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A Study to Investigate the Effect on Central Macular Thickness of Treatment With MG-O-1002 Eye Drops in Participants Aged Over 45 With Neovascular Age-related Macular Degeneration (nAMD)

Primary Purpose

Age-Related Macular Degeneration

Status
Recruiting
Phase
Phase 2
Locations
Thailand
Study Type
Interventional
Intervention
MG-O-1002
Placebo
Sponsored by
Theratocular Biotek Co.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Age-Related Macular Degeneration

Eligibility Criteria

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

Inclusion Criteria:

Part 1:

  1. Adults aged 45 years or older with a diagnosis of nAMD
  2. Diagnosis in the study eye of active, pathologic, newly diagnosed and treatment naïve (i.e., no previous anti-VEGF treatment or other surgery in the study eye)
  3. Visual acuity from 20/25 to 20/200 in the study eye
  4. Total lesion size (including neovascularization, blood) ≦12 disc areas (30.5 mm2) as assessed by Fluorescein Angiography.
  5. Demonstrate the ability, or have a family member who is willing and able to, instill topical ocular drops in the study eye.
  6. Ability to give written informed consent and comply with study procedures.

Part 2:

  1. Adults aged 45 years or older with a diagnosis of nAMD.
  2. Participant with nAMD previously treated with 3 injections of Aflibercept within the preceding 4 months, and received the last injection within 30 to 21 days before visit 1 of this study.
  3. Demonstrate the ability, or have a family member who is willing and able to, instil topical ocular drops in the study eye.
  4. Ability to give written informed consent and comply with study procedures.

Exclusion Criteria:

Part 1:

  1. Prior use within the last 2 months, or a high possibility of requiring treatment with anti-VEGF therapy (except the study drug) in both eyes during the study.
  2. Abnormal regions identified by Fundus Autofluorescence (FAF) and Optical Coherence Tomography (OCT) involving the center of the fovea are caused by retinal pigment epithelium (RPE) atrophy, RPE tear, photoreceptor attenuation, or fibrosis/scar tissue.
  3. Significant retinal serous pigment epithelial detachment (PED) involving the fovea.
  4. History of, or current clinical evidence in the study eye of aphakia, diabetic macular edema, any ocular inflammation or infection, pathological myopia, retinal detachment, advanced glaucoma, and/or significant media opacity, including cataract.
  5. History or evidence of the following surgeries in the study eye: penetrating keratoplasty or vitrectomy; corneal transplant; corneal or intraocular surgery within 3 months of Screening.
  6. Uncontrolled hypertension despite the use of antihypertensive medications.
  7. Diagnosis of Type 1 or Type 2 diabetes.
  8. Use of medications that in the opinion of the Investigator could interfere with study results.
  9. Participation in any investigational drug or device study, systemic or ocular, within the past 3 months.
  10. Women who are pregnant or breast feeding.
  11. Women of child-bearing potential who are not using an effective form of birth control.
  12. Known serious allergies or hypersensitivity to the fluorescein dye used in angiography, or to the components of the MG-O-1002 formulation, or to topical anesthetics.
  13. In the opinion of the investigator, subject who is not suitable for or not likely be benefited from the study treatment.

Part 2:

  1. More than 30 days between 3rd injection of Aflibercept and Visit 1.
  2. Patients who have received 3 injections of Aflibercept within the last 3 months and need continued treatment in the fellow eye.
  3. Significant retinal serous pigment epithelial detachment (PED), atrophy, or fibrosis/scar involving the fovea.
  4. History or evidence of the following surgeries in the study eye: penetrating keratoplasty or vitrectomy; corneal transplant; corneal or intraocular surgery within 3 months of Screening.
  5. Active intraocular inflammation or uveitis or scleritis or episcleritis in the study eye or ocular or periocular infection in either eye.
  6. Uncontrolled hypertension despite the use of antihypertensive medications.
  7. Diagnosis of Type 1 or Type 2 diabetes.
  8. Use of medications that in the opinion of the Investigator could interfere with study results.
  9. Participation in any investigational drug or device study, systemic or ocular, within the past 3 months.
  10. Women who are pregnant or breast feeding.
  11. Women of child-bearing potential who are not using an effective form of birth control.
  12. Known serious allergies or hypersensitivity to the fluorescein dye used in angiography, or to the components of the MG-O-1002 formulation, or to topical anesthetics.
  13. In the opinion of the investigator, subject who is not suitable for or not likely be benefited from the study treatment.

Sites / Locations

  • Rajavithi HospitalRecruiting
  • Ramathibodi HospitalRecruiting
  • Srinagarind HospitalRecruiting
  • Metta Pracharak HospitalRecruiting
  • Thammasat University HospitalRecruiting
  • Naresuan University HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Part 1 (MG-O-1002)

Part 2 (MG-O-1002 or Placebo)

Arm Description

Drug: MG-O-1002; Dose level: 0.8%; Dosage form: ophthalmic solution; Route of administration: topical ocular

Arm 1: Drug: MG-O-1002; Dose level: 0.8%; Dosage form: ophthalmic solution; Route of administration: topical ocular Arm 2: Drug: Placebo; Dosage form: ophthalmic solution; Route of administration: topical ocular

Outcomes

Primary Outcome Measures

Mean change from baseline in central macular thickness over 12 weeks.

Secondary Outcome Measures

Mean change from baseline in Best-Corrected Visual Acuity over 12 weeks
Mean Change from baseline in Visual Field over 12 weeks
Mean change from baseline in total area of Choroidal Neovascularization (CNV) over 12 weeks
The number of patients needing rescue treatment within 12 weeks
The time to rescue treatment for needed patients within 12 weeks
Incidence and severity of ocular and systemic adverse events

Full Information

First Posted
May 20, 2022
Last Updated
October 17, 2023
Sponsor
Theratocular Biotek Co.
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1. Study Identification

Unique Protocol Identification Number
NCT05390840
Brief Title
A Study to Investigate the Effect on Central Macular Thickness of Treatment With MG-O-1002 Eye Drops in Participants Aged Over 45 With Neovascular Age-related Macular Degeneration (nAMD)
Official Title
A Phase II Trial to Evaluate the Efficacy and Safety of Topical Ocular MG-O-1002 in Patients With Neovascular Age-Related Macular Degeneration (nAMD)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 9, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Theratocular Biotek Co.

4. Oversight

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

5. Study Description

Brief Summary
A 2 parts Phase II study to investigate the effect on central macular thickness of treatment with MG-O-1002 eye drops in participants aged over 45 with neovascular age-related macular degeneration (nAMD)
Detailed Description
Neovascular Age-related Macular Degeneration (nAMD) is a serious eye disease and a leading cause of irreversible blindness primarily in the older population. Current treatment with anti-vascular endothelial growth factor (VEGF), while effective, requires intravitreal injection meaning administration that needs to be performed by a specialist ophthalmologist and carries procedural risks. MG-O-1002 can be administered as a topical eye drop providing a potentially safer option that can be self-administered increasing accessibility. This study will evaluate the efficacy and safety of topical ocular use of MG-O-1002 in participants with nAMD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Age-Related Macular Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Masking Description
Part 1 - Open Label (24 Participants); Part 2 - Single-Blind to Participant (12 Participants)
Allocation
Randomized
Enrollment
36 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1 (MG-O-1002)
Arm Type
Experimental
Arm Description
Drug: MG-O-1002; Dose level: 0.8%; Dosage form: ophthalmic solution; Route of administration: topical ocular
Arm Title
Part 2 (MG-O-1002 or Placebo)
Arm Type
Placebo Comparator
Arm Description
Arm 1: Drug: MG-O-1002; Dose level: 0.8%; Dosage form: ophthalmic solution; Route of administration: topical ocular Arm 2: Drug: Placebo; Dosage form: ophthalmic solution; Route of administration: topical ocular
Intervention Type
Drug
Intervention Name(s)
MG-O-1002
Intervention Description
MG-O-1002 ophthalmic solution in one concentration (0.8%) ocular administration 3 drops in study eye
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
The placebo is 0.9% saline ocular administration 3 drops in study eye
Primary Outcome Measure Information:
Title
Mean change from baseline in central macular thickness over 12 weeks.
Time Frame
up to 12 weeks
Secondary Outcome Measure Information:
Title
Mean change from baseline in Best-Corrected Visual Acuity over 12 weeks
Time Frame
up to 12 weeks
Title
Mean Change from baseline in Visual Field over 12 weeks
Time Frame
up to 12 weeks
Title
Mean change from baseline in total area of Choroidal Neovascularization (CNV) over 12 weeks
Time Frame
up to 12 weeks
Title
The number of patients needing rescue treatment within 12 weeks
Time Frame
up to 12 weeks
Title
The time to rescue treatment for needed patients within 12 weeks
Time Frame
up to 12 weeks
Title
Incidence and severity of ocular and systemic adverse events
Time Frame
up to 12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Part 1: Adults aged 45 years or older with a diagnosis of nAMD Diagnosis in the study eye of active, pathologic, newly diagnosed and treatment naïve (i.e., no previous anti-VEGF treatment or other surgery in the study eye) Visual acuity from 20/25 to 20/200 in the study eye Total lesion size (including neovascularization, blood) ≦12 disc areas (30.5 mm2) as assessed by Fluorescein Angiography. Demonstrate the ability, or have a family member who is willing and able to, instill topical ocular drops in the study eye. Ability to give written informed consent and comply with study procedures. Part 2: Adults aged 45 years or older with a diagnosis of nAMD. Participant with nAMD previously treated with 3 injections of Aflibercept within the preceding 4 months, and received the last injection within 30 to 21 days before visit 1 of this study. Demonstrate the ability, or have a family member who is willing and able to, instil topical ocular drops in the study eye. Ability to give written informed consent and comply with study procedures. Exclusion Criteria: Part 1: Prior use within the last 2 months, or a high possibility of requiring treatment with anti-VEGF therapy (except the study drug) in both eyes during the study. Abnormal regions identified by Fundus Autofluorescence (FAF) and Optical Coherence Tomography (OCT) involving the center of the fovea are caused by retinal pigment epithelium (RPE) atrophy, RPE tear, photoreceptor attenuation, or fibrosis/scar tissue. Significant retinal serous pigment epithelial detachment (PED) involving the fovea. History of, or current clinical evidence in the study eye of aphakia, diabetic macular edema, any ocular inflammation or infection, pathological myopia, retinal detachment, advanced glaucoma, and/or significant media opacity, including cataract. History or evidence of the following surgeries in the study eye: penetrating keratoplasty or vitrectomy; corneal transplant; corneal or intraocular surgery within 3 months of Screening. Uncontrolled hypertension despite the use of antihypertensive medications. Diagnosis of Type 1 or Type 2 diabetes. Use of medications that in the opinion of the Investigator could interfere with study results. Participation in any investigational drug or device study, systemic or ocular, within the past 3 months. Women who are pregnant or breast feeding. Women of child-bearing potential who are not using an effective form of birth control. Known serious allergies or hypersensitivity to the fluorescein dye used in angiography, or to the components of the MG-O-1002 formulation, or to topical anesthetics. In the opinion of the investigator, subject who is not suitable for or not likely be benefited from the study treatment. Part 2: More than 30 days between 3rd injection of Aflibercept and Visit 1. Patients who have received 3 injections of Aflibercept within the last 3 months and need continued treatment in the fellow eye. Significant retinal serous pigment epithelial detachment (PED), atrophy, or fibrosis/scar involving the fovea. History or evidence of the following surgeries in the study eye: penetrating keratoplasty or vitrectomy; corneal transplant; corneal or intraocular surgery within 3 months of Screening. Active intraocular inflammation or uveitis or scleritis or episcleritis in the study eye or ocular or periocular infection in either eye. Uncontrolled hypertension despite the use of antihypertensive medications. Diagnosis of Type 1 or Type 2 diabetes. Use of medications that in the opinion of the Investigator could interfere with study results. Participation in any investigational drug or device study, systemic or ocular, within the past 3 months. Women who are pregnant or breast feeding. Women of child-bearing potential who are not using an effective form of birth control. Known serious allergies or hypersensitivity to the fluorescein dye used in angiography, or to the components of the MG-O-1002 formulation, or to topical anesthetics. In the opinion of the investigator, subject who is not suitable for or not likely be benefited from the study treatment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
William Chen
Phone
2-2790-6566
Ext
+886
Email
william.chen@metagone.com.tw
First Name & Middle Initial & Last Name or Official Title & Degree
Samjay Lin
Phone
2-2790-6566
Ext
+886
Email
samjay@metagone.com.tw
Facility Information:
Facility Name
Rajavithi Hospital
City
Bangkok
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Ramathibodi Hospital
City
Bangkok
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Srinagarind Hospital
City
Khon Kaen
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Metta Pracharak Hospital
City
Nakhon Pathom
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Thammasat University Hospital
City
Pathum Thani
Country
Thailand
Individual Site Status
Recruiting
Facility Name
Naresuan University Hospital
City
Phitsanulok
Country
Thailand
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Investigate the Effect on Central Macular Thickness of Treatment With MG-O-1002 Eye Drops in Participants Aged Over 45 With Neovascular Age-related Macular Degeneration (nAMD)

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