Phase 1b/2a Open Label, Multiple-Ascending Dose Cohort Study to Assess the Safety, Tolerability, Pilot Efficacy, Pharmacokinetics and Pharmacodynamic Effects of 28 Day Repeat Subcutaneous Doses of AKB-9778 in Subjects With Diabetic Macular Edema
Overview
- Phase
- Phase 1
- Intervention
- Subcutaneous AKB-9778
- Conditions
- Diabetic Macular Edema (DME)
- Sponsor
- Aerpio Therapeutics
- Enrollment
- 24
- Primary Endpoint
- Incidence and severity of adverse events (AEs).
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the safety, pharmacokinetics, pharmacodynamics, and pilot efficacy of multiple ascending dose levels of AKB-9778 given as subcutaneous injections daily for 28 days in patients with diabetic macular edema (DME).
Investigators
Eligibility Criteria
Inclusion Criteria
- •The following is an abbreviated list of inclusion criteria:
- •Adults between 18 to 80 years of age, inclusive
- •Diagnosis of diabetes mellitus (type 1 or type 2)
- •Decrease in vision determined to be primarily the result of DME in the study eye
- •Definite Retinal thickening due to diffuse DME involving the center of the macula in the study eye
- •Mean central subfield thickness of at least 325 µm by OCT in the study eye
- •Early Treatment Diabetic Retinopathy Study (ETDRS) letter score BCVA ≤ 70 (20/40) in the study eye
Exclusion Criteria
- •The following is an abbreviated list of exclusion criteria:
- •Hemoglobin A1C (HbA1C) ≥ 11.5%
- •History of any of the following in the study eye (however, the following are not exclusionary in the fellow eye):
- •Panretinal scatter photocoagulation (PRP) or focal laser within 12 weeks prior to Screening
- •Prior pars plana vitrectomy within 12 weeks prior to Screening
- •Any ocular surgery within 12 weeks prior to Screening
- •YAG capsulotomy within 7 days prior to Screening
- •Prior intravitreal, subtenon, or periocular steroid therapy within 3 months prior to Screening or prior treatment with intravitreal anti-VEGF treatment within 1 month of Screening
Arms & Interventions
AKB-9778
Up to 4 dose levels of subcutaneous AKB-9778 will be evaluated. Doses will be administered daily for 28 days.
Intervention: Subcutaneous AKB-9778
Outcomes
Primary Outcomes
Incidence and severity of adverse events (AEs).
Time Frame: 28 days
Change from baseline in physical exams.
Time Frame: 28 days
Change from baseline in vital signs.
Time Frame: 28 days
Change from baseline in electrocardiograms (ECGs).
Time Frame: 28 days
Change from baseline in opthalmic exams.
Time Frame: 28 days
Change from baseline in clinical laboratory assay results.
Time Frame: 28 days
Blood chemistry, hematology and urinalysis.
Secondary Outcomes
- Pharmacokinetics of AKB-9778(Day 1 and Day 14)
- Change from baseline in optical tomography (OCT)-measured retinal thickness.(28 days)
- Change from baseline in best corrected visual acuity (BCVA).(28 days)