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Retinitis PigmentosaPhase 1/2LumosNCT02110225

A Dose Ranging Study to Evaluate the Safety and Potential Efficacy of rhNGF in Patients With Retinitis Pigmentosa (RP)

A Phase 1/2 study testing rhNGF 60 µg/ml eye drops solution and rhNGF 180 µg/ml eye drops solution in people with Retinitis Pigmentosa, run by Dompé Farmaceutici S.p.A at 5 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the study is to assess the safety and tolerability of two dose regimens of recombinant human nerve growth factor (rhNGF) eye drops solution administered over 6 months versus a vehicle control in patients with typical retinitis pigmentosa. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Retinitis Pigmentosa
What is being tested?
rhNGF 60 µg/ml eye drops solution and rhNGF 180 µg/ml eye drops solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
50 participants
Where
5 sitesItaly
Study dates
Jan 2014to Nov 2015
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients 18 years of age or older.
  • Patients with typical forms of RP characterized by the following clinical features: classic fundus appearance (i.e. intraretinal pigment deposits, thinning and atrophy of the retinal pigment epithelium (RPE) in the mid- and far peripheral retina, with relative RPE preservation in the macula, waxy pallor of the optic disc, attenuation of the retinal vessels), reduced and delayed ERG responses, visual field constriction
  • Best corrected distance visual acuity (BCDVA) score of ≥ 48 ETDRS letters (equivalent to 20/100 Snellen, +0.7 LogMar, or 0.2 decimal fraction) in either eye at the time of study enrollment.
  • Documented evidence of disease progression within the 12 months prior to enrollment in the study as demonstrated by ERG (≥20% decrease in b wave amplitude in scotopic conditions or ≥25% in photopic conditions) and/or visual field testing (≥10% of Goldman Visual Field expressed as area square or ≥3 dB decrease of Humphrey Visual Field Mean Deviation).
  • Only patients who satisfy all Informed Consent requirements may be included in the study. The patient and/or his/her impartial witness must read, sign and date the Informed Consent document before any study-related procedures are performed. The Informed Consent form signed by patients and/or impartial witness must have been approved by the Ethics Committee (IEC) for the current study.
  • Patients must have the ability and willingness to comply with study procedures.

Who cannot join

  • Patients with atypical, early onset (first decade) or syndromic forms of RP (e.g. paravenous, pericentral sector or unilateral RP, Leber's congenital amaurosis, Refsum disease, Usher syndrome, Bardet-Biedl syndrome, etc).
  • Patients with non-recordable 30 Hz cone ERG in either eye.
  • Patients with Goldman visual field less than 20º using the V4e target or residual central visual field less than -35 dB as evaluated by the 24-2 program of the Humphrey visual field in either eye.
  • Evidence of an active ocular infection in either eye.
  • History of uveitis or evidence of intraocular inflammation in either eye.
  • History or evidence of glaucoma or an intraocular pressure (IOP) greater than or equal 21 mmHg in either eye at the time of study enrollment.
Show all 12Show fewer
  • Patients with foveal thickness ≥ 250 micrometers (as evaluated with OCT).
  • History of cystoid macular oedema or presence of cystoid macular oedema on OCT at the time of study enrolment.
  • Anterior segment abnormalities or media opacities obscuring the view of the posterior pole in either eye.
  • History of any ocular surgery (including laser or refractive surgical procedures) in either eye within the 120 days before study enrolment. Ocular surgery will not be allowed during the study treatment period and elective ocular surgery procedures should not be planned during the duration of the follow-up period.
  • Treatment with corticosteroids (systemic, periocular or intravitreal) or any other non-approved, experimental, investigational or neuroprotectant therapy (systemic, topical, intravitreal) in either eye within 90 days of study enrollment.
  • Use of any medication other than the study medication for the treatment of ocular diseases with the exception of artificial tears during the study period.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Italy5 sites
  • Azienda Ospedaliero Universitaria Careggi

    Florence, 50124

  • Azienda Ospedaliera San Paolo - U.O. Oculistica

    Milan, 20142

  • A.O. Seconda Università Degli Studi di Napoli - Nuovo Policlinico - UOC Oftalmologia

    Naples, 80129

  • Università Cattolica del Sacro Cuore - Policlinico Gemelli - Istituto di Oftalmologia

    Rome, 00168

  • IRCCS Fondazione G.B. Bietti per lo Studio e la Ricerca in Oftalmologia

    Rome, 00198

Other trials in Italy

About this study

Official title: A 24 Week Phase Ib/II, Multicenter, Randomized, Controlled, Parallel Group, Dose Ranging Study With a 24 Week Follow-up to Evaluate Safety and Potential Efficacy of 2 Doses (60, 180 µg/ml) of rhNGF Solution vs Vehicle in Patients With RP.

The primary objective of the study is to assess the safety and tolerability of two dose regimens of recombinant human nerve growth factor (rhNGF) eye drops solution administered over 6 months versus a vehicle control in patients with typical retinitis pigmentosa. The secondary objective of this study is to attempt to show a dose response by assessing the potential efficacy of the rhNGF dose regimens for improving or slowing the deterioration of visual function outcomes at 3 and 6 months. During a 6 month follow-up period patients will be monitored to determine if there is evidence of a persistent biological effect after discontinuation of the study treatment.

Read the detailed description

This is a 24-week phase Ib/II, multicenter, randomized, double-masked, vehicle controlled, parallel-group, dose-ranging study with a 24-week follow-up period to evaluate the safety and potential efficacy of two doses (60 μg/ml and 180 μg/ml) of recombinant human nerve growth factor (rhNGF) eye drops solution versus vehicle in patients with typical retinitis pigmentosa (RP).

Being tested
rhNGF 60 µg/ml eye drops solution, rhNGF 180 µg/ml eye drops solution, Placebo
Keywords
Cone-Rod Degenerations, Cone-Rod Dystrophy, Cone-Rod Dystrophy 2, Cone-Rod Retinal Dystrophy, Pigmentary Retinopathy, Retinal Cone-Rod Dystrophy, Rod Cone Dystrophies, Rod-Cone Dystrophy, Tapetoretinal Degeneration
Medical subject headings
Retinitis Pigmentosa, Cone-Rod Dystrophies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • rhNGF 60 µg/ml eye drops solutionDrug

    Also called recombinant human nerve growth factor 60 µg/ml solution

    rhNGF 60 µg/ml eye drops solution, one drop 3 times a day for 24 weeks in both eyes

  • rhNGF 180 µg/ml eye drops solutionDrug

    Also called recombinant human nerve growth factor 180 µg/ml solution

    rhNGF 180 µg/ml eye drops solution, one drop 3 times a day for 24 weeks in both eyes

  • PlaceboDrug

    Also called Vehicle

    Placebo eye drops solution, one drop 3 times a day for 24 weeks in both eyes

Study groups in NCT02110225
Study groupRoleWhat they receive
rhNGF 60µg/mlExperimentalrhNGF 60 µg/ml eye drops solution, one drop 3 times a day for 24 weeks in both eyes
Receives: Drug: rhNGF 60 µg/ml eye drops solution
rhNGF 180 µg/mlExperimentalrhNGF 180 µg/ml eye drops solution, one drop 3 times a day for 24 weeks in both eyes.
Receives: Drug: rhNGF 180 µg/ml eye drops solution
VehiclePlacebo comparatorPlacebo eye drops solution, one drop 3 times a day for 24 weeks in both eyes.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Serious and Non-Serious Adverse Events

    Twenty-seven patients of the Safety population experienced at least one treatment-emergent adverse event, 11 patients in the rhNGF 60 μg/ml arm, 13 patients in the rhNGF 180 μg/ml arm and 3 patients in the vehicle arm.

    Measured: up to 48 weeks

  2. Change in Ocular Tolerability - VAS

    A global ocular discomfort score was determined using a 100 mm Visual Analogue Scale (VAS) on which 0 means no symptoms and 100 means the worst possible discomfort.

    Specific ocular symptoms to be assessed with the VAS included: foreign body sensation, burning/stinging, itching, pain, sticky feeling, blurred vision, photophobia.

    For ocular tolerability analysis, mixed models for repeated measures were applied using various ocular tolerability parameters as response variable, treatment, visit and treatment by visit interaction as fixed effects, and baseline value as covariate.

    Measured: Weeks 1, 2, 6, 12, 24

  3. Change in Best Corrected Distance Visual Acuity (BCDVA) (ETDRS Chart)

    Best-Corrected Distance Visual Acuity (BCDVA) was assessed for each eye at each visit using an ETDRS visual acuity chart at 4 meters.

    Measured: Weeks 1, 2, 6, 12, 24, 36, 48

  4. Change in Intraocular Pressure (IOP)

    Intraocular Pressure was measured using either Goldmann applanation tonometry or a handheld applanation tonometer (e.g. Tonopen) after the instillation of a topical anesthetic.IOP was assessed for each eye at day 0 and at week 2, 12 and 24

    Measured: Weeks 2,12 and 24

  5. Number of Participants With Normal or Abnormal Findings by Slit Lamp Examination

    Slit Lamp Examination (SLE) (Biomicroscopy) was performed before the instillation of any dilating or anesthetic eye drops or fluorescein agents. SLE was executed to assess eyelids, lashes, conjunctiva, cornea, lens, iris and anterior chamber.

    Measured: Day 0; Weeks 1, 2, 6, 12, 24, 36 and 48

  6. External Ocular Examination

    External ocular examinations were done to assess, for each eye and at each visit, the motility of extraocular muscles, appearance and function of the eyelids.

    Measured: Day 0, Weeks 1, 2, 6, 12, 24

  7. Change in Ocular Tolerability - Dilated Fundus Ophthalmoscopy

    Dilated fundus ophthalmoscopy was assessed for each eye evaluating the retina, macula, choroid and optic nerve head.

    Measured: Day 0, Weeks 12, 24 and 48

  8. Presence of Anti-NGF Antibodies

    Anti-NGF antibodies tests were performed at screening and at the end of treatment

    Measured: At Day 0 and at week 24

Secondary outcomes (8)
  1. Change From Baseline in Contrast Sensitivity

    Contrast sensitivity was assessed using a Mars chart and is expressed as a log contrast sensitivity (log CS) score given by the log CS value at the lowest contrast numeral just prior to two incorrectly identified numerals, minus a scoring correction. The higher is the number of characters properly read by the patient, the higher is the contrast sensitivity.

    Measured: Weeks 12, 24, 36 and 48

  2. Change From Baseline in Humphrey Visual Field 24-2

    The Humphrey Visual Field (HVF) analyzer is a tool for measuring the human visual field by providing information regarding the location of any disease processes or lesion(s) throughout the visual pathway.

    In particular, Humphrey Visual Field 24-2 was used to assess static perimetry by measuring 24 degrees temporally and 30 degrees nasally and tests 54 points.

    The Analyser projects a series of white light stimuli of varying intensities (brightness), throughout a uniformly illuminated bowl. The higher is the number of stimuli perceived by the patient, the better is the retina's ability to detect a stimulus at specific points within the visual field.

    Measured: Weeks 12, 24, 36 and 48

  3. Change in Goldmann Visual Field

    The Goldmann field exam was performed to assess kinetic perimetry on all enrolled patients.

    Measured: Weeks 12, 24, 36 and 48

  4. Fundus Imaging

    A recordable fundus image (photo or other electronic format) showing the central 30 degrees was captured through a dilated pupil to document the appearance of the posterior pole.

    Measured: Day 0, Weeks 24 and 48

  5. Ocular Coherence Tomography (OCT)

    Ocular coherence tomography was performed to evaluate the cross-sectional anatomy of the macula and to document areas of retinal atrophy.

    Measured: Day 0, Weeks 12, 24, 36 and 48

  6. Microperimetry

    MP1 microperimetry was analyzed to provide a more accurate measurement of retinal sensitivity in the central visual field, even in patients with unstable or extrafoveal fixation.

    Measured: Day 0, Weeks 12, 24, 36 and 48

  7. Binocular Estermann Visual Field

    Binocular visual field with Estermann grid testing a stimulus array of 120 points spread over an area extending approximately ±75° horizontally, 35° superiorly and 55° inferiorly while the patient looked steadily at the fixation target.

    Measured: Day 0, Weeks 12, 24, 36 and 48

  8. Electrorethinogram (ERG)

    A full field and 30 Hz flicker ERG was performed according to international standards. Patients were treated with anesthetic and dilating drops prior to the ERG procedure.

    Measured: Day 0, Weeks 12, 24, 36 and 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Apr 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionNov 2015
  4. Study completionNov 2015

Resources

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02110225
Sponsor's protocol ID
NGF0113
Other IDs
2013-003029-26
Acronym
Lumos
Status last verified
Dec 2023
First submitted
8 Apr 2014
Last updated
18 Apr 2024
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing rhNGF 60 µg/ml eye drops solution and rhNGF 180 µg/ml eye drops solution in people with Retinitis Pigmentosa, run by Dompé Farmaceutici S.p.A at 5 sites in Italy.

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 6 inclusion and 12 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 18 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Italy. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 11 Jul 2019). 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?

Number of Participants With Serious and Non-Serious Adverse Events (time frame: up to 48 weeks). The study lists 8 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 18 Apr 2024.

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