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A Study Assessing AR-13503 Implant in Subjects With nAMD or DME

Primary Purpose

Neovascular Age-related Macular Degeneration, Diabetic Macular Edema

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AR-13503 Implant 10.6 Dose
AR-13503 Implant 21.2 Dose
AR-13503 42.4 Dose
AR-13503 63.6 Dose
Sponsored by
Aerie Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neovascular Age-related Macular Degeneration focused on measuring Neovascular AMD, Diabetic macular edema, Diabetic retinopathy, Vascular endothelial growth factor, Intravitreal injection

Eligibility Criteria

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

Inclusion Criteria for Subjects with Neovascular Age-Related Macular Degeneration (nAMD)

  1. 50 years of age or older
  2. Presence of active subfoveal or juxtafoveal Choroidal Neovascularization (CNV) (any subtype) with leakage affecting the fovea secondary to Age-Related Macular Degeneration (AMD)
  3. Best Corrected Visual Acuity (BCVA) in the study eye at Baseline (Day 0):

    Stage 1: between 65 and 10 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (20/50 and 20/640 Snellen equivalent)

  4. Able and willing to give signed informed consent and follow study instructions

Inclusion Criteria for Subjects with Diabetic Macular Edema (DME)

Subjects with Diabetic Macular Edema (DME) must meet all the following criteria to enter into the study:

  1. 18 years of age or older
  2. Type 1 or 2 diabetes mellitus with center-involved DME
  3. BCVA in the study eye at Baseline (Day 0):

    Stage 1: between 65 and 10 ETDRS letters (20/50 and 20/640 Snellen equivalent) Stage 2: between 70 and 20 ETDRS letters (20/40 and 20/400 Snellen equivalent)

  4. Able and willing to give signed informed consent and follow study instructions

Exclusion Criteria for Subjects with Neovascular Age-Related Macular Degeneration (nAMD)

Ophthalmic:

  1. Use of intravitreal aflibercept within 8 weeks, ranibizumab or bevacizumab within 6 weeks
  2. History of vitreoretinal surgery in the study eye
  3. Any ocular disease in the study eye that in the Investigator and Reading Center's opinion may confound assessment of the macula, affect central vision, confound results, or preclude improvement in visual acuity
  4. Any current or history of periocular or intraocular inflammation or evidence of infection in either eye
  5. Media clarity insufficient to obtain quality fundus and OCT images in the study eye

Systemic:

  1. History or current systemic condition that in the Investigator opinion preclude the safe administration of the study treatment or confound results
  2. History of allergy or sensitivity to fluorescein or povidone iodine
  3. Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control
  4. Participation in an investigational study within 30 days of Screening

Exclusion Criteria for Subjects with DME

Ophthalmic:

  1. Use of intraocular or periocular corticosteroids within 6 months, aflibercept within 8 weeks, ranibizumab or bevacizumab within 6 weeks
  2. History of vitreoretinal surgery in the study eye
  3. High risk proliferative diabetic retinopathy in the study eye and related complications
  4. Structural damage to the center or the macula that is likely to preclude improvement in visual acuity in the study eye after resolution of the DME
  5. Media clarity insufficient to obtain quality fundus and OCT images in the study eye

Systemic:

  1. History or current medical condition that in the Investigator's opinion preclude the safe administration of the study treatment or confound results
  2. History of allergy or sensitivity to fluorescein or povidone iodine
  3. Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control
  4. Participation in an investigational study within 30 days of Screening

Sites / Locations

  • Retinal Research Institute, LLC
  • Retina-Vitreous Associates Medical Group
  • Bay Area Retina Associates
  • Sterling Vision, PC dba Oregon Retina
  • Valley Retina Institute, P.A.
  • Medical Center Ophthamology Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

AR-13503 Implant 10.6 Dose

AR-13503 Implant 21.2 Dose

AR-13503 Implant 42.4 Dose

AR-13503 Implant 63.6 Dose

Arm Description

Single dose of AR-13503 Implant 10.6 Dose (10.6 µg) administered as an intravitreal implant into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks

Single dose of AR-13503 Implant 21.2 Dose (21.2 µg) administered as intravitreal implants into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks

Single dose of AR-13503 Implant 42.4 Dose (42.4 µg) administered as intravitreal implants into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks

Dose of AR-13503 Implant 63.6 Dose (63.6 µg) administered into a single eye of up to 5 subjects (DME) who will be followed for 24 weeks. Subjects may qualify to receive an additional dose at Week 12.

Outcomes

Primary Outcome Measures

Number of ocular and non-ocular TEAEs
Number of ocular and non-ocular treatment-emergent adverse events (TEAEs), summarized at the subject level by system organ class and preferred term, and also by severity and relatedness to treatment.

Secondary Outcome Measures

Full Information

First Posted
February 7, 2019
Last Updated
February 7, 2023
Sponsor
Aerie Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03835884
Brief Title
A Study Assessing AR-13503 Implant in Subjects With nAMD or DME
Official Title
First-in-Human Study of the Safety of AR-13503 Sustained Release Intravitreal Implant in Subjects With Neovascular Age-Related Macular Degeneration (nAMD) and Subjects With Diabetic Macular Edema (DME)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
June 24, 2019 (Actual)
Primary Completion Date
May 12, 2022 (Actual)
Study Completion Date
May 12, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aerie Pharmaceuticals

4. Oversight

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

5. Study Description

Brief Summary
First-in-Human Study of the Safety of AR-13503 Sustained Release Intravitreal Implant in Subjects with Neovascular Age-Related Macular Degeneration (nAMD) and Subjects with Diabetic Macular Edema (DME)
Detailed Description
This is a first-in-human study conducted in 2 sequential stages; each stage is 24 weeks in duration. Subjects with nAMD and subjects with DME were evaluated in Stage 1. Subjects with DME will be evaluated in Stage 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neovascular Age-related Macular Degeneration, Diabetic Macular Edema
Keywords
Neovascular AMD, Diabetic macular edema, Diabetic retinopathy, Vascular endothelial growth factor, Intravitreal injection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Masking Description
No masking
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AR-13503 Implant 10.6 Dose
Arm Type
Experimental
Arm Description
Single dose of AR-13503 Implant 10.6 Dose (10.6 µg) administered as an intravitreal implant into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks
Arm Title
AR-13503 Implant 21.2 Dose
Arm Type
Experimental
Arm Description
Single dose of AR-13503 Implant 21.2 Dose (21.2 µg) administered as intravitreal implants into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks
Arm Title
AR-13503 Implant 42.4 Dose
Arm Type
Experimental
Arm Description
Single dose of AR-13503 Implant 42.4 Dose (42.4 µg) administered as intravitreal implants into a single eye of up to 6 subjects (3 nAMD and 3 DME) who will be followed for 24 weeks
Arm Title
AR-13503 Implant 63.6 Dose
Arm Type
Experimental
Arm Description
Dose of AR-13503 Implant 63.6 Dose (63.6 µg) administered into a single eye of up to 5 subjects (DME) who will be followed for 24 weeks. Subjects may qualify to receive an additional dose at Week 12.
Intervention Type
Drug
Intervention Name(s)
AR-13503 Implant 10.6 Dose
Intervention Description
AR-13503 Implant 10.6 Dose (10.6 µg) administered as an intravitreal implant into a single eye
Intervention Type
Drug
Intervention Name(s)
AR-13503 Implant 21.2 Dose
Intervention Description
AR-13503 Implant 21.2 Dose (21.2 µg) administered as intravitreal implants into a single eye
Intervention Type
Drug
Intervention Name(s)
AR-13503 42.4 Dose
Intervention Description
AR-13503 Implant 42.4 Dose (42.4 µg) administered as intravitreal implants into a single eye
Intervention Type
Drug
Intervention Name(s)
AR-13503 63.6 Dose
Intervention Description
AR-13503 Implant 63.6 Dose (63.6 µg) administered as intravitreal implants into a single eye
Primary Outcome Measure Information:
Title
Number of ocular and non-ocular TEAEs
Description
Number of ocular and non-ocular treatment-emergent adverse events (TEAEs), summarized at the subject level by system organ class and preferred term, and also by severity and relatedness to treatment.
Time Frame
24 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria for Subjects with Neovascular Age-Related Macular Degeneration (nAMD) 50 years of age or older Presence of active subfoveal or juxtafoveal Choroidal Neovascularization (CNV) (any subtype) with leakage affecting the fovea secondary to Age-Related Macular Degeneration (AMD) Best Corrected Visual Acuity (BCVA) in the study eye at Baseline (Day 0): Stage 1: between 65 and 10 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (20/50 and 20/640 Snellen equivalent) Able and willing to give signed informed consent and follow study instructions Inclusion Criteria for Subjects with Diabetic Macular Edema (DME) Subjects with Diabetic Macular Edema (DME) must meet all the following criteria to enter into the study: 18 years of age or older Type 1 or 2 diabetes mellitus with center-involved DME BCVA in the study eye at Baseline (Day 0): Stage 1: between 65 and 10 ETDRS letters (20/50 and 20/640 Snellen equivalent) Stage 2: between 70 and 20 ETDRS letters (20/40 and 20/400 Snellen equivalent) Able and willing to give signed informed consent and follow study instructions Exclusion Criteria for Subjects with Neovascular Age-Related Macular Degeneration (nAMD) Ophthalmic: Use of intravitreal aflibercept within 8 weeks, ranibizumab or bevacizumab within 6 weeks History of vitreoretinal surgery in the study eye Any ocular disease in the study eye that in the Investigator and Reading Center's opinion may confound assessment of the macula, affect central vision, confound results, or preclude improvement in visual acuity Any current or history of periocular or intraocular inflammation or evidence of infection in either eye Media clarity insufficient to obtain quality fundus and OCT images in the study eye Systemic: History or current systemic condition that in the Investigator opinion preclude the safe administration of the study treatment or confound results History of allergy or sensitivity to fluorescein or povidone iodine Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control Participation in an investigational study within 30 days of Screening Exclusion Criteria for Subjects with DME Ophthalmic: Use of intraocular or periocular corticosteroids within 6 months, aflibercept within 8 weeks, ranibizumab or bevacizumab within 6 weeks History of vitreoretinal surgery in the study eye High risk proliferative diabetic retinopathy in the study eye and related complications Structural damage to the center or the macula that is likely to preclude improvement in visual acuity in the study eye after resolution of the DME Media clarity insufficient to obtain quality fundus and OCT images in the study eye Systemic: History or current medical condition that in the Investigator's opinion preclude the safe administration of the study treatment or confound results History of allergy or sensitivity to fluorescein or povidone iodine Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control Participation in an investigational study within 30 days of Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kevin Kerr
Organizational Affiliation
Aerie Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Retinal Research Institute, LLC
City
Gilbert
State/Province
Arizona
ZIP/Postal Code
85296
Country
United States
Facility Name
Retina-Vitreous Associates Medical Group
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Facility Name
Bay Area Retina Associates
City
Walnut Creek
State/Province
California
ZIP/Postal Code
94598
Country
United States
Facility Name
Sterling Vision, PC dba Oregon Retina
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97401
Country
United States
Facility Name
Valley Retina Institute, P.A.
City
Harlingen
State/Province
Texas
ZIP/Postal Code
78550
Country
United States
Facility Name
Medical Center Ophthamology Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study Assessing AR-13503 Implant in Subjects With nAMD or DME

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