Evaluation of RC28-E Injection in Diabetic Macular Edema

NCT ID: NCT04782115

Last Updated: 2023-12-18

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

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-17

Study Completion Date

2023-07-31

Brief Summary

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This is a non-randomized, open-label, multicenter, 48-week study to investigate the efficacy, safety and pharmacokinetics of RC28-E injection in the treatment of patients with diabetic macular edema.

Detailed Description

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Conditions

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Diabetic Macular Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1.0mg RC28-E injection Q8

In the loading phase (from week 0 to week 8), the study eye will receive intravitreal injection of 1.0 mg RC28-E every 4 weeks, for 3 consecutive times; From then on to the 48th week, the patients were visited every 4 weeks and given medicine every 8 weeks.

Group Type EXPERIMENTAL

intravitreal injection of RC28-E

Intervention Type BIOLOGICAL

a chimric decoy receptor trap fusion protein by dual blockage of VEGF and FGF

1.0mg RC28-E injection as needed

In the loading phase (from week 0 to week 16), the study eye will receive intravitreal injection of 1.0mg RC28-E every 4 weeks, for 5 consecutive times;In the as needed (pro re nata,PRN)phase (from then on to week 48), the study eye will receive the same dose on an PRN schedule based upon the physician assessment in accordance with pre-specified criteria.

Group Type EXPERIMENTAL

intravitreal injection of RC28-E

Intervention Type BIOLOGICAL

a chimric decoy receptor trap fusion protein by dual blockage of VEGF and FGF

2.0mg RC28-E injection Q8

In the loading phase (from week 0 to week 8), the study eye will receive intravitreal injection of 2.0mg RC28-E every 4 weeks, for 3 consecutive times; From then on to the 48th week, the patients were visited every 4 weeks and given medicine every 8 weeks.

Group Type EXPERIMENTAL

intravitreal injection of RC28-E

Intervention Type BIOLOGICAL

a chimric decoy receptor trap fusion protein by dual blockage of VEGF and FGF

2.0mg RC28-E injection as needed

In the loading phase (from week 0 to week 16), the study eye will receive intravitreal injection of 2.0mg RC28-E every 4 weeks, for 5 consecutive times;In the as needed (pro re nata,PRN)phase (from then on to week 48), the study eye will receive the same dose on an PRN schedule based upon the physician assessment in accordance with pre-specified criteria.

Group Type EXPERIMENTAL

intravitreal injection of RC28-E

Intervention Type BIOLOGICAL

a chimric decoy receptor trap fusion protein by dual blockage of VEGF and FGF

control group

In the loading phase (from week 0 to week 8), the study eye will receive intravitreal injection of Conbercept every 4 weeks, for 3 consecutive times;In the as needed (pro re nata,PRN)phase (from then on to week 48), the study eye will receive the same dose on an PRN schedule based upon the physician assessment in accordance with pre-specified criteria.

Group Type EXPERIMENTAL

Conbercept

Intervention Type BIOLOGICAL

KH902(Conbercept)

Interventions

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intravitreal injection of RC28-E

a chimric decoy receptor trap fusion protein by dual blockage of VEGF and FGF

Intervention Type BIOLOGICAL

Conbercept

KH902(Conbercept)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Sign the consent form, willing and able to comply with clinic visits and study-related procedures;
* Aged 18 years to 80 years, male or female;
* Diabetes mellitus(type 1 or 2);
* The study eye must followed:

1. Retinal thickening secondary to diabetes mellitus (DME) involving the center of the fovea; Decrease in vision determined to be primarily the result of DME and not to other causes.
2. BCVA score in the study eye of 73 to 24 using the ETDRS protocol at an initial testing distance of 4 meters.
3. The central subfield thickness ≥300μm in the center subfield as assessed on OCT by the reading center;
* If both eyes meet the inclusion criterion, one eye with poor BCVA is selected as the study eye; the researchers judged that the fellow eye should not be treated with other anti-VEGF drugs recently.

Exclusion Criteria

* The macular edema caused by others instead of diabetes mellitus;
* Structural damage to the center of the macula in the study eye that is likely to preclude improvement in BCVA following the resolution of macular edema including atrophy of the retinal pigment epithelium, subretinal fibrosis or scar, significant macular ischemia or organized hard exudates;
* Current iris neovascularization, vitreous hemorrhage, tractional retinal detachment or epiretinal membrane involving the macula in the study eye;
* Only one functional eye even if that eye is otherwise eligible for the study;
* Evidence of periocular or intraocular inflammation or infection including infectious blepharitis, keratitis, scleritis, conjunctivitis, endophthalmitis or uveitis at screening assessment in either eye;
* Previous treatment with anti-angiogenic drugs in either eye or system (ranibizumab, aflibercept, conbercept, etc) within 3 months of the Day 0;
* History of cardiovascular and cerebrovascular events within 6 months of screening visit: myocardial infarction, unstable angina pectoris, ventricular arrhythmias, New York heart association grade II + heart failure, stroke, etc.;
* Uncontrolled clinical disease (such as severe psychiatric, neurological, cardiovascular, respiratory disease or other systemic diseases) and tumors;
* Those who participated in clinical trials for 3 months or 5 half-lives of the investigational product (the longer the time) before the baseline period;
* Those who considered unsuitable for enrollment by investigator.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RemeGen Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Aier Intech Eye Hospital

Beijing, Beijing Municipality, China

Site Status

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status

Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

The Second Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Zhongshan Ophthalmic Center of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Huizhou Central People's Hospital

Huizhou, Guangdong, China

Site Status

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status

The First People's Hospital of Zunyi

Zunyi, Guizhou, China

Site Status

CNPC Central Hospital

Langfang, Hebei, China

Site Status

Hebei Eye Hospital

Xingtai, Hebei, China

Site Status

The First Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Site Status

Henan Provincial Eye Hospital

Zhengzhou, Henan, China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Zhengzhou Second Hospital

Zhengzhou, Henan, China

Site Status

Renmin Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status

The Affiliated Hospital of Inner Mongolia Medical University

Hohhot, Inner Mongolia, China

Site Status

The Affiliated Eye Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

Site Status

The Affiliated Eye Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

The Second Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shenyang He Eye Specialist Hospital

Shenyang, Liaoning, China

Site Status

The Fourth People's Hospital of Shenyang

Shenyang, Liaoning, China

Site Status

People's Hospital of Ningxia Hui Autonomous Region

Yinchuan, Ningxia, China

Site Status

Weifang Eye Hospital

Weifang, Shandong, China

Site Status

Yantai Yuhuangding Hospital

Yantai, Shandong, China

Site Status

Shanxi Eye Hospital

Taiyuan, Shanxi, China

Site Status

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

West China Hospital of Sichuan University

Chengdu, Sichuan, China

Site Status

Ruian People's Hospital

Rui’an, Zhejiang, China

Site Status

Countries

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China

References

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Zhang W, Cheng S, Gu X, Liu X, Dai H, Zhuang W, Sun B, Gao L, Sun X, Zhang M, Song Z, Wang W, Li L, Chen H, Fang J, Chen Y. Simultaneous inhibition of fibroblast growth factor-2 and vascular endothelial growth factor-a with RC28-E in diabetic macular edema: a phase 2 randomised trial. Br J Ophthalmol. 2025 Jun 23;109(7):784-790. doi: 10.1136/bjo-2024-326006.

Reference Type DERIVED
PMID: 40122579 (View on PubMed)

Other Identifiers

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28C002

Identifier Type: -

Identifier Source: org_study_id

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