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The Study of Drug 601 in Patients With Wet Age-related Macular Degeneration (wAMD)

Primary Purpose

Wet Age-related Macular Degeneration

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Drug 601
Drug 601
Drug 601
Drug 601
Drug 601
Drug 601
Sponsored by
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wet Age-related Macular Degeneration

Eligibility Criteria

45 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Sign informed consent form and willing to be visited at the time specified in the trial;
  2. Age ≥45 years and age ≤ 80 years;
  3. The study eye must meet the following criteria:

    • Diagnosis of wAMD;
    • The presence of an primary or recurrent active choroidal neovascular (CNV) lesions in subfovea and para-fovea secondary to AMD;
    • Total area of all types of lesions ≤30mm2 (12 optic disc areas)
    • Best EDTRS letter score between 19 and 78(Snellen equivalent of 20/400 to 20/32);
    • No optometric media opacity and pupil shrinkage.
  4. Best EDTRS letter score ≥19 (Snellen equivalent of 20/400 or better) in the fellow eyes.

Exclusion Criteria:

Any of the following eye conditions:

  1. Any eye has active ocular infections (e.g.,blepharitis, keratitis, scleritis, conjunctivitis);
  2. History of vitreous hemorrhage in the study eye within 2 months before screening;
  3. scarring, fibrosis, or atrophy below with fovea in the study eye;
  4. Received any drug treatment for CNV within 120 days prior to screening;
  5. History of any following surgery in the study eye (e.g. PDT, macular transposition, Glaucoma filtration, subfoveal photocoagulation, vitrectomy and transpupular hyperthermia, and other surgery at the submacular or others for AMD) within 3 months before screening;
  6. CNV in the study eye associated with other ocular diseases such as pathologic myopia, eye trauma, etc
  7. History or present of uncontrolled glaucoma, history of glaucoma filtering surgery in the study eye;
  8. Subretinal hemorrhage in the study eye, and the bleeding area ≥ 50% area of the total lesion;
  9. History of rhegmatogenous retinal detachment or macular hole retinal detachment (stage 3 or 4) , retinal detachment, retinal pigment epithelium tear or macular area traction and macular area preretinal membrane and PCV in the study eye;
  10. The study eye has no lens( except intraocular lens) or posterior capsular rupture of the lens;

    Any of the following general condition are present:

  11. Medicines with toxicity to the lens are being used or may be used during the study period;
  12. History of allergy to fluorescein sodium and allergies to protein products for treatment or diagnosis, history of allergy to more than two drugs and/or non-drug factors, or suffering from allergic diseases now.
  13. History of surgery within 1 months before screening; and/or unhealed wounds, ulcers or fractures currently;
  14. Suffering from systemic infections and requiring oral, intramuscular or intravenous medication;
  15. History of stroke, myocardial infarction within 6 months before screening;
  16. Active diffuse intravascular coagulation and obvious bleeding tendency within 3 months before screening;
  17. Systemic immune diseases;
  18. Uncontrolled blood pressure control ;
  19. Diabetic patients with uncontrolled blood sugar;
  20. Any uncontrolled clinical problems (such as severe mental, neurological, cardiovascular, respiratory and other systemic diseases and malignant tumours);

    Any of the following laboratory tests abnormalities(23-25):

  21. Renal function impairment (Cr is 1.5 times higher than the upper limit of normal values in the local laboratory) Liver dysfunction (ALT or AST is 2 times higher than the upper limit of normal value in the local laboratory).
  22. Abnormal coagulation function (prothrombin time >= the upper limit of normal value for 3 seconds) and activated partial thromboplastin time >= the upper limit of normal value for 10 seconds);

    Patients with childbearing age with any of the following conditions:

  23. Those who do not use effective contraceptive measures;

    The following are not excluded:

  24. Pregnancy and lactation women (pregnancy is defined as urinary pregnancy test positive in this study);

    Any other conditions:

  25. Participation in any other drug clinical trials (except vitamins and minerals) in the past 1 month before screening ;
  26. Researchers think it needs to be ruled out.

Sites / Locations

  • BeiJing HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

601 dose level 1 treatment

601 dose level 2 treatment

601 dose level 3 treatment

601 dose level 4 treatment

601 dose level 5 treatment

601 dose level 6 treatment

Arm Description

Outcomes

Primary Outcome Measures

DLT
Incidence of dose-limiting toxicities up to the Day 14 visit
MTD
Maximum tolerated dose

Secondary Outcome Measures

Pharmacokinetic (PK) profile
Study the change of 601 drug concentration in the blood with time by mathematical principles and methods
Cmax
The maximum blood concentration after 601 drug enters the bloodstream
t1/2
The half-life of drug 601, the time required for the terminal phase 601 drug concentration to drop by half
AUC
Area under the concentration-time curve, reflect the characteristics of the exposure of 601 drug in the body.
Vd
The proportional constant between the amount of 601 drug in the body and the blood concentration when the 601 drug achieves the dynamic balance in the body.
CL
Clearance rate of drug 601 from the central ventricle.
MRT
The average length of time that the 601 drug stays in the body.
λz
the ratio of the amount of elimination of 601 drug from the body per unit time to the total amount in the body
Biomarker
Detection of VEGF concentration.
Immunogenicity
Development of Anti-drug antibodies (ADA) after IVT injection of 601
CRT
Changes in central retina thickness (CRT) at all time points compared to the baseline
diseased region
Changes in the diseased region at all time points compared to the baseline

Full Information

First Posted
July 8, 2020
Last Updated
July 8, 2020
Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04468997
Brief Title
The Study of Drug 601 in Patients With Wet Age-related Macular Degeneration (wAMD)
Official Title
Phase I Clinical Trial of Recombinant Anti-VEGF Human Monoclonal Antibody in the Treatment of Wet Age-related Macular Degeneration
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Unknown status
Study Start Date
November 12, 2018 (Actual)
Primary Completion Date
March 15, 2021 (Anticipated)
Study Completion Date
September 15, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Multicenter study to evaluate the safety and tolerability in patients with wet Age-related macular degeneration (wAMD) treated with intravitreal recombinant humanized anti-VEGF monoclonal antibody
Detailed Description
According to the results of preclinical pharmacological research and clinical application of bevacizumab in ophthalmology Case, 601 will be developed as a drug candidate for the treatment of ocular diseases such as wAMD .Observe the safety and tolerability of the single and multiple doses of 601 in wAMD patients; study the pharmacokinetic characteristics of single and multiple doses of 601, Observe the Preliminary efficacy of 601 multiple injections with different doses in the treatment of patients with wAMD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wet Age-related Macular Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
67 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
601 dose level 1 treatment
Arm Type
Experimental
Arm Title
601 dose level 2 treatment
Arm Type
Experimental
Arm Title
601 dose level 3 treatment
Arm Type
Experimental
Arm Title
601 dose level 4 treatment
Arm Type
Experimental
Arm Title
601 dose level 5 treatment
Arm Type
Experimental
Arm Title
601 dose level 6 treatment
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(0.375mg), Vitreous injection, injection once;
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(0.75mg), Vitreous injection, injection once;
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(1.25mg), Vitreous injection, injection once;
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(2.5mg), Vitreous injection, injection once;
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(1.25mg), Vitreous injection, injection once every 4 weeks, three times continuously, then injection as needed within 9 months.
Intervention Type
Drug
Intervention Name(s)
Drug 601
Intervention Description
Recombinant humanized anti-VEGF monoclonal antibody, drug 601(2.5mg), Vitreous injection, injection once every 4 weeks, three times continuously, then injection as needed within 9 months.
Primary Outcome Measure Information:
Title
DLT
Description
Incidence of dose-limiting toxicities up to the Day 14 visit
Time Frame
From Day 0 up to Day 14
Title
MTD
Description
Maximum tolerated dose
Time Frame
From Day 0 up to Day 56/112.
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) profile
Description
Study the change of 601 drug concentration in the blood with time by mathematical principles and methods
Time Frame
From Day 0 up to 56/112 days
Title
Cmax
Description
The maximum blood concentration after 601 drug enters the bloodstream
Time Frame
From Day 0 up to 56/112 days
Title
t1/2
Description
The half-life of drug 601, the time required for the terminal phase 601 drug concentration to drop by half
Time Frame
From Day 0 up to 56/112 days
Title
AUC
Description
Area under the concentration-time curve, reflect the characteristics of the exposure of 601 drug in the body.
Time Frame
From Day 0 up to 56/112 days
Title
Vd
Description
The proportional constant between the amount of 601 drug in the body and the blood concentration when the 601 drug achieves the dynamic balance in the body.
Time Frame
From Day 0 up to 56/112 days
Title
CL
Description
Clearance rate of drug 601 from the central ventricle.
Time Frame
From Day 0 up to 56/112 days
Title
MRT
Description
The average length of time that the 601 drug stays in the body.
Time Frame
From Day 0 up to 56/112 days
Title
λz
Description
the ratio of the amount of elimination of 601 drug from the body per unit time to the total amount in the body
Time Frame
From Day 0 up to 56/112 days
Title
Biomarker
Description
Detection of VEGF concentration.
Time Frame
From Day 0 up to 56/112 days
Title
Immunogenicity
Description
Development of Anti-drug antibodies (ADA) after IVT injection of 601
Time Frame
From Day 0 up to 56/112 days
Title
CRT
Description
Changes in central retina thickness (CRT) at all time points compared to the baseline
Time Frame
From Day 0 up to 56/364 days
Title
diseased region
Description
Changes in the diseased region at all time points compared to the baseline
Time Frame
From Day 0 up to 56/364 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Sign informed consent form and willing to be visited at the time specified in the trial; Age ≥45 years and age ≤ 80 years; The study eye must meet the following criteria: Diagnosis of wAMD; The presence of an primary or recurrent active choroidal neovascular (CNV) lesions in subfovea and para-fovea secondary to AMD; Total area of all types of lesions ≤30mm2 (12 optic disc areas) Best EDTRS letter score between 19 and 78(Snellen equivalent of 20/400 to 20/32); No optometric media opacity and pupil shrinkage. Best EDTRS letter score ≥19 (Snellen equivalent of 20/400 or better) in the fellow eyes. Exclusion Criteria: Any of the following eye conditions: Any eye has active ocular infections (e.g.,blepharitis, keratitis, scleritis, conjunctivitis); History of vitreous hemorrhage in the study eye within 2 months before screening; scarring, fibrosis, or atrophy below with fovea in the study eye; Received any drug treatment for CNV within 120 days prior to screening; History of any following surgery in the study eye (e.g. PDT, macular transposition, Glaucoma filtration, subfoveal photocoagulation, vitrectomy and transpupular hyperthermia, and other surgery at the submacular or others for AMD) within 3 months before screening; CNV in the study eye associated with other ocular diseases such as pathologic myopia, eye trauma, etc History or present of uncontrolled glaucoma, history of glaucoma filtering surgery in the study eye; Subretinal hemorrhage in the study eye, and the bleeding area ≥ 50% area of the total lesion; History of rhegmatogenous retinal detachment or macular hole retinal detachment (stage 3 or 4) , retinal detachment, retinal pigment epithelium tear or macular area traction and macular area preretinal membrane and PCV in the study eye; The study eye has no lens( except intraocular lens) or posterior capsular rupture of the lens; Any of the following general condition are present: Medicines with toxicity to the lens are being used or may be used during the study period; History of allergy to fluorescein sodium and allergies to protein products for treatment or diagnosis, history of allergy to more than two drugs and/or non-drug factors, or suffering from allergic diseases now. History of surgery within 1 months before screening; and/or unhealed wounds, ulcers or fractures currently; Suffering from systemic infections and requiring oral, intramuscular or intravenous medication; History of stroke, myocardial infarction within 6 months before screening; Active diffuse intravascular coagulation and obvious bleeding tendency within 3 months before screening; Systemic immune diseases; Uncontrolled blood pressure control ; Diabetic patients with uncontrolled blood sugar; Any uncontrolled clinical problems (such as severe mental, neurological, cardiovascular, respiratory and other systemic diseases and malignant tumours); Any of the following laboratory tests abnormalities(23-25): Renal function impairment (Cr is 1.5 times higher than the upper limit of normal values in the local laboratory) Liver dysfunction (ALT or AST is 2 times higher than the upper limit of normal value in the local laboratory). Abnormal coagulation function (prothrombin time >= the upper limit of normal value for 3 seconds) and activated partial thromboplastin time >= the upper limit of normal value for 10 seconds); Patients with childbearing age with any of the following conditions: Those who do not use effective contraceptive measures; The following are not excluded: Pregnancy and lactation women (pregnancy is defined as urinary pregnancy test positive in this study); Any other conditions: Participation in any other drug clinical trials (except vitamins and minerals) in the past 1 month before screening ; Researchers think it needs to be ruled out.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhang Ming, Ph.D
Phone
+86-028-85422452
Email
zhangmingscu@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
Lu Fang
Phone
+86-028-85422452
Email
lufang@medicail.com.cn
Facility Information:
Facility Name
BeiJing Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dai Hong

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

The Study of Drug 601 in Patients With Wet Age-related Macular Degeneration (wAMD)

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