A Study to Evaluate THR-149 Treatment for Diabetic Macular Oedema

NCT ID: NCT04527107

Last Updated: 2023-11-27

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

PHASE2

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-31

Study Completion Date

2023-11-22

Brief Summary

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Part A of the study is conducted to select the THR-149 dose level.

Part B of the study is conducted to assess the efficacy and safety of the selected dose level compared to aflibercept, up to Month 3. As from Month 3, in about half of the subjects, the effect of a single flip-over injection (aflibercept or THR-149) will be evaluated when administered 1 month after the 3 monthly injections of THR-149 or aflibercept. In the other subjects, the durability of 3 monthly injections of THR 149 or aflibercept will be evaluated.

Detailed Description

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Conditions

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Diabetes Mellitus Diabetic Retinopathy Diabetic Macular Edema

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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THR-149 dose level 1

Group Type EXPERIMENTAL

THR-149 dose level 1

Intervention Type DRUG

3 intravitreal injections of THR-149 dose level 1, 1 month apart

THR-149 dose level 2

Group Type EXPERIMENTAL

THR-149 dose level 2

Intervention Type DRUG

3 intravitreal injections of THR-149 dose level 2, 1 month apart

THR-149 dose level 3

Group Type EXPERIMENTAL

THR-149 dose level 3

Intervention Type DRUG

3 intravitreal injections of THR-149 dose level 3, 1 month apart

THR-149 + sham

Group Type EXPERIMENTAL

THR-149 0.13mg

Intervention Type DRUG

3 intravitreal injections of THR-149 0.13mg (selected dose level), 1 month apart, followed after 1 month by a sham (pretend) injection

THR-149 + aflibercept flip-over

Group Type EXPERIMENTAL

THR-149 0.13mg + aflibercept 2mg

Intervention Type DRUG

3 intravitreal injections of THR-149 0.13mg (selected dose level), 1 month apart, followed after 1 month by an intravitreal injection of aflibercept 2mg

Aflibercept + THR-149 flip-over

Group Type ACTIVE_COMPARATOR

aflibercept 2mg + THR-149 0.13mg

Intervention Type DRUG

3 intravitreal injections of aflibercept 2mg, 1 month apart, followed after 1 month by an intravitreal injection of THR-149 0.13mg (selected dose level)

Aflibercept + sham

Group Type ACTIVE_COMPARATOR

Aflibercept 2mg

Intervention Type DRUG

3 intravitreal injections of aflibercept 2mg, 1 month apart, followed after 1 month by a sham (pretend) injection

Interventions

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THR-149 dose level 1

3 intravitreal injections of THR-149 dose level 1, 1 month apart

Intervention Type DRUG

THR-149 dose level 2

3 intravitreal injections of THR-149 dose level 2, 1 month apart

Intervention Type DRUG

THR-149 dose level 3

3 intravitreal injections of THR-149 dose level 3, 1 month apart

Intervention Type DRUG

THR-149 0.13mg

3 intravitreal injections of THR-149 0.13mg (selected dose level), 1 month apart, followed after 1 month by a sham (pretend) injection

Intervention Type DRUG

THR-149 0.13mg + aflibercept 2mg

3 intravitreal injections of THR-149 0.13mg (selected dose level), 1 month apart, followed after 1 month by an intravitreal injection of aflibercept 2mg

Intervention Type DRUG

aflibercept 2mg + THR-149 0.13mg

3 intravitreal injections of aflibercept 2mg, 1 month apart, followed after 1 month by an intravitreal injection of THR-149 0.13mg (selected dose level)

Intervention Type DRUG

Aflibercept 2mg

3 intravitreal injections of aflibercept 2mg, 1 month apart, followed after 1 month by a sham (pretend) injection

Intervention Type DRUG

Eligibility Criteria

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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 ≤ 73 and ≥ 39 in the study eye (for subjects in Part A); BCVA ETDRS letter score ≤ 73 and ≥ 24 in the study eye (for subjects in Part B)
* Central involved DME (CI-DME) with CST of ≥ 320µm in men or ≥ 305µm in women, on spectral domain optical coherence tomography (SD-OCT), in the study eye
* Received ≥ 5 anti-vascular endothelial growth factor (anti-VEGF) injections for the treatment of CI-DME
* 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 central-involved DME, that could require medical or surgical intervention during the study period or could confound interpretation of the results
* Any condition that could confound the ability to detect the efficacy of the investigational medicinal product
* Previous confounding medications / interventions, or their planned administration
* Presence of neovascularisation at the disc in the study eye
* Presence of iris neovascularisation in the study eye
* Uncontrolled glaucoma in the study eye
* Any active or suspected ocular or periocular infection, or active intraocular inflammation, in either eye
* Untreated Diabetes Mellitus
* Glycated haemoglobin A (HbA1c) \> 12%
* Uncontrolled hypertension
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oxurion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Department

Role: STUDY_DIRECTOR

Oxurion

Locations

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Retinal Research Institute, LLC

Phoenix, Arizona, United States

Site Status

Retina Associates

Tucson, Arizona, United States

Site Status

Retina-Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

Salehi Retina Institute Inc.

Huntington Beach, California, United States

Site Status

Northern California Retina Vitreous Associates Medical Group, Inc.

Mountain View, California, United States

Site Status

California Retina Consultants

Oxnard, California, United States

Site Status

Retina Consultants San Diego

Poway, California, United States

Site Status

Retinal Consultants Medical Group

Sacramento, California, United States

Site Status

Retina Consultants of Southern Colorado, P.C.

Colorado Springs, Colorado, United States

Site Status

Blue Ocean Clinical Research

Clearwater, Florida, United States

Site Status

Fort Lauderdale Eye Institute

Plantation, Florida, United States

Site Status

MedEye Associates

South Miami, Florida, United States

Site Status

Center for Retina and Macular Disease

Winter Haven, Florida, United States

Site Status

Southeast Retina Center

Augusta, Georgia, United States

Site Status

Marietta Eye Clinic

Marietta, Georgia, United States

Site Status

University Retina and Macula Associates, PC

Oak Forest, Illinois, United States

Site Status

Cumberland Valley Retina Consultants

Hagerstown, Maryland, United States

Site Status

Joslin Diabetes Center

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Sierra Eye Associates

Reno, Nevada, United States

Site Status

Retina-Vitreous Surgeons of Central New York, PC

Liverpool, New York, United States

Site Status

Cincinnati Eye Institute

Cincinnati, Ohio, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Retina Associates of Cleveland, Inc

Cleveland, Ohio, United States

Site Status

Sterling Vision, P.C. dba Oregon Retina

Eugene, Oregon, United States

Site Status

Tenneesse Retina

Nashville, Tennessee, United States

Site Status

Retina Research Institute of Texas

Abilene, Texas, United States

Site Status

Austin Research Center for Retina

Austin, Texas, United States

Site Status

Austin Retina Associates

Austin, Texas, United States

Site Status

Retina Research Center, PLLC

Austin, Texas, United States

Site Status

Texas Retina Associates

Dallas, Texas, United States

Site Status

Houston Eye Associates

Houston, Texas, United States

Site Status

Retina Consultants of Houston, PA

Houston, Texas, United States

Site Status

Valley Retina Institute, PA

McAllen, Texas, United States

Site Status

Medical Center Ophthalmology Associates

San Antonio, Texas, United States

Site Status

Retina Associates of South Texas, P.A.

San Antonio, Texas, United States

Site Status

Retina Consultants of Texas

San Antonio, Texas, United States

Site Status

Retina Associates of Utah

Salt Lake City, Utah, United States

Site Status

Piedmont Eye Center

Lynchburg, Virginia, United States

Site Status

Wagner Macula & Retina Center

Norfolk, Virginia, United States

Site Status

WVU Eye Institute

Morgantown, West Virginia, United States

Site Status

Všeobecná fakultní nemocnice v Praze

Prague, , Czechia

Site Status

Centre Hospitalier Intercommunal de Créteil

Créteil, , France

Site Status

CHU de Dijon

Dijon, , France

Site Status

Hôpital de la Croix Rousse

Lyon, , France

Site Status

Centre Paradis Monticelli

Marseille, , France

Site Status

Fondation Rothschild

Paris, , France

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, , Germany

Site Status

Internationale Innovative Ophthalmochirurgie

Düsseldorf, , Germany

Site Status

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Site Status

Universitätsmedizin Göttingen

Göttingen, , Germany

Site Status

Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status

Universitätsklinikum Regensburg

Regensburg, , Germany

Site Status

IRCCS Ospedale San Raffaele

Milan, , Italy

Site Status

IRCCS Fondazione G.B. Bietti

Roma, , Italy

Site Status

Azienda Sanitaria Universitaria Friuli Centrale

Udine, , Italy

Site Status

Fakultná nemocnica s poliklinikou Žilina

Žilina, , Slovakia

Site Status

Hospital de la Esperanza

Barcelona, , Spain

Site Status

Hospital Universitari de Bellvitge

Barcelona, , Spain

Site Status

Hospital General de Catalunya

Barcelona, , Spain

Site Status

Hospital Dos de Maig

Barcelona, , Spain

Site Status

Instituto Clínico Quirúrgico de Oftalmología

Bilbao, , Spain

Site Status

METAVISIÓN ARRUZAFA, S.L.Clínica de Oftalmología de Córdoba S.L. (Hospital La Arruzafa)

Córdoba, , Spain

Site Status

Hospital Universitario Puerta de Hierro Majadahonda

Madrid, , Spain

Site Status

Instituto Oftalmológico Gómez-Ulla

Santiago de Compostela, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Fundación de Oftalmología Médica de la Comunitat Valenciana

Valencia, , Spain

Site Status

Hospital Universitario Rio Hortega

Valladolid, , Spain

Site Status

Hospital Clínico Universitario Lozano Blesa

Zaragoza, , Spain

Site Status

University Hospitals Bristol NHS Foundation Trust

Bristol, , United Kingdom

Site Status

Kent and Canterbury Hospital

Canterbury, , United Kingdom

Site Status

Frimley Health NHS Foundation Trust

Frimley, , United Kingdom

Site Status

Moorfields Eye Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

London North West University Healthcare NHS Trust

London, , United Kingdom

Site Status

King's College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

South Tyneside and Sunderland NHS Foundation Trust

Sunderland, , United Kingdom

Site Status

Mid and South Essex NHS Foundation Trust

Westcliff-on-Sea, , United Kingdom

Site Status

Countries

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United States Czechia France Germany Italy Slovakia Spain United Kingdom

Other Identifiers

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2019-001506-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

THR-149-002

Identifier Type: -

Identifier Source: org_study_id