Safety Study of a Single IVT Injection of QPI-1007 in Chronic Optic Nerve Atrophy and Recent Onset NAION Patients
- Conditions
- Optic AtrophyNon-arteritic Anterior Ischemic Optic Neuropathy
- Interventions
- Drug: QPI-1007 at various doses
- Registration Number
- NCT01064505
- Lead Sponsor
- Quark Pharmaceuticals
- Brief Summary
This is an open-label, dose escalation, safety, tolerability and pharmacokinetic study, where active study drug (QPI-1007) will be given to all patients who participate.
This study will determine whether QPI-1007 is safe when it is injected into the eye. The study will also reveal if there are any side effects of the drug and how long it takes for the body to clear the drug.
- Detailed Description
Patients will be enrolled according to one of two sets of criteria designated as Stratum I and Stratum II.
1. Stratum I will enroll Optic Nerve Atrophy patients who meet necessary criteria. Stratum I will consist of a maximum of 6 cohorts and each cohort will enroll 3 to 6 evaluable patients. Enrollment in Stratum I is now closed.
2. Stratum II will enroll patients diagnosed with acute Non Arteritic Anterior Ischemic Optic Neuropathy (NAION) within 28 days of symptom onset who meet necessary criteria. Stratum II will consist of a maximum of 3 cohorts and each cohort will enroll up to 10 evaluable patients. Enrollment in Stratum II is still open.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 48
- "Legally blind" in the study eye as the result of an irreversible condition affecting the posterior segment of the eye.
- Clear ocular media and able to undergo adequate pupil dilation.
- Visual acuity and visual field in the non-study eye are better than or equal to the study eye
- At least 21 years old.
Key Stratum I (Chronic Optic Nerve Atrophy)
- For the study eye only: history of any IVT injection or vitrectomy, vitreous hemorrhage, retinal detachment, or active inflammatory condition (e.g. conjunctivitis).
- For either eye: history of uveitis.
Enrollment is now closed in Stratum I.
Key Stratum II (Acute NAION) Inclusion Criteria:
- Positive diagnosis of NAION with symptom onset within 28 days prior to planned dosing with QPI-1007.
- Visual acuity in the study eye is between 20/40 and light perception.
- Clear ocular media and able to undergo adequate pupil dilation.
- At least 50 years old.
Key Stratum II (Acute NAION) Exclusion Criteria:
- For the study eye only: Macular disease, retinopathy, or other eye disease limiting visual acuity; prior intraocular surgery (other than Lasik) and cataract surgery within 3 months prior to dosing; glaucoma laser surgery within 1 month prior to dosing; pain on or aggravated by eye movement; history of vitreous hemorrhage; history of retinal detachment; any active inflammatory condition (e.g. conjunctivitis); glaucoma or ocular hypertension; or intraocular pressure > 26 mmHg.
- For either eye: History of optic neuritis; or history of uveitis.
- Received any treatment for NAION prior to dosing.
- Any other abnormality which in the opinion of the investigator is suggestive of a disease other than NAION in the study eye only.
- Clinical evidence of temporal arteritis.
- History of collagen vascular disease or other inflammatory disease, or history of multiple sclerosis.
Enrollment in Stratum II is still open.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description QPI-1007 QPI-1007 at various doses -
- Primary Outcome Measures
Name Time Method To determine the safety, tolerability and the dose-limiting toxicities (DLTs) of QPI 1007 when administered as a single intravitreal (IVT) injection. 12 Months Post-injection To assess the pharmacokinetics (PK) of QPI-1007 when administered as a single IVT injection. 12 Months Post-Injection
- Secondary Outcome Measures
Name Time Method To determine the presence of and to describe any anatomical changes in the optic nerve head and retina observed following the administration of a single IVT injection of QPI 1007. 12 Months Post-Injection To assess any changes in visual acuity and visual field observed following the administration of a single IVT injection of QPI-1007. 12 Months Post-Injection
Trial Locations
- Locations (28)
Sarasota Retina Institute
🇺🇸Sarasota, Florida, United States
Western Carolina Retinal Associates
🇺🇸Asheville, North Carolina, United States
University of Pennsylvania, Department of Ophthalmology
🇺🇸Philadelphia, Pennsylvania, United States
Allegheny Ophthalmic and Orbital Associates
🇺🇸Pittsburgh, Pennsylvania, United States
University of Kentucky, Department of Ophthalmology
🇺🇸Lexington, Kentucky, United States
University of Illinois at Chicago, Eye and Ear Infirmary
🇺🇸Chicago, Illinois, United States
New York Eye and Ear Infirmary
🇺🇸New York, New York, United States
Virginia Commonwealth University
🇺🇸Richmond, Virginia, United States
Mason Eye Institute, University of Missouri
🇺🇸Columbia, Missouri, United States
Retina-Vitreous Associates Medical Group
🇺🇸Beverly Hills, California, United States
The Chaim Sheba Medical Center, Dept of Ophthalmology
🇮🇱Tel-Hashomer, Israel
Jules Stein Eye Institute, University of California, Los Angeles
🇺🇸Los Angeles, California, United States
Cole Eye Institute, Cleveland Clinic Foundation
🇺🇸Cleveland, Ohio, United States
Flaum Eye Institute, University of Rochester Medical Center
🇺🇸Rochester, New York, United States
Kaplan Medical Center, Department of Ophthalmology
🇮🇱Rehovot, Israel
Rabin Medical Center, Belinson Campus, Dept of Ophthalmology
🇮🇱Petach Tikva, Israel
The Tel-Aviv Sourasky Medical Center, Dept of Ophthalmology
🇮🇱Tel-Aviv, Israel
Kansas University Medical Center
🇺🇸Kansas City, Kansas, United States
Retinal Consultants of Arizona
🇺🇸Phoenix, Arizona, United States
Bascom Palmer at the University of Miami
🇺🇸Miami, Florida, United States
University of Minnesota, Department of Ophthalmology
🇺🇸Minneapolis, Minnesota, United States
Duke Eye Center, Duke University Medical Center
🇺🇸Durham, North Carolina, United States
John A. Moran Eye Center at the University of Utah
🇺🇸Salt Lake City, Utah, United States
Alkek Eye Center Baylor College of Medicine
🇺🇸Houston, Texas, United States
Charlotte Eye, Ear, Nose and Throat Associates, PA
🇺🇸Charlotte, North Carolina, United States
Soroka University Medical Center, Dept of Ophthalmology
🇮🇱Beer-Sheva, Israel
Bnai Zion Medical Center
🇮🇱Haifa, Israel
Rocky Mountain Multiple Sclerosis Center at Anschutz Medical Campus, University of Colorado
🇺🇸Aurora, Colorado, United States