancy within the past 12 months, except for: Appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or prostate cancer with a stable prostate-specific antigen (PSA) ≥12 months
- Have any other significant ocular or non-ocular medical or psychiatric condition which, in the opinion of the Investigator, may either put the subject at risk or may influence the results of the study
- Cohorts 5 to 7 only: presence of metallic objects or implanted stimulator devices in or near the head, including cochlear implants, deep brain stimulators, vagus nerve stimulators, and other implanted electrodes or stimulators
Sites / Locations
- Midwest Eye Institute
- Wolfe Eye Clinic
- Ophthalamic Consultants of Boston (OCB)
- Pepose Vision Institute
- Sierra Eye Associates
- Cincinnati Eye Institute
- Mid-Atlantic Retina
- Bristol Eye Hospital
- Retina Clinic London
- Moorfields Eye Hospital
- Manchester Eye Hospital
- Oxford University Hospital
- Sunderland Eye Infirmary
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
GT005 Dose 1
GT005 Dose 2
GT005 Dose 3
GT005 Dose 1, 2 or 3
GT005 Dose 2 with Orbit Subretinal Delivery System
GT005 Dose 3 with Orbit Subretinal Delivery System
GT005 Dose 1, 2 or 3 with Orbit Subretinal Delivery Sysem
A single dose of GT005 will be administered via subretinal injection
A single dose of GT005 will be administered via subretinal injection
A single dose of GT005 will be administered via subretinal injection
A single dose of GT005 will be administered via subretinal injection. This dose will be determined by dose levels determined to be tolerable in Arms 1,2 and 3
A single dose of GT005 will be administered with subretinal injection via suprachoroidal cannulation approach
A single dose of GT005 will be administered with subretinal injection via suprachoroidal cannulation approach
A single dose of GT005 will be administered with subretinal injection via suprachoroidal cannulation approach