Clinical trial

A Multicenter, Multiple-Dose Study in Neovascular Age-related Macular Degeneration (nAMD) to Evaluate the Safety, Tolerability, Pharmacodynamics, Immunogenicity, and Clinical Effect of Repeat Intravitreal (IVT) Injections of GEM103 as an Adjunct to Standard of Care Aflibercept Therapy

Name
GEM-CL-10311
Description
This study is designed to investigate the safety and tolerability of GEM103 IVT injection + standard of care vs. sham + standard of care.
Trial arms
Trial start
2020-12-29
Estimated PCD
2022-01-10
Trial end
2022-02-18
Status
Terminated
Phase
Early phase I
Treatment
GEM103
GEM103 500 mcg/50 mcL intravitreal injection
Arms:
SoC + GEM103
Aflibercept
Aflibercept 2 mg/50 mcL (SOC) intravitreal injection Sham intravitreal injection
Arms:
SoC + GEM103, SoC + Sham
Sham
Sham intravitreal injection
Arms:
SoC + Sham
Size
50
Primary endpoint
Number of Participants With Ocular Treatment-emergent Adverse Events (TEAEs)
Baseline up to Week 48
Number of Participants With Non-ocular TEAEs
Baseline up to Week 48
Number of Participants With Abnormal Ophthalmic Examination Findings
Baseline up to Week 48
Percentage of Participants With Greater Than or Equal to (>=)15, >=10, >=5 Letters From the Baseline in Best Corrected Visual Acuity (BCVA)
Baseline up to Week 48
Percentage of Participants With Greater Than or Equal to (>=)15, >=10, >=5 Letters From the Baseline in Low Luminance Visual Acuity (LLVA)
Baseline up to Week 48
Mean Change From Baseline in Minnesota Low-vision Reading (MNRead) Test at Week 48
Baseline, Week 48
Eligibility criteria
Inclusion Criteria: 1. At least 50 years old at the time of signed informed consent 2. Choroidal neovascularization (CNV) related to nAMD with the following features, as determined by the Image Reading Center 1. Maximum CNV lesion size of 12 disc areas 2. Subretinal hemorrhage less than or equal to (\<=) 50% of lesion size 3. On aflibercept treatment prior to Day 1 4. Best Corrected Visual Acuity (BCVA) in the study eye between 24 to 75 letters using EDTRS Exclusion Criteria: 1. Presence of the following ocular conditions in the study eye: 1. Any active ocular disease or condition that impact the subject to participate in the study or be a contraindication of IVT injections 2. Any intraocular surgery 3. Aphakia or complete absence of the posterior capsule 4. Prior corneal transplant 5. Scar or fibrosis greater than or equal to (\>=) 50% of CNV lesion or involving center of fovea 2. Presence of any of the following ocular conditions in either eye: 1. History of herpetic infection, idiopathic polypoidal choroidal vasculopathy (PCV), pathologic myopia, central serous chorioretinopathy (CSCR), adult onset foveal pattern dystrophy 2. Concurrent disease that could require medical or surgical intervention during the study period 3. Active/suspected ocular/periocular infection or active intraocular inflammation 4. History of idiopathic or autoimmune-associated uveitis 3. Any prior or ongoing medical condition or clinically significant screening laboratory value that may present a safety risk, interfere with study compliance, interfere with consistent study follow-up, or confound data interpretation throughout the longitudinal follow-up period 4. Has experienced a cardiovascular or cerebrovascular event within 12 months of informed consent 5. Females must not be pregnant or lactating 6. Current use of medications known to be toxic to the lens, retina or optic nerve 7. Use of any investigational new drug or other experimental treatment in the last 6 months prior to Day 1, and/or receipt of any prior gene therapy or ocular device implantation
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['PARTICIPANT']}}, 'enrollmentInfo': {'count': 50, 'type': 'ACTUAL'}}
Updated at
2022-10-31

1 organization

3 products

3 indications

Product
GEM103
Indication
Retinal Disease
Product
Sham