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UveitisPhase 2NCT05384249

Phase 2b Pivotal Study of Izokibep in Non-infectious, Intermediate-, Posterior- or Pan-uveitis

A Phase 2 study testing Izokibep in people with Uveitis, run by ACELYRIN Inc. at 69 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Izokibep is a small protein molecule that acts as a selective, potent inhibitor of interleukin-17A, to which it binds with high affinity. This study investigates izokibep in subjects with active non-infectious, intermediate-, posterior- or pan-uveitis requiring high-dose steroids. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Uveitis
What is being tested?
Izokibep
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
96 participants
Where
69 sitesin 7 countries
Study dates
23 Aug 2022to 7 Feb 2025
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • General
  • Subject has provided signed informed consent including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
  • 18 years to 75 years of age
  • Type of Subject and Disease Characteristics
  • Subject is diagnosed with non-infectious intermediate-, posterior- or pan-uveitis
  • Active disease defined by the presence of at least 1 of the following criteria in at least 1 eye despite treatment with stable doses of corticosteroids for at least 2 weeks prior to day 1:
Show all 9Show fewer
  • Active, inflammatory, chorioretinal and/or inflammatory retinal vascular lesion by dilated indirect ophthalmoscopy, fundus photography, fluorescein angiography (FA), and Spectral-Domain Optical Coherence Tomography (SD-OCT) to determine whether a lesion is active or inactive (the central reading center assessment using FA, fundus photography and/or SD-OCT is required to confirm eligibility prior to day 1).
  • ≥ 2+ vitreous haze (National Eye Institute [NEI]/Standardization of Uveitis Nomenclature [SUN] criteria) by digital indirect ophthalmoscope and fundus photography (the central reading center assessment using fundus photography is required to confirm eligibility prior to day 1).
  • Currently receiving treatment with oral corticosteroids (≥ 7.5 mg/day to ≤ 40 mg/day oral prednisone/prednisolone or corticosteroid equivalent) at a stable dose for at least 2 weeks prior to day 1.

Who cannot join

  • Disease-related Medical Conditions
  • Subject with isolated anterior uveitis
  • Subject with serpiginous choroidopathy
  • Subject with confirmed or suspected infectious uveitis
  • Subject with corneal or lens opacity that precludes visualization of the fundus or that likely requires cataract surgery during the duration of the study
  • Subject with intraocular pressure of ≥ 25 mmHg while on ≥ 2 glaucoma medications or evidence of glaucomatous optic nerve injury
Show all 14Show fewer
  • Subject with severe vitreous haze that precludes visualization of the fundus prior to first dose of study drug
  • Subject has a contraindication for mydriatic eye drops OR subject cannot be dilated sufficiently well to permit good fundus visualization
  • Subject with best corrected visual acuity (BCVA) < 20 letters (Early Treatment Diabetic Retinopathy Study [ETDRS]) in at least 1 eye prior to first dose of study drug
  • Subject with proliferative or severe non-proliferative retinopathy or clinically significant macular edema due to diabetic retinopathy
  • Subject with neovascular/wet age-related macular degeneration
  • Subject with an abnormality of the vitreo-retinal interface with the potential for macular structural damage independent of the inflammatory process
  • Subject with a history of active scleritis ≤ 12 months of first dose of study drug
  • Other protocol defined Inclusion/Exclusion criteria may apply

Trial locations and contacts

69 sites in 7 countries.

69 sites in 7 countries

United States36 sites
  • Clinical Research Site

    Austin, Texas, 78714

  • Clinical Research Site

    Bakersfield, California, 93309

  • Clinical Research Site

    Bellaire, Texas, 77401-3218

  • Clinical Research Site

    Beverly Hills, California, 90211-1841

  • Clinical Research Site

    Charleston, South Carolina, 29414

  • Clinical Research Site

    Clearwater, Florida, 33761

  • Clinical Research Site

    Cleveland, Ohio, 44106

  • Clinical Research Site

    Cleveland, Ohio, 44195-0001

  • Clinical Research Site

    Denver, Colorado, 80246

  • Clinical Research Site

    Detroit, Michigan, 48201-1423

  • Clinical Research Site

    Erie, Pennsylvania, 16507-1429

  • Clinical Research Site

    Hagerstown, Maryland, 21740-5940

  • Clinical Research Site

    Houston, Texas, 77025-1756

  • Clinical Research Site

    Houston, Texas, 77030

  • Clinical Research Site

    Houston, Texas, 77494-3286

  • Clinical Research Site

    Indianapolis, Indiana, 46290

  • Clinical Research Site

    Los Angeles, California, 90033-1036

  • Clinical Research Site

    Los Angeles, California, 90095-7065

  • Clinical Research Site

    Madison, Wisconsin, 53705-3644

  • Clinical Research Site

    Marietta, Georgia, 30060-8935

  • Clinical Research Site

    Nashville, Tennessee, 37232

  • Clinical Research Site

    New York, New York, 10003

  • Clinical Research Site

    Oak Park, Illinois, 60304-1096

  • Clinical Research Site

    Palisades Park, New Jersey, 07650-2322

  • Clinical Research Site

    Palo Alto, California, 94303

  • Clinical Research Site

    Pasadena, California, 91107-3747

  • Clinical Research Site

    Phoenix, Arizona, 85020-5505

  • Clinical Research Site

    Pittsburgh, Pennsylvania, 15213

  • Clinical Research Site

    Plano, Texas, 75075-5025

  • Clinical Research Site

    Portland, Oregon, 97239

  • Clinical Research Site

    Redlands, California, 92373

  • Clinical Research Site

    Sacramento, California, 95825

  • Clinical Research Site

    San Francisco, California, 94109

  • Clinical Research Site

    Spokane, Washington, 99204-2509

  • Clinical Research Site

    Waltham, Massachusetts, 02451

  • Clinical Research Site

    Winston-Salem, North Carolina, 27157

Other trials in United States

Spain10 sites
  • Clinical Research Site

    Barcelona, 8017

  • Clinical Research Site

    Barcelona, 8028

  • Clinical Research Site

    Barcelona, 835

  • Clinical Research Site

    Barcelona, 8907

  • Clinical Research Site

    Madrid, 28040

  • Clinical Research Site (4007)

    Santiago de Compostela, 15706

  • Clinical Research Site (4008)

    Santiago de Compostela, 15706

  • Clinical Research Site

    Valencia, 46015

  • Clinical Research Site

    Zaragoza, 28040

  • Clinical Research Site

    Zaragoza, 50009

Other trials in Spain

Germany7 sites
  • Clinical Research Site

    Berlin, 13355

  • Clinical Research Site

    Bonn, 53127

  • Clinical Research Site

    Hamburg, 20246

  • Clinical Research Site

    Kiel, 24105

  • Clinical Research Site

    Leipzig, 4103

  • Clinical Research Site

    Münster, 48145

  • Clinical Research Site

    Münster, 48149

Other trials in Germany

France5 sites
  • Clinical Research Site

    Lyon, 69004

  • Clinical Research Site

    Marseille, 13008

  • Clinical Research Site

    Paris, 75013

  • Clinical Research Site

    Paris, 75014

  • Clinical Research Site

    Paris, 75019

Other trials in France

Czechia4 sites
  • Clinical Research Site

    Brno, 625 00

  • Clinical Research Site

    Pardubice, 530 02

  • Clinical Research Site

    Prague, 128 08

  • Clinical Research Site

    Prague, 140 52

Other trials in Czechia

Italy4 sites
  • Clinical Research Site

    Milan, 20122

  • Clinical Research Site

    Milan, 20132

  • Clinical Research Site

    Milan, 20157

  • Clinical Research Site

    Reggio Emilia, 42123

Other trials in Italy

Austria3 sites
  • Clinical Research Site

    Graz, 8036

  • Clinical Research Site

    Salzburg, 5020

  • Clinical Research Site

    Vienna, 1090

Other trials in Austria

About this study

Official title: A Phase 2b Pivotal Study to Evaluate the Efficacy and Safety of Izokibep in Subjects with Non-infectious, Intermediate-, Posterior- or Pan-uveitis

Izokibep is a small protein molecule that acts as a selective, potent inhibitor of interleukin-17A, to which it binds with high affinity. This study investigates izokibep in subjects with active non-infectious, intermediate-, posterior- or pan-uveitis requiring high-dose steroids.

Conditions
Uveitis
Being tested
Izokibep, Placebo
Keywords
Non-infectious uveitis, Intermediate-uveitis, Posterior-uveitis, Pan-uveitis
Medical subject headings
Uveitis, Uveitis, Intermediate, Uveitis, Posterior

What participants receive

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

  • IzokibepDrug

    Biologic: IL-17A inhibitor

    Form: Solution for injection

    Route of administration: Subcutaneous (SC)

  • PlaceboDrug

    Form: Solution for injection

    Route of administration: Subcutaneous (SC)

Study groups in NCT05384249
Study groupRoleWhat they receive
Group 1: Placebo subcutaneous once weeklyPlacebo comparatorParticipants will receive placebo every week to week 51.
Receives: Drug: Placebo
Group 2: Izokibep subcutaneous once weeklyExperimentalParticipants will receive izokibep every week to week 51.
Receives: Drug: Izokibep

What is being measured

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

  1. Time to treatment failure defined as reaching treatment failure by meeting ≥ 1 of the 4 criteria specified in the protocol in at least 1 eye.

    Measured: Up to Week 52

Secondary outcomes (9)
  1. Change in best corrected visual acuity (BCVA) from best state achieved

    Measured: Before Week 10 to Week 24

  2. Change in the National Eye Institute (NEI) Visual Function Questionnarie-25 (VFQ-25) score from best state achieved

    Measured: Before Week 10 to Week 24

  3. Change in central retinal thickness by Spectral-Domain Optical Coherence Tomography (SD-OCT)

    Measured: Baseline to Week 10

  4. Change in central retinal thickness by Spectral-Domain Optical Coherence Tomography (SD-OCT) from best state achieved

    Measured: Week 10 up to Week 52

  5. Proportion of subjects that achieve quiescence

    Measured: Week 10

  6. Incidence of treatment-emergent adverse events (TEAEs)

    Measured: Baseline up to Follow-up (Week 65)

  7. Incidence of serious adverse events (SAEs)

    Measured: Baseline up to Follow-up (Week 65)

  8. Incidence of clinically significant changes in laboratory values

    Measured: Baseline up to Follow-up (Week 65)

  9. Incidence of clinically significant changes in vital signs

    Measured: Baseline up to Follow-up (Week 65)

Timeline

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

  1. First posted20 May 2022
  2. Study start23 Aug 2022
  3. Primary completion7 Feb 2025
  4. Study completion7 Feb 2025

Why it stopped: Study primary and secondary endpoints did not achieve statistical significance.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
96 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05384249
Sponsor's protocol ID
21103
Other IDs
2024-514975-16-00
Status last verified
Feb 2025
First submitted
17 May 2022
Last updated
21 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Izokibep in people with Uveitis, run by ACELYRIN Inc. at 69 sites in 7 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 9 inclusion and 14 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: stopped early, as of the sponsor's last update on 21 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in United States, Spain, Germany, France, Czechia and 2 more countries. 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?

The study was stopped early (reason given: Study primary and secondary endpoints did not achieve statistical significance.). 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?

Time to treatment failure defined as reaching treatment failure by meeting ≥ 1 of the 4 criteria specified in the protocol in at least 1 eye. (time frame: Up to Week 52). 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 21 Feb 2025.

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