Study of ANX007 in Participants With Primary Open-angle Glaucoma

NCT ID: NCT04188015

Last Updated: 2020-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-25

Study Completion Date

2019-06-03

Brief Summary

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This is a double-masked, randomized, sham-controlled study evaluating two dose levels of ANX007 vs sham, administered as repeat Intravitreal (IVT) injections in patients with Primary Open-angle Glaucoma.

Detailed Description

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This is a phase 1b, double-masked, sham-controlled study evaluating 2 dose levels of ANX007 administered as 2 IVT injections separated by 4 weeks. Approximately 15-29 subjects will be enrolled. An interim analysis of the initial set of 15 participants may be conducted. Based on this analysis, an additional 10-14 participants may be enrolled at a 1:1 ratio to receive one of the two dose levels.

The primary objective is to evaluate the safety and tolerability of repeat IVT injections of ANX007 in participants with primary open-angle glaucoma. Secondary objectives are to evaluate the anterior chamber fluid pharmacokinetics (PK) of ANX007, PD effect of ANX007 on anterior chamber fluid C1q activity, and immunogenicity. An exploratory objective will evaluate ocular PD effect of ANX007.

Conditions

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Open Angle Glaucoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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2.5mg ANX007

1 in every 3 subjects will be randomized to 2.5mg dose of ANX007.

Group Type EXPERIMENTAL

2.5mg ANX007

Intervention Type BIOLOGICAL

A single dose of 2.5mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.

5.0mg ANX007

1 in every 3 subjects will be randomized to 5.0mg dose of ANX007.

Group Type EXPERIMENTAL

5.0mg ANX007

Intervention Type BIOLOGICAL

A single dose of 5.0mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.

Sham Procedure

1 in every 3 subjects will have a sham procedure performed instead of receiving ANX007.

Group Type SHAM_COMPARATOR

Sham Procedure

Intervention Type OTHER

The sham injection is preformed by applying pressure to the eye at the location of a typical IVT injection using the blunt end of a syringe without a needle.

Interventions

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2.5mg ANX007

A single dose of 2.5mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.

Intervention Type BIOLOGICAL

5.0mg ANX007

A single dose of 5.0mg ANX007 will be administered via IVT injection into the study eye at Day 1 and Day 29.

Intervention Type BIOLOGICAL

Sham Procedure

The sham injection is preformed by applying pressure to the eye at the location of a typical IVT injection using the blunt end of a syringe without a needle.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Male or female age 18 years, and above.
2. Diagnosis of primary open-angle glaucoma.
3. Ability to perform a reliable visual field test in the study eye with a cutoff of 33% for fixation losses and 33% for false-positive response rates.
4. Intraocular pressure (IOP) \<21 mm Hg at screening and Day 1.
5. The IOP treatment regimen in the study eye should be stable for at least 4 weeks prior to injection, with no change in the IOP treatment regimen anticipated throughout study participation.
6. Ability to comply with the requirements of the study and complete the full sequence of protocol specified injections, procedures, and evaluations.

Exclusion Criteria

1. Extensive glaucomatous visual-field damage with a mean deviation worse than -18 dB on Humphrey visual field testing.
2. Any current or prior ocular pathology, other than glaucoma, which could interfere with the conduct of the study including, but not limited to, retinal or optic nerve disease and media opacity in the study eye.
3. History of intraocular inflammatory or infectious eye disease in the study eye.
4. Ocular trauma in the study eye within the preceding 6 months.
5. A history of uncomplicated cataract surgery less than 3 months prior to injection, or trabeculectomy, iridotomy, or other ocular procedures in the study eye that could affect drug distribution and excretion.
6. Any abnormality preventing reliable tonometry in the study eye.
7. Concurrent use of glucocorticoid medications administered by any ocular or systemic route. Nasal, inhaled, and dermatologic (if not administered around the eyes) glucocorticoids are permitted.
8. Receiving monoamine oxidase inhibitor therapy or patient-reported hypersensitivity to any component of apraclonidine, brimonidine, clonidine, phenylephrine, povidone iodine, proparacaine, or ANX007.
9. Active or history of malignancy within the past 5 years with the exception of curatively treated, basal cell carcinoma.
10. Previous treatment with another humanized monoclonal antibody, Fab or Fab'2.
11. History of any autoimmune or neurologic disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Annexon, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric Humphriss

Role: STUDY_DIRECTOR

Annexon Biosciences

Locations

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Eye Research Foundation

Newport Beach, California, United States

Site Status

Stanford Health Care

Stanford, California, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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ANX007-GLA-02

Identifier Type: -

Identifier Source: org_study_id

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