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A Phase I Clinical Trial of BAT5906 Injection in Patients With Wet Age-related Macular Degeneration

Primary Purpose

Age-related Macular Degeneration

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
BAT5906 injection
Sponsored by
Bio-Thera Solutions
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female aged 50-80 years old .
  • Signing the informed consent form and able and willing to comply with all treatment and follow-up study procedures.
  • The study eye must meet all the following inclusion criteria: To be diagnosed as wet age related macular degeneration, and there are still active lesions currently;Total lesion size of ≤30mm2( 12 disc areas);Best corrected visual acuity ≤70 Early Treatment of Diabetic Retinopathy ;Study letters (≤20/40) in the study eye.
  • Best corrected visual acuity ≥34 Early Treatment of Diabetic Retinopathy Study letters (≥20/200) . in the non-study eye.

Exclusion Criteria:

  • There are atrophy of the ground pattern involving the fovea, scar or fibrosis, macular anterior membrane, rigid exudation under dense fovea, RPE tear in the study eye.
  • Retinal hemorrhage ≥4 disc area in the study eye.
  • Dioptric media turbid or the pupil cannot be dilated were significant interference with the detection of vision, the evaluation of the anterior segment and fundus in the study eye.
  • Evidence of ocular disease other than exudative AMD in the study eye that may confound the outcome of the study (e.g.,Retinal vein occlusion, uveitis, vascular striatum, pathological myopia, retinal detachment, macular hole, toxoplasmosis, optic nerve disease etc).
  • History of vitrectomy surgery\macular transposition\glaucoma filtration in the study eye.
  • Photodynamic therapy(PDT), in macular area laser photocoagulation therapy, transpermary hyperthermia(TTT), and other operations for AMD within 3 months prior to screening visit in the study eye.
  • History of extraocula surgeryr within 1 months or cataract surgery within 3 months prior to screening visit in the study eye.
  • Aphakia(exclusive of intraocular lens) or rupture of posterior capsule( within1 months prior to the YAG laser retrovesiculotomy (after the artificial crystal), was excluded) in the study eye.
  • APD in the study eye or pseudocyst stripping syndrome in either eye.
  • Intravitrea or Systemicl anti-VEGF injection (ranibizumab, aflibercept, bevacizumab or Conbercept etc) in either eye within 3 months prior to screening visit.
  • Under the conjunctiva,intravitreal or periocular corticosteroid, within 3 months prior to screening visit in either eye.
  • vitreous hemorrhage within 3 months prior to screening Visit in either eye.
  • Ocular or periocular infection in either eye.
  • History of glaucoma in either eye.
  • Visudyne (verteporfin) photodynamic therapy within 1 months prior to screening Visit in non-study eye.
  • Currently in use or may be required to use systemic drugs that cause crystal toxicity or retinal toxicity, such as Deferoxamine, chloroquine/ hydroxychloroquine, phenothiazine and ethambutol or tamoxifen etc.
  • Have an allergic reaction or history of allergic reactions to fluorescein sodium and indocyanine green, an allergic history to therapeutic or diagnostic protein products, an allergic reaction to more than two drugs or non-drug factors, or allergic reactions to any monoclonal antibody.
  • Patients with diabetic retinopathy or the diabetic patient who have glycosylated? hemoglobin>10%.
  • Patients who have undergone any surgical operation within 1 month prior screening; or/and there are unhealed wounds, ulcers, fractures etc.
  • Systemic infectious diseases with clinical significance requiring oral, intramuscular or Patients withintravenous administration.
  • Myocardial infarction, cerebral infarction and angina pectoris within 6 months prior to screening visit.
  • Patients with active disseminated intravascular coagulation and obvious bleeding tendency were screened within 3 months before the screening, or they were treated with anticoagulant and antiplatelet therapy other than aspirin/NSAIDs within 14 days before the screening.
  • Patients with Systemic immune disease ,including but not limited to:

hyperthyroidism, hypothyroidism,vitiligo, dry-syndrome, ankylosing spondylitis, systemic nephritis, human immunodeficiency virus (HIV).

  • Blood pressure control is not ideal or pre-hypertension.
  • Any uncontrollable clinical problems (Serious mental, nervous, cardiovascular and respiratory diseases and malignant tumors).
  • Abnormal liver and kidney function.
  • Blood coagulation is abnormal.
  • Patients with AIDS, syphilis or active hepatitis.
  • Women are not using effective contraception or in pregnancy,lactation.
  • Clinical trials of any trial medication or any other experimental or experimental therapy may be performed within 3 months prior to screening.
  • Subject is considered by the investigator, for any reason, to be an unsuitable candidate for the study.

Sites / Locations

  • Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BAT5906 injection

Arm Description

Single dose escalation starting from 0.3mg. Route of administration: intravitreal injection.

Outcomes

Primary Outcome Measures

Dose-limiting toxicity(DLT)
Safety and tolerability endpoint
Maximum tolerated dosed(MTD)
Safety and tolerability endpoint
Area under the curve(AUC0-t, AUC0-inf)
Pharmacokinetic endpoint Pharmacokinetic endpoint
Maximum serum drug concentration(Cmax)
Pharmacokinetic endpoint Pharmacokinetic endpoint
Half-life period(t1/2)
Pharmacokinetic endpoint
Maximum serum drug time(Tmax)
Pharmacokinetic endpoint
Plasma clearance(CL)
Pharmacokinetic endpoint

Secondary Outcome Measures

Anti-drug antibodies(ADA)
Immunogenic endpoint
Best correct vision(BCVA)
Effective endpoint
Central Retinal thickness(CRT)
Effective endpoint
VEGF concentration
Pharmacodynamics endpoint

Full Information

First Posted
November 4, 2019
Last Updated
September 22, 2021
Sponsor
Bio-Thera Solutions
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1. Study Identification

Unique Protocol Identification Number
NCT04151212
Brief Title
A Phase I Clinical Trial of BAT5906 Injection in Patients With Wet Age-related Macular Degeneration
Official Title
A Phase I Clinical Trial for BAT5906(Single-dose;for Injection) on Safety and Pharmacokinetics for Patients With Age-related Macular Degeneration
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Completed
Study Start Date
October 30, 2018 (Actual)
Primary Completion Date
February 28, 2021 (Actual)
Study Completion Date
April 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bio-Thera Solutions

4. Oversight

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

5. Study Description

Brief Summary
A Phase I Clinical Trial for BAT5906(single-dose;for injection) on Safety and Pharmacokinetics for Patients with Age-related macular degeneration.
Detailed Description
The primary objective: To evaluate the safety and Pharmacokinetics of BAT5906 (single-dose Ophthalmic Intracireal Iinjection) in patients wAMD , when the injection dosage escalates. The Secondary objective: To evaluate the immunogenicity profile of BAT5906; To evaluate the pharmacodynamics and therapeutic efficacy profile of BAT5906.

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 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BAT5906 injection
Arm Type
Experimental
Arm Description
Single dose escalation starting from 0.3mg. Route of administration: intravitreal injection.
Intervention Type
Drug
Intervention Name(s)
BAT5906 injection
Other Intervention Name(s)
No Other Intervention Names
Intervention Description
Signal dose escalation starting from 0.3mg. Route of administration: intravitreal injection
Primary Outcome Measure Information:
Title
Dose-limiting toxicity(DLT)
Description
Safety and tolerability endpoint
Time Frame
2 weeks
Title
Maximum tolerated dosed(MTD)
Description
Safety and tolerability endpoint
Time Frame
0-70days
Title
Area under the curve(AUC0-t, AUC0-inf)
Description
Pharmacokinetic endpoint Pharmacokinetic endpoint
Time Frame
0-70days
Title
Maximum serum drug concentration(Cmax)
Description
Pharmacokinetic endpoint Pharmacokinetic endpoint
Time Frame
0-70days
Title
Half-life period(t1/2)
Description
Pharmacokinetic endpoint
Time Frame
0-70days
Title
Maximum serum drug time(Tmax)
Description
Pharmacokinetic endpoint
Time Frame
0-70days
Title
Plasma clearance(CL)
Description
Pharmacokinetic endpoint
Time Frame
0-70days
Secondary Outcome Measure Information:
Title
Anti-drug antibodies(ADA)
Description
Immunogenic endpoint
Time Frame
0-70days
Title
Best correct vision(BCVA)
Description
Effective endpoint
Time Frame
0-70days
Title
Central Retinal thickness(CRT)
Description
Effective endpoint
Time Frame
0-70days
Title
VEGF concentration
Description
Pharmacodynamics endpoint
Time Frame
0-70days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged 50-80 years old . Signing the informed consent form and able and willing to comply with all treatment and follow-up study procedures. The study eye must meet all the following inclusion criteria: To be diagnosed as wet age related macular degeneration, and there are still active lesions currently;Total lesion size of ≤30mm2( 12 disc areas);Best corrected visual acuity ≤70 Early Treatment of Diabetic Retinopathy ;Study letters (≤20/40) in the study eye. Best corrected visual acuity ≥34 Early Treatment of Diabetic Retinopathy Study letters (≥20/200) . in the non-study eye. Exclusion Criteria: There are atrophy of the ground pattern involving the fovea, scar or fibrosis, macular anterior membrane, rigid exudation under dense fovea, RPE tear in the study eye. Retinal hemorrhage ≥4 disc area in the study eye. Dioptric media turbid or the pupil cannot be dilated were significant interference with the detection of vision, the evaluation of the anterior segment and fundus in the study eye. Evidence of ocular disease other than exudative AMD in the study eye that may confound the outcome of the study (e.g.,Retinal vein occlusion, uveitis, vascular striatum, pathological myopia, retinal detachment, macular hole, toxoplasmosis, optic nerve disease etc). History of vitrectomy surgery\macular transposition\glaucoma filtration in the study eye. Photodynamic therapy(PDT), in macular area laser photocoagulation therapy, transpermary hyperthermia(TTT), and other operations for AMD within 3 months prior to screening visit in the study eye. History of extraocula surgeryr within 1 months or cataract surgery within 3 months prior to screening visit in the study eye. Aphakia(exclusive of intraocular lens) or rupture of posterior capsule( within1 months prior to the YAG laser retrovesiculotomy (after the artificial crystal), was excluded) in the study eye. APD in the study eye or pseudocyst stripping syndrome in either eye. Intravitrea or Systemicl anti-VEGF injection (ranibizumab, aflibercept, bevacizumab or Conbercept etc) in either eye within 3 months prior to screening visit. Under the conjunctiva,intravitreal or periocular corticosteroid, within 3 months prior to screening visit in either eye. vitreous hemorrhage within 3 months prior to screening Visit in either eye. Ocular or periocular infection in either eye. History of glaucoma in either eye. Visudyne (verteporfin) photodynamic therapy within 1 months prior to screening Visit in non-study eye. Currently in use or may be required to use systemic drugs that cause crystal toxicity or retinal toxicity, such as Deferoxamine, chloroquine/ hydroxychloroquine, phenothiazine and ethambutol or tamoxifen etc. Have an allergic reaction or history of allergic reactions to fluorescein sodium and indocyanine green, an allergic history to therapeutic or diagnostic protein products, an allergic reaction to more than two drugs or non-drug factors, or allergic reactions to any monoclonal antibody. Patients with diabetic retinopathy or the diabetic patient who have glycosylated? hemoglobin>10%. Patients who have undergone any surgical operation within 1 month prior screening; or/and there are unhealed wounds, ulcers, fractures etc. Systemic infectious diseases with clinical significance requiring oral, intramuscular or Patients withintravenous administration. Myocardial infarction, cerebral infarction and angina pectoris within 6 months prior to screening visit. Patients with active disseminated intravascular coagulation and obvious bleeding tendency were screened within 3 months before the screening, or they were treated with anticoagulant and antiplatelet therapy other than aspirin/NSAIDs within 14 days before the screening. Patients with Systemic immune disease ,including but not limited to: hyperthyroidism, hypothyroidism,vitiligo, dry-syndrome, ankylosing spondylitis, systemic nephritis, human immunodeficiency virus (HIV). Blood pressure control is not ideal or pre-hypertension. Any uncontrollable clinical problems (Serious mental, nervous, cardiovascular and respiratory diseases and malignant tumors). Abnormal liver and kidney function. Blood coagulation is abnormal. Patients with AIDS, syphilis or active hepatitis. Women are not using effective contraception or in pregnancy,lactation. Clinical trials of any trial medication or any other experimental or experimental therapy may be performed within 3 months prior to screening. Subject is considered by the investigator, for any reason, to be an unsuitable candidate for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Youxin Chen
Organizational Affiliation
Peking Union Medical College
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
City
Beijing
Country
China

12. IPD Sharing Statement

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A Phase I Clinical Trial of BAT5906 Injection in Patients With Wet Age-related Macular Degeneration

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