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Effect of AIV007 by Periocular Administration in Subjects With nAMD or DME

Primary Purpose

Neovascular Age-related Macular Degeneration, Diabetic Macular Edema

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AIV007
Sponsored by
AiViva BioPharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

21 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: General inclusion Criteria: Male or female subjects aged 21-90 years (inclusive) at screening BCVA in the study eye at screening and baseline/Day 1: ETDRS letter score ≤ 75 and ≥ 24 (20/32 to 20/330 Snellen equivalent) Subject must have received treatment within the 24 months before screening with intravitreal (IVT) injections of an anti-VEGF agent with the last anti-VEGF injection in the study eye being at least 6 weeks (42 days) before baseline/Day 1. Subject has documentation of anti-VEGF responsiveness Subject must provide written informed consent before any study-related procedures are performed Clear ocular media and adequate pupil dilation in both eyes to permit good-quality photographic imaging nAMD subject The active CNV is confirmed by FA (evidence of leakage) Residual intraretinal or subretinal fluid based on SD-OCT CST ≥ 300 µm as assessed by SD-OCT Total lesion size < 10 disc areas (25.4 mm2) Absence of geographic atrophy within 200 µm of the fovea If subretinal hemorrhage is present, it must be < 50% of the total CNV lesion and/or not involve the fovea If fibrosis is present, it must be <50% of the total lesion area DME subject Diagnosis of diabetes mellitus (Type 1 or Type 2) Subject has clinically significant DME with central involvement (CST≥300 μm by OCT) The decrease in vision in the study eye was determined by the investigator to be primarily the result of DME Exclusion Criteria: Previous treatment for nAMD or DME in the study eye other than standard-of-care anti-VEGF IVT injection, e.g., cell therapy, brachytherapy, gene therapy Uncontrolled IOP, defined as an IOP > 25 mmHg Poorly controlled diabetes mellitus defined as hemoglobin A1c (HbA1c) >10% at screening visit The spherical equivalent for refractive error in the study eye of worse than 8.0 diopters of myopia (before cataract or refractive surgery) per the current prescription Any history of active bacterial, viral, fungal, or parasitic ocular or periocular infection, or intraocular inflammation in either eye within the 30 days before the screening Visit History of vitreous hemorrhage within 3 months before screening in the study eye Uncontrolled systemic disease or any other condition or therapy that would make the participant unsuitable for the study Participation in any investigational study within 60 days before the screening visit, or planned use of an investigational product or device during the study; any exposure to a prior investigational drug product must be fully washed out (at least 5 half-lives) History of allergy or hypersensitivity to constituents of the study treatment formulation, topical iodine, ocular antimicrobial solutions, or clinically relevant hypersensitivity to fluorescein

Sites / Locations

  • Retina Consultants of AustinRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

AIV007 Dose 1

AIV007 Dose 2

AIV007 Dose 3

AIV007 Dose 4

Arm Description

Periocular injection, Dose 1

Periocular injection, Dose 2

Periocular injection, Dose 3

Periocular injection, Dose 4

Outcomes

Primary Outcome Measures

Adverse Events
Incidence of adverse events and serious adverse events

Secondary Outcome Measures

Mean change from baseline in best-corrected visual acuity (BCVA)
Number of Early Treatment Diabetic Retinopathy Study (ETDRS) letters
Mean change from baseline in central subfield thickness as measured by spectral domain optical coherence tomography (SD-OCT)
SD-OCT read by a central reading center
Mean time to rescue medication
number of days to receive rescue medication

Full Information

First Posted
January 16, 2023
Last Updated
March 28, 2023
Sponsor
AiViva BioPharma, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05698329
Brief Title
Effect of AIV007 by Periocular Administration in Subjects With nAMD or DME
Official Title
A Phase 1 Study of the Safety, Pharmacokinetics, and Exploratory Efficacy of Periocular Administration of AIV007 in Subjects With Macular Edema Secondary to Neovascular Age-Related Macular Degeneration (nAMD) or Diabetic Macular Edema (DME)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 2, 2023 (Actual)
Primary Completion Date
February 6, 2025 (Anticipated)
Study Completion Date
April 6, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AiViva BioPharma, Inc.

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
To determine safety, pharmacokinetics, and duration of effect of periocularly administered AIV007 gel suspension in subjects with neovascular age-related macular degeneration (nAMD) or diabetic macular edema (DME).

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
AIV007 Dose 1
Arm Type
Experimental
Arm Description
Periocular injection, Dose 1
Arm Title
AIV007 Dose 2
Arm Type
Experimental
Arm Description
Periocular injection, Dose 2
Arm Title
AIV007 Dose 3
Arm Type
Experimental
Arm Description
Periocular injection, Dose 3
Arm Title
AIV007 Dose 4
Arm Type
Experimental
Arm Description
Periocular injection, Dose 4
Intervention Type
Drug
Intervention Name(s)
AIV007
Intervention Description
Periocular injection
Primary Outcome Measure Information:
Title
Adverse Events
Description
Incidence of adverse events and serious adverse events
Time Frame
Approximately 168 days
Secondary Outcome Measure Information:
Title
Mean change from baseline in best-corrected visual acuity (BCVA)
Description
Number of Early Treatment Diabetic Retinopathy Study (ETDRS) letters
Time Frame
Approximately 168 days
Title
Mean change from baseline in central subfield thickness as measured by spectral domain optical coherence tomography (SD-OCT)
Description
SD-OCT read by a central reading center
Time Frame
Approximately 168 days
Title
Mean time to rescue medication
Description
number of days to receive rescue medication
Time Frame
Approximately 168 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: General inclusion Criteria: Male or female subjects aged 21-90 years (inclusive) at screening BCVA in the study eye at screening and baseline/Day 1: ETDRS letter score ≤ 75 and ≥ 24 (20/32 to 20/330 Snellen equivalent) Subject must have received treatment within the 24 months before screening with intravitreal (IVT) injections of an anti-VEGF agent with the last anti-VEGF injection in the study eye being at least 6 weeks (42 days) before baseline/Day 1. Subject has documentation of anti-VEGF responsiveness Subject must provide written informed consent before any study-related procedures are performed Clear ocular media and adequate pupil dilation in both eyes to permit good-quality photographic imaging nAMD subject The active CNV is confirmed by FA (evidence of leakage) Residual intraretinal or subretinal fluid based on SD-OCT CST ≥ 300 µm as assessed by SD-OCT Total lesion size < 10 disc areas (25.4 mm2) Absence of geographic atrophy within 200 µm of the fovea If subretinal hemorrhage is present, it must be < 50% of the total CNV lesion and/or not involve the fovea If fibrosis is present, it must be <50% of the total lesion area DME subject Diagnosis of diabetes mellitus (Type 1 or Type 2) Subject has clinically significant DME with central involvement (CST≥300 μm by OCT) The decrease in vision in the study eye was determined by the investigator to be primarily the result of DME Exclusion Criteria: Previous treatment for nAMD or DME in the study eye other than standard-of-care anti-VEGF IVT injection, e.g., cell therapy, brachytherapy, gene therapy Uncontrolled IOP, defined as an IOP > 25 mmHg Poorly controlled diabetes mellitus defined as hemoglobin A1c (HbA1c) >10% at screening visit The spherical equivalent for refractive error in the study eye of worse than 8.0 diopters of myopia (before cataract or refractive surgery) per the current prescription Any history of active bacterial, viral, fungal, or parasitic ocular or periocular infection, or intraocular inflammation in either eye within the 30 days before the screening Visit History of vitreous hemorrhage within 3 months before screening in the study eye Uncontrolled systemic disease or any other condition or therapy that would make the participant unsuitable for the study Participation in any investigational study within 60 days before the screening visit, or planned use of an investigational product or device during the study; any exposure to a prior investigational drug product must be fully washed out (at least 5 half-lives) History of allergy or hypersensitivity to constituents of the study treatment formulation, topical iodine, ocular antimicrobial solutions, or clinically relevant hypersensitivity to fluorescein
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Darlene Deecher, PhD
Phone
9496621949
Ext
4
Email
office@aiviva.com
First Name & Middle Initial & Last Name or Official Title & Degree
Jennifer Wang, PhD
Phone
9496621949
Ext
4
Email
office@aiviva.com
Facility Information:
Facility Name
Retina Consultants of Austin
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Effect of AIV007 by Periocular Administration in Subjects With nAMD or DME

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