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A Phase 1/2 Multi-center, Randomized, Double-Masked, Prospective, Parallel- Arm Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1) (CLARA)

Primary Purpose

Corneal Edema, Corneal Endothelial Dysfunction

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
AURN001
Sponsored by
Aurion Biotech
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Corneal Edema

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Have a diagnosis of corneal edema secondary to corneal endothelial dysfunction, requiring surgery (full- or partial-thickness endothelial keratoplasty) BCVA between 65 Early Treatment of Diabetic Retinopathy Study (ETDRS) letters (i.e., 0.4 LogMAR or approximate 20/50 Snellen equivalent) and 5 ETDRS letters (i.e., 1.6 LogMAR or approximate 20/800 Snellen equivalent) Exclusion Criteria: Have pre-operative corneal epithelial, sub-epithelial or stromal scarring or other opacity that is paracentral/central and visually significant, but not suspected to be secondary to corneal endothelial disease with the potential to improve from treatment in the study eye Have history or presence of an ocular disease other than corneal endothelial dysfunction that could affect vision or safety assessments

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    AURN001 High

    AURN001 Medium

    AURN001 Low

    Neltependocel - High

    ROCK

    Arm Description

    Neltependocel High and Rho-associated protein kinase

    Neltependocel Medium and Rho-associated protein kinase

    Neltependocel Low and Rho-associated protein kinase

    Neltependocel - High

    Rho-associated protein kinase (ROCK)

    Outcomes

    Primary Outcome Measures

    BCVA - 15-letter improvement (3-line gain)
    Response, defined as a ≥15-letter improvement (3-line gain) from baseline in best-corrected visual acuity (BCVA)

    Secondary Outcome Measures

    Full Information

    First Posted
    September 11, 2023
    Last Updated
    September 11, 2023
    Sponsor
    Aurion Biotech
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06041256
    Brief Title
    A Phase 1/2 Multi-center, Randomized, Double-Masked, Prospective, Parallel- Arm Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1)
    Acronym
    CLARA
    Official Title
    CLARA: A Phase 1/2 Multi-center, Randomized, Double-Masked, Prospective, Parallel-Arm Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    October 2023 (Anticipated)
    Primary Completion Date
    October 2024 (Anticipated)
    Study Completion Date
    October 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Aurion Biotech

    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
    The goal of this clinical trial is to compare different doses of AURN001 in patients with corneal edema secondary to corneal endothelial dysfunction. The main questions the clinical trial aims to answer are whether AURN001 effective and safe. Participants will receive a single injection of AURN001. A comparison between low, medium, and high doses of AURN001 against the contribution of each element, cells alone and Y27632 alone, will be conducted to determine the effects on corneal edema.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Corneal Edema, Corneal Endothelial Dysfunction

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    AURN001 High
    Arm Type
    Experimental
    Arm Description
    Neltependocel High and Rho-associated protein kinase
    Arm Title
    AURN001 Medium
    Arm Type
    Experimental
    Arm Description
    Neltependocel Medium and Rho-associated protein kinase
    Arm Title
    AURN001 Low
    Arm Type
    Experimental
    Arm Description
    Neltependocel Low and Rho-associated protein kinase
    Arm Title
    Neltependocel - High
    Arm Type
    Experimental
    Arm Description
    Neltependocel - High
    Arm Title
    ROCK
    Arm Type
    Experimental
    Arm Description
    Rho-associated protein kinase (ROCK)
    Intervention Type
    Combination Product
    Intervention Name(s)
    AURN001
    Intervention Description
    Corneal Endothelial Cells and Y27632
    Primary Outcome Measure Information:
    Title
    BCVA - 15-letter improvement (3-line gain)
    Description
    Response, defined as a ≥15-letter improvement (3-line gain) from baseline in best-corrected visual acuity (BCVA)
    Time Frame
    Month 6

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    99 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Have a diagnosis of corneal edema secondary to corneal endothelial dysfunction, requiring surgery (full- or partial-thickness endothelial keratoplasty) BCVA between 65 Early Treatment of Diabetic Retinopathy Study (ETDRS) letters (i.e., 0.4 LogMAR or approximate 20/50 Snellen equivalent) and 5 ETDRS letters (i.e., 1.6 LogMAR or approximate 20/800 Snellen equivalent) Exclusion Criteria: Have pre-operative corneal epithelial, sub-epithelial or stromal scarring or other opacity that is paracentral/central and visually significant, but not suspected to be secondary to corneal endothelial disease with the potential to improve from treatment in the study eye Have history or presence of an ocular disease other than corneal endothelial dysfunction that could affect vision or safety assessments
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Study Manager, OD
    Phone
    18576394161
    Email
    clara.study.@aurionbiotech.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Study Manager, OD
    Organizational Affiliation
    Aurion Biotech
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Phase 1/2 Multi-center, Randomized, Double-Masked, Prospective, Parallel- Arm Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1)

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