Age-related Macular DegenerationPhase 1NCT01835015
Pharmacokinetics of CLG561 in Patients With Advanced Age-Related Macular Degeneration
A Phase 1 study testing CLG561 in people with Age-related Macular Degeneration, run by Alcon Research.
Trial summary
The purpose of this study is to evaluate the safety, tolerability, and serum pharmacokinetics of CLG561 in subjects with advanced age-related macular degeneration (AMD). Read more about this study
- Who is it for?
- Ages 55 to 90 years
- Conditions the study is for
- Age-related Macular Degeneration
- What is being tested?
- CLG561
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- No sites listed yet
- Study dates
- May 2013to Nov 2014
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 55 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of age-related macular degeneration in study eye, as specified in protocol.
- Poor visual acuity in study eye, as specified in protocol.
- Willing to receive meningitis and pneumonia vaccinations at least 2 weeks prior to study treatment.
- Females must be post-menopausal and/or surgically sterile.
- Other protocol-defined inclusion criteria may apply.
Who cannot join
- Treatments to the study eye within 28 days prior to study treatment, as specified in protocol.
- Any disease or medication expected to cause systemic or ocular immunosuppression.
- Participation in another interventional clinical study or use of any experimental treatment for AMD within 12 weeks prior to study treatment.
- Other protocol-defined exclusion criteria may apply.
About this study
Official title: A Multi-Center, Open-Label, Single Ascending Dose Study To Assess the Safety, Tolerability, and Serum Pharmacokinetics of Intravitreal CLG561 in Subjects With Advanced Age-Related Macular Degeneration
The purpose of this study is to evaluate the safety, tolerability, and serum pharmacokinetics of CLG561 in subjects with advanced age-related macular degeneration (AMD).
Read the detailed description
Subjects were divided into 5 cohorts, with the subjects in each cohort being administered a single IVT dose of CLG561 in 1 of 5 concentration levels A-E, where A=lowest and E=highest. All subjects received active CLG561. Progress from one cohort to the next was time-lagged to allow for safety review. Dosing was also time-lagged within each cohort. Only one eye (designated as the study eye) was dosed per subject. Post-dose safety assessments and ocular examination occurred immediately after the IVT injection and continued throughout the outpatient visits at pre-determined timepoints. Collection of post-injection blood samples began after the IVT injection at pre-determined timepoints. Subjects were followed for up to 84 days.
- Conditions
- Age-related Macular Degeneration
- Being tested
- CLG561
- Keywords
- First in human, Safety, Tolerability, Serum PK, Intravitreal (IVT), Age-related macular degeneration, AMD, Geographic Atrophy, Choroidal neovascularization
- Medical subject headings
- Macular Degeneration, Geographic Atrophy, Choroidal Neovascularization
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CLG561Drug
Administered by intravitreal injection, Day 1
| Study group | Role | What they receive |
|---|---|---|
| CLG561, Concentration Level A | Experimental | Single 50 μL intravitreal injection of CLG561, Dose Level A Receives: Drug: CLG561 |
| CLG561, Concentration Level B | Experimental | Single 50 μL intravitreal injection of CLG561, Dose Level B Receives: Drug: CLG561 |
| CLG561, Concentration Level C | Experimental | Single 50 μL intravitreal injection of CLG561, Dose Level C Receives: Drug: CLG561 |
| CLG561, Concentration Level D | Experimental | Single 50 μL intravitreal injection of CLG561, Dose Level D Receives: Drug: CLG561 |
| CLG561, Concentration Level E | Experimental | Single 100 μL intravitreal injection of CLG561, Dose Level E Receives: Drug: CLG561 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) by Visit - Study Eye
BCVA (with spectacles or other visual corrective devices) using Early Treatment Diabetic Retinopathy Study (ETDRS) testing was reported in letters read correctly. Improvement of BCVA was defined as an increase (gain) in letters read from the baseline assessment. One eye (study eye) contributed to the analysis.
Measured: Baseline, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
Mean Intra-Ocular Pressure (IOP) by Visit - Study Eye
IOP was measured by Goldmann applanation tonometry or tonopen, at the discretion of the Investigator, and reported in mmHg (millimeters of mercury). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye (study eye) contributed to the analysis.
Measured: Baseline, Day 1, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
Number of Subjects With Change From Normal to Abnormal in Fundus Examination at Any Post-Therapy Visit as Compared to Baseline Assessment
A dilated fundus examination was performed to evaluate the health of the retina, macula, choroid, and optic nerve. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
Measured: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
Number of Subjects With a Change From Normal to Abnormal in Ocular Signs at Any Post-Therapy Visit as Compared to Baseline Assessment
A slit-lamp biomicroscopy examination was performed to evaluate the anterior segment of the eye. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
Measured: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
Secondary outcomes (9)
Area Under the Serum Concentration-time Curve (AUC) From Time Zero to All [AUC(0-all)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental pharmacokinetic (PK) method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Time to Reach the Maximum Serum Concentration After Drug Administration (Tmax)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose Normalized Observed Maximum Serum Concentration Following Drug Administration (Cmax/D)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose-normalized Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)/D]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to Time "t" Where t is a Defined Time Point After Administration [AUC(0-t)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Terminal Elimination Half-life (T½)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
The Apparent Volume of Distribution During the Terminal Elimination Phase Following Extravascular Administration (Vz/F)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Apparent Systemic (or Total Body) Clearance From Serum Following Extravascular Administration (CL/F)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2013 (estimated)
- Study startMay 2013
- Primary completionNov 2014
- Study completionNov 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Age-related Macular DegenerationStudies of the same condition, open and under way.
- More trials run by Alcon ResearchThe 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
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alcon Research
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Head of Clinical Sciences, CA CSI NS/Opth, Study director, Alcon Research
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01835015
- Sponsor's protocol ID
- C-12-074
- Status last verified
- Feb 2016
- First submitted
- 16 Apr 2013
- Last updated
- 25 Mar 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-Center, Open-Label, Single Ascending Dose Study To Assess the Safety, Tolerability, and Serum Pharmacokinetics of Intravitreal CLG561 in Subjects With Advanced Age-Related Macular Degeneration
- ClinicalTrials.gov ID
- NCT01835015
- Acronym / sponsor ID
- C-12-074
- Conditions
- Age-related Macular Degeneration
- Keywords
- First in human, Safety, Tolerability, Serum PK, Intravitreal (IVT), Age-related macular degeneration, AMD, Geographic Atrophy
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- Alcon ResearchIndustry (pharma, biotech, devices)
- Study start
- May 2013
- Primary completion
- Nov 2014 (actual)
- Study completion
- Nov 2014 (actual)
- First posted
- 18 Apr 2013 (estimated)
- Results
- Posted 25 Mar 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety, tolerability, and serum pharmacokinetics of CLG561 in subjects with advanced age-related macular degeneration (AMD).
Detailed description
Subjects were divided into 5 cohorts, with the subjects in each cohort being administered a single IVT dose of CLG561 in 1 of 5 concentration levels A-E, where A=lowest and E=highest. All subjects received active CLG561. Progress from one cohort to the next was time-lagged to allow for safety review. Dosing was also time-lagged within each cohort. Only one eye (designated as the study eye) was dosed per subject. Post-dose safety assessments and ocular examination occurred immediately after the IVT injection and continued throughout the outpatient visits at pre-determined timepoints. Collection of post-injection blood samples began after the IVT injection at pre-determined timepoints. Subjects were followed for up to 84 days.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| CLG561, Concentration Level A | Experimental | Drug: CLG561Single 50 μL intravitreal injection of CLG561, Dose Level A |
| CLG561, Concentration Level B | Experimental | Drug: CLG561Single 50 μL intravitreal injection of CLG561, Dose Level B |
| CLG561, Concentration Level C | Experimental | Drug: CLG561Single 50 μL intravitreal injection of CLG561, Dose Level C |
| CLG561, Concentration Level D | Experimental | Drug: CLG561Single 50 μL intravitreal injection of CLG561, Dose Level D |
| CLG561, Concentration Level E | Experimental | Drug: CLG561Single 100 μL intravitreal injection of CLG561, Dose Level E |
Who may qualify
- Ages
- 55 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of age-related macular degeneration in study eye, as specified in protocol.
- Poor visual acuity in study eye, as specified in protocol.
- Willing to receive meningitis and pneumonia vaccinations at least 2 weeks prior to study treatment.
- Females must be post-menopausal and/or surgically sterile.
- Other protocol-defined inclusion criteria may apply.
Key exclusion criteria (4 listed)
- Treatments to the study eye within 28 days prior to study treatment, as specified in protocol.
- Any disease or medication expected to cause systemic or ocular immunosuppression.
- Participation in another interventional clinical study or use of any experimental treatment for AMD within 12 weeks prior to study treatment.
- Other protocol-defined exclusion criteria may apply.
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 |
|---|---|---|
| CLG561Administered by intravitreal injection, Day 1 | Drug | CLG561, Concentration Level A, CLG561, Concentration Level B, CLG561, Concentration Level C, CLG561, Concentration Level D, CLG561, Concentration Level E |
Primary outcome
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) by Visit - Study Eye
Time frame: Baseline, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
BCVA (with spectacles or other visual corrective devices) using Early Treatment Diabetic Retinopathy Study (ETDRS) testing was reported in letters read correctly. Improvement of BCVA was defined as an increase (gain) in letters read from the baseline assessment. One eye (study eye) contributed to the analysis.
Mean Intra-Ocular Pressure (IOP) by Visit - Study Eye
Time frame: Baseline, Day 1, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
IOP was measured by Goldmann applanation tonometry or tonopen, at the discretion of the Investigator, and reported in mmHg (millimeters of mercury). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye (study eye) contributed to the analysis.
Number of Subjects With Change From Normal to Abnormal in Fundus Examination at Any Post-Therapy Visit as Compared to Baseline Assessment
Time frame: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
A dilated fundus examination was performed to evaluate the health of the retina, macula, choroid, and optic nerve. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
Number of Subjects With a Change From Normal to Abnormal in Ocular Signs at Any Post-Therapy Visit as Compared to Baseline Assessment
Time frame: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
A slit-lamp biomicroscopy examination was performed to evaluate the anterior segment of the eye. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
9 secondary outcomes
Area Under the Serum Concentration-time Curve (AUC) From Time Zero to All [AUC(0-all)]
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)]
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Time to Reach the Maximum Serum Concentration After Drug Administration (Tmax)
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose Normalized Observed Maximum Serum Concentration Following Drug Administration (Cmax/D)
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose-normalized Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)/D]
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to Time "t" Where t is a Defined Time Point After Administration [AUC(0-t)]
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Terminal Elimination Half-life (T½)
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
The Apparent Volume of Distribution During the Terminal Elimination Phase Following Extravascular Administration (Vz/F)
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Apparent Systemic (or Total Body) Clearance From Serum Following Extravascular Administration (CL/F)
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Head of Clinical Sciences, CA CSI NS/Opth study director
Alcon Research
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing CLG561 in people with Age-related Macular Degeneration, run by Alcon Research.
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 5 inclusion and 4 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 25 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.
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?
Yes. Results are posted in the registry (first posted 25 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) by Visit - Study Eye (time frame: Baseline, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85). The study lists 4 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 25 Mar 2016.