search
Back to results

Safety and Efficacy Study of Small Interfering RNA Molecule (Cand5) to Treat Diabetic Macular Edema

Primary Purpose

Diabetic Macular Edema

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
bevasiranib
Sponsored by
OPKO Health, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetic Macular Edema focused on measuring Macular, Edema, Diabetic, Retinopathy

Eligibility Criteria

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

Inclusion Criteria: Patients must be male or female age 21 or older. Patient must sign (and be given) a copy of the written informed consent form. Patients must have the diagnosis of diabetes mellitus (type 1 or type 2). Patients with the following will be considered to be sufficient evidence that diabetes is present: Current regular use of insulin for the treatment of diabetes mellitus OR Current regular use of oral anti-hyperglycemia agents for the treatment of diabetes OR Documented diabetes by WHO criteria Patients must have ETDRS best corrected visual acuity of 69 to 24 letters (20/40 to 20/320 Snellen Equivalent) in the study eye. Patients must have a mean retinal thickness on OCT ≥ 250 microns in the central subfield. Exclusion Criteria: Patients with a history of chronic renal failure requiring dialysis or kidney transplant. A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., unstable medical status including blood pressure and glycemic control), including: Patients in poor glycemic control who, within the last 4 months, initiated intensive insulin treatment (a pump or multiple daily injections) or plan to do so in the next 4 months should not be enrolled. Patients with HbA1C > 10%OR Patients with systolic blood pressure greater than 170 mmHg and/or diastolic blood pressure greater than 100 mmHg (Note: If blood pressure is brought below 170/100 mmHg by anti-hypertensive treatment, patient can become eligible). Past panretinal photocoagulation (PRP) for diabetes within 12 weeks of screening or PRP expected to be needed in the next three months in the study eye. Focal laser therapy to the retina of the study eye within 12 weeks of screening. Any intraocular surgery or ocular laser procedures in the study eye within 12 weeks of screening. Participation in an investigational trial within 30 days of study entry that involved treatment with any drug that has not received regulatory approval at the time of study entry.

Sites / Locations

  • Retina Associates of Cleveland

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

1

2

3

Arm Description

3.0 mg/eye dose group

1.5 mg/eye dose group

0.2 mg/eye dose group

Outcomes

Primary Outcome Measures

Change from baseline at the 12-week evaluation in macular edema as measured by optical coherence tomography.

Secondary Outcome Measures

Mean BCVA line/letters change from baseline at the 12-week evaluation.

Full Information

First Posted
March 23, 2006
Last Updated
July 24, 2008
Sponsor
OPKO Health, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT00306904
Brief Title
Safety and Efficacy Study of Small Interfering RNA Molecule (Cand5) to Treat Diabetic Macular Edema
Official Title
A Phase II, Pharmacokinetic, Randomized, Double-Masked, Controlled, Dose Comparison Study of Cand5 for Intravitreal Injection for the Treatment of Diabetic Macular Edema
Study Type
Interventional

2. Study Status

Record Verification Date
July 2008
Overall Recruitment Status
Completed
Study Start Date
January 2006 (undefined)
Primary Completion Date
September 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
OPKO Health, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the pharmacokinetics, safety and preliminary efficacy of 3 doses of Cand5. Cand5 is a small interfering RNA molecule that selectively silences the mRNA encoding for VEGF. The target population are patients with diabetic macular edema.
Detailed Description
Diabetic retinopathy is the leading cause of newly diagnosed blindness in the working age (20-74) population in the United States1 and diabetic macular edema (DME) is the leading cause of vision loss in diabetic retinopathy. DME is the result of the breakdown of the retinal capillary endothelium in patients with diabetes mellitus (Type I and II). A key factor in the development of DME is the permeability of the blood-retinal barrier. The breakdown of the endothelial tight junctions of the capillary walls in the retinal vasculature leads to increased permeation of salts, proteins, and water from the capillary luminal side of the barrier and the accumulation of fluid in the extracellular space. Multiple agents appear to contribute to the disruption of the blood-retina barrier,including vasoactive agents, prostaglandin and vascular endothelial growth factor (VEGF). VEGF is a peptide that promotes neovascularization and increases vascular permeability. If the resulting fluid is more than the amount that can be removed through the active pump mechanism (retinal pigmented epithelium), fluids continue to accumulate and edema develops. When thickening evolves or threatens the center of the fovea there is a high risk of visual loss. Cand5 is a synthetic double stranded RNA (dsRNA) oligonucleotide. The molecule is a duplex formed by the hybridization of two partially complementary single strand RNAs in which the 3' end are capped with 2 deoxyribose (dT) units. Hybridization occurs across 19 ribose base pairs to yield the Cand5 molecule. Cand5 has a molecular weight of 13,345 grams/mole. Cand5 selectively silences the mRNA encoding for VEGF. A comparison will be made between the three (3) treatment arms with regard to safety, efficacy, and duration of effect to determine a safe and efficacious dose of Cand5 appropriate for evaluation in future pivotal trials.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Macular Edema
Keywords
Macular, Edema, Diabetic, Retinopathy

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
3.0 mg/eye dose group
Arm Title
2
Arm Type
Experimental
Arm Description
1.5 mg/eye dose group
Arm Title
3
Arm Type
Experimental
Arm Description
0.2 mg/eye dose group
Intervention Type
Drug
Intervention Name(s)
bevasiranib
Other Intervention Name(s)
Cand5
Primary Outcome Measure Information:
Title
Change from baseline at the 12-week evaluation in macular edema as measured by optical coherence tomography.
Secondary Outcome Measure Information:
Title
Mean BCVA line/letters change from baseline at the 12-week evaluation.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients must be male or female age 21 or older. Patient must sign (and be given) a copy of the written informed consent form. Patients must have the diagnosis of diabetes mellitus (type 1 or type 2). Patients with the following will be considered to be sufficient evidence that diabetes is present: Current regular use of insulin for the treatment of diabetes mellitus OR Current regular use of oral anti-hyperglycemia agents for the treatment of diabetes OR Documented diabetes by WHO criteria Patients must have ETDRS best corrected visual acuity of 69 to 24 letters (20/40 to 20/320 Snellen Equivalent) in the study eye. Patients must have a mean retinal thickness on OCT ≥ 250 microns in the central subfield. Exclusion Criteria: Patients with a history of chronic renal failure requiring dialysis or kidney transplant. A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., unstable medical status including blood pressure and glycemic control), including: Patients in poor glycemic control who, within the last 4 months, initiated intensive insulin treatment (a pump or multiple daily injections) or plan to do so in the next 4 months should not be enrolled. Patients with HbA1C > 10%OR Patients with systolic blood pressure greater than 170 mmHg and/or diastolic blood pressure greater than 100 mmHg (Note: If blood pressure is brought below 170/100 mmHg by anti-hypertensive treatment, patient can become eligible). Past panretinal photocoagulation (PRP) for diabetes within 12 weeks of screening or PRP expected to be needed in the next three months in the study eye. Focal laser therapy to the retina of the study eye within 12 weeks of screening. Any intraocular surgery or ocular laser procedures in the study eye within 12 weeks of screening. Participation in an investigational trial within 30 days of study entry that involved treatment with any drug that has not received regulatory approval at the time of study entry.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christine Du Castel, MD
Organizational Affiliation
Chiltern International
Official's Role
Study Director
Facility Information:
Facility Name
Retina Associates of Cleveland
City
Beechwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.opko.com
Description
Sponsor

Learn more about this trial

Safety and Efficacy Study of Small Interfering RNA Molecule (Cand5) to Treat Diabetic Macular Edema

We'll reach out to this number within 24 hrs