Neovascular Age-related Macular DegenerationPhase 1NCT02613559
Evaluation the Pharmacokinetics, Safety, Tolerability of TK001 in Patients With Neovascular Age-related Macular Degeneration
A Phase 1 study testing TK001 in people with Neovascular Age-related Macular Degeneration, run by Jiangsu T-Mab Biopharma Co.,Ltd at 1 site in China.
Trial summary
The purpose of this first-in-human study is to evaluate the safety, pharmacokinetics and tolerability of single ascending doses of TK001(Recombinant humanized anti-VEGF monoclonal antibody) to determine the maximum tolerated dose (MTD) in neovascular wet age-related macular degeneration (wAMD) subjects. Read more about this study
- Who is it for?
- Ages 45 to 80 years
- Conditions the study is for
- Neovascular Age-related Macular Degeneration
- What is being tested?
- TK001
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 27 participants
- Where
- 1 siteChina
- Study dates
- Nov 2015to Sep 2018
- 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 45 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients or their legal representative signed informed consent
- Aged 45 years to 80 years, male or female
- Inpatient/Outpatient with confirmed neovascular AMD
- Best corrected VA for the studied eye≤20/100
- With primary or recurrent subfoveal choroidal neovascular (CNV) lesions secondary to neovascular AMD
- Blood pressure is stable with SBP<140 mmHg and DBP<90 mmHg with or without treatment
Who cannot join
- Limitation of eye diseases
- The studied eye suffered intravitreal blood within two months prior to screening
- The studied eye suffered structural damage of retinal which involved macular center(such as epiretinal membrane, scars, laser burns, foveal atrophy, dense pigment changes, intensive subfoveal hard exudates)
- Apparent cataract, aphakia, pseudoexfoliation syndrome, intraocular hemorrhage resulting in decreased vision, rhegmatogenous retinal detachment, macular hole, diabetic retinopathy and diabetic macular disease which need to be treated, choroidal neovascularization (CNV) for any reason except for AMD (such as ocular histoplasmosis, pathologic myopia)
- Afferent pupillary defect(APD)
- Refractive media opacity and miosis which effect fundus examination
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- Any eye of patient with active inflammation, such as conjunctivitis, keratitis, scleritis, uveitis and endophthalmitis
- Choroidal neovascularization (CNV) for other reason, such as diabetic retinopathy, fundus angioid streaks, ocular histoplasmosis, pathologic myopia, trauma
- The treatment of the eye
- The studied eye received topical or grid photocoagulation more than twice or within 3 months before screening
- The studied eye received any intraocular surgery or laser treatment (such as macular translocation surgery, glaucoma filtering surgery, verteporfin photodynamic therapy, transpupillary thermotherapy, foveal photocoagulation surgery, cataract surgery, vitreous cutting surgery, optic nerve incision operation, YAG posterior capsular incision surgery, sheath incision surgery or filtering surgery) within 3 months before screening
- Any eye received antiangiogenic drugs (including any anti-VEGF drugs) (such as pegaptanib [Macugen®], Aflibercept [Eylea®], ranibizumab [Lucentis ®], bevacizumab [Avastin ®]) within 3 months before baseline visit
- Any eye received intraocular injection of corticosteroid drugs (such as triamcinolone acetonide), or periocular injection of corticosteroid drugs within 1 months before screening
- Systemic diseases,treatment and other conditions
- With a history of allergy to sodium fluorescein and indocyanine green
- PLT≤100×109/L, BUN, Cr, thrombin time and prothrombin time beyond the upper limit of the normal range; take anti-platelet aggregation drugs within a month prior to enrollment
- With surgery within one month prior to enrollment, or with unhealing wound, ulcer, fracture at present
- Diabetic patients without the control of glucose or accompanied by diabetic retinopathy
- With a history of myocardial infarction within 6 months before enrolled
- With activity disseminated intravascular coagulation and a tendency of significant bleeding prior to enrollment
- Systemic autoimmune disease
- Any uncontrolled clinical problems (such as severe systemic diseases of mental, neurological, cardiovascular, respiratory and malignancies)
- Pregnant and lactating women and patients who cannot take contraceptive measures
- Poor compliance
- The patients who is considered unsuitable for enrollment by investigator
Trial locations and contacts
1 site in 1 country.
Guangfu Li contact
China1 site, 1 recruiting
- Recruiting
West China Hospital, Sichuan University
Chengdu, Sichuan, 610000
Ming Zhang
About this study
Official title: A Single-center, Open-label, Single Ascending Dose Phase 1 Study to Evaluate the Safety, Pharmacokinetics, and Tolerability of Intravitreal TK001(Recombinant Humanized Anti-VEGF Monoclonal Antibody) in Subjects With Neovascular Age-Related Macular Degeneration
The purpose of this first-in-human study is to evaluate the safety, pharmacokinetics and tolerability of single ascending doses of TK001(Recombinant humanized anti-VEGF monoclonal antibody) to determine the maximum tolerated dose (MTD) in neovascular wet age-related macular degeneration (wAMD) subjects.
Read the detailed description
This is an open-label, non-comparative, non-randomized, single-center phase 1 study evaluating pharmacokinetics, safety and tolerability of single intravitreal injections of TK001 in the patients with AMD.TK001 is a full-length recombinant humanized anti-VEGF monoclonal antibody. Compared with Avastin(a similar marketed product), the findings of preclinical studies suggested that TK001 might be more effective in inhibiting pathological angiogenesis, or to achieve equivalent effect with less dosage and better safety. In this study, participants will be administrated a single dose of TK001.Every subject will only accept one dose. In addition to safety and preliminary efficacy, pharmacokinetics and immunogenicity of TK001will be evaluated as well.
- Being tested
- TK001
- Keywords
- Neovascular Age-Related Macular Degeneration, Subfoveal CNV, TK001
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TK001Biological
Intravitreal Injection
| Study group | Role | What they receive |
|---|---|---|
| TK001 0.1mg | Experimental | Injection:single Intravitreal Injection Receives: Biological: TK001 |
| TK001 0.5mg | Experimental | Injection:single Intravitreal Injection Receives: Biological: TK001 |
| TK001 1.0mg | Experimental | Injection:single Intravitreal Injection Receives: Biological: TK001 |
| TK001 2.0mg | Experimental | Biological: TK001 Injection:single Intravitreal Injection Receives: Biological: TK001 |
| TK001 2.5mg | Experimental | Biological: TK001 Injection:single Intravitreal Injection Receives: Biological: TK001 |
| TK001 3.0mg | Experimental | Injection:single Intravitreal Injection Receives: Biological: TK001 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency of ocular and systemic AEs (adverse events) and SAEs (serious adverse events) which are related to TK001
Measured: 6 weeks
Secondary outcomes (6)
Best Corrected Visual Acuity (BCVA)
Measured: 6 weeks
Area under the plasma concentration-time curve from time zero to infinity (AUCinf)
Measured: Up to Day 42
Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration (AUC0-t)
Measured: Up to Day 42
Maximum observed maximum plasma concentration (Cmax)
Measured: Up to Day 42
Time to reach the maximum observed plasma concentration (Tmax)
Measured: Up to Day 42
Frequency of subjects with anti-TK001 antibody
Anti- TK001 antibody will be detected pre-dose,14d and 42d.
Measured: Up to Day 42
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2015 (estimated)
- Study startNov 2015
- Primary completionJun 2018 (estimated)
- Study completionSep 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neovascular Age-related Macular DegenerationStudies of the same condition, open and under way.
- 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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 27 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jiangsu T-Mab Biopharma Co.,Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ming Zhang, Principal investigator, West China Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02613559
- Sponsor's protocol ID
- Tmab-TK001-AMD-01
- Status last verified
- Feb 2018
- First submitted
- 21 Nov 2015
- Last updated
- 1 Mar 2018
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Mar 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-center, Open-label, Single Ascending Dose Phase 1 Study to Evaluate the Safety, Pharmacokinetics, and Tolerability of Intravitreal TK001(Recombinant Humanized Anti-VEGF Monoclonal Antibody) in Subjects With Neovascular Age-Related Macular Degeneration
- ClinicalTrials.gov ID
- NCT02613559
- Acronym / sponsor ID
- Tmab-TK001-AMD-01
- Keywords
- Neovascular Age-Related Macular Degeneration, Subfoveal CNV, TK001
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 27 participants (estimated)
- Lead sponsor
- Jiangsu T-Mab Biopharma Co.,LtdIndustry (pharma, biotech, devices)
- Study start
- Nov 2015
- Primary completion
- Jun 2018 (estimated)
- Study completion
- Sep 2018 (estimated)
- First posted
- 24 Nov 2015 (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.
The purpose of this first-in-human study is to evaluate the safety, pharmacokinetics and tolerability of single ascending doses of TK001(Recombinant humanized anti-VEGF monoclonal antibody) to determine the maximum tolerated dose (MTD) in neovascular wet age-related macular degeneration (wAMD) subjects.
Detailed description
This is an open-label, non-comparative, non-randomized, single-center phase 1 study evaluating pharmacokinetics, safety and tolerability of single intravitreal injections of TK001 in the patients with AMD.TK001 is a full-length recombinant humanized anti-VEGF monoclonal antibody. Compared with Avastin(a similar marketed product), the findings of preclinical studies suggested that TK001 might be more effective in inhibiting pathological angiogenesis, or to achieve equivalent effect with less dosage and better safety. In this study, participants will be administrated a single dose of TK001.Every subject will only accept one dose. In addition to safety and preliminary efficacy, pharmacokinetics and immunogenicity of TK001will be evaluated as well.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| TK001 0.1mg | Experimental | Biological: TK001Injection:single Intravitreal Injection |
| TK001 0.5mg | Experimental | Biological: TK001Injection:single Intravitreal Injection |
| TK001 1.0mg | Experimental | Biological: TK001Injection:single Intravitreal Injection |
| TK001 2.0mg | Experimental | Biological: TK001Biological: TK001 Injection:single Intravitreal Injection |
| TK001 2.5mg | Experimental | Biological: TK001Biological: TK001 Injection:single Intravitreal Injection |
| TK001 3.0mg | Experimental | Biological: TK001Injection:single Intravitreal Injection |
Who may qualify
- Ages
- 45 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients or their legal representative signed informed consent
- Aged 45 years to 80 years, male or female
- Inpatient/Outpatient with confirmed neovascular AMD
- Best corrected VA for the studied eye≤20/100
- With primary or recurrent subfoveal choroidal neovascular (CNV) lesions secondary to neovascular AMD
Key exclusion criteria (25 listed)
- Limitation of eye diseases
- The treatment of the eye
- Systemic diseases,treatment and other conditions
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 |
|---|---|---|
| TK001Intravitreal Injection | Biological | TK001 0.1mg, TK001 0.5mg, TK001 1.0mg, TK001 2.0mg, TK001 2.5mg, TK001 3.0mg |
Primary outcome
Frequency of ocular and systemic AEs (adverse events) and SAEs (serious adverse events) which are related to TK001
Time frame: 6 weeks
6 secondary outcomes
Best Corrected Visual Acuity (BCVA)
Time frame: 6 weeks
Area under the plasma concentration-time curve from time zero to infinity (AUCinf)
Time frame: Up to Day 42
Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration (AUC0-t)
Time frame: Up to Day 42
Maximum observed maximum plasma concentration (Cmax)
Time frame: Up to Day 42
Time to reach the maximum observed plasma concentration (Tmax)
Time frame: Up to Day 42
Frequency of subjects with anti-TK001 antibody
Time frame: Up to Day 42
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Mar 2018.
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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.
Guangfu Li contact
Ming Zhang principal investigator
West China Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing TK001 in people with Neovascular Age-related Macular Degeneration, run by Jiangsu T-Mab Biopharma Co.,Ltd at 1 site in China.
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 25 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: status not confirmed, as of the sponsor's last update on 1 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Guangfu Li (guangfuli@t-mab.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency of ocular and systemic AEs (adverse events) and SAEs (serious adverse events) which are related to TK001 (time frame: 6 weeks). 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 1 Mar 2018.