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Efficacy and Safety Study of Squalamine Ophthalmic Solution in Subjects With Neovascular AMD

Phase 3
Conditions
Age-related Macular Degeneration
Interventions
Registration Number
NCT02727881
Lead Sponsor
Ohr Pharmaceutical Inc.
Brief Summary

A Phase 3 Study of the Efficacy and Safety of Squalamine Lactate Ophthalmic Solution 0.2% Twice Daily in Subjects with Neovascular Age-Related Macular Degeneration. Patients will receive injections of ranibizumab. In addition, patients will receive either Squalamine lactate 0.2% eye drops or Placebo eye drops. The study duration is approximately 9 months to primary endpoint

Detailed Description

Phase 3 Study of the Efficacy and Safety of Squalamine Lactate Ophthalmic Solution 0.2% Twice Daily in Subjects with Neovascular Age-Related Macular Degeneration Methodology: Phase III, multicenter, randomized, double-masked, placebo-controlled study conducted over 9 months

(Screening/Baseline to Week 36): Patients will be randomly assigned to one of 2 treatment groups in a 1:1 ratio:

* Squalamine lactate ophthalmic solution, 0.2% BID + ranibizumab every 4 weeks

* Placebo ophthalmic solution BID + monthly ranibizumab every 4 weeks

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
230
Inclusion Criteria
  • Age ≥ 50 years
  • A diagnosis of choroid neovascularization (CNV) secondary to AMD with CNV comprising at least 50% of the total lesion area on fluorescein angiography (FA)
  • Central subfield thickness (spectral domain (SD)-OCT central 1 mm) of ≥ 300 μm
  • Best-corrected visual acuity (BCVA) 20/40 to 20/320 (73- to 24-letter score on the Early Treatment of Diabetic Retinopathy Study [ETDRS] chart)
Exclusion Criteria
  • Neovascularization secondary to any other condition than AMD in the study eye; Blood occupying greater than 50% of the AMD lesion, or blood > 1.0 sq. mm underlying the fovea
  • Pigment epithelial detachment (PED) without associated subretinal fluid and/or cystic retinal changes
  • Clinical evidence of diabetic retinopathy or diabetic macular edema in the study eye
  • Confounding ocular conditions in the study eye which will affect interpretation of OCT, VA or assessment of macular appearance (e.g., cataract, epiretinal membrane, retinal vascular occlusive disease)
  • Fibrosis or atrophy, retinal epithelial tear in the center of the fovea in the study eye or any condition preventing VA improvement
  • Uncontrolled glaucoma in the study eye, or currently receiving topical glaucoma medication in the study eye

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo solution BIDPlacebo Ophthalmic solutionPlacebo ophthalmic solution BID + ranibizumab every 4 weeks
Placebo solution BIDranibizumabPlacebo ophthalmic solution BID + ranibizumab every 4 weeks
Squalamine solution, 0.2% BIDSqualamine lactate ophthalmic solution, 0.2%Squalamine lactate ophthalmic solution, 0.2% bis in die (BID) + ranibizumab every 4 weeks
Squalamine solution, 0.2% BIDranibizumabSqualamine lactate ophthalmic solution, 0.2% bis in die (BID) + ranibizumab every 4 weeks
Primary Outcome Measures
NameTimeMethod
Functional change in visual acuity9 months

Effect of combination therapy of ranibizumab monthly intravitreal injections with Squalamine Lactate Ophthalmic Solution, 0.2% on change in visual function as assessed by ETDRS BCVA in subjects with Age-Related Macular Degeneration

Secondary Outcome Measures
NameTimeMethod
Functional changes in visual acuity9 months

Effect of combination therapy of ranibizumab monthly intravitreal injections with Squalamine Lactate Ophthalmic Solution, 0.2% on change in visual function as assessed by ETDRS BCVA in subjects with Age-Related Macular Degeneration

Trial Locations

Locations (1)

Investigational Site

🇺🇸

Madison, Wisconsin, United States

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