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Phase 2 Study of MM-093 to Treat Patients With Uveitis

Primary Purpose

Uveitis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MM-093
Placebo
Sponsored by
Merrimack Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uveitis

Eligibility Criteria

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

Inclusion Criteria:

  • Aged 18 years and above
  • Understand, sign, and date the written voluntary informed consent form at the screening visit prior to any protocol - specific procedures being performed.
  • Have been diagnosed with sarcoid or birdshot uveitis
  • Be able and willing to comply with study visits and procedures per protocol.
  • Women of child bearing potential must use medically acceptable means of birth control in an effective manner and agree to continue its use during the study and 6 weeks after the last dose of study drug.
  • Sexually active men must agree to use a medically acceptable form of contraception during the study and continue for 4 weeks after the last dose of study drug.
  • Able to store patient kit/cooler containing study drug in a refrigerator at home.

Exclusion Criteria:

  • Significant concurrent medical diseases including:

    • Cancer or history of cancer, or lymphoproliferative disorder (other than sarcoidosis or successfully resected cutaneous basal or squamous cell carcinoma) within 5 years before the screening visit.
    • Any condition for which participation in this study is judged by the physician to be detrimental to the patient, such as history of significant or unstable cardiac, pulmonary, gastrointestinal, neurological, or psychiatric disease.
    • Significant ongoing infection requiring systemic antibiotic, antifungal, antiviral, or ant anti-mycobacterial therapy.
  • Autoimmune or connective tissue disorder other than sarcoid or birdshot uveitis, (e.g. Rheumatoid Arthritis, Systemic Lupus Erythematosus, or Scleroderma.)
  • Other known active eye diseases or eye infections (bacterial, fungal, or viral) that may interfere with the evaluation of uveitis.
  • Grade 2 or above liver function abnormality
  • Renal disease
  • Any previous history of immunodeficiency syndromes or infection with human immunodeficiency virus (HIV), or a history of hepatitis C or chronic hepatitis B.
  • Live viral or bacterial vaccinations within 3 months prior to screening, or planning to receive such vaccinations during the trial, or up to 3 months after the last injection of MM-093.
  • Pregnant or breastfeeding women or women planning to become pregnant during the study or within 4 weeks after the last dose of the study drug.
  • Scheduled elective surgery during study participation
  • Participated in any previous clinical trials using MM-093 or have any prior exposure to MM-093.
  • History of severe hypersensitivity to goat, sheep, or cow milk products derived from goat, sheep or cow milk (patients who are lactose intolerant are not excluded.)
  • Any other acute or clinically important condition that the investigator feels would jeopardize the integrity of the study (e.g. a CTCAE grade 2 or above clinical finding or laboratory result.)

Sites / Locations

  • MERSI

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

To evaluate the safety and tolerability of MM-093, as compared to placebo, when administered as a monotherapy once a week for 24 weeks after discontinuing IMT therapy.
To evaluate the biological activity of MM-093, as compared to placebo, as defined by the proportion of patients who have a relapse in their uveitis after discontinuing IMT therapy.

Secondary Outcome Measures

To evaluate the time to relapse of uveitis after IMT therapy has been discontinued.
To evaluate the degree of IMT tapering before a recurrence of uveitis occurs.
To evaluate visual function as evidenced by visual acuity and by electroretinography.
To evaluate sub clinical inflammation as measured by fluorescein angiography.
To evaluate the formation of anti-MM-093 antibodies after MM-093 administration.
To evaluate the formation of anti-goat antibodies after MM-093 administration.

Full Information

First Posted
March 7, 2007
Last Updated
December 16, 2008
Sponsor
Merrimack Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00444743
Brief Title
Phase 2 Study of MM-093 to Treat Patients With Uveitis
Official Title
A Phase 2, Double - Blind, Placebo - Controlled, Randomized Study to Evaluate the Tolerability, Pharmacokinetics, Pharmacodynamics, and Biologic Activity of MM-093 in Patients With Moderate to Severe Uveitis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2008
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Merrimack Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the tolerability, pharmacokinetics, pharmacodynamics, and biologic activity of MM-093 in patients with moderate to severe uveitis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uveitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
MM-093
Intervention Description
60 mg, administered subcutaneously, weekly
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
To evaluate the safety and tolerability of MM-093, as compared to placebo, when administered as a monotherapy once a week for 24 weeks after discontinuing IMT therapy.
Title
To evaluate the biological activity of MM-093, as compared to placebo, as defined by the proportion of patients who have a relapse in their uveitis after discontinuing IMT therapy.
Secondary Outcome Measure Information:
Title
To evaluate the time to relapse of uveitis after IMT therapy has been discontinued.
Title
To evaluate the degree of IMT tapering before a recurrence of uveitis occurs.
Title
To evaluate visual function as evidenced by visual acuity and by electroretinography.
Title
To evaluate sub clinical inflammation as measured by fluorescein angiography.
Title
To evaluate the formation of anti-MM-093 antibodies after MM-093 administration.
Title
To evaluate the formation of anti-goat antibodies after MM-093 administration.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged 18 years and above Understand, sign, and date the written voluntary informed consent form at the screening visit prior to any protocol - specific procedures being performed. Have been diagnosed with sarcoid or birdshot uveitis Be able and willing to comply with study visits and procedures per protocol. Women of child bearing potential must use medically acceptable means of birth control in an effective manner and agree to continue its use during the study and 6 weeks after the last dose of study drug. Sexually active men must agree to use a medically acceptable form of contraception during the study and continue for 4 weeks after the last dose of study drug. Able to store patient kit/cooler containing study drug in a refrigerator at home. Exclusion Criteria: Significant concurrent medical diseases including: Cancer or history of cancer, or lymphoproliferative disorder (other than sarcoidosis or successfully resected cutaneous basal or squamous cell carcinoma) within 5 years before the screening visit. Any condition for which participation in this study is judged by the physician to be detrimental to the patient, such as history of significant or unstable cardiac, pulmonary, gastrointestinal, neurological, or psychiatric disease. Significant ongoing infection requiring systemic antibiotic, antifungal, antiviral, or ant anti-mycobacterial therapy. Autoimmune or connective tissue disorder other than sarcoid or birdshot uveitis, (e.g. Rheumatoid Arthritis, Systemic Lupus Erythematosus, or Scleroderma.) Other known active eye diseases or eye infections (bacterial, fungal, or viral) that may interfere with the evaluation of uveitis. Grade 2 or above liver function abnormality Renal disease Any previous history of immunodeficiency syndromes or infection with human immunodeficiency virus (HIV), or a history of hepatitis C or chronic hepatitis B. Live viral or bacterial vaccinations within 3 months prior to screening, or planning to receive such vaccinations during the trial, or up to 3 months after the last injection of MM-093. Pregnant or breastfeeding women or women planning to become pregnant during the study or within 4 weeks after the last dose of the study drug. Scheduled elective surgery during study participation Participated in any previous clinical trials using MM-093 or have any prior exposure to MM-093. History of severe hypersensitivity to goat, sheep, or cow milk products derived from goat, sheep or cow milk (patients who are lactose intolerant are not excluded.) Any other acute or clinically important condition that the investigator feels would jeopardize the integrity of the study (e.g. a CTCAE grade 2 or above clinical finding or laboratory result.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Stephen Foster
Organizational Affiliation
Massachusetts Eye Research and Surgery Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
MERSI
City
Cambridge
State/Province
Massachusetts
ZIP/Postal Code
02142
Country
United States

12. IPD Sharing Statement

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Phase 2 Study of MM-093 to Treat Patients With Uveitis

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