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A Dose Escalation Study of IBI324 in Subjects With Diabetic Macular Edema

Primary Purpose

Diabetic Macular Edema

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
IBI324
IBI324
IBI324
IBI324
IBI324
Sponsored by
Innovent Biologics (Suzhou) Co. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Willing and able to sign informed consent form and comply with visit and study procedures per protocol.
  2. Male or female subjects with age of 18~80 yrs.
  3. Diagnosis of diabetes mellitus(type 1 or 2), and current regular use of insulin or other injectable drugs or oral anti-hyperglycaemic agent for the treatment of diabetes.
  4. Visual impairment was caused by DME involving the macular fovea.
  5. Central macular sub-field thickness (CST) ≥320μm according to OCT.
  6. BCVA score of 24-73 letters using ETDRS charts (in 4 meters) in the study eye.
  7. Female subjects of childbearing age or male subjects with childbearing age female partner agree to take effective contraceptive measures from the screening period to 3 months after the end of treatment.

Exclusion Criteria:

  1. Concomitant diseases that may cause subjects fail to respond to the treatment or confuse the interpretation of the study results.
  2. PDR in the study eye.
  3. Tractional retinal detachment, pre-retinal fibrosis, vitreomacular traction, or epiretinal membrane involving the fovea or disrupting the macular architecture in the study eye.
  4. Active rubeosis in the study eye.
  5. The equivalent spherical lens≤-8.00D in the study eye.
  6. The intraocular pressure>21 mmHg in the study eye.
  7. Active ocular or periocular inflammation/infection in either eye.
  8. Prior any treatment of following in the study eye:

    • Intravitreal anti-VEGF treatment within 3 months prior to baseline;
    • Intraocular glucocorticoid injection within 3 months prior to baseline;
    • PRP, local/grid laser photocoagulation within 3 months prior to baseline;
    • Any intraocular surgery (e.g. cataract surgery) within 90 days prior to baseline;
    • The eyes were treated with lasik posterior capsulotomy or glaucoma filtration, radiotherapy 30 days before baseline;
  9. Currently untreated diabetes mellitus or previously untreated DM subjects who initiated oral or injectable antidiabetic medication or insulin <90 days;
  10. HbA1c of >10% within 28 days prior to baseline;
  11. Presence of any systemic disease: including but not limited to unstable angina; cerebrovascular accident or transient cerebral ischemia (within 6 months prior to selection); myocardial infarction (within 6 months prior to selection); serious arrhythmia requiring medical treatment; liver, kidney or metabolic diseases; or malignant tumor;
  12. History of severe hypersensitivity/allergy to active ingredients or any excipients of the study drug, or fluorescein and povidone iodine;
  13. Pregnant or lactating women or women preparing to become pregnant or breastfeeding during the study period;
  14. Participated in any clinical study of any other drug within three months prior to enrollment, or attempted to participate in other drug trials during the study;
  15. Other conditions unsuitable for enrollment judged by investigators

Sites / Locations

  • Shanghai General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

treated with different doses of single intravitreal inmection of IBI324

treated with different doses of multiple intravitreal inmection of IBI324

Arm Description

Outcomes

Primary Outcome Measures

Safety evaluation indicators
Incidence, relatedness and severity of all adverse events, treatment emergent adverse events and serious adverse events b) Changes in central subfield thickness by OCT compared with baseline

Secondary Outcome Measures

The incidence of adverse events
Changes in visual acuity as measured by BCVA compared with baseline
Changes in the average thickness of the macula in the central 1 mm ETDRS grid (CST) compared with baseline
Pharmacokinetic (PK) profiles, such as half-life time (t1/2),etc
Positive rate of anti-drug antibody
Immunogenicity evaluation indicators
Positive rate of anti-drug antibody

Full Information

First Posted
June 21, 2022
Last Updated
February 23, 2023
Sponsor
Innovent Biologics (Suzhou) Co. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05489718
Brief Title
A Dose Escalation Study of IBI324 in Subjects With Diabetic Macular Edema
Official Title
A Dose Escalation Phase I Clinical Study to Evaluate the Tolerability and Safety of IBI324 in Subjects With Diabetic Macular Edema(DME)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
August 1, 2022 (Actual)
Primary Completion Date
April 8, 2023 (Anticipated)
Study Completion Date
October 6, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innovent Biologics (Suzhou) Co. Ltd.

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
This study is designed as a Multi-center, open-label, dose escalation phase I trial to evaluate the safety and tolerability of a single and multiple intravitreal injections of IBI324 in subjects with DME

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
treated with different doses of single intravitreal inmection of IBI324
Arm Type
Experimental
Arm Title
treated with different doses of multiple intravitreal inmection of IBI324
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
IBI324
Intervention Description
Dose 2 IBI324 of multiple IVT injection
Intervention Type
Biological
Intervention Name(s)
IBI324
Intervention Description
Dose 2 IBI324 of single IVT injection
Intervention Type
Biological
Intervention Name(s)
IBI324
Intervention Description
Dose 1 IBI324 of single IVT injection
Intervention Type
Biological
Intervention Name(s)
IBI324
Intervention Description
Dose 3 IBI324 of single IVT injection
Intervention Type
Biological
Intervention Name(s)
IBI324
Intervention Description
Dose 3 IBI324 of multiple IVT injection
Primary Outcome Measure Information:
Title
Safety evaluation indicators
Description
Incidence, relatedness and severity of all adverse events, treatment emergent adverse events and serious adverse events b) Changes in central subfield thickness by OCT compared with baseline
Time Frame
Through study completion, a maximum of 24 weeks
Secondary Outcome Measure Information:
Title
The incidence of adverse events
Time Frame
Through study completion, a maximum of 24 weeks
Title
Changes in visual acuity as measured by BCVA compared with baseline
Time Frame
Through study completion, a maximum of 24 week
Title
Changes in the average thickness of the macula in the central 1 mm ETDRS grid (CST) compared with baseline
Time Frame
Through study completion, a maximum of 24 week
Title
Pharmacokinetic (PK) profiles, such as half-life time (t1/2),etc
Description
Positive rate of anti-drug antibody
Time Frame
Through study completion, a maximum of 24 weeks
Title
Immunogenicity evaluation indicators
Description
Positive rate of anti-drug antibody
Time Frame
Through study completion, a maximum of 24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to sign informed consent form and comply with visit and study procedures per protocol. Male or female subjects with age of 18~80 yrs. Diagnosis of diabetes mellitus(type 1 or 2), and current regular use of insulin or other injectable drugs or oral anti-hyperglycaemic agent for the treatment of diabetes. Visual impairment was caused by DME involving the macular fovea. Central macular sub-field thickness (CST) ≥320μm according to OCT. BCVA score of 24-73 letters using ETDRS charts (in 4 meters) in the study eye. Female subjects of childbearing age or male subjects with childbearing age female partner agree to take effective contraceptive measures from the screening period to 3 months after the end of treatment. Exclusion Criteria: Concomitant diseases that may cause subjects fail to respond to the treatment or confuse the interpretation of the study results. PDR in the study eye. Tractional retinal detachment, pre-retinal fibrosis, vitreomacular traction, or epiretinal membrane involving the fovea or disrupting the macular architecture in the study eye. Active rubeosis in the study eye. The equivalent spherical lens≤-8.00D in the study eye. The intraocular pressure>21 mmHg in the study eye. Active ocular or periocular inflammation/infection in either eye. Prior any treatment of following in the study eye: Intravitreal anti-VEGF treatment within 3 months prior to baseline; Intraocular glucocorticoid injection within 3 months prior to baseline; PRP, local/grid laser photocoagulation within 3 months prior to baseline; Any intraocular surgery (e.g. cataract surgery) within 90 days prior to baseline; The eyes were treated with lasik posterior capsulotomy or glaucoma filtration, radiotherapy 30 days before baseline; Currently untreated diabetes mellitus or previously untreated DM subjects who initiated oral or injectable antidiabetic medication or insulin <90 days; HbA1c of >10% within 28 days prior to baseline; Presence of any systemic disease: including but not limited to unstable angina; cerebrovascular accident or transient cerebral ischemia (within 6 months prior to selection); myocardial infarction (within 6 months prior to selection); serious arrhythmia requiring medical treatment; liver, kidney or metabolic diseases; or malignant tumor; History of severe hypersensitivity/allergy to active ingredients or any excipients of the study drug, or fluorescein and povidone iodine; Pregnant or lactating women or women preparing to become pregnant or breastfeeding during the study period; Participated in any clinical study of any other drug within three months prior to enrollment, or attempted to participate in other drug trials during the study; Other conditions unsuitable for enrollment judged by investigators
Facility Information:
Facility Name
Shanghai General Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China

12. IPD Sharing Statement

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A Dose Escalation Study of IBI324 in Subjects With Diabetic Macular Edema

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