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Dual Intravitreal Implantation of NT-501 Encapsulated Cell Therapy for Glaucoma

Primary Purpose

Glaucoma

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
NT-501
Sham comparator
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Glaucoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participant must be medically able to undergo the testing required in the schedule of events (SOE).
  2. Participant's clinical diagnosis must be consistent with glaucoma characterized by the following features: Mean deviation (MD) of -3 to -20 dB on Humphrey Visual Field 24-2 testing and two visual field tests of adequate quality with a maximum VFI variability of ± 10%
  3. Residual visual field preservation including best-corrected visual acuity (BCVA) better than 20/200 in either eye.
  4. Participant's eye pressure must be clinically stable, with IOP <21.
  5. If a participant has two eyes meeting study criteria, the worse eye as determined by visual field index (VFI) or patient preference, will be deemed includable. If both eyes qualify and have the same VFI, a randomization procedure will assign one eye to the study.
  6. Participant must understand and sign the informed consent. If the participant's vision is impaired to the point where he/she cannot read the informed consent document, the document will be read to the participant in its entirety.
  7. Females of childbearing potential must agree to use an effective form of birth control.
  8. Participant must be determined by the presurgical anesthesia or medical team to be fit for ophthalmic surgery for the NT-501 ECT implant insertion.

Exclusion Criteria:

  1. Participant is unable to comply with study procedures or followup visits.
  2. Participant has other optic nerve or retinal degenerative disease causing vision loss, irrespective of whether it is currently treated or untreated.
  3. Participant is likely to be offered glaucoma surgery in the study eye within 6 months of screening.
  4. Participant has cataract-associated vision loss to less than 20/40.
  5. Participant has a history of ocular herpes zoster.
  6. Participant has a requirement of acyclovir and/or related products during study duration. To be eligible for this study, the participant must discontinue use of these products prior to enrollment and must not continue with the products until after they have completed the study.
  7. Participant has evidence of corneal opacification or lack of optical clarity.
  8. Participant has uveitis or other ocular inflammatory disease.
  9. Participant is receiving systemic steroids or other immunosuppressive medications.
  10. Participant has diabetic macular edema and/or diabetic retinopathy.
  11. Participant has myopic degeneration.
  12. Participant is currently participating in or has within the last 3 months participated in any other clinical trial of a drug by ocular (if in the study eye) or systemic administration.
  13. Participant is pregnant or lactating.
  14. Participant is on chemotherapy.
  15. Participant has a history of malignancy other than basal cell carcinoma, unless it was treated successfully 2 years prior to inclusion in the trial.
  16. Participant has, in the opinion of the investigator, any physical or mental condition that would increase the risk of participation in the study or may interfere with the study procedures, evaluations and outcome assessments.
  17. Any intraocular surgery of the study eye within 12 weeks prior to the screening visit
  18. History of use of drugs with known retinal toxicity, at retinotoxic doses.
  19. Patient has a history of multiple sclerosis.

Sites / Locations

  • Byers Eye Institute at Stanford UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Sham Comparator

Arm Label

Dual Implantation

Single Implantation

Sham Implantation

Arm Description

Two NT-501 devices will be implanted in the study eye.

One NT-501 device will be implanted in the study eye.

No NT-501 devices will be implanted in the study eye.

Outcomes

Primary Outcome Measures

Visual Field MD at 12 Months
Change from baseline in visual field through 12 months as assessed by Mean Deviation (MD).

Secondary Outcome Measures

Visual Field Index at 12 months
Change from baseline in visual field through 12 months as assessed by Visual Field Index (VFI).
Visual Field PLR at 12 months
Change from baseline in visual field pointwise linear regression (PLR) through 12 months.

Full Information

First Posted
September 25, 2020
Last Updated
November 15, 2022
Sponsor
Stanford University
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1. Study Identification

Unique Protocol Identification Number
NCT04577300
Brief Title
Dual Intravitreal Implantation of NT-501 Encapsulated Cell Therapy for Glaucoma
Official Title
A Randomized, Sham Controlled, Masked Phase II Study to Evaluate the Safety and Efficacy of Dual Intravitreal Implantation of NT-501 Encapsulated Cell Therapy for the Treatment of Glaucoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 15, 2021 (Actual)
Primary Completion Date
August 15, 2024 (Anticipated)
Study Completion Date
December 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University

4. Oversight

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

5. Study Description

Brief Summary
To determine the safety and efficacy over 24 months of dual NT-501 CNTF encapsulated cell therapy (ECT) on visual impairment related to glaucoma.
Detailed Description
A randomized, sham controlled, masked trial of up to 30 eyes will be recruited into the study. Participants with a qualifying study eye will be randomized after screening and baseline evaluations to receive 2 NT-501 ECT implants in the study eye (20 eyes), 1 NT-501 ECT implant (5 eyes) or a sham surgery (control arm; 5 eyes). No explant will be required. An examination for safety will occur one day and one week following implant and periodically thereafter for 24 months post-implant. Patients in the control arm may be offered 2 NT-501 ECT implants after the 12-month post-operative follow-up visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glaucoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dual Implantation
Arm Type
Experimental
Arm Description
Two NT-501 devices will be implanted in the study eye.
Arm Title
Single Implantation
Arm Type
Experimental
Arm Description
One NT-501 device will be implanted in the study eye.
Arm Title
Sham Implantation
Arm Type
Sham Comparator
Arm Description
No NT-501 devices will be implanted in the study eye.
Intervention Type
Drug
Intervention Name(s)
NT-501
Intervention Description
Implant of Neurotech NT-501 device(s)
Intervention Type
Other
Intervention Name(s)
Sham comparator
Intervention Description
Sham implantation
Primary Outcome Measure Information:
Title
Visual Field MD at 12 Months
Description
Change from baseline in visual field through 12 months as assessed by Mean Deviation (MD).
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Visual Field Index at 12 months
Description
Change from baseline in visual field through 12 months as assessed by Visual Field Index (VFI).
Time Frame
12 months
Title
Visual Field PLR at 12 months
Description
Change from baseline in visual field pointwise linear regression (PLR) through 12 months.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be medically able to undergo the testing required in the schedule of events (SOE). Participant's clinical diagnosis must be consistent with glaucoma characterized by the following features: Mean deviation (MD) of -3 to -20 dB on Humphrey Visual Field 24-2 testing and two visual field tests of adequate quality with a maximum VFI variability of ± 10% Residual visual field preservation including best-corrected visual acuity (BCVA) better than 20/200 in either eye. Participant's eye pressure must be clinically stable, with IOP <21. If a participant has two eyes meeting study criteria, the worse eye as determined by visual field index (VFI) or patient preference, will be deemed includable. If both eyes qualify and have the same VFI, a randomization procedure will assign one eye to the study. Participant must understand and sign the informed consent. If the participant's vision is impaired to the point where he/she cannot read the informed consent document, the document will be read to the participant in its entirety. Females of childbearing potential must agree to use an effective form of birth control. Participant must be determined by the presurgical anesthesia or medical team to be fit for ophthalmic surgery for the NT-501 ECT implant insertion. Exclusion Criteria: Participant is unable to comply with study procedures or followup visits. Participant has other optic nerve or retinal degenerative disease causing vision loss, irrespective of whether it is currently treated or untreated. Participant is likely to be offered glaucoma surgery in the study eye within 6 months of screening. Participant has cataract-associated vision loss to less than 20/40. Participant has a history of ocular herpes zoster. Participant has a requirement of acyclovir and/or related products during study duration. To be eligible for this study, the participant must discontinue use of these products prior to enrollment and must not continue with the products until after they have completed the study. Participant has evidence of corneal opacification or lack of optical clarity. Participant has uveitis or other ocular inflammatory disease. Participant is receiving systemic steroids or other immunosuppressive medications. Participant has diabetic macular edema and/or diabetic retinopathy. Participant has myopic degeneration. Participant is currently participating in or has within the last 3 months participated in any other clinical trial of a drug by ocular (if in the study eye) or systemic administration. Participant is pregnant or lactating. Participant is on chemotherapy. Participant has a history of malignancy other than basal cell carcinoma, unless it was treated successfully 2 years prior to inclusion in the trial. Participant has, in the opinion of the investigator, any physical or mental condition that would increase the risk of participation in the study or may interfere with the study procedures, evaluations and outcome assessments. Any intraocular surgery of the study eye within 12 weeks prior to the screening visit History of use of drugs with known retinal toxicity, at retinotoxic doses. Patient has a history of multiple sclerosis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mariana Nunez, MD
Phone
6504977846
Email
mnunez@stanford.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey L Goldberg, MD, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Byers Eye Institute at Stanford University
City
Palo Alto
State/Province
California
ZIP/Postal Code
94303
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mariana Nunez
Phone
650-497-7846
Email
mnunez@stanford.edu

12. IPD Sharing Statement

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Dual Intravitreal Implantation of NT-501 Encapsulated Cell Therapy for Glaucoma

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