A Phase 2 Efficacy and Safety Study of GAL-101, 2% Ophthalmic Solution in Non-foveal Geographic Atrophy Secondary to Non-neovascular AMD
eDREAM
A Phase 2, Double-masked, Randomized, Multicenter, Parallel Group, Placebo-controlled Study to Investigate the Efficacy and Safety of GAL-101, 2%, Ophthalmic Solution in Patients With Non-foveal Geographic Atrophy Secondary to Non-neovascular Age-related Macular Degeneration: eDREAM Study
1 other identifier
interventional
110
8 countries
14
Brief Summary
Age-related macular degeneration (AMD) affects millions of elderly patients. When advanced, there is Geographic Atrophy (GA) in the retina. This means that there is an area with a loss of light-sensitive cells, called photoreceptors. That part of the retina can no longer see. Atrophy begins as a small spot in the retina distant from the fovea which is the part of the retina responsible for sharp central vision. The GA grows, and when it reaches the fovea, vision is severely diminished, and details cannot be seen anymore. The purpose of the eDREAM study is to understand if GAL-101 can slow the growth of GA and prevent it from reaching the fovea. GAL-101 is given as eyedrops. eDREAM patients will administer study eyedrops every day. Patients will be assigned by chance (randomly) to receive either eye-drops that contain the new medication, GAL-101, or eyedrops without the active drug (Placebo). Neither patients nor doctors will know which treatment was assigned to each patient until the end of the study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2025
14 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
First Submitted
Initial submission to the registry
October 23, 2024
CompletedFirst Posted
Study publicly available on registry
October 26, 2024
CompletedStudy Start
First participant enrolled
January 10, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 30, 2027
February 6, 2026
February 1, 2026
2.2 years
October 23, 2024
February 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Efficacy of GAL-101 ophthalmic solution in reducing the rate of change in GA lesion size.
Comparison between groups of annual rate of change in the area of GA as measured by fundus autofluorescence (FAF).
From baseline to last on-treatment visit (48 up to 96 weeks)
Secondary Outcomes (1)
Efficacy of GAL-101 ophthalmic solution in reducing the rate of change in photoreceptor degeneration (PRD) in eyes with GA
From baseline to last on-treatment visit (48 up to 96 weeks)
Study Arms (2)
GAL-101 ophthalmic solution
EXPERIMENTALPatient will apply daily 2 eye drops of GAL-101 at 5 minutes interval
Placebo
PLACEBO COMPARATORPatient will apply daily 2 eye drops ofPlacebo at 5 minutes interval
Interventions
Eligibility Criteria
You may qualify if:
- ≥55 years of age
- Willing and able to provide written informed consent
- Willing and able to comply with the study schedule and study assessments
- Able to successfully administer ophthalmic solution or have an appropriate designee (e.g., family member, health care professional) who can administer ophthalmic solution
- BCVA of ≥50 letters in the study eye using Early Treatment Diabetic Retinopathy Study (ETDRS) chart (i.e., 20/100 Snellen equivalent). Criterion will be confirmed at Baseline
- Refractive error between +3 and -6 diopters spherical equivalent in the study eye
- Sufficiently clear ocular media and adequate pupillary dilation to permit quality fundus imaging of the study eye, in the opinion of the Investigator. Criterion will be confirmed at Baseline
- Diagnosed with non-foveal GA secondary to non-neovascular AMD in the study eye, as confirmed by the reading center
- Well-delineated cumulative GA area between 1.25 and 12.0 mm2
- If GA is multifocal, at least 1 lesion ≥1.25 mm2
- GA lesions must be located outside a ≥100 µm radius from the center point of the fovea (i.e., this area must have intact retinal pigment epithelium \[RPE\] and outer retina)
- GA lesions must be located (partially or wholly) within a 2000 µm radius from the center point of the fovea
- GA lesions must be completely located within FAF imaging field (field 2 to 30-degree image centered on the fovea). GA lesion borders must be \>300 µm from image edges
- GA lesions must be \>300 µm from the optic disc and/or peripapillary atrophy
- Area of PRD must be cumulatively between 7.25 and 25.0 mm2
You may not qualify if:
- Presence or history of choroidal neovascularization (CNV). Criterion will be confirmed at Baseline
- History of laser therapy in the macular region, regardless of indication
- History of herpes zoster
- Ophthalmic disease or condition that requires or is likely to require surgery during the study period
- GA with cumulative area \<1.25 mm2
- Any GA lesion within 100 µm radius from the center point of the fovea
- Axial length \>26 mm
- Any ocular disease or condition other than non-neovascular AMD that may, in the opinion of the Investigator, interfere with study assessments, patient adherence to the study schedule, or interpretation of study data (e.g., epiretinal membrane, macular hole, glaucomatous optic neuropathy, etc.)
- Intraocular surgery (including cataract extraction and crystalline lens replacement) within 3 months before Visit 1a or yttrium aluminum garnet (YAG) surgery within 2 months before Visit 1a, or planned either during the study period
- Use of pegcetacoplan or avacincaptad pegol within 6 months before Visit 1a, or planned use during the study period
- Use of any prescription or over-the-counter ophthalmic medication within 1 month before Visit 1a or planned use during the study period
- Use of rigid contact lenses within 1 month before Visit 1a or planned use during the study period
- Non-study Eye:
- BCVA of \<5 letters using ETDRS chart (i.e., 20/800 Snellen equivalent)
- Either Eye:
- +14 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Galimedix Therapeutics Inclead
- Lexitas Pharma Services, Inc.collaborator
Study Sites (14)
Retina-Vitreous Associates Medical Group
Beverly Hills, California, 90211, United States
Bay Area Retina Associates
Walnut Creek, California, 94598, United States
Cumberland Valley Retina Consultants
Hagerstown, Maryland, 21740, United States
Ophthalmological Center After S.V. Malayan
Yerevan, 0048, Armenia
Centre Monticelli Paradis d'Ophtalmologie
Marseille, 13008, France
Akhali Mzera Limited
Tbilisi, 0162, Georgia
Caucasus Medical Centre LLC
Tbilisi, 0186, Georgia
Chichua Medical Centre Mzera LLC
Tbilisi, Georgia
Universitäts-Augenklinik Bonn
Bonn, 53127, Germany
Institute of Eye Surgery (IOES Waterford)
Waterford, X91 DH9W, Ireland
Hadassah Medical Center
Jerusalem, 9112001, Israel
Tel Aviv Medical Center
Tel Aviv, 6423906, Israel
Medical Retina & Imaging Unit, IRCCS MultiMedica, Ospedale San Giuseppe
Milan, Milano, 20123, Italy
Unità di Oculistica, IRCCS Ospedale San Raffaele
Milan, Milano, 20132, Italy
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Reading Centers
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 23, 2024
First Posted
October 26, 2024
Study Start
January 10, 2025
Primary Completion (Estimated)
March 30, 2027
Study Completion (Estimated)
May 30, 2027
Last Updated
February 6, 2026
Record last verified: 2026-02