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HORIZON: A Phase II Study to Evaluate the Safety and Efficacy of Two Doses of GT005

Primary Purpose

Dry Age-related Macular Degeneration

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GT005: Medium Dose
GT005: High Dose
Sponsored by
Gyroscope Therapeutics Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dry Age-related Macular Degeneration focused on measuring Dry age-related macular degeneration, Geographic atrophy, Retinal disease, Eye disease, Retinal degeneration, Macular atrophy

Eligibility Criteria

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

Inclusion Criteria:

  1. Able and willing to give written informed consent
  2. Age ≥55 years
  3. a. In Stage 1: Have a clinical diagnosis of GA secondary to AMD in the study eye, as determined by the Investigator, and a diagnosis of AMD in the contralateral eye; b. In Stage 2: Have a clinical diagnosis of GA secondary to AMD in the study eye, as determined by the Investigator, that is non-foveal, as determined by the central reading centre, or has a CFI rare variant genotype and meets inclusion criteria 3a, and a diagnosis of AMD in the contralateral eye (except if monocular)
  4. GA lesion(s) within an acceptable size on FAF, in the study eye
  5. The GA lesion in the study eye must reside completely within the FAF image
  6. Up to 25% of the enrolled study population are permitted to have CNV in the fellow eye
  7. Have a BCVA of ≥24 letters (6/95 or 20/320 Snellen acuity equivalent), using ETDRS charts, in the study eye
  8. a. In Stage 1: Meet one of the pre-specified AMD genetic subgroup criteria; b. In Stage 2: Genotyping is not required for study eligibility
  9. Able to attend all study visits and complete the study procedures
  10. Women of child-bearing potential must have a negative pregnancy test within 2 weeks prior to randomisation (not required for postmenopausal women) or provide documentation of being surgically sterilised

Exclusion Criteria:

  1. a. In Stage 1: Carriers of excluded genetic variants; b. In Stage 2: Subjects are excluded if they have a clinical diagnosis of Stargardt Disease or other retinal dystrophies
  2. Have a history, or evidence, of CNV in the study eye
  3. Presence of moderate/severe or worse non-proliferative, diabetic retinopathy in the study eye
  4. Have history of vitrectomy, sub-macular surgery, or macular photocoagulation in the study eye
  5. History of intraocular surgery in the study eye within 12 weeks prior to Visit 1
  6. Have clinically significant cataract that may require surgery during the study period in the study eye
  7. Presence of moderate to severe glaucomatous optic neuropathy, uncontrolled intraocular pressure (IOP), despite use of two or more topical agents; or a history of glaucoma-filtering or valve surgery
  8. Axial myopia of greater than -8 diopters in the study eye
  9. Have received any investigational product for the treatment of GA within the past 6 months or 5 half-lives (whichever is longer), other than nutritional supplements such as the age-related eye disease study (AREDS) formula
  10. Have received a gene or cell therapy at any time.
  11. Have a contraindication to the protocol specified corticosteroid regimen
  12. Are unwilling to use two forms of contraception (one of which being a barrier method) for 90 days post-dosing, if relevant
  13. Active malignancy within the past 12 months, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or prostate cancer with a stable prostate-specific antigen (PSA) ≥ 12 months
  14. Have any other significant ocular or non-ocular medical or psychiatric condition which, in the opinion of the Investigator, may either put the subject at risk or may influence the results of the study

Sites / Locations

  • Retinal Research Institute (retina consultants of AZ)
  • Retina Vitreous Associates Medical Group
  • Retina Consultants of Orange County
  • Northern California Retina Vitreous Associates
  • Byers Eye Institute at Stanford
  • Retina Consultants of San Diego
  • University of California (UC) Davis Medical Group Eye Center
  • Southwest Retina Research Center
  • Rand Eye Institute
  • VitreoRetinal Associates, P.A.
  • Bascom Palmer Eye Institute
  • Retina Vitreous Associates of Florida
  • Southeast Retina Center
  • Georgia Retina PC
  • Illinois Retina Associates
  • University Retina Macula Associates PC
  • Midwest Eye Institute Northside
  • Wolfe Eye Clinic
  • Retina Associates, LLC
  • The Retina Care Center
  • Ophthalamic Consultants of Boston (OCB)
  • Retina Associates of Michigan
  • Associated Retinal Consultants PC
  • Sierra Eye Associates
  • Columbia University Medical Center
  • Retina Associates of Western New York
  • Duke Eye Center
  • Cincinnati Eye Institute
  • Cleveland Clinic
  • Oregon Retina
  • Casey Eye Institute - OHSU
  • Erie Retinal Surgery ,INC
  • Mid Atlantic Retina - Wills Eye Hospital
  • Palmetto Retina Center
  • Charles Retina Institute
  • Southeastern Retina Associates, PC
  • Austin Research Center for Retina, PLLC
  • Retina Consultants of Houston-TMC
  • Retina Foundation of the Southwest
  • Texas Retina Associates (Dallas)
  • Retinal Consultants of San Antonio
  • Retina Consultants of Houston
  • Rocky Mountain Retina Consultants
  • Department of Ophthalmology UW Medicine
  • Retina Center Northwest
  • Sydney Hospital and Sydney Eye Hospital
  • The University of Melbourne - The Centre for Eye Research Australia (CERA)
  • CHU Dijon - Hopital Mitterrand
  • Centre Paradis Monticelli
  • CHU de Nantes - Hôtel-Dieu
  • Universitätsklinikum Bonn
  • Internationale Innovative Ophthalmochirurgie
  • Universitaetsklinikum Schleswig-Holstein - Campus Lübeck
  • Universitaetsklinikum Tuebingen
  • Oftalmika Spolka z ograniczona odpowiedzialnoscia
  • Instituto de microcirugía ocular
  • Clinica Baviera
  • Clinica Universidad de Navarra - Pamplona
  • Moorfields Eye Hospital - NHS Foundation Trust
  • Retina Clinic London
  • John Radcliffe Hospital
  • Sunderland Eye Infirmary

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

No Intervention

Arm Label

GT005 Medium Dose

GT005 High Dose

Untreated control

Arm Description

Approximately 83 subjects are planned, with subjects randomised to GT005 Medium Dose.

Approximately 83 subjects are planned, with subjects randomised to GT005 High Dose.

Approximately 83 subjects are planned, with subjects randomised to untreated control.

Outcomes

Primary Outcome Measures

Progression of geographic atrophy
The change from baseline to Week 72 in GA area as measured by fundus autofluorescence (FAF)

Secondary Outcome Measures

Progression of geographic atrophy
The change from baseline through Week 96 in GA area as measured by fundus autofluorescence (FAF)
Evaluation of the safety and tolerability of GT005
Frequency of treatment emergent adverse events (AEs)
Evaluation of the effect of GT005 on retinal anatomical measures
Change in retinal morphology on multimodal imaging
Evaluation of the effect of GT005 on functional measures
Change in best corrected visual acuity (BCVA) Score via the early treatment for diabetic retinopathy (ETDRS) chart
Evaluation of the effect of GT005 on functional measures
Change in low luminance difference (LLD) via the ETDRS chart
Evaluation of the effect of GT005 on visual function
Change in reading performance as assessed by Minnesota low-vision reading test (MNRead) chart
Evaluation of the effect of GT005 on visual function
Change in functional reading independence (FRI) index
Evaluation of the effect of GT005 on patient-reported outcomes
Change in quality of life measured on the Visual Function Questionnaire-25 (VFQ-25)

Full Information

First Posted
September 9, 2020
Last Updated
October 20, 2023
Sponsor
Gyroscope Therapeutics Limited
Collaborators
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04566445
Brief Title
HORIZON: A Phase II Study to Evaluate the Safety and Efficacy of Two Doses of GT005
Official Title
HORIZON: A Phase II, Open-label, Outcomes-assessor Masked, Multicentre, Randomised, Controlled Study to Evaluate the Safety and Efficacy of Two Doses of GT005 Administered as a Single Subretinal Injection in Subjects With Geographic Atrophy Secondary to Dry Age-related Macular Degeneration
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Terminated
Why Stopped
Terminated for interim analysis demonstrating futility (trial highly unlikely to meet efficacy outcome). The trial is not ending early because of medical problems or concerns.
Study Start Date
September 28, 2020 (Actual)
Primary Completion Date
August 24, 2023 (Actual)
Study Completion Date
August 24, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gyroscope Therapeutics Limited
Collaborators
Novartis 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
The purpose of this clinical study is to evaluate the safety and efficacy of two doses of GT005 administered as a single subretinal injection in subjects with geographic atrophy secondary to age-related macular degeneration (AMD).
Detailed Description
This is a Phase 2, open-label, outcomes-assessor masked, multicentre, randomised, controlled study to evaluate the safety and efficacy of two doses of GT005 administered as a single subretinal injection in subjects with GA secondary to AMD. The trial includes a screening period of up to 8 weeks and a 96-week study period. Subjects will be randomised to one of two groups; GT005 or the untreated control group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dry Age-related Macular Degeneration
Keywords
Dry age-related macular degeneration, Geographic atrophy, Retinal disease, Eye disease, Retinal degeneration, Macular atrophy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
This is a Phase II, open-label, outcomes-assessor masked, multicentre, randomised, controlled study to evaluate the safety and efficacy of two doses of GT005 administered as a single subretinal injection in subjects with GA secondary to AMD.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Quadruple (Participant, Care Provider, Investigator, Outcome Assessor). The overall objectives of the study are to evaluate the safety and efficacy (anatomical and functional visual outcomes) of two doses of GT005 in genetically defined subjects with GA due to AMD.
Allocation
Randomized
Enrollment
255 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GT005 Medium Dose
Arm Type
Experimental
Arm Description
Approximately 83 subjects are planned, with subjects randomised to GT005 Medium Dose.
Arm Title
GT005 High Dose
Arm Type
Experimental
Arm Description
Approximately 83 subjects are planned, with subjects randomised to GT005 High Dose.
Arm Title
Untreated control
Arm Type
No Intervention
Arm Description
Approximately 83 subjects are planned, with subjects randomised to untreated control.
Intervention Type
Drug
Intervention Name(s)
GT005: Medium Dose
Intervention Description
The study will test two doses of GT005: Medium Dose and High Dose.
Intervention Type
Drug
Intervention Name(s)
GT005: High Dose
Intervention Description
The study will test two doses of GT005: Medium Dose and High Dose.
Primary Outcome Measure Information:
Title
Progression of geographic atrophy
Description
The change from baseline to Week 72 in GA area as measured by fundus autofluorescence (FAF)
Time Frame
72 weeks
Secondary Outcome Measure Information:
Title
Progression of geographic atrophy
Description
The change from baseline through Week 96 in GA area as measured by fundus autofluorescence (FAF)
Time Frame
96 weeks
Title
Evaluation of the safety and tolerability of GT005
Description
Frequency of treatment emergent adverse events (AEs)
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on retinal anatomical measures
Description
Change in retinal morphology on multimodal imaging
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on functional measures
Description
Change in best corrected visual acuity (BCVA) Score via the early treatment for diabetic retinopathy (ETDRS) chart
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on functional measures
Description
Change in low luminance difference (LLD) via the ETDRS chart
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on visual function
Description
Change in reading performance as assessed by Minnesota low-vision reading test (MNRead) chart
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on visual function
Description
Change in functional reading independence (FRI) index
Time Frame
96 weeks
Title
Evaluation of the effect of GT005 on patient-reported outcomes
Description
Change in quality of life measured on the Visual Function Questionnaire-25 (VFQ-25)
Time Frame
96 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able and willing to give written informed consent Age ≥55 years a. In Stage 1: Have a clinical diagnosis of GA secondary to AMD in the study eye, as determined by the Investigator, and a diagnosis of AMD in the contralateral eye; b. In Stage 2: Have a clinical diagnosis of GA secondary to AMD in the study eye, as determined by the Investigator, that is non-foveal, as determined by the central reading centre, or has a CFI rare variant genotype and meets inclusion criteria 3a, and a diagnosis of AMD in the contralateral eye (except if monocular) GA lesion(s) within an acceptable size on FAF, in the study eye The GA lesion in the study eye must reside completely within the FAF image Up to 25% of the enrolled study population are permitted to have CNV in the fellow eye Have a BCVA of ≥24 letters (6/95 or 20/320 Snellen acuity equivalent), using ETDRS charts, in the study eye a. In Stage 1: Meet one of the pre-specified AMD genetic subgroup criteria; b. In Stage 2: Genotyping is not required for study eligibility Able to attend all study visits and complete the study procedures Women of child-bearing potential must have a negative pregnancy test within 2 weeks prior to randomisation (not required for postmenopausal women) or provide documentation of being surgically sterilised Exclusion Criteria: a. In Stage 1: Carriers of excluded genetic variants; b. In Stage 2: Subjects are excluded if they have a clinical diagnosis of Stargardt Disease or other retinal dystrophies Have a history, or evidence, of CNV in the study eye Presence of moderate/severe or worse non-proliferative, diabetic retinopathy in the study eye Have history of vitrectomy, sub-macular surgery, or macular photocoagulation in the study eye History of intraocular surgery in the study eye within 12 weeks prior to Visit 1 Have clinically significant cataract that may require surgery during the study period in the study eye Presence of moderate to severe glaucomatous optic neuropathy, uncontrolled intraocular pressure (IOP), despite use of two or more topical agents; or a history of glaucoma-filtering or valve surgery Axial myopia of greater than -8 diopters in the study eye Have received any investigational product for the treatment of GA within the past 6 months or 5 half-lives (whichever is longer), other than nutritional supplements such as the age-related eye disease study (AREDS) formula Have received a gene or cell therapy at any time. Have a contraindication to the protocol specified corticosteroid regimen Are unwilling to use two forms of contraception (one of which being a barrier method) for 90 days post-dosing, if relevant Active malignancy within the past 12 months, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or prostate cancer with a stable prostate-specific antigen (PSA) ≥ 12 months Have any other significant ocular or non-ocular medical or psychiatric condition which, in the opinion of the Investigator, may either put the subject at risk or may influence the results of the study
Facility Information:
Facility Name
Retinal Research Institute (retina consultants of AZ)
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85053
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
Retina Consultants of Orange County
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
Northern California Retina Vitreous Associates
City
Mountain View
State/Province
California
ZIP/Postal Code
94040
Country
United States
Facility Name
Byers Eye Institute at Stanford
City
Palo Alto
State/Province
California
ZIP/Postal Code
94303
Country
United States
Facility Name
Retina Consultants of San Diego
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Facility Name
University of California (UC) Davis Medical Group Eye Center
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Southwest Retina Research Center
City
Durango
State/Province
Colorado
ZIP/Postal Code
81303
Country
United States
Facility Name
Rand Eye Institute
City
Deerfield Beach
State/Province
Florida
ZIP/Postal Code
33064
Country
United States
Facility Name
VitreoRetinal Associates, P.A.
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32607
Country
United States
Facility Name
Bascom Palmer Eye Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Retina Vitreous Associates of Florida
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33711
Country
United States
Facility Name
Southeast Retina Center
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
Georgia Retina PC
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Illinois Retina Associates
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60657
Country
United States
Facility Name
University Retina Macula Associates PC
City
Lemont
State/Province
Illinois
ZIP/Postal Code
60452
Country
United States
Facility Name
Midwest Eye Institute Northside
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46290
Country
United States
Facility Name
Wolfe Eye Clinic
City
West Des Moines
State/Province
Iowa
ZIP/Postal Code
50266
Country
United States
Facility Name
Retina Associates, LLC
City
Shawnee Mission
State/Province
Kansas
ZIP/Postal Code
66204
Country
United States
Facility Name
The Retina Care Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21209
Country
United States
Facility Name
Ophthalamic Consultants of Boston (OCB)
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Retina Associates of Michigan
City
Grand Blanc
State/Province
Michigan
ZIP/Postal Code
48439
Country
United States
Facility Name
Associated Retinal Consultants PC
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Facility Name
Sierra Eye Associates
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Retina Associates of Western New York
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States
Facility Name
Duke Eye Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Cincinnati Eye Institute
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Oregon Retina
City
Eugene
State/Province
Oregon
ZIP/Postal Code
97401
Country
United States
Facility Name
Casey Eye Institute - OHSU
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Erie Retinal Surgery ,INC
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16507
Country
United States
Facility Name
Mid Atlantic Retina - Wills Eye Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Palmetto Retina Center
City
West Columbia
State/Province
South Carolina
ZIP/Postal Code
29169
Country
United States
Facility Name
Charles Retina Institute
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
Southeastern Retina Associates, PC
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37922
Country
United States
Facility Name
Austin Research Center for Retina, PLLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Retina Consultants of Houston-TMC
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Facility Name
Retina Foundation of the Southwest
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Texas Retina Associates (Dallas)
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Retinal Consultants of San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Facility Name
Retina Consultants of Houston
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384
Country
United States
Facility Name
Rocky Mountain Retina Consultants
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
Department of Ophthalmology UW Medicine
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104-2499
Country
United States
Facility Name
Retina Center Northwest
City
Silverdale
State/Province
Washington
ZIP/Postal Code
98383
Country
United States
Facility Name
Sydney Hospital and Sydney Eye Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2000
Country
Australia
Facility Name
The University of Melbourne - The Centre for Eye Research Australia (CERA)
City
Melbourne E.
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Facility Name
CHU Dijon - Hopital Mitterrand
City
Dijon
ZIP/Postal Code
21000
Country
France
Facility Name
Centre Paradis Monticelli
City
Marseille
ZIP/Postal Code
13008
Country
France
Facility Name
CHU de Nantes - Hôtel-Dieu
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
Universitätsklinikum Bonn
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Facility Name
Internationale Innovative Ophthalmochirurgie
City
Düsseldorf
ZIP/Postal Code
40549
Country
Germany
Facility Name
Universitaetsklinikum Schleswig-Holstein - Campus Lübeck
City
Lübeck
ZIP/Postal Code
23562
Country
Germany
Facility Name
Universitaetsklinikum Tuebingen
City
Tuebingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Oftalmika Spolka z ograniczona odpowiedzialnoscia
City
Bydgoszcz
ZIP/Postal Code
85-631
Country
Poland
Facility Name
Instituto de microcirugía ocular
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Clinica Baviera
City
Madrid
ZIP/Postal Code
28046
Country
Spain
Facility Name
Clinica Universidad de Navarra - Pamplona
City
Pamplona
ZIP/Postal Code
31008
Country
Spain
Facility Name
Moorfields Eye Hospital - NHS Foundation Trust
City
London
ZIP/Postal Code
EC1V 2PD
Country
United Kingdom
Facility Name
Retina Clinic London
City
London
ZIP/Postal Code
W1G 7LB
Country
United Kingdom
Facility Name
John Radcliffe Hospital
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Facility Name
Sunderland Eye Infirmary
City
Sunderland
ZIP/Postal Code
SR2 9HP
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

HORIZON: A Phase II Study to Evaluate the Safety and Efficacy of Two Doses of GT005

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