Study of ANX007 in Participants With Primary Open-angle Glaucoma

Open Angle Glaucoma Clinical Trial

Official title:

A Phase 1b, Randomized, Double-masked, Sham-controlled Study of ANX007 Administered as Intravitreal Injections to Assess Safety and Tolerability in Participants With Primary Open-angle Glaucoma

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04188015
• Other study ID #: ANX007-GLA-02
• Status: Completed
• Phase: Phase 1
• Start date: July 25, 2018
• Est. completion date: June 3, 2019

Study information

• Verified date: August 2020
• Source: Annexon, Inc.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a double-masked, randomized, sham-controlled study evaluating two dose levels of ANX007 vs sham, administered as repeat Intravitreal (IVT) injections in patients with Primary Open-angle Glaucoma.

Description:

This is a phase 1b, double-masked, sham-controlled study evaluating 2 dose levels of ANX007 administered as 2 IVT injections separated by 4 weeks. Approximately 15-29 subjects will be enrolled. An interim analysis of the initial set of 15 participants may be conducted. Based on this analysis, an additional 10-14 participants may be enrolled at a 1:1 ratio to receive one of the two dose levels.

The primary objective is to evaluate the safety and tolerability of repeat IVT injections of ANX007 in participants with primary open-angle glaucoma. Secondary objectives are to evaluate the anterior chamber fluid pharmacokinetics (PK) of ANX007, PD effect of ANX007 on anterior chamber fluid C1q activity, and immunogenicity. An exploratory objective will evaluate ocular PD effect of ANX007.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 17
• Est. completion date: June 3, 2019
• Est. primary completion date: June 3, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Male or female age 18 years, and above.

2. Diagnosis of primary open-angle glaucoma.

3. Ability to perform a reliable visual field test in the study eye with a cutoff of 33% for fixation losses and 33% for false-positive response rates.

4. Intraocular pressure (IOP) <21 mm Hg at screening and Day 1.

5. The IOP treatment regimen in the study eye should be stable for at least 4 weeks prior to injection, with no change in the IOP treatment regimen anticipated throughout study participation.

6. Ability to comply with the requirements of the study and complete the full sequence of protocol specified injections, procedures, and evaluations.

Exclusion Criteria:

1. Extensive glaucomatous visual-field damage with a mean deviation worse than -18 dB on Humphrey visual field testing.

2. Any current or prior ocular pathology, other than glaucoma, which could interfere with the conduct of the study including, but not limited to, retinal or optic nerve disease and media opacity in the study eye.

3. History of intraocular inflammatory or infectious eye disease in the study eye.

4. Ocular trauma in the study eye within the preceding 6 months.

5. A history of uncomplicated cataract surgery less than 3 months prior to injection, or trabeculectomy, iridotomy, or other ocular procedures in the study eye that could affect drug distribution and excretion.

6. Any abnormality preventing reliable tonometry in the study eye.

7. Concurrent use of glucocorticoid medications administered by any ocular or systemic route. Nasal, inhaled, and dermatologic (if not administered around the eyes) glucocorticoids are permitted.

8. Receiving monoamine oxidase inhibitor therapy or patient-reported hypersensitivity to any component of apraclonidine, brimonidine, clonidine, phenylephrine, povidone iodine, proparacaine, or ANX007.

9. Active or history of malignancy within the past 5 years with the exception of curatively treated, basal cell carcinoma.

10. Previous treatment with another humanized monoclonal antibody, Fab or Fab'2.

11. History of any autoimmune or neurologic disease.

Related Conditions & MeSH terms

• Glaucoma
• Glaucoma, Open-Angle
• Open Angle Glaucoma

Intervention

Biological:
• 2.5mg ANX007
A single dose of 2.5mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.
• 5.0mg ANX007
A single dose of 5.0mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.

Other:
• Sham Procedure
The sham injection is preformed by applying pressure to the eye at the location of a typical IVT injection using the blunt end of a syringe without a needle.

Locations

Country	Name	City	State
United States	Eye Research Foundation	Newport Beach	California
United States	Stanford Health Care	Stanford	California

Sponsors (1)

Lead Sponsor	Collaborator
Annexon, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To evaluate the safety and tolerability of ANX007 in participants with primary open-angle glaucoma as measured by occurrence of treatment-emergent adverse events.		Day 85
Secondary	Evaluate PK parameters of ANX007 in serum after repeat injections	Maximum Serum Concentration (Cmax) of ANX007	Day 29
Secondary	Evaluate PK parameters of ANX007 in serum after repeat injections	Area Under the Curve (AUC) of ANX007	Day 29
Secondary	Evaluate PK parameters of ANX007 in aqueous humor after repeat intravitreal injections	Maximum aqueous humor Concentration (Cmax) of ANX007	Day 29
Secondary	Evaluate PK parameters of ANX007 in aqueous humor after repeat intravitreal injections	Aqueous humor Area Under the Curve (AUC) of ANX007	Day 29
Secondary	Evaluate PD parameters of ANX007 in aqueous humor after repeat intravitreal injections	Maximum C1q concentration (Cmax) in aqueous humor	Day 29
Secondary	Evaluate PD parameters of ANX007 in aqueous humor after repeat intravitreal injections	C1q area under the curve (AUC) in aqueous humor	Day 29
Secondary	Evaluate PD parameters of ANX007 in serum after repeat intravitreal injections	Maximum C1q concentration (Cmax) in serum	Day 29
Secondary	Evaluate PD parameters of ANX007 in serum after repeat intravitreal injections	C1q concentration area under the curve (AUC) in serum	Day 29
Secondary	Immunogenicity of ANX007 as measured by serum anti-drug antibodies (ADA) after repeat intravitreal injections of ANX007	Incidence of positive antibody titre against ANX007 in serum	Day 84

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