Macular DegenerationPhase 1NCT00463320
A Study To Evaluate The Safety, Tolerability And Pk Of Pazopanib Eye Drops In Healthy Adult And Elderly Subjects.
A Phase 1 study testing Pazopanib eye drops and Allergen Refresh Plus eye drops in people with Macular Degeneration and Age-related Macular Degeneration, run by GlaxoSmithKline at 2 sites in United States.
Trial summary
This is a two-part study to evaluate the safety, tolerability and pharmacokinetics of single (Part A) and repeat (Part B) eye drop doses of pazopanib in healthy adult and elderly subjects. Read more about this study
- Who is it for?
- Ages 30 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Macular Degeneration, Age-related Macular Degeneration
- What is being tested?
- Pazopanib eye drops and Allergen Refresh Plus eye drops
- How many people
- 29 participants
- Where
- 2 sitesUnited States
- Study dates
- Mar 2007to Aug 2007
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Age-related macular degeneration patients diagnosed with subfoveal choroidal neovascularization in the study eye, with all of the following characteristics required:
- central subfield thickness > 300 microns on investigator-determined OCT (inclusive of subretinal fluid);
- active subfoveal leakage as determined by investigator-determined fluorescein angiography;
- minimally classic or occult with no classic D8 lesion;
- lesion size no greater than 12 disc areas;
- CNV> 50% of lesion area;
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- < 50% of lesion area with blood;
- ≤ 25% of lesion area with fibrosis.
- Male or female 50 years of age.
- Best-corrected ETDRS visual acuity in the study eye between 80 to 24 letters inclusive (approximately 20/25 to 20/320 or 4/5 to 4/63) at screening.
- A female subject is eligible to participate if she is of non-childbearing potential defined as either pre-menopausal with a documented tubal ligation or hysterectomy, or postmenopausal defined as 12 months of spontaneous amenorrhea. In questionable cases of postmenopausal status a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/ml (<140 pmol/L) is confirmatory.
- Subject is willing and able to return for all study visits, and is willing and able to comply with all protocol requirements and procedures.
- Subject is capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. If the subject is unable to read the consent form due to visual impairment then the consent must be read to the subject verbatim by person administering the consent, a family member or legally acceptable representative. If the subject is unable to provide written informed consent due to visual impairment, then written informed consent on behalf of the subject must be provided by a legally acceptable representative.
- (Note: Consent by legally acceptable representative is allowed where this is in accordance with local laws, regulations and ethics committee policy.)
Who cannot join
- Additional eye disease in the study eye that could compromise best corrected visual acuity (i.e. glaucoma with documented visual field loss, clinically significant diabetic retinopathy, ischemic optic neuropathy, or retinitis pigmentosa).
- CNV in the study eye due to other causes unrelated to age-related macular degeneration.
- The presence of retinal angiomatous proliferation (RAP) in the study eye, as determined by the investigator (confirmation by indocyanine green angiography is not required).
- Geographic atrophy involving the center of the fovea in the study eye.
- Anterior segment and vitreous abnormalities in the study eye that would preclude adequate observation of the fundus for photographs, fluorescein angiography and OCT.
- Vitreous, subretinal or retinal hemorrhage in the study eye that is unrelated to AMD.
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- More than one prior photodynamic therapy (PDT) treatment in the study eye.
- PDT treatment in the study eye < 12 weeks prior to dosing.
- Previous treatment in the study eye with ranibizumab (Lucentis) or bevacizumab (Avastin) without resolution of exudation (intraretinal and subretinal fluid as documented by OCT).
- Use of any treatment, either approved or experimental, for AMD in the study eye within 60 days of first dose of investigational product.
- Intraocular surgery in the study eye within 3 months of dosing.
- Aphakia or total absence of the posterior capsule (Yttrium aluminum garnet (YAG) capsulotomy permitted) in the study eye.
- History of vitrectomy in the study eye.
- Use of topical ocular medications in the study eye within 7 days of first dose of investigational product or expected use of topical ocular medications during the treatment period, with the exception of artificial tears
- Active treatment in the fellow eye, with the exception of preservative-free artificial tears.
- Current use of medications known to be toxic to the retina, lens or optic nerve (e.g. desferoxamine, chloroquine/hydroxychloroquine, chlorpromazine, phenothiazines, tamoxifen, nicotinic acid, and ethambutol).
- Use of systemic steroids (>10 mg prednisone or equivalent/day) within 14 days of first dose.
- An unwillingness to refrain from wearing contact lenses starting from the screening visit, through the follow-up visit
- Medical history or condition:
- Uncontrolled Diabetes Mellitus, with hemoglobin A1c (HbA1c) > 10%.
- Myocardial infarction or stroke within 12 months of screening.
- Active bleeding disorder.
- Major surgery within 1 month of screening.
- Hepatic impairment.
- Uncontrolled hypertension, based on criteria provided in Section 7.2.2. Note: Initiation or adjustment of antihypertensive medications is permitted prior to study entry provided the referenced criteria are met.
- ALT or AST above the upper limit of normal or total bilirubin values at or above 1.5 times the upper limit of normal at screening..
- Note: Laboratory tests outside of the normal range may be repeated at the discretion of the Investigator.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result.
- A history of known HIV infection.
- Use of prohibited medications listed in within the restricted timeframe relative to the first dose of study medication.
- History of drug or alcohol abuse within 6 months of the study.
- History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
- A condition or situation which, in the opinion of the investigator, may result in significant risk to the patient, confound the study results or interfere significantly with participation.
Trial locations and contacts
2 sites in 1 country.
United States2 sites
GSK Investigational Site
Austin, Texas, 78744
GSK Investigational Site
Fargo, North Dakota, 58104
About this study
Official title: A Placebo-controlled, Randomized, Dose Rising Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Repeat Ocular Doses of Pazopanib in Healthy Adult and Elderly Subjects.
This is a two-part study to evaluate the safety, tolerability and pharmacokinetics of single (Part A) and repeat (Part B) eye drop doses of pazopanib in healthy adult and elderly subjects.
- Being tested
- Pazopanib eye drops and Allergen Refresh Plus eye drops
- Keywords
- Age-related macular degeneration (AMD),, vascular endothelial growth factor (VEGF)receptor (VEGFR), choroidal neovascularization,
- Medical subject headings
- Macular Degeneration, Choroidal Neovascularization
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pazopanib eye drops and Allergen Refresh Plus eye dropsDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Ocular safety by observation and eye exams.
Measured: at baseline, each dosing day and follow-up
General safety by PE, VS, cardiac monitoring, clinical laboratory tests and adverse events reporting .
Measured: day-1,5,10,14
Pazopanib exposure by AUC and Cmax .
Measured: day 1,14
Secondary outcomes (6)
Pazopanib exposure measured by secondary pharmacokinetic parameters at day 1 and 14.
Safety endpoints include complete ophthalmic examination, vital signs (heart rate and blood pressure), cardiac monitoring (electrocardiogram), clinical laboratory tests, clinical monitoring and adverse event reporting.
Change in visual acuity (number of letters read on standardized ETDRS charts).
Change in retinal morphology (i.e. CNV, intraretinal cysts, intraretinal fluid, subretinal fluid, and retinal pigment epithelial detachment) as determined by OCT.
Change in neovascular size, lesion size and characteristics (fibrosis, atrophy, blood) as measured by fluorescein angiography and fundus photography.
Cmax, tmax, and AUC(0-24) of plasma pazopanib, if data are sufficient.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2007 (estimated)
- Study startMar 2007
- Study completionAug 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Macular DegenerationStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Enrolment
- 29 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00463320
- Sponsor's protocol ID
- MD7108238
- Status last verified
- Feb 2011
- First submitted
- 18 Apr 2007
- Last updated
- 19 Mar 2012
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Placebo-controlled, Randomized, Dose Rising Study to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Repeat Ocular Doses of Pazopanib in Healthy Adult and Elderly Subjects.
- ClinicalTrials.gov ID
- NCT00463320
- Acronym / sponsor ID
- MD7108238
- Keywords
- Age-related macular degeneration (AMD),, vascular endothelial growth factor (VEGF)receptor (VEGFR), choroidal neovascularization,
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 29 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Mar 2007
- Study completion
- Aug 2007 (actual)
- First posted
- 20 Apr 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a two-part study to evaluate the safety, tolerability and pharmacokinetics of single (Part A) and repeat (Part B) eye drop doses of pazopanib in healthy adult and elderly subjects.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
Who may qualify
- Ages
- 30 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (14 listed)
- Age-related macular degeneration patients diagnosed with subfoveal choroidal neovascularization in the study eye, with all of the following characteristics required:
- Male or female 50 years of age.
- Best-corrected ETDRS visual acuity in the study eye between 80 to 24 letters inclusive (approximately 20/25 to 20/320 or 4/5 to 4/63) at screening.
- A female subject is eligible to participate if she is of non-childbearing potential defined as either pre-menopausal with a documented tubal ligation or hysterectomy, or postmenopausal defined as 12 months of spontaneous amenorrhea. In questionable cases of postmenopausal status a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/ml (<140 pmol/L) is confirmatory.
- Subject is willing and able to return for all study visits, and is willing and able to comply with all protocol requirements and procedures.
Key exclusion criteria (33 listed)
- Additional eye disease in the study eye that could compromise best corrected visual acuity (i.e. glaucoma with documented visual field loss, clinically significant diabetic retinopathy, ischemic optic neuropathy, or retinitis pigmentosa).
- CNV in the study eye due to other causes unrelated to age-related macular degeneration.
- The presence of retinal angiomatous proliferation (RAP) in the study eye, as determined by the investigator (confirmation by indocyanine green angiography is not required).
- Geographic atrophy involving the center of the fovea in the study eye.
- Anterior segment and vitreous abnormalities in the study eye that would preclude adequate observation of the fundus for photographs, fluorescein angiography and OCT.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pazopanib eye drops and Allergen Refresh Plus eye drops | Drug | – |
Primary outcome
Ocular safety by observation and eye exams.
Time frame: at baseline, each dosing day and follow-up
General safety by PE, VS, cardiac monitoring, clinical laboratory tests and adverse events reporting .
Time frame: day-1,5,10,14
Pazopanib exposure by AUC and Cmax .
Time frame: day 1,14
6 secondary outcomes
Pazopanib exposure measured by secondary pharmacokinetic parameters at day 1 and 14.
Safety endpoints include complete ophthalmic examination, vital signs (heart rate and blood pressure), cardiac monitoring (electrocardiogram), clinical laboratory tests, clinical monitoring and adverse event reporting.
Change in visual acuity (number of letters read on standardized ETDRS charts).
Change in retinal morphology (i.e. CNV, intraretinal cysts, intraretinal fluid, subretinal fluid, and retinal pigment epithelial detachment) as determined by OCT.
Change in neovascular size, lesion size and characteristics (fibrosis, atrophy, blood) as measured by fluorescein angiography and fundus photography.
Cmax, tmax, and AUC(0-24) of plasma pazopanib, if data are sufficient.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Mar 2012.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Pazopanib eye drops and Allergen Refresh Plus eye drops in people with Macular Degeneration and Age-related Macular Degeneration, run by GlaxoSmithKline at 2 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 33 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Mar 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Ocular safety by observation and eye exams. (time frame: at baseline, each dosing day and follow-up). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Mar 2012.