Safety, Tolerability, and Distribution of Topical Laquinimod Eye Drops , an Innovative ImmunomodulatOr Targeting Aryl hydrocarboN Receptor (AhR): The LION Study
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 发起方
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Concentration of Laquinimod in aqueous humor and vitreous samples of human participants
研究概览
简要总结
The LION Study is a prospective, single-center phase 1 clinical trial to evaluate the safety, tolerability, and distribution of Laquinimod administered as topical eye drops for two weeks in human participants.
详细描述
Participants who fulfill the study eligibility criteria and who are planned to undergo a pars plana vitrectomy will be enrolled in the study. Eligible participants scheduled for a diagnostic vitrectomy may also be enrolled.
The study will consist of two stages:
Stage One - Open label dose escalation:
Up to three subsequent dose-escalation groups will receive Laquinimod eye drops for 2 weeks and samples will be assayed for Laquinimod concentration in aqueous humor, vitreous and plasma.
Stage Two- Randomized, Controlled Comparison of 2 Laquinimod doses:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older
- •Participants who are capable and willing to provide informed consent and follow study instructions.
- •Participants who are scheduled to undergo pars plana vitrectomy (PPV).
- •Participants with intraocular pressure (IOP) ≥ 5 mmHg and ≤22 mmHg in study eye
- •Women who are not pregnant or lactating, are post-menopausal or have undergone a sterilization procedure.
排除标准
- •Participants with active periocular or ocular infectious disease (e.g., blepharitis, scleritis, or conjunctivitis, keratitis or endophthalmitis).
- •Participants with active infectious uveitis
- •Participants with a history of prior intraocular or extraocular surgery within 90 days of study enrollment
- •Participant with a history of intravitreal steroids administered to the study eye within 90 days of enrollment.
- •Participants with a history of intravitreal injection of VEGF inhibitors within 30 days of enrollment
- •Use of any topical cyclosporine or corticosteroid or other specified (i.e. calcineurin inhibitors) ophthalmic medication in the study eye for any reason within 14 days of enrollment and before the surgery
- •Use of medication consisting of a strong or moderate inhibitor of CYP3A4 within 2 weeks of Baseline visit (and during the study).
- •Use of medication consisting of a strong inducer of CYP3A4 within 2 weeks of Baseline visit (and during the study)
- •Mild, moderate, or severe hepatic impairment (any of Child-Pugh Score A, B, and C)
- •Moderate or severe renal impairment (GFR ≤60 mL/min)
- •History of HIV disease or other immunodeficiency disorder
- •History of acute hepatitis A (IgM positive), hepatitis B, or hepatitis C
- •History of organ or bone marrow transplant
- •Presence of malignancy under active treatment
- •Any other acute or chronic medical condition that would, in the judgment of the study investigators, reasonably preclude participation in the clinical study
- •Already enrolled in a clinical trial.
- •Any condition that would prevent the investigator from acquiring images of the eye as required per protocol
研究组 & 干预措施
Group 1
(3 to 6 participants): Participants will receive a dose of Laquinimod as 2 drops once a day (0.6mg per day) in the study eye for 14 days before the surgery.
干预措施: Laquinimod eye drops (Drug)
Group 2
(3 to 6 participants): Participants will receive a dose of Laquinimod as 2 drops twice a day (1.2mg per day) in the study eye for 14 days before the surgery
干预措施: Laquinimod eye drops (Drug)
Group 3
(3 to 6 participants): Participants will receive a dose of Laquinimod as 2 drops three times a day(1.8 mg per day) for 14 days before the surgery.
干预措施: Laquinimod eye drops (Drug)
Stage 2 Comparison Group A
(3 to 6 participants): Participants will receive a dose of Laquinimod eye drops in the study eye for 14 days before the surgery. Frequency to be decided at the end of stage 1.
干预措施: Laquinimod eye drops (Drug)
Stage 2 Comparison Group B
(3 to 6 participants): Participants will receive a dose of Laquinimod as 2 drops in the study eye for 14 days before the surgery. Frequency to be decided at the end of stage 1.
干预措施: Laquinimod eye drops (Drug)
结局指标
主要结局
Concentration of Laquinimod in aqueous humor and vitreous samples of human participants
时间窗: After 2 weeks of study drug administration
Assessment of concentration of Laquinimod in aqueous humor and vitreous samples of human by biolanalysis in specialized lab participants on Day 14 of Laquinimod eye-drop administration.
Concentration of Laquinimod in plasma of human participants
时间窗: After 2 weeks of study drug administration
Assessment of concentration of Laquinimod in plasma of human participants on Day 14 of Laquinimod in specialized lab eye-drop administration. participants on Day 14 of Laquinimod eye-drop administration.
次要结局
- Safety Assessment(Baseline to end of Study at 22-30days)
研究者
Quan Dong Nguyen
Professor of Ophthalmology
Stanford University
