A Phase 1 Safety Study of Single and Repeated Doses of JSM6427 (Intravitreal Injection) to Treat AMD
A Phase 1 Open Label Study to Investigate the Safety, Tolerability and Pharmacokinetic Profile of Single and Repeated Doses of JSM6427 Following Administration by Intravitreal Injection in Patients With Neovascular AMD
1 other identifier
interventional
36
1 country
9
Brief Summary
The purpose of this study is to determine the way and rate that the study medication, JSM6427 a potent, highly specific integrin α5β1-antagonist is absorbed, broken-down and eliminated from the body when it is given as a single dosage strength by injection into the eye. Repeated dosages will also be given to determine the highest safe dose.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Sep 2007
Typical duration for phase_1
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2007
CompletedFirst Submitted
Initial submission to the registry
September 25, 2007
CompletedFirst Posted
Study publicly available on registry
September 27, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedSeptember 21, 2010
September 1, 2010
1.3 years
September 25, 2007
September 20, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and Tolerability to determine the MTD
2 weeks after each dose
Secondary Outcomes (1)
To evaluate the systemic pharmacokinetics of JSM6427 following single and repeat doses by intravitreal injection and to assess exploratory efficacy potential of JSM6427
1 year
Interventions
Weekly intravitreal injections for up to 4 weeks, first dose strength is one dose below the MTD. Dose strength concentrations: 1.5 mg/ml, 3 mg/ml, 7.5 mg/ml 04 15 mg/ml.
Eligibility Criteria
You may qualify if:
- Best corrected visual acuity in the study eye between 5 and 7 letters inclusive using and ETDRS chart (Snellen equivalent of appx. 20/800 to 20/40.
- Subfoveal choroidal neovascularization (CNV) due to AMD.
- Total area of the lesion (including blood, neovascularization and scar/atrophy) must be ≤ 12 DA, of which at least 25% must be active CNV.
- For patients with occult or non classic CNV; there must be the presence of subretinal hemorrhage (but still comprising no more than 50% of the lesion) and/or documented evidence of three or more lines of vision loss (ETDRS or equivalent) during the previous 12 weeks.
- Clear ocular media and adequate pupillary dilatation to permit good stereo fundus photography for screening.
- Intraocular pressure of 21 mm Hg or less.
- Retinal thickness ≥ 250 μm by OCT.
- Normal screening ERG
- Normal ECG
You may not qualify if:
- PDT within 120 days prior to screening in the study eye.
- Previous therapeutic radiation to the eye.
- Any retinovascular disease or retinal degeneration other than AMD.
- Serous pigment epithelial detachment without the presence of neovascularization.
- Presence of pigment epithelial tears or rips.
- Previous posterior vitrectomy or retinal surgery.
- Any periocular infection in the past 4 weeks.
- Concomitant therapy with anti-VEGF therapies, e.g. Avastin, Lucentis or Macugen, or previous use of these agents within 60 days of screening in the study eye.
- Concomitant therapy with intravenous or intravitreous corticosteroids or use within 90 days of screening.
- Cataract surgery in the study eye within three months of screening.
- Intraocular surgery in the study eye within three months of screening.
- Presence of ocular infection in the study eye.
- Presence of severe myopia (-8 diopters or greater) in the study eye.
- Allergy to or prior significant adverse reaction to fluorescein.
- Any major surgical procedure within one month of trial entry.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Retina Vitreous Associates Medical Group
Beverly Hills, California, 90211, United States
Ophthalmic Consultants of Boston
Boston, Massachusetts, 02114, United States
William Beaumont Research Institute
Royal Oak, Michigan, 40873, United States
Dean McGee Eye Institute
Oklahoma City, Oklahoma, 73120, United States
Palmetto Retina Center
West Columbia, South Carolina, 29169, United States
Black Hills Regional Eye Institute
Rapid City, South Dakota, 57701, United States
Retina Research Institute of Texas
Abilene, Texas, 79606, United States
Vitreoretinal Consultants
Houston, Texas, 77030, United States
Valley Retina Institute
McAllen, Texas, 78503, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Anthony Adamis, MD
Jerini Ophthalmic
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 25, 2007
First Posted
September 27, 2007
Study Start
September 1, 2007
Primary Completion
December 1, 2008
Study Completion
December 1, 2009
Last Updated
September 21, 2010
Record last verified: 2010-09