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Safety and Effect of Intravitreal Injection of a Derivative of Nucleoside Reverse Transcriptase Inhibitor in Subjects With Diabetic Macular Edema

Primary Purpose

Diabetic Macular Edema

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
K8
Sponsored by
Michelle Abou-Jaoude
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema focused on measuring diabetes, kamuvudine, K8, SOM-401

Eligibility Criteria

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

Inclusion Criteria: 18 years or older BCVA of ≥ 24 and ≤ 73 letters (20/40 or worse but at least 20/320) by an ETDRS chart. BCVA of the non-study eye must be no worse than 20/400) Diagnosis of diabetes mellitus, type 1 or 2 with non-proliferative or non-high risk proliferative diabetic retinopathy. DME based on investigator's clinical evaluation and demonstrated on fundus photographs, fluorescein angiograms, and spectral domain-optical coherence tomography (SD-OCT) Mean foveal thickness of at least 300 µm by SD-OCT Ability and willingness to comply with the treatment and follow-up procedures Ability to understand and sign the informed consent form Intraocular pressure of ≤ 21 on 2 or less IOP lowering medications Exclusion Criteria: Pregnant patients, currently lactating patients, or females of childbearing potential (unless using reliable contraception such as double barrier, surgical sterilization, oral contraceptives, intrauterine device (IUD), etc.) Allergy or hypersensitivity (known or suspected) to fluorescein or any component of the investigational product or delivery system Any ocular surgery in the study eye within 12 weeks of screening Any history of vitrectomy in the study eye Aphakia in the study eye Presence of severe foveal ischemia, defined as foveal avascular zone (FAZ) of >1.5 mm2 on OCT-Angiography Prior intraocular or periocular treatment for DME Macular laser for the treatment of diabetic macular edema within 12 weeks of screening Any change in systemic steroidal therapy within 3 months of screening Retinal or choroidal neovascularization due to ocular conditions other than diabetic retinopathy History or presence of viral disease of the cornea or conjunctiva History or presence of any disease or condition that in the investigator's opinion would preclude study treatment or follow-up or that in the opinion of the investigator would render them as unlikely to benefit from study treatment. Any lens or corneal opacity which impairs visualization of the posterior pole Participation in another clinical trial within 12 weeks before the screening visit or during the study Expectation that subject will be moving away from the area of the clinical treatment center without the ability to return for visits within the study period

Sites / Locations

  • University of KentuckyRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Patients with Diabetic Macular Edema

Arm Description

Patients with Diabetic Macular Edema

Outcomes

Primary Outcome Measures

Mean change in central subfield thickness
Central subfield thickness (CST) measured on spectral domain-optical coherence tomography (SD-OCT)
Mean change in best-corrected visual acuity (BCVA)
best-corrected visual acuity as defined by the number of letters read on the scale set by the ETDRS (Early Treatment of Diabetic Retinopathy Study). (More letters read equates to better visual acuity)
Adverse Events
Frequency of participants experiencing ocular or systemic adverse events.

Secondary Outcome Measures

Resolution of macular edema
Frequency of participants experiencing resolution of macular edema
Clinically significant change in visual acuity
Frequency of participants experiencing clinically significant change.
Change in score on the ETDRS Multi-Step Scale of Diabetic Retinopathy
The Early Treatment Diabetic Retinopathy Study (ETDRS DRSS) was developed to categorize the severity of diabetic retinopathy based on several fundus photographic characteristics. There are 13 levels in the original ETDRS scale, and a severity step or level increase is associated with an increased risk of retinopathy progression. The scale goes from 10 to 85, with higher scores being worse.
Visual acuity
The proportion of subjects who have an change from baseline of ETDRS letters read of ≥ 5 letters, ≥ 10 letters or ≥ 15 letters of visual acuity.
Change in retinal thickening
Total area in disc diameters of retinal thickening of the lesion involving the foveal center, based on fundus imaging.
Change in hard exudates
Total area in disc diameters of hard exudates in the lesion involving the macula, based on fundus imaging.
Change in foveal avascular zone.
Foveal avascular zone size as determined using OCT-Angiography
Proportion of subjects requiring rescue treatment
Proportion of subjects requiring rescue treatment
Proportion of subjects requiring vitrectomy
Proportion of subjects requiring vitrectomy
Mean change in central subfield thickness at other study timepoints
Central subfield thickness (CST) measured on spectral domain-optical coherence tomography (SD-OCT)
Mean change in best-corrected visual acuity (BCVA) at other study timepoints
best-corrected visual acuity as defined by the number of letters read on the scale set by the ETDRS (Early Treatment of Diabetic Retinopathy Study). (More letters read equates to better visual acuity)

Full Information

First Posted
December 23, 2022
Last Updated
March 13, 2023
Sponsor
Michelle Abou-Jaoude
Collaborators
Inflammasome Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT05699759
Brief Title
Safety and Effect of Intravitreal Injection of a Derivative of Nucleoside Reverse Transcriptase Inhibitor in Subjects With Diabetic Macular Edema
Official Title
A Non-randomized, Open Label, Safety and Efficacy Study Evaluating a Single Dose of Kamuvudine-8 (K8) for the Treatment of Patients With Diabetic Macular Edema
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 28, 2023 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Michelle Abou-Jaoude
Collaborators
Inflammasome Therapeutics

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 assess the safety and initial evidence of efficacy of the novel compound SOM-401 (K8), a derivative of a nucleoside reverse transcriptase inhibitor, in subjects with untreated, clinically significant, diabetic macular edema (DME).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema
Keywords
diabetes, kamuvudine, K8, SOM-401

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Patients with Diabetic Macular Edema
Arm Type
Experimental
Arm Description
Patients with Diabetic Macular Edema
Intervention Type
Drug
Intervention Name(s)
K8
Other Intervention Name(s)
SOM-401
Intervention Description
Subjects will have the treatment administered intravitreally (one eye only) using an injector system on a 24-gauge needle to deliver a cylindrical, 3 mm long, drug eluting pellet containing 300 µg of K8. Participants will be followed for 168 days (24 weeks).
Primary Outcome Measure Information:
Title
Mean change in central subfield thickness
Description
Central subfield thickness (CST) measured on spectral domain-optical coherence tomography (SD-OCT)
Time Frame
At week 4 (change as measured from baseline)
Title
Mean change in best-corrected visual acuity (BCVA)
Description
best-corrected visual acuity as defined by the number of letters read on the scale set by the ETDRS (Early Treatment of Diabetic Retinopathy Study). (More letters read equates to better visual acuity)
Time Frame
At week 4 (change as measured from baseline)
Title
Adverse Events
Description
Frequency of participants experiencing ocular or systemic adverse events.
Time Frame
Within the study period (of 24 weeks)
Secondary Outcome Measure Information:
Title
Resolution of macular edema
Description
Frequency of participants experiencing resolution of macular edema
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Clinically significant change in visual acuity
Description
Frequency of participants experiencing clinically significant change.
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Change in score on the ETDRS Multi-Step Scale of Diabetic Retinopathy
Description
The Early Treatment Diabetic Retinopathy Study (ETDRS DRSS) was developed to categorize the severity of diabetic retinopathy based on several fundus photographic characteristics. There are 13 levels in the original ETDRS scale, and a severity step or level increase is associated with an increased risk of retinopathy progression. The scale goes from 10 to 85, with higher scores being worse.
Time Frame
24 weeks
Title
Visual acuity
Description
The proportion of subjects who have an change from baseline of ETDRS letters read of ≥ 5 letters, ≥ 10 letters or ≥ 15 letters of visual acuity.
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Change in retinal thickening
Description
Total area in disc diameters of retinal thickening of the lesion involving the foveal center, based on fundus imaging.
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Change in hard exudates
Description
Total area in disc diameters of hard exudates in the lesion involving the macula, based on fundus imaging.
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Change in foveal avascular zone.
Description
Foveal avascular zone size as determined using OCT-Angiography
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Proportion of subjects requiring rescue treatment
Description
Proportion of subjects requiring rescue treatment
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Proportion of subjects requiring vitrectomy
Description
Proportion of subjects requiring vitrectomy
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)
Title
Mean change in central subfield thickness at other study timepoints
Description
Central subfield thickness (CST) measured on spectral domain-optical coherence tomography (SD-OCT)
Time Frame
24 weeks (at 2, 8, 12, 16, and 24 weeks)
Title
Mean change in best-corrected visual acuity (BCVA) at other study timepoints
Description
best-corrected visual acuity as defined by the number of letters read on the scale set by the ETDRS (Early Treatment of Diabetic Retinopathy Study). (More letters read equates to better visual acuity)
Time Frame
24 weeks (at 2, 4, 8, 12, 16, and 24 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years or older BCVA of ≥ 24 and ≤ 73 letters (20/40 or worse but at least 20/320) by an ETDRS chart. BCVA of the non-study eye must be no worse than 20/400) Diagnosis of diabetes mellitus, type 1 or 2 with non-proliferative or non-high risk proliferative diabetic retinopathy. DME based on investigator's clinical evaluation and demonstrated on fundus photographs, fluorescein angiograms, and spectral domain-optical coherence tomography (SD-OCT) Mean foveal thickness of at least 300 µm by SD-OCT Ability and willingness to comply with the treatment and follow-up procedures Ability to understand and sign the informed consent form Intraocular pressure of ≤ 21 on 2 or less IOP lowering medications Exclusion Criteria: Pregnant patients, currently lactating patients, or females of childbearing potential (unless using reliable contraception such as double barrier, surgical sterilization, oral contraceptives, intrauterine device (IUD), etc.) Allergy or hypersensitivity (known or suspected) to fluorescein or any component of the investigational product or delivery system Any ocular surgery in the study eye within 12 weeks of screening Any history of vitrectomy in the study eye Aphakia in the study eye Presence of severe foveal ischemia, defined as foveal avascular zone (FAZ) of >1.5 mm2 on OCT-Angiography Prior intraocular or periocular treatment for DME Macular laser for the treatment of diabetic macular edema within 12 weeks of screening Any change in systemic steroidal therapy within 3 months of screening Retinal or choroidal neovascularization due to ocular conditions other than diabetic retinopathy History or presence of viral disease of the cornea or conjunctiva History or presence of any disease or condition that in the investigator's opinion would preclude study treatment or follow-up or that in the opinion of the investigator would render them as unlikely to benefit from study treatment. Any lens or corneal opacity which impairs visualization of the posterior pole Participation in another clinical trial within 12 weeks before the screening visit or during the study Expectation that subject will be moving away from the area of the clinical treatment center without the ability to return for visits within the study period
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sara Kuhl
Phone
859-562-3570
Email
sara.kuhl@uky.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Connie Dampier
Phone
859-562-0750
Email
dampier@email.uky.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michelle Abou-Jaoude, MD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40506
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Effect of Intravitreal Injection of a Derivative of Nucleoside Reverse Transcriptase Inhibitor in Subjects With Diabetic Macular Edema

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