Diabetic Macular Edema(DME)Phase 2NCT03635814
The Study to YD312 Tablet in Patients With Diabetic Macular Edema
A Phase 2 study testing YD312 50mg, YD312 150mg and YD312 350mg in people with Diabetic Macular Edema(DME), run by YD Global Life Science Co., Ltd. at 20 sites in 2 countries.
Trial summary
This study objectives is to evaluate the efficacy of YD312 to improve visual acuity in patients with diabetic macular edema (DME) compared to placebo and determine optimal dose of phase 2b study. Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Diabetic Macular Edema(DME)
- What is being tested?
- YD312 50mg, YD312 150mg and YD312 350mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 100 participants
- Where
- 20 sitesin 2 countries
- Study dates
- 19 Oct 2017to 20 Mar 2020
- Phase
- Phase 2
- 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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Screening Inclusion Criteria
- Study subjects must be eligible for the following criteria at screening:
- Subject who is male or female ≥ 19 years of age
- Subject who has a diagnosis of Type 1 or 2 diabetes
- Subject who has study eye with definite retinal thickening due to diabetic macular edema involving the center of the macula
- Subject who has voluntarily signed an informed consent form
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- Randomization Inclusion Criteria
- Study eye must be eligible for the following criteria at randomization:
- Subject who has study eye with central subfield thickness (CST) of ≥ 300 μm on optical coherence tomography (OCT)
- Subject who has study eye with an early treatment diabetic retinopathy study (ETDRS) best-corrected visual acuity (BCVA) letter score ranging from 39 to 78, inclusive (approximate Snellen equivalent of 20/32 - 20/160)
Who cannot join
- Subject who has study eye with any of the following criteria:
- Subject whose primary cause of macular edema is non-diabetic disease/condition (e.g., cataract extraction, vitreomacular interface abnormalities)
- Subject who is expected to have no improvement of decreased visual acuity in the opinion of investigator, even if macular edema is resolved (e.g., foveal atrophy, abnormal pigmentation, dense subfoveal hard exudate)
- Subject who has proliferative diabetic retinopathy.
- Subject who took the following within 3 months before randomization
- ① Focal/grid laser photocoagulation
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- ② Intravitreal/circumbulbar corticosteroid, anti-VEGF and pro-VEGF (but, no wash-out period is required for the corticosteroid eyedrops)
- Subject who took panretinal photocoagulation (PRP) or intravitreal dexamethasone implant within 6 months before randomization
- Subject who has a history of vitrectomy
- Subject who took major ophthalmic surgeries (all intraocular surgeries including cataract extraction and scleral buckle) within 6 months before randomization
- Subject who had systemic treatment of corticosteroid or anti-VEGF within 3 months before randomization.
- Subject who administered vaccinium myrtillus extract or dobesilate calcium within 2 weeks before randomization
- Subject who is suspected to require administration/treatment of drug/procedure that may affect the efficacy evaluation before the participation of clinical trial or during clinical trial (refer to '10.4 Combination Therapy and Contraindication').
- Subject who has the following illness or abnormal laboratory test values:
- Subject who has a hypersensitivity to any excipients of the investigational product or similar class of drug and ingredient
- Subject who has uncontrolled hypertension (SBP > 160 mmHg or DBP >100 mmHg)
- Subject who has uncontrolled diabetes (HbA1c > 10.0%)
- Subject who has uncontrolled glaucoma in either eye (intraocular pressure (IOP) > 24 mmHg on medication or according to the investigator's judgment)
- ANC < 1.5 × 109/L
- Platelet < 125 × 109/L
- Total bilirubin > 1.5 × ULN
- AST or ALT > 2 × ULN
- Clcr* < 40 mL/min
- Clcr (Cockcroft-Gault formula)
- = [(140 - age) x weight(kg) (x 0.85 for females)] / [72 x serum creatinine (Scr) (mg/dL)]
- Severe heart failure (NYHA class III/IV)
- Malignant tumor within 5 years before randomization
- Subject who is known to be HIV positive, is active hepatitis B patient or carrier, or is hepatitis C patient
- Ocular inflammatory diseases such as uveitis, conjunctivitis, and blepharitis in either eye. However, the participation of subject in this study is considered at the discretion of investigator.
- Unstable angina, myocardial infarction, transient ischemic attack, cerebral infarction, coronary artery bypass surgery, or transluminal coronary angioplasty within 6 months before screening
- Pregnant woman, lactating woman, or female or male subject of childbearing potential
- hormonal contraceptives, intrauterne contraceptive device, sterilization of spouse (e.g., vasectomy, tubal ligation), double-barrier method (e.g., combinational use of spermicides and condoms, diaphragm, contraceptive sponge, of FemCap)
- Subject who took administraion/procedure of other investigational products or medical devices within longer period between 30 days before screening or over 5time half-life.
- Subject, at the discretion of the investigator, who is unsuitable to participate in the study.
Trial locations and contacts
20 sites in 2 countries.
20 sites in 2 countries
United States13 sites
Elman Retina Group
Baltimore, Maryland, 21237
Phensylvania Retina Specialists
Camp Hill, Pennsylvania, 17011
WR-Clinsearch, LLC
Chattanooga, Tennessee, 37421
Retina Associates
Chicago, Illinois, 60126
Cumberland Valley Retina Consultants
Hagerstown, Maryland, 21740
South Flolida Clinical Trials
Hialeah, Florida, 33106
Florida Retina Consultants
Lakeland, Florida, 33805
Impact Clinical Trials LV
Las Vegas, Nevada, 89106
AXIS Clinical Trials
Los Angeles, California, 90036
NY Clinical Trials
New York, New York, 10022
Wagner Macula & Retina Center
Norfolk, Virginia, 23502
Vitro-Retinal Consultants, Inc
Painesville, Ohio, 44077
Clinical Trials of Texas, Inc
San Antonio, Texas, 78229
South Korea7 sites
Inje National University Busan Park Hospital
Busan, Jin-gu, 47392
Kyungpook National University Hospital
Daegu, Chung-gu, 41944
Chungnam National University Hospital
Daejeon, Chung-gu, 35015
Hanyang University Guri Medical Center
Guri-si, Kyeonggi-do, 11923
Seoul National University Bundang Hospital
Seongnam-si, Kyeonggi-do, 13620
Samsung Medical Center
Seoul, Gangmam-gu, 06351
Kangnam Severance Hospital
Seoul, Gangnam-gu, 06273
About this study
Official title: Multi-center, Randomized, Double-blind, Dose-finding, Phase 2a Clinical Trial to Evaluate the Effecacy and Safety of YD312 Tablet in Patients With Diabetic Macular Edema
This study objectives is to evaluate the efficacy of YD312 to improve visual acuity in patients with diabetic macular edema (DME) compared to placebo and determine optimal dose of phase 2b study.
Read the detailed description
These study results present the possibility that imatinib can be used as a new DME inhibiting agent by involving VEGF-independent ocular angiogenesis, not action points of existing agents, in effectively inhibiting excessive vascular angiogenesis observed in oxygen-induced retinopathy.
- Conditions
- Diabetic Macular Edema(DME)
- Being tested
- YD312 50mg, YD312 150mg, YD312 350mg, Placebo
- Keywords
- Clinicaltrial, DME, DR, AMD, imatinib mesylate
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YD312 50mgDrug
YD312 50mg * 1 + placebo 6 tablets
YD312 150mgDrug
YD312 50mg * 3 + placebo 6 tablets
YD312 350mgDrug
YD312 50mg * 7 tablets
PlaceboDrug
YD312 0mg * 7 tabets
| Study group | Role | What they receive |
|---|---|---|
| YD312 drug treatment | Experimental | From the date when dispensed, investigational products will be dosed once a day at similar time to the first dosing time with meals and much water. Receives: Drug: YD312 50mg; Drug: YD312 150mg; Drug: YD312 350mg |
| YD312 placebo drug treatment | Placebo comparator | From the date when dispensed, investigational products will be dosed once a day at similar time to the first dosing time with meals and much water. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in ETDRS BCVA latter score from baseline at Week 12 ( ETDRS chart reading at least 3 letters)
Measured: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Secondary outcomes (3)
Change in ETDRS BCVA latter score from baseline at Weeks 4 and 8
Measured: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Improvement or worsening rate of ETDRS BCVA from baseline at Weeks 4, 8, and 12
- Proportion of improved subjects: ≥ 1 letter score increase, ≥ 10 letter score increase, ≥ 15 letter score increase
- Proportion of worsened subjects: ≥ 5 letter score decrease, ≥ 10 letter score decrease, ≥ 15 letter score decrease
Measured: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Change in CST from baseline at Weeks 4, 8, and 12
Measured: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2018
- Study start19 Oct 2017
- Primary completion27 Jul 2018
- Study completion20 Mar 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetic Macular Edema(DME)Studies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Subjects who finally meet inclusion/exclusion criteria will be randomized into lower dose group (YD312 Tablet 50 mg), middle dose group (YD312 Tablet 150 mg), higher dose group (YD312 Tablet 350 mg), and placebo group as a ratio of 1:1:1:1 and the relevant investigational product will be administered for 12 weeks.
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- YD Global Life Science Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03635814
- Sponsor's protocol ID
- YD312-01-P2
- Status last verified
- Jan 2020
- First submitted
- 14 Aug 2018
- Last updated
- 9 Jan 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 9 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multi-center, Randomized, Double-blind, Dose-finding, Phase 2a Clinical Trial to Evaluate the Effecacy and Safety of YD312 Tablet in Patients With Diabetic Macular Edema
- ClinicalTrials.gov ID
- NCT03635814
- Acronym / sponsor ID
- YD312-01-P2
- Conditions
- Diabetic Macular Edema(DME)
- Keywords
- Clinicaltrial, DME, DR, AMD, imatinib mesylate
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- YD Global Life Science Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 19 Oct 2017 (actual)
- Primary completion
- 27 Jul 2018 (actual)
- Study completion
- 20 Mar 2020 (estimated)
- First posted
- 17 Aug 2018 (actual)
- 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 study objectives is to evaluate the efficacy of YD312 to improve visual acuity in patients with diabetic macular edema (DME) compared to placebo and determine optimal dose of phase 2b study.
Detailed description
These study results present the possibility that imatinib can be used as a new DME inhibiting agent by involving VEGF-independent ocular angiogenesis, not action points of existing agents, in effectively inhibiting excessive vascular angiogenesis observed in oxygen-induced retinopathy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- Subjects who finally meet inclusion/exclusion criteria will be randomized into lower dose group (YD312 Tablet 50 mg), middle dose group (YD312 Tablet 150 mg), higher dose group (YD312 Tablet 350 mg), and placebo group as a ratio of 1:1:1:1 and the relevant investigational product will be administered for 12 weeks.
| Arm | Type | Receives |
|---|---|---|
| YD312 drug treatment | Experimental | Drug: YD312 50mg, Drug: YD312 150mg, Drug: YD312 350mgFrom the date when dispensed, investigational products will be dosed once a day at similar time to the first dosing time with meals and much water. |
| YD312 placebo drug treatment | Placebo comparator | Drug: PlaceboFrom the date when dispensed, investigational products will be dosed once a day at similar time to the first dosing time with meals and much water. |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Screening Inclusion Criteria
- Randomization Inclusion Criteria
- Subject who has study eye with central subfield thickness (CST) of ≥ 300 μm on optical coherence tomography (OCT)
- Subject who has study eye with an early treatment diabetic retinopathy study (ETDRS) best-corrected visual acuity (BCVA) letter score ranging from 39 to 78, inclusive (approximate Snellen equivalent of 20/32 - 20/160)
Key exclusion criteria (34 listed)
- Subject who has study eye with any of the following criteria:
- ① Focal/grid laser photocoagulation
- ② Intravitreal/circumbulbar corticosteroid, anti-VEGF and pro-VEGF (but, no wash-out period is required for the corticosteroid eyedrops)
- Subject who had systemic treatment of corticosteroid or anti-VEGF within 3 months before randomization.
- Subject who administered vaccinium myrtillus extract or dobesilate calcium within 2 weeks before randomization
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 |
|---|---|---|
| YD312 50mgYD312 50mg * 1 + placebo 6 tablets | Drug | YD312 drug treatment |
| YD312 150mgYD312 50mg * 3 + placebo 6 tablets | Drug | YD312 drug treatment |
| YD312 350mgYD312 50mg * 7 tablets | Drug | YD312 drug treatment |
| PlaceboYD312 0mg * 7 tabets | Drug | YD312 placebo drug treatment |
Primary outcome
Change in ETDRS BCVA latter score from baseline at Week 12 ( ETDRS chart reading at least 3 letters)
Time frame: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
3 secondary outcomes
Change in ETDRS BCVA latter score from baseline at Weeks 4 and 8
Time frame: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Improvement or worsening rate of ETDRS BCVA from baseline at Weeks 4, 8, and 12
Time frame: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Change in CST from baseline at Weeks 4, 8, and 12
Time frame: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jan 2020.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
20 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing YD312 50mg, YD312 150mg and YD312 350mg in people with Diabetic Macular Edema(DME), run by YD Global Life Science Co., Ltd. at 20 sites in 2 countries.
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 10 inclusion and 34 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 9 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in United States, South Korea. 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 phase mean?
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?
Results are not available in the source record.
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?
Change in ETDRS BCVA latter score from baseline at Week 12 ( ETDRS chart reading at least 3 letters) (time frame: BCVA ERDRS measure at V1(screening), V2(baseline,week0), V3(week4), V4(week8), V5(week12)). 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 9 Jan 2020.