Evaluation the Pharmacokinetics,Safety,Tolerability of Single Intravitreal Injection RC28-E in Subjects With Wet Age-Related Macular Degeneration
Primary Purpose
Neovascular Age-related Macular Degeneration
Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
RC28-E
Sponsored by
About this trial
This is an interventional treatment trial for Neovascular Age-related Macular Degeneration
Eligibility Criteria
Inclusion Criteria:
- Patients or their legal representative signed informed consent;
- Aged 50 years to 80 years, male or female;
- Best corrected VA for the studied eye≥34 letters, ≤73 letters(By ETDRS chart);
- With choroidal neovascular (CNV) lesions secondary to neovascular AMD;
- If both eyes meet the criteria, severe illness eye will be selected; if both eyes are the same, the right eye will be selected as the study eye.
Exclusion Criteria:
- History of any vitreous hemorrhage with 2 months prior to screening;
- Presence of scar, fibrosis or atrophy in central foveal of the study eye;
- Significant refractive media opacity, including cataract, may interfere with visual assessment;
- The studied eye suffered pseudoexfoliation syndrome, central retinal vein occlusion, intraocular hemorrhage resulting in decreased vision, rhegmatogenous retinal detachment, macular hole, choroidal neovascularization (CNV) for any reason other than AMD (such as fundus angioid streaks, ocular histoplasmosis, pathologic myopia, trauma);
- Afferent pupillary defect(APD);
- The intraocular pressure is higher than 25mmHg despite medication treatment;
- Active infectious conjunctivitis, keratitis, scleritis, uveitis and endophthalmitis;
- Best corrected VA for the studied eye≤19 letters(By ETDRS chart);
- Topical or grid photocoagulation within 3 months before screening;
- Uncontrolled diabetes mellitus(fast glucose level≥7.0 mmol/L or ≥11.1 mmol/L 2h after meal;
- The studied eye received any intraocular surgery or laser treatment (such as macular translocation surgery, glaucoma filtering surgery, transpupillary thermotherapy, foveal photocoagulation surgery, vitrectomy, optic neurotomy, optic nerve sheath fenestration; But cataract surgery, verteporfin photodynamic therapy, Nd:YAG laser posterior capsulotomy more than 3 months before screening can be selected;
- Any eye or whole body received anti-angiogenic drug such as pegaptanib, Aflibercept, Ranibizumab, Bevacizumab,conbercept within 3 months before baseline visit;
- Any eye received intraocular injection of corticosteroid drugs (such as triamcinolone acetonide) within 3 months before screening, or periocular injection of corticosteroid drugs within 1 months before screening;
- Allergic to sodium fluorescein, indocyanine green, therapeutic or diagnostic protein products, and allergic ≥2 drugs and/or non-drugs, or with current allergic diseases;
- With surgery within one month prior to enrollment, or with unhealed wound, ulcer, fracture at present;
- No lens (excluding intraocular lens);
- Uncontrolled hypertension(defined as those who received the best treatment regimen, >180 mmHg systolic was measured once, >160 mmHg systolic or > 100 mmHg diastolic was measured twice in succession);
- With a history of myocardial infarction within 6 months before screening;
- With activity disseminated intravascular coagulation and significant bleeding tendency prior to screening; Using anticoagulants or antiplatelet aggregation drugs in addition to aspirin/NSAIDs within 14 days before screening;
- Any uncontrolled clinical disease (such as severe mental, neurological, cardiovascular, respiratory and other systemic diseases and malignant tumors);
- Pregnant (blood pregnancy test positive) and lactating women and patients who cannot take effective contraception(such as intrauterine devices, acyeterion, condoms, etc.) between study period or 30 days after visit;
- Patients who participated in or were currently attending other clinical studies within 30 days before screening;
- The patients is considered unsuitable for enrollment by investigator. "
Sites / Locations
- Beijing Tongren Hospital .Cmu
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
RC28-E
Arm Description
"·Experimental:RC28-E 0.25mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E Experimental: RC28-E 0.5mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E Experimental: RC28-E 1.0mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E Experimental: RC28-E 2.0mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E"
Outcomes
Primary Outcome Measures
Incidence of ocular and systemic adverse events and serious adverse events which are related to RC28-E
Secondary Outcome Measures
Area under the plasma concentration-time curve(AUC)
Maximum observed maximum plasma concentration (Cmax)
Time to reach the maximum observed plasma concentration (Tmax)
T1/2(Terminal phase half life after single dose)
Change in Best Corrected Visual Acuity (BCVA) from baseline
Change in Central Retinal Thickness(CRT)from baseline
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03777254
Brief Title
Evaluation the Pharmacokinetics,Safety,Tolerability of Single Intravitreal Injection RC28-E in Subjects With Wet Age-Related Macular Degeneration
Official Title
A Double-center, Open-label,Single Ascending Dose Phase 1 Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single Intravitreous Injections of RC28-E (a Chimeric Decoy Receptor Trap Fusion Protein by Dual Blockage of VEGF and FGF-2) in Subjects With Wet Age-Related Macular Degeneration
Study Type
Interventional
2. Study Status
Record Verification Date
April 2021
Overall Recruitment Status
Completed
Study Start Date
January 7, 2019 (Actual)
Primary Completion Date
August 20, 2019 (Actual)
Study Completion Date
August 20, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RemeGen Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
5. Study Description
Brief Summary
The purpose of this first-in-human study is to evaluate the safety, tolerability and pharmacokinetics of single intravitreous injections,single ascending doses, of RC28-E(a chimeric decoy receptor trap fusion protein by dual blockage of VEGF and FGF-2) in subjects with wet age-related macular degeneration (wAMD).
Detailed Description
This is an open-label, non-randomized,double-center phase 1 study evaluating pharmacokinetics, safety and tolerability of single intravitreal injections of RC28-E in the patients with AMD.RC28-E is recombinant dual decoy receptor IgG1 Fc-fusion protein,can block VEGF-A and FGF-2. In preclinical studies suggested that RC28-E might be more effective in inhibiting pathological angiogenesis than other VEGF antagonists on CNV. Every subject will only accept one dose. In addition to safety and preliminary efficacy, pharmacokinetics and immunogenicity of RC28-E will be evaluated as well.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neovascular 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
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RC28-E
Arm Type
Experimental
Arm Description
"·Experimental:RC28-E 0.25mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E
Experimental: RC28-E 0.5mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E
Experimental: RC28-E 1.0mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E
Experimental: RC28-E 2.0mg Injection:single Intravitreal Injection Intervention: Biological: RC28-E"
Intervention Type
Biological
Intervention Name(s)
RC28-E
Other Intervention Name(s)
RC28-E is a chimeric decoy receptor trap fusion protein by dual blockage of VEGF and FGF-2.
Intervention Description
RC28-E intravitreous injection 50ul
Primary Outcome Measure Information:
Title
Incidence of ocular and systemic adverse events and serious adverse events which are related to RC28-E
Time Frame
42 days
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve(AUC)
Time Frame
42 days
Title
Maximum observed maximum plasma concentration (Cmax)
Time Frame
42 days
Title
Time to reach the maximum observed plasma concentration (Tmax)
Time Frame
42 days
Title
T1/2(Terminal phase half life after single dose)
Time Frame
42 days
Title
Change in Best Corrected Visual Acuity (BCVA) from baseline
Time Frame
42 days
Title
Change in Central Retinal Thickness(CRT)from baseline
Time Frame
42 days
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:
Patients or their legal representative signed informed consent;
Aged 50 years to 80 years, male or female;
Best corrected VA for the studied eye≥34 letters, ≤73 letters(By ETDRS chart);
With choroidal neovascular (CNV) lesions secondary to neovascular AMD;
If both eyes meet the criteria, severe illness eye will be selected; if both eyes are the same, the right eye will be selected as the study eye.
Exclusion Criteria:
History of any vitreous hemorrhage with 2 months prior to screening;
Presence of scar, fibrosis or atrophy in central foveal of the study eye;
Significant refractive media opacity, including cataract, may interfere with visual assessment;
The studied eye suffered pseudoexfoliation syndrome, central retinal vein occlusion, intraocular hemorrhage resulting in decreased vision, rhegmatogenous retinal detachment, macular hole, choroidal neovascularization (CNV) for any reason other than AMD (such as fundus angioid streaks, ocular histoplasmosis, pathologic myopia, trauma);
Afferent pupillary defect(APD);
The intraocular pressure is higher than 25mmHg despite medication treatment;
Active infectious conjunctivitis, keratitis, scleritis, uveitis and endophthalmitis;
Best corrected VA for the studied eye≤19 letters(By ETDRS chart);
Topical or grid photocoagulation within 3 months before screening;
Uncontrolled diabetes mellitus(fast glucose level≥7.0 mmol/L or ≥11.1 mmol/L 2h after meal;
The studied eye received any intraocular surgery or laser treatment (such as macular translocation surgery, glaucoma filtering surgery, transpupillary thermotherapy, foveal photocoagulation surgery, vitrectomy, optic neurotomy, optic nerve sheath fenestration; But cataract surgery, verteporfin photodynamic therapy, Nd:YAG laser posterior capsulotomy more than 3 months before screening can be selected;
Any eye or whole body received anti-angiogenic drug such as pegaptanib, Aflibercept, Ranibizumab, Bevacizumab,conbercept within 3 months before baseline visit;
Any eye received intraocular injection of corticosteroid drugs (such as triamcinolone acetonide) within 3 months before screening, or periocular injection of corticosteroid drugs within 1 months before screening;
Allergic to sodium fluorescein, indocyanine green, therapeutic or diagnostic protein products, and allergic ≥2 drugs and/or non-drugs, or with current allergic diseases;
With surgery within one month prior to enrollment, or with unhealed wound, ulcer, fracture at present;
No lens (excluding intraocular lens);
Uncontrolled hypertension(defined as those who received the best treatment regimen, >180 mmHg systolic was measured once, >160 mmHg systolic or > 100 mmHg diastolic was measured twice in succession);
With a history of myocardial infarction within 6 months before screening;
With activity disseminated intravascular coagulation and significant bleeding tendency prior to screening; Using anticoagulants or antiplatelet aggregation drugs in addition to aspirin/NSAIDs within 14 days before screening;
Any uncontrolled clinical disease (such as severe mental, neurological, cardiovascular, respiratory and other systemic diseases and malignant tumors);
Pregnant (blood pregnancy test positive) and lactating women and patients who cannot take effective contraception(such as intrauterine devices, acyeterion, condoms, etc.) between study period or 30 days after visit;
Patients who participated in or were currently attending other clinical studies within 30 days before screening;
The patients is considered unsuitable for enrollment by investigator. "
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
wenbin wei
Organizational Affiliation
BEIJING TONGREN HOSPITAL.CMU
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Tongren Hospital .Cmu
City
Beijing
ZIP/Postal Code
100730
Country
China
12. IPD Sharing Statement
Citations:
PubMed Identifier
31652997
Citation
Kou X, Sun Y, Li S, Bian W, Liu Z, Zhang D, Jiang J. Pharmacology Study of the Multiple Angiogenesis Inhibitor RC28-E on Anti-Fibrosis in a Chemically Induced Lung Injury Model. Biomolecules. 2019 Oct 24;9(11):644. doi: 10.3390/biom9110644.
Results Reference
derived
Learn more about this trial
Evaluation the Pharmacokinetics,Safety,Tolerability of Single Intravitreal Injection RC28-E in Subjects With Wet Age-Related Macular Degeneration
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