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A Multiple Dose Study of Repeat Intravitreal Injections of GEM103 in Dry Age-related Macular Degeneration

Primary Purpose

Dry Age-related Macular Degeneration, Geographic Atrophy, Macular Degeneration

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
GEM103
Sponsored by
Gemini Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Age-related Macular Degeneration

Eligibility Criteria

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

Inclusion Criteria:

  1. At least 50 years old at the time of signed informed consent.
  2. Must have one of the following genetic profiles:

    1. Genetic Profile A.
    2. Genetic Profile B.
  3. BCVA in the study eye of 24 to 83 letters using ETDRS Chart Visual Acuity (VA) Scale (approximately equivalent to Snellen VA of 20/25 to 20/320).
  4. Confirmed diagnosis of GA in the study eye where total size of all GA lesions in the study eye must be within 0.5 to 15.01- and 7- disc areas.
  5. Sufficiently clear ocular media and able to cooperate with ophthalmic visual function testing and anatomic assessment in the study eye.
  6. Understands the full nature and purpose of the study and provides informed consent prior to initiation of any study procedure; all subjects with a reproductive potential must agree to use effective contraceptive methods through the end of study (EOS) Visit.

Exclusion Criteria:

  1. Presence of the following ocular conditions - in the study eye:

    1. Any history of exudative Age-related Macular Degeneration or choroidal neovascularization.
    2. Any active ocular disease or condition that could confound the assessment of the macula or be a contraindication to IVT injection.
    3. Any intraocular surgery, with the exception of stable intraocular lens replacement surgery more than 3 months prior to consent.
    4. Aphakia or complete absence of the posterior capsule.
    5. History of laser therapy to the macula or fundus or extensive laser to the retina.
    6. Prior corneal transplant.
  2. Presence of any of the following ocular conditions - in either eye:

    1. History of herpetic infection.
    2. Concurrent disease that could require medical or surgical intervention during the study period.
    3. Active uveitis and/or vitritis (grade: trace or above).
    4. History of idiopathic or autoimmune-associated uveitis.
    5. Active blepharitis, conjunctivitis, keratitis, episcleritis, scleritis, or endophthalmitis.
    6. Any ophthalmologic condition that reduces the clarity of the media and that, in the opinion of the Investigator, interferes with ophthalmologic examination.
  3. In the opinion of the Investigator, the subject has any prior or ongoing medical condition (e.g., ocular other than dry AMD, systemic, psychiatric) or clinically significant screening laboratory value that may present a safety risk, interfere with study compliance or study follow-up, or confound data interpretation throughout the follow-up period.
  4. Female subjects must not be pregnant or lactating, nor plan to become pregnant during the study.
  5. Current use of medications known to be toxic to the lens, retina, or optic nerve.
  6. Use of any investigational new drug or other experimental treatment in the last 6 months, and/or receipt of any prior gene therapy (e.g., AAV) or ocular device implantation (other than PCIOL placement following cataract surgery)

Sites / Locations

  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site
  • Gemini Clinical Trial Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort with Genetic Profile A

Cohort with Genetic Profile B

Arm Description

Subjects will have Genetic Profile A. Intervention: Biological: GEM103.

Subjects will have Genetic Profile B. Intervention: Biological: GEM103

Outcomes

Primary Outcome Measures

Safety of intravitreal (IVT) injections of GEM103, as measured by number of subjects with ocular adverse events.

Secondary Outcome Measures

To describe the clinical effect of GEM103 IVT injection, as the change from baseline in best corrected visual acuity (BCVA) scores as assessed by ETDRS scale.
To evaluate the total CFH levels in aqueous humor after GEM103 IVT injection, whenever possible.

Full Information

First Posted
November 16, 2020
Last Updated
September 22, 2022
Sponsor
Gemini Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04643886
Brief Title
A Multiple Dose Study of Repeat Intravitreal Injections of GEM103 in Dry Age-related Macular Degeneration
Official Title
A Multicenter, Open-label, Multiple Dose Study in Patients With Geographic Atrophy Secondary to Dry Age-related Macular Degeneration to Evaluate the Safety, Tolerability, Pharmacodynamics, and Immunogenicity of Repeat Intravitreal Injections of GEM103
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Terminated
Why Stopped
no further benefit
Study Start Date
July 30, 2020 (Actual)
Primary Completion Date
February 18, 2022 (Actual)
Study Completion Date
March 21, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gemini Therapeutics, Inc.

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
This study is designed to investigate the safety, PK/PD, biomarker and early clinical effects of repeat GEM103 IVT injections.
Detailed Description
This is a Phase 2a, multi-center, open-label, multiple dose study in subjects with geographic atrophy (GA) secondary to dry Age-related Macular Degeneration (dry AMD) to investigate the safety, PK/PD, biomarker and early clinical effect of GEM103 repeat IVT injections. Subjects will undergo clinical and ophthalmic assessments for determination of inclusion in the study. Subjects who participated in the Phase 1 Study (GEM-CL-10301) as well as treatment naïve subjects that did not participate in the GEM-CL-10301 Study and who meet all eligibility criteria will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Age-related Macular Degeneration, Geographic Atrophy, Macular Degeneration, Retinal Disease, Retinal Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
62 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort with Genetic Profile A
Arm Type
Experimental
Arm Description
Subjects will have Genetic Profile A. Intervention: Biological: GEM103.
Arm Title
Cohort with Genetic Profile B
Arm Type
Experimental
Arm Description
Subjects will have Genetic Profile B. Intervention: Biological: GEM103
Intervention Type
Drug
Intervention Name(s)
GEM103
Intervention Description
Biological
Primary Outcome Measure Information:
Title
Safety of intravitreal (IVT) injections of GEM103, as measured by number of subjects with ocular adverse events.
Time Frame
18 months
Secondary Outcome Measure Information:
Title
To describe the clinical effect of GEM103 IVT injection, as the change from baseline in best corrected visual acuity (BCVA) scores as assessed by ETDRS scale.
Time Frame
6 months
Title
To evaluate the total CFH levels in aqueous humor after GEM103 IVT injection, whenever possible.
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: At least 50 years old at the time of signed informed consent. Must have one of the following genetic profiles: Genetic Profile A. Genetic Profile B. BCVA in the study eye of 24 to 83 letters using ETDRS Chart Visual Acuity (VA) Scale (approximately equivalent to Snellen VA of 20/25 to 20/320). Confirmed diagnosis of GA in the study eye where total size of all GA lesions in the study eye must be within 0.5 to 15.01- and 7- disc areas. Sufficiently clear ocular media and able to cooperate with ophthalmic visual function testing and anatomic assessment in the study eye. Understands the full nature and purpose of the study and provides informed consent prior to initiation of any study procedure; all subjects with a reproductive potential must agree to use effective contraceptive methods through the end of study (EOS) Visit. Exclusion Criteria: Presence of the following ocular conditions - in the study eye: Any history of exudative Age-related Macular Degeneration or choroidal neovascularization. Any active ocular disease or condition that could confound the assessment of the macula or be a contraindication to IVT injection. Any intraocular surgery, with the exception of stable intraocular lens replacement surgery more than 3 months prior to consent. Aphakia or complete absence of the posterior capsule. History of laser therapy to the macula or fundus or extensive laser to the retina. Prior corneal transplant. Presence of any of the following ocular conditions - in either eye: History of herpetic infection. Concurrent disease that could require medical or surgical intervention during the study period. Active uveitis and/or vitritis (grade: trace or above). History of idiopathic or autoimmune-associated uveitis. Active blepharitis, conjunctivitis, keratitis, episcleritis, scleritis, or endophthalmitis. Any ophthalmologic condition that reduces the clarity of the media and that, in the opinion of the Investigator, interferes with ophthalmologic examination. In the opinion of the Investigator, the subject has any prior or ongoing medical condition (e.g., ocular other than dry AMD, systemic, psychiatric) or clinically significant screening laboratory value that may present a safety risk, interfere with study compliance or study follow-up, or confound data interpretation throughout the follow-up period. Female subjects must not be pregnant or lactating, nor plan to become pregnant during the study. Current use of medications known to be toxic to the lens, retina, or optic nerve. Use of any investigational new drug or other experimental treatment in the last 6 months, and/or receipt of any prior gene therapy (e.g., AAV) or ocular device implantation (other than PCIOL placement following cataract surgery)
Facility Information:
Facility Name
Gemini Clinical Trial Site
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85020
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Oxnard
State/Province
California
ZIP/Postal Code
93036
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Santa Barbara
State/Province
California
ZIP/Postal Code
93103
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Santa Maria
State/Province
California
ZIP/Postal Code
93454
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Golden
State/Province
Colorado
ZIP/Postal Code
80401
Country
United States
Facility Name
Gemini Clinical Trial Site
City
New London
State/Province
Connecticut
ZIP/Postal Code
06320
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Palm Beach Gardens
State/Province
Florida
ZIP/Postal Code
33410
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33711
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Tallahassee
State/Province
Florida
ZIP/Postal Code
32308
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Winter Haven
State/Province
Florida
ZIP/Postal Code
33880
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Oak Park
State/Province
Illinois
ZIP/Postal Code
60304
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46290
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63144
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Bloomfield
State/Province
New Jersey
ZIP/Postal Code
07003
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Asheville
State/Province
North Carolina
ZIP/Postal Code
28803
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97401
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Abilene
State/Province
Texas
ZIP/Postal Code
79606
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Gemini Clinical Trial Site
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384
Country
United States
Facility Name
Gemini Clinical Trial Site
City
Virginia Beach
State/Province
Virginia
ZIP/Postal Code
23454
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Multiple Dose Study of Repeat Intravitreal Injections of GEM103 in Dry Age-related Macular Degeneration

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