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CM082 in Patients With Myopic Choroidal Neovascularization (CNV)

Primary Purpose

Myopic Choroidal Neovascularisation

Status
Suspended
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CM082
Sponsored by
AnewPharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myopic Choroidal Neovascularisation

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • diagnosis of active CNV secondary to pathologic myopia and the study eye must have the following lesion characteristics: (a)presence of high myopia with greater than -6 diopters of spherical equivalencef or anteroposterior elongation greater than 26 mm, (b) presence of at least 1 of the following lesion types: subfoveal; juxtafoveal; extrafoveal with involvement of the central macular area and margin of the optic disk with involvement of the central macular area, (c) vision loss due to the above causes, (d) ETDRS BCVA 24 to 78 letters.
  • Patients with no previous anti-VEGF therapy.
  • Adequate bone marrow, hepatic, and renal functions.
  • Willing to sign the ICF and comply with the study protocol.

Exclusion Criteria:

  • CNV due to causes other than mCNV.
  • Any significant disease in the study eye that could compromise BCVA.
  • Active eye infection in any eye.
  • Previous treatment with photodynamic therapy (PDT), external beam radiation, laser photocoagulation, or transpupillary thermotherapy within

    1 month of the first dose.

  • Intraocular surgery in the test eye within 3 months prior to the first dose.
  • Any eye received intravitreal injection of corticosteroids within 3 months prior to first dose.
  • Clinically significant, uncontrolled cardiovascular and cerebrovascular disease.
  • Patients who had previously used strong inhibitors of CYP3A or strong inducers were discontinued from the first dose of CM082 <5 drug half-lives (except for withdrawals longer than 14 days).
  • Active hepatitis B (serum HBV DNA ≥ 500 IU / ml), hepatitis C antibody positive, HIV antibody positive or syphilis antibody positive.
  • Swallowing dysfunction, active gastrointestinal disease, or other diseases that affect the absorption, distribution, metabolism, and excretion of drugs.
  • Use of any investigational agent or participation in any other clinical trial of an investigational agent or investigational therapy within thirty (30) days of the first dose.
  • Allergy to the ingredients of the study drug.
  • Patients who have fertility needs and who cannot use effective methods of contraception during the study period and at least 3 months after the end of treatment (except for male patients after birth control or female patients after birth control or postmenopausal).

Sites / Locations

  • Peking Union Medical College Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CM082 Tablet

Arm Description

Code Name: CM082 Tablet Other Name: X-82 Dosage and Administration: 25mg BID/50mg QD/50mg BID, P.O., two-week on/two-week off in four-week cycles until disease progression or unacceptable toxicity

Outcomes

Primary Outcome Measures

Dose-Limiting Toxicity(DLT)
Any serious adverse event in eye or any ≥3 grade adverse reactions cannot be reduced to below grade 3 after treatment for more than 7 days.
Adverse event
Incidence of the adverse event after treatment

Secondary Outcome Measures

Change in Best-Corrected Visual Acuity (BCVA)
Change from baseline in mean BCVA (ETDRS)
Change in Choroidal Neovascularization (CNV) size
Change from baseline in mean CNV size (FA)
Change in Central Retinal Thickness
Change from baseline in mean central retinal thickness (OCT)

Full Information

First Posted
January 7, 2020
Last Updated
March 7, 2021
Sponsor
AnewPharma
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1. Study Identification

Unique Protocol Identification Number
NCT04222842
Brief Title
CM082 in Patients With Myopic Choroidal Neovascularization (CNV)
Official Title
Phase I Study of CM082 in Patients With Myopic Choroidal Neovascularization (CNV)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Suspended
Why Stopped
Day is not required for Anticipated dates.
Study Start Date
December 18, 2019 (Actual)
Primary Completion Date
December 30, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AnewPharma

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Intermittent Oral Dosing of CM082 tablets in Chinese Patients With mCNV.
Detailed Description
This is a multicenter, open-label, single-arm, phase I Study to Evaluate the safety, tolerability, pharmacokinetics and preliminary Efficacy of intermittent oral dosing of CM082 tablets in Chinese patients with mCNV. The study will be performed in two different parts, dose-escalation phase (Part 1) and dose-expansion phase (Part 2). Subjects will receive CM082 orally for two weeks followed by two weeks off in four-week cycles. There are three dose levels, 25mg BID,50mg QD and 50mg BID. The total treatment period is tentatively set at 3 cycles (12 weeks). Based on data from dose escalation studies, identify safe and effective doses for expanded enrollment studies.The assessment of the safety and efficacy will be done in 2、4、8、12weeks after the first dose.Also, single/multiple dose pharmacokinetics in these patients will be studied.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myopic Choroidal Neovascularisation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
96 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CM082 Tablet
Arm Type
Experimental
Arm Description
Code Name: CM082 Tablet Other Name: X-82 Dosage and Administration: 25mg BID/50mg QD/50mg BID, P.O., two-week on/two-week off in four-week cycles until disease progression or unacceptable toxicity
Intervention Type
Drug
Intervention Name(s)
CM082
Other Intervention Name(s)
X-82
Intervention Description
Subjects will receive CM082 orally for two weeks followed by two weeks off in four-week cycles.The total treatment period is tentatively set at 3 cycles (12 weeks).
Primary Outcome Measure Information:
Title
Dose-Limiting Toxicity(DLT)
Description
Any serious adverse event in eye or any ≥3 grade adverse reactions cannot be reduced to below grade 3 after treatment for more than 7 days.
Time Frame
the first cycle(the first four weeks)
Title
Adverse event
Description
Incidence of the adverse event after treatment
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Change in Best-Corrected Visual Acuity (BCVA)
Description
Change from baseline in mean BCVA (ETDRS)
Time Frame
12 weeks
Title
Change in Choroidal Neovascularization (CNV) size
Description
Change from baseline in mean CNV size (FA)
Time Frame
12 weeks
Title
Change in Central Retinal Thickness
Description
Change from baseline in mean central retinal thickness (OCT)
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: diagnosis of active CNV secondary to pathologic myopia and the study eye must have the following lesion characteristics: (a)presence of high myopia with greater than -6 diopters of spherical equivalencef or anteroposterior elongation greater than 26 mm, (b) presence of at least 1 of the following lesion types: subfoveal; juxtafoveal; extrafoveal with involvement of the central macular area and margin of the optic disk with involvement of the central macular area, (c) vision loss due to the above causes, (d) ETDRS BCVA 24 to 78 letters. Patients with no previous anti-VEGF therapy. Adequate bone marrow, hepatic, and renal functions. Willing to sign the ICF and comply with the study protocol. Exclusion Criteria: CNV due to causes other than mCNV. Any significant disease in the study eye that could compromise BCVA. Active eye infection in any eye. Previous treatment with photodynamic therapy (PDT), external beam radiation, laser photocoagulation, or transpupillary thermotherapy within 1 month of the first dose. Intraocular surgery in the test eye within 3 months prior to the first dose. Any eye received intravitreal injection of corticosteroids within 3 months prior to first dose. Clinically significant, uncontrolled cardiovascular and cerebrovascular disease. Patients who had previously used strong inhibitors of CYP3A or strong inducers were discontinued from the first dose of CM082 <5 drug half-lives (except for withdrawals longer than 14 days). Active hepatitis B (serum HBV DNA ≥ 500 IU / ml), hepatitis C antibody positive, HIV antibody positive or syphilis antibody positive. Swallowing dysfunction, active gastrointestinal disease, or other diseases that affect the absorption, distribution, metabolism, and excretion of drugs. Use of any investigational agent or participation in any other clinical trial of an investigational agent or investigational therapy within thirty (30) days of the first dose. Allergy to the ingredients of the study drug. Patients who have fertility needs and who cannot use effective methods of contraception during the study period and at least 3 months after the end of treatment (except for male patients after birth control or female patients after birth control or postmenopausal).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Youxin Chen
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital
City
Beijing
Country
China

12. IPD Sharing Statement

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CM082 in Patients With Myopic Choroidal Neovascularization (CNV)

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