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A Study to Evaluate THR-687 Treatment for Diabetic Macular Oedema.

Phase 2
Terminated
Conditions
Diabetes Mellitus
Diabetic Retinopathy
Diabetic Macular Edema
Interventions
Drug: THR-687 dose level 1
Drug: THR-687 dose level 2
Drug: THR-687 selected dose level
Registration Number
NCT05063734
Lead Sponsor
Oxurion
Brief Summary

This study is conducted to select the THR-687 dose level (Part A of the study) and to assess the efficacy and safety of the selected dose level compared to aflibercept (Part B of the study).

Detailed Description

In Part A, approximately 12 subjects are planned to be randomized (1:1 allocation) to THR-687 1.2mg and THR-687 2.0mg.

In Part B, in the cohort of Treatment Naïve subjects are planned to be randomized (2:1 allocation) to THR-687 selected dose level from Part A and Aflibercept 2.0mg.

In Part B, in the cohort of Previously Treated subjects are planned to be randomized (1:1 allocation) to THR-687 selected dose level from Part A and Aflibercept 2.0mg.

All subjects in the study will receive study treatment in one selected study eye only.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Written informed consent obtained from the subject prior to screening procedures
  • Male or female aged 18 years or older at the time of signing the informed consent
  • Type 1 or type 2 diabetes
  • BCVA ETDRS letter score ≥ 39 in the study eye
  • CI-DME with CST of ≥ 300µm in men (or equivalent in women), measured from RPE to ILM inclusively, on SD-OCT, in the study eye
  • BCVA ETDRS letter score ≥ 34 in the fellow eye
Exclusion Criteria
  • Macular edema due to causes other than DME in the study eye
  • Concurrent disease in the study eye, other than DME, that could require medical or surgical intervention during the study period or could confound interpretation of the results
  • Any condition in the study eye that could confound the ability to detect the efficacy of the investigational medicinal product
  • Previous confounding medications / interventions, or their planned administration during the study
  • Presence of iris neovascularisation in the study eye
  • Uncontrolled glaucoma in the study eye
  • Previously received THR-687 or any other experimental therapy for DME, in either eye
  • Any active or suspected ocular or periocular infection, or active intraocular inflammation, in either eye
  • Untreated Diabetes
  • Glycated haemoglobin A (HbA1c) > 12%
  • Uncontrolled hypertension

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Part A, THR-687 1.2 mgTHR-687 dose level 1-
Part A, THR-687 2.0mgTHR-687 dose level 2-
Part B, treatment naïve subjects, THR-687 selected dose levelTHR-687 selected dose levelDue to the discontinuation of the study after Part A, the dose level for Part B has not been selected
Part B, previously treated subjects, THR-687 selected dose levelTHR-687 selected dose levelDue to the discontinuation of the study after Part A, the dose level for Part B has not been selected
Part B, treatment naïve subjects, aflibercept 2.0mgAflibercept-
Part B, previously treated subjects, aflibercept 2.0mgAflibercept-
Primary Outcome Measures
NameTimeMethod
Change From Baseline in BCVA ETDRS Letter Score, at Month 3, in Treatment-naïve Subjects in Part B of the StudyAt Month 3
Secondary Outcome Measures
NameTimeMethod
Weighted Average of the Change From Baseline in BCVA ETDRS Letter Score From Day 8 Through Month 3 Using the Trapezoidal Rule (AUC), in Treatment-naïve Subjects in Part B of the Studyat Month 3
Change From Baseline in BCVA ETDRS Letter Score, by Study Visit, in Treatment-naïve Subjects in Part B of the StudyUp to Month 8
Incidence of Ocular and Non-ocular Adverse Events (AEs) and Serious Adverse Events (SAEs)Up to End of Study (Part A up to Month 6 and Part B up to Month 8)

Adverse Events will be reported from the date of Informed Consent until End of the Study visit (up to Month 6 in Part A and up to Month 8 in Part B) or at the early study discontinuation visit and will be coded using MedDRA. Adverse Events will be summarized by System Organ Class and Primary Term. Incidence by subject represents at least one occurrence of the Primary Term with an onset on or after the date of the first study treatment. If a subject has multiple occurrences of an adverse event (P-term), the subject is presented only once in the respective subject count.

Change From Baseline in Central Subfield Thickness (CST), Based on Spectral Domain Optical Coherence Tomography (SD-OCT), as Assessed by the Central Reading Center (CRC), by Study Visit, in Treatment-naïve Subjects in Part B of the StudyUp to Month 8

Trial Locations

Locations (25)

Pauls Stradins Clinical University Hospital

🇱🇻

Riga, Latvia

Salehi Retina Institute Inc.

🇺🇸

Huntington Beach, California, United States

Retina Center of Texas

🇺🇸

Southlake, Texas, United States

Retina Consultants of Texas

🇺🇸

Katy, Texas, United States

Eye Clinic Dr Krista Turman

🇪🇪

Tallinn, Estonia

Riga East Clinical University Hospital

🇱🇻

Riga, Latvia

Tulsa Retina Consultants

🇺🇸

Tulsa, Oklahoma, United States

Retina Consultants of Southern Colorado, P.C.

🇺🇸

Colorado Springs, Colorado, United States

Ganglion Medical Center

🇭🇺

Pécs, Hungary

Eye Care Specialists

🇺🇸

Kingston, Pennsylvania, United States

Sierra Eye Associates

🇺🇸

Reno, Nevada, United States

Vilnius University Hospital Santaros klinikos

🇱🇹

Vilnius, Lithuania

Retina Vitreous Surgeons of Central New York, PC

🇺🇸

Liverpool, New York, United States

Silmalaser OU

🇪🇪

Tallinn, Estonia

Cumberland Valley Retina Consultants

🇺🇸

Hagerstown, Maryland, United States

Szegedi Tudományegyetem

🇭🇺

Szeged, Hungary

Tennessee Retina, PC

🇺🇸

Nashville, Tennessee, United States

Medical Center Ophthalmology Associates

🇺🇸

San Antonio, Texas, United States

Retina Associates, Ltd

🇺🇸

Elmhurst, Illinois, United States

California Eye Specialists Medical Group, Inc.

🇺🇸

Pasadena, California, United States

University Retina and macula Associates, PC

🇺🇸

Oak Forest, Illinois, United States

Austin Research Center of Retina

🇺🇸

Austin, Texas, United States

Valley Retina Institute, P.A.

🇺🇸

McAllen, Texas, United States

Strategic Clinical Research Group

🇺🇸

Willow Park, Texas, United States

Retinal Consultants Medical Group

🇺🇸

Sacramento, California, United States

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