NCT03748784

Brief Summary

ADVM-022 (AAV.7m8-aflibercept) is a gene therapy product developed for the treatment of neovascular (wet) age-related macular degeneration (wet AMD). Wet AMD is a serious condition and the leading cause of blindness in the elderly. The available therapies for treating wet AMD require life-long intravitreal (IVT) injections every 4-12 weeks to maintain efficacy. A one-time IVT administration of ADVM-022 has the potential to treat wet AMD by providing durable expression of therapeutic levels of intraocular anti-VEGF protein (aflibercept) and maintaining the vision of patients. ADVM-022 is designed to reduce the current treatment burden which often results in undertreatment and vision loss in patients with wet AMD receiving anti-VEGF therapy in clinical practice.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Nov 2018

Typical duration for phase_1

Geographic Reach
1 country

11 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 14, 2018

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

November 19, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 21, 2018

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 22, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 22, 2022

Completed
Last Updated

August 8, 2023

Status Verified

August 1, 2023

Enrollment Period

3.6 years

First QC Date

November 19, 2018

Last Update Submit

August 4, 2023

Conditions

Keywords

Choroidal NeovascularizatioADVM-022CNVADVM-022-01AAV.7m8Anti-VEGF therapyBlindnessGene therapyAflibercept (Eylea)Age-Related Macular DegenerationWet Macular DegenerationRetinal DegenerationRetinal DiseasesEye DiseasesAAV VectorAdverumwAMDAMDwet AMD

Outcome Measures

Primary Outcomes (1)

  • Type, severity, and incidence of ocular and systemic adverse events (AEs)

    Type, severity, and incidence of ocular and systemic adverse events (AEs)

    104 weeks

Secondary Outcomes (6)

  • Change in best corrected visual acuity (BCVA)

    104 weeks

  • Change in central subfield thickness (CST) and macular volume measured by SD-OCT

    104 weeks

  • Percentage of subjects requiring anti-VEGF injections over time

    104 weeks

  • Mean number of anti-VEGF injections over time

    104 weeks

  • Percentage of subjects without intraretinal fluid over time

    104 weeks

  • +1 more secondary outcomes

Study Arms (2)

Dose 1

EXPERIMENTAL

6E11 vg of ADVM-022

Biological: ADVM-022

Dose 2

EXPERIMENTAL

2E11 vg of ADVM-022

Biological: ADVM-022

Interventions

ADVM-022BIOLOGICAL

ADVM-022 (AAV.7m8-aflibercept) is a recombinant, replication-deficient adeno-associated virus (AAV.7m8) gene therapy vector carrying a coding sequence for aflibercept

Also known as: AAV.7m8-aflibercept
Dose 1Dose 2

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥ 50
  • Diagnosis of neovascular (wet) AMD
  • BCVA ETDRS Snellen equivalent between ≤20/32 and ≥20/320 for each cohort
  • Subjects must be under active anti-VEGF treatment for wAMD and received a minimum of 2 injections within 4 months prior to screening
  • Demonstrated a meaningful response to anti-VEGF therapy
  • Willing and able to provide consent

You may not qualify if:

  • History of retinal disease in the study eye other than wet AMD
  • Fibrosis or atrophy, retinal epithelial tear in the center of the fovea in the study eye, or any condition preventing visual acuity improvement
  • History of retinal detachment (with or without repair) in the study eye
  • History of vitrectomy, trabeculectomy, or other filtration surgery in the study eye
  • Uncontrolled glaucoma in the study eye
  • Any prior treatment with photodynamic therapy or retinal laser for the treatment of wet AMD and any previous therapeutic radiation in the region of the study eye
  • Any previous intraocular or periocular surgery on the study eye within 6 months
  • Acute coronary syndrome, myocardial infarction or coronary artery revascularization, CVA, TIA in the last 6 months
  • Uncontrolled hypertension defined as average SBP ≥160 mmHg or an average DBP ≥100 mmHg

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Adverum Clinical Site

Bakersfield, California, 93309, United States

Location

Adverum Clinical Site

Beverly Hills, California, 90211, United States

Location

Adverum Clinical Site

Golden, Colorado, 80401, United States

Location

Adverum Clinical Site

Deerfield Beach, Florida, 33064, United States

Location

Adverum Clinical Site

Reno, Nevada, 89502, United States

Location

Adverum Clinical Site

Philadelphia, Pennsylvania, 19107, United States

Location

Adverum Clinical Site

West Columbia, South Carolina, 29169, United States

Location

Adverum Clinical Site

Nashville, Tennessee, 37203, United States

Location

Adverum Clinical Site

Abilene, Texas, 79606, United States

Location

Adverum Clinical Site

Houston, Texas, 77030, United States

Location

Adverum Clinical Site

The Woodlands, Texas, 77384, United States

Location

Related Publications (1)

  • Khanani AM, Boyer DS, Wykoff CC, Regillo CD, Busbee BG, Pieramici D, Danzig CJ, Joondeph BC, Major JC Jr, Turpcu A, Kiss S. Safety and efficacy of ixoberogene soroparvovec in neovascular age-related macular degeneration in the United States (OPTIC): a prospective, two-year, multicentre phase 1 study. EClinicalMedicine. 2023 Dec 22;67:102394. doi: 10.1016/j.eclinm.2023.102394. eCollection 2024 Jan.

MeSH Terms

Conditions

BlindnessMacular DegenerationWet Macular DegenerationRetinal DegenerationRetinal DiseasesEye Diseases

Condition Hierarchy (Ancestors)

Vision DisordersSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsEye Diseases, Hereditary

Study Officials

  • OPTIC Medical Monitor

    Adverum Biotechnologies, Inc.

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Open-label, dose-ranging clinical study to evaluate the safety and tolerability of ADVM-022 in subjects with wet AMD.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 19, 2018

First Posted

November 21, 2018

Study Start

November 14, 2018

Primary Completion

June 22, 2022

Study Completion

June 22, 2022

Last Updated

August 8, 2023

Record last verified: 2023-08

Locations