Safety and Efficacy of ADVM-022 in Treatment-Experienced Patients With Neovascular Age-related Macular Degeneration [LUNA]
Primary Purpose
Neovascular Age-related Macular Degeneration
Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ADVM-022
ADVM-022
Sponsored by
About this trial
This is an interventional treatment trial for Neovascular Age-related Macular Degeneration focused on measuring Aflibercept, Best Corrected Visual Acuity, Adverum, ADVM, ADVM-022, ADVM-022-11, Age-related macular degeneration, Wet macular degeneration, Wet AMD, Choroidal neovascularization, CNV, AAV.7m8, Anti-VEGF therapy, Gene therapy, Blindness, AAV, AAV vector, nAMD, wAMD, Eye disease, Eye diseases
Eligibility Criteria
Inclusion Criteria:
- Male or female participants, ≥ 50 years of age
- Willing and able to provide written, signed informed consent for this study
- Demonstrated a meaningful response to anti-VEGF therapy.
- Current evidence of active primary or recurrent sub-foveal choroidal neovascularization (CNV) assessed by Spectral Domain Optical Coherence Tomography (SD-OCT)
- Subjects must be under active anti-VEGF treatment for wet AMD and received a minimum of 2 injections within 4 months prior to screening
- BCVA ETDRS Snellen equivalent between ≤20/32 and ≥20/320
Exclusion Criteria:
- Any condition that could affect the interpretation of results or render the participant at high risk of treatment complications in the opinion of the Investigator
- Ocular or periocular infection or intraocular inflammation in either eye within 1 month prior to or at the Randomization Visit (Day -7)
- Uncontrolled diabetes or HbA1c ≥ 7.0 %
- History or evidence of significant uncontrolled concomitant disease within 6 months of the Screening visit
- History within the 12 months prior to Screening or evidence of renal or hepatic dysfunction at Screening
- Any history of ongoing bleeding disorders or INR >3.0
- History or evidence of macular or retinal disease other than nAMD
- Active or history of retinal detachment or retinal pigment epithelium rip/tear
- Uncontrolled ocular hypertension or glaucoma
- Prior treatment with photodynamic therapy or retinal laser for the treatment of nAMD
- Any history of vitrectomy or any other vitreoretinal surgery within 3 months prior to the Randomization Visit (Day -7)
- Prior treatment with gene therapy at any time or any non-gene therapy investigational treatment or medical device in the study eye within 3 months of the Screening Visit or 5 half-lives of the investigational medicinal product
Sites / Locations
- Adverum Clinical Site 178Recruiting
- Adverum Clinical Site 126Recruiting
- Adverum Clinical Site 159Recruiting
- Adverum Clinical Site 100Recruiting
- Adverum Clinical Site 172Recruiting
- Adverum Clinical Site 169Recruiting
- Adverum Clinical Site 170Recruiting
- Adverum Clinical Site 174Recruiting
- Adverum Clinical Site 164Recruiting
- Adverum Clinical Site 166Recruiting
- Adverum Clinical Site 175Recruiting
- Adverum Clinical Site 116Recruiting
- Adverum Clinical Site 165Recruiting
- Adverum Clinical Site 124Recruiting
- Adverum Clinical Site 176Recruiting
- Adverum Clinical Site 168Recruiting
- Adverum Clinical Site 149Recruiting
- Adverum Clinical Site 167Recruiting
- Adverum Clinical Site 161Recruiting
- Adverum Clinical Site 163Recruiting
- Adverum Clinical Site 177Recruiting
- Adverum Clinical Site 119Recruiting
- Adverum Clinical Site 146Recruiting
- Adverum Clinical Site 171Recruiting
- Adverum Clinical Site 122Recruiting
- Adverum Clinical Site 144Recruiting
- Adverum Clinical Site 101Recruiting
- Adverum Clinical Site 123Recruiting
- Adverum Clinical Site 154Recruiting
- Adverum Clinical Site 108Recruiting
- Adverum Clinical Site 162Recruiting
- Adverum Clinical Site 151Recruiting
- Adverum Clinical Site 107Recruiting
- Adverum Clinical Site 152
- Adverum Clinical Site 502
- Adverum Clinical Site 501
- Adverum Clinical Site 500
- Adverum Clinical Site 600
- Adverum Clinical Site 601
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Dose 1
Dose 2
Arm Description
A single intravitreal injection of ADVM-022 2E11 vg/eye
A single intravitreal injection of ADVM-022 6E10 vg/eye
Outcomes
Primary Outcome Measures
Severity of ocular and non-ocular adverse events
Incidence of ocular and non-ocular adverse events
Incidence of ocular and non-ocular adverse events
Incidence of ocular and non-ocular adverse events
Mean change in best corrected visual acuity (BCVA) from Baseline
BCVA measured by Early Treatment Diabetic Retinopathy Study (ETDRS)
Secondary Outcome Measures
Percentage of participants from Baseline who lose/gain at least 5, 10 or 15 letters in Best Corrected Visual Acuity (BCVA)
BCVA measured by ETDRS
Mean change in BCVA from Baseline
BCVA measured by ETDRS
Percentage of participants who are supplemental aflibercept injection-free
Supplemental anti-VEGF treatments required post therapy
Percentage reduction in anti-VEGF injections
Supplemental anti-VEGF treatments required post therapy to the year prior
Mean change in Central Subfield Thickness (CST) from Baseline
To evaluate the effect of ADVM-022 on CST
Percentage of participants without CST fluctuations > 50 μm
To evaluate the effect of ADVM-022 on CST
Mean number of CST fluctuations > 50 μm from Baseline
To evaluate the effect of ADVM-022 on CST
Full Information
NCT ID
NCT05536973
First Posted
September 8, 2022
Last Updated
May 25, 2023
Sponsor
Adverum Biotechnologies, Inc.
Collaborators
Parexel
1. Study Identification
Unique Protocol Identification Number
NCT05536973
Brief Title
Safety and Efficacy of ADVM-022 in Treatment-Experienced Patients With Neovascular Age-related Macular Degeneration [LUNA]
Official Title
A Multi-Center, Randomized, Double-Masked Phase 2 Study to Assess Safety and Efficacy of ADVM-022 (AAV.7m8-aflibercept) in Anti-VEGF Treatment-Experienced Patients With Neovascular (Wet) Age-related Macular Degeneration (nAMD) [LUNA]
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 23, 2022 (Actual)
Primary Completion Date
February 2024 (Anticipated)
Study Completion Date
February 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Adverum Biotechnologies, Inc.
Collaborators
Parexel
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
Neovascular or wet age-related macular degeneration (nAMD) is a degenerative ocular disease associated with the infiltration of abnormal blood vessels in the retina from the underlying choroid layer and is a leading cause of blindness in patients over 65 years of age. The abnormal angiogenic process in nAMD is stimulated and modulated by vascular endothelial growth factor (VEGF). Treatment of nAMD requires frequent intravitreal (IVT) injections of VEGF inhibitors (anti-VEGF) administered every 4-16 weeks. ADVM-022 (AAV.7m8-aflibercept) is a gene therapy product being developed for the treatment of nAMD and offers the potential for sustained intraocular expression of aflibercept following a single IVT injection. ADVM-022 is designed to reduce the current treatment burden which often results in undertreatment and vision loss in patients with nAMD receiving anti-VEGF therapy in clinical practice.
Detailed Description
This Phase 2, multi-center, randomized, double-masked, parallel group study is designed to evaluate the safety, tolerability, and efficacy of a single IVT injection of ADVM-022 at one of two doses (2 × 10^11 vg/eye [2E11] or 6 × 10^10 vg/eye [6E10]) accompanied by one of four prophylactic corticosteroid treatment regimens.
Up to 72 anti-VEGF treatment-experienced study participants meeting the eligibility criteria will be randomized between the 2E11 vg/eye and 6E10 vg/eye ADVM-022 doses each with 4 prophylaxis arms for a total of 8 treatment arms, and only one eye per study participant will be selected as the study eye.
Safety, tolerability, and efficacy will be evaluated for a period of approximately 1 year from baseline.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neovascular Age-related Macular Degeneration
Keywords
Aflibercept, Best Corrected Visual Acuity, Adverum, ADVM, ADVM-022, ADVM-022-11, Age-related macular degeneration, Wet macular degeneration, Wet AMD, Choroidal neovascularization, CNV, AAV.7m8, Anti-VEGF therapy, Gene therapy, Blindness, AAV, AAV vector, nAMD, wAMD, Eye disease, Eye diseases
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
72 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Dose 1
Arm Type
Experimental
Arm Description
A single intravitreal injection of ADVM-022 2E11 vg/eye
Arm Title
Dose 2
Arm Type
Experimental
Arm Description
A single intravitreal injection of ADVM-022 6E10 vg/eye
Intervention Type
Genetic
Intervention Name(s)
ADVM-022
Intervention Description
A single IVT injection of 2E11 vg/eye ADVM-022 dose in combination with one (1) of four (4) corticosteroid treatment regimens
Intervention Type
Genetic
Intervention Name(s)
ADVM-022
Intervention Description
A single IVT injection of 6E10 vg/eye ADVM-022 dose in combination with one (1) of four (4) corticosteroid treatment regimens
Primary Outcome Measure Information:
Title
Severity of ocular and non-ocular adverse events
Description
Incidence of ocular and non-ocular adverse events
Time Frame
From Baseline to Week 52
Title
Incidence of ocular and non-ocular adverse events
Description
Incidence of ocular and non-ocular adverse events
Time Frame
From Baseline to Week 52
Title
Mean change in best corrected visual acuity (BCVA) from Baseline
Description
BCVA measured by Early Treatment Diabetic Retinopathy Study (ETDRS)
Time Frame
Week 52
Secondary Outcome Measure Information:
Title
Percentage of participants from Baseline who lose/gain at least 5, 10 or 15 letters in Best Corrected Visual Acuity (BCVA)
Description
BCVA measured by ETDRS
Time Frame
Week 52
Title
Mean change in BCVA from Baseline
Description
BCVA measured by ETDRS
Time Frame
Week 26
Title
Percentage of participants who are supplemental aflibercept injection-free
Description
Supplemental anti-VEGF treatments required post therapy
Time Frame
Week 52
Title
Percentage reduction in anti-VEGF injections
Description
Supplemental anti-VEGF treatments required post therapy to the year prior
Time Frame
Week 52
Title
Mean change in Central Subfield Thickness (CST) from Baseline
Description
To evaluate the effect of ADVM-022 on CST
Time Frame
Week 52
Title
Percentage of participants without CST fluctuations > 50 μm
Description
To evaluate the effect of ADVM-022 on CST
Time Frame
Week 52
Title
Mean number of CST fluctuations > 50 μm from Baseline
Description
To evaluate the effect of ADVM-022 on CST
Time Frame
Week 52
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female participants, ≥ 50 years of age
Willing and able to provide written, signed informed consent for this study
Demonstrated a meaningful response to anti-VEGF therapy
Participants must be under active anti-VEGF treatment for wet AMD and received a minimum of 2 injections within 4 months prior to screening for the treatment of choroidal neovascularization secondary to nAMD in the study eye
BCVA ETDRS Snellen equivalent between ≤20/25 and ≥20/320
Exclusion Criteria:
Any condition that could affect the interpretation of results or render the participant at high risk of treatment complications in the opinion of the Investigator
Ocular or periocular infection or intraocular inflammation in either eye within 1 month prior to or at the Randomization Visit (Day -7)
Uncontrolled diabetes or HbA1c ≥ 7.0 %
History or evidence of significant uncontrolled concomitant disease within 6 months of the Screening visit
Any history of ongoing bleeding disorders or INR >3.0
History or evidence of macular or retinal disease other than nAMD
History or evidence of retinal detachment or retinal pigment epithelium rip/tear
Uncontrolled ocular hypertension or glaucoma
Prior treatment with photodynamic therapy or retinal laser for the treatment of nAMD
Any history of vitrectomy or any other vitreoretinal surgery within 3 months prior to the Randomization Visit (Day -7)
Prior treatment with gene therapy at any time or any non-gene therapy investigational treatment or medical device in the study eye within 3 months of the Screening Visit or 5 half-lives of the investigational medicinal product
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sharri Adams-Edwards
Phone
(650) 649-1373
Email
LUNA-Clinops@adverum.com
First Name & Middle Initial & Last Name or Official Title & Degree
Adam Turpcu, PhD
Phone
(650) 649-1012
Email
aturpcu@adverum.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adam Turpcu, PhD
Organizational Affiliation
Adverum Biotechnologies, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Adverum Clinical Site 178
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85020
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 126
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85053
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 159
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85704
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 100
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90211
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 172
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 169
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 170
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 174
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 164
City
Riverside
State/Province
California
ZIP/Postal Code
92505
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 166
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 175
City
Santa Barbara
State/Province
California
ZIP/Postal Code
93103
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 116
City
Lakewood
State/Province
Colorado
ZIP/Postal Code
80228
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 165
City
Waterford
State/Province
Connecticut
ZIP/Postal Code
06385
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 124
City
Deerfield Beach
State/Province
Florida
ZIP/Postal Code
33064
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 176
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33308
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 168
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 149
City
'Aiea
State/Province
Hawaii
ZIP/Postal Code
96701
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 167
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 161
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 163
City
Southaven
State/Province
Mississippi
ZIP/Postal Code
38671
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 177
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68105
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 119
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 146
City
Cherry Hill
State/Province
New Jersey
ZIP/Postal Code
08034
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 171
City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07666
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 122
City
West Columbia
State/Province
South Carolina
ZIP/Postal Code
29169
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 144
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 101
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 123
City
Abilene
State/Province
Texas
ZIP/Postal Code
79606
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 154
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 108
City
Bellaire
State/Province
Texas
ZIP/Postal Code
77401
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 162
City
McAllen
State/Province
Texas
ZIP/Postal Code
78503
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 151
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 107
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384
Country
United States
Individual Site Status
Recruiting
Facility Name
Adverum Clinical Site 152
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Adverum Clinical Site 502
City
Nantes
State/Province
Loire-Atlantique
ZIP/Postal Code
44093
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Adverum Clinical Site 501
City
Lyon
State/Province
Rhône
ZIP/Postal Code
69004
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Adverum Clinical Site 500
City
Créteil
State/Province
Val-de-Marne
ZIP/Postal Code
94000
Country
France
Individual Site Status
Not yet recruiting
Facility Name
Adverum Clinical Site 600
City
London
ZIP/Postal Code
EC1V 2PD
Country
United Kingdom
Individual Site Status
Not yet recruiting
Facility Name
Adverum Clinical Site 601
City
Oxford
ZIP/Postal Code
OX3 9DU
Country
United Kingdom
Individual Site Status
Not yet recruiting
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Safety and Efficacy of ADVM-022 in Treatment-Experienced Patients With Neovascular Age-related Macular Degeneration [LUNA]
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