A Phase 1b Study of ONL1204 Ophthalmic Solution in Patients with Progressing Open Angle Glaucoma

NCT ID: NCT05160805

Last Updated: 2024-10-29

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

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-02

Study Completion Date

2024-04-09

Brief Summary

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The purpose of this study is to demonstrate the safety and tolerability of ONL1204 Ophthalmic Solution in patients with progressing open angle glaucoma.

ONL1204 Ophthalmic Solution is a first-in-class inhibitor of fragment apoptosis stimulator (Fas) receptor-mediated cell death that has demonstrated protection of multiple retinal cell types in numerous preclinical models of retinal disease. Apoptosis of retinal ganglion cells is associated with progressive glaucoma. Nonclinical data on ONL1204 Ophthalmic Solution suggest that ONL1204 Ophthalmic Solution may inhibit the cell death pathways in these cells.

Detailed Description

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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

SINGLE

Participants

Study Groups

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Treatment Group A

ONL1204 Ophthalmic solution (Dose A) administered by intravitreal injection

Group Type EXPERIMENTAL

ONL1204 Ophthalmic solution (Dose A)

Intervention Type DRUG

Liquid formulation administered by intravitreal (IVT) injection

Treatment Group B

ONL1204 Ophthalmic solution (Dose B) administered by intravitreal injection

Group Type EXPERIMENTAL

ONL1204 Ophthalmic solution (Dose B)

Intervention Type DRUG

Liquid formulation administered by intravitreal (IVT) injection

Treatment Group C

Sham procedure without penetrating the eye

Group Type SHAM_COMPARATOR

Sham procedure

Intervention Type PROCEDURE

A sham procedure looks like a real injection into the eye but does not penetrate the eye and it does not have any study drug. The procedure is done by touching the eye surface with a syringe without a needle.

Interventions

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ONL1204 Ophthalmic solution (Dose A)

Liquid formulation administered by intravitreal (IVT) injection

Intervention Type DRUG

ONL1204 Ophthalmic solution (Dose B)

Liquid formulation administered by intravitreal (IVT) injection

Intervention Type DRUG

Sham procedure

A sham procedure looks like a real injection into the eye but does not penetrate the eye and it does not have any study drug. The procedure is done by touching the eye surface with a syringe without a needle.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Males and females aged ≥18 years old
2. Able and willing to give informed consent and attend study visits
3. Controlled intraocular pressure (IOP) (≤21 mmHg) in both eyes for all previous 3 visits before Screening and at Screening in both eyes
4. Prior to screening, 3 or more Humphrey Visual Field (HVF) tests (with acceptable reliability standards) or 3 or more Optical Coherence Tomography (OCT) studies of the study eye on record
5. Open angle glaucoma that is progressing in the study eye
6. HVF 24-2 at Screening with acceptable reliability standards and MD scores

Exclusion Criteria

Considerations for either eye

1. Best Corrected Visual Acuity (BCVA) at Screening of ≤64 letters (Snellen equivalent of worse than 20/50)
2. Severe open angle glaucoma
3. Glaucoma due to non-open angle causes
4. Worse than mild non-proliferative diabetic retinopathy

Considerations for study eye:
5. Visual field results suggestive of another disease (eg, altitudinal field defect)
6. Evidence of macular edema based on OCT imaging and Investigator's judgement
7. Previous intravitreal (IVT) injections, history of retinal surgery, history of retinal laser
8. Cataract surgery within 3 months of Screening or yttrium-aluminum-garnet capsulotomy (YAG) within 4 weeks of Screening
9. Anticipated need for surgical or procedural intervention for glaucoma, cataract, posterior capsular opacity, refractive error, or retinal conditions during the study

10. The requirement for oral carbonic anhydrase inhibitors to control intraocular pressure
11. Severe, unstable, or uncontrolled cardiovascular, diabetic, renal, or pulmonary disease, based on Investigator's judgement
12. Systolic blood pressure \>180 mmHg or diastolic blood pressure \>110 mmHg
13. Women who are pregnant, breastfeeding, or contemplating pregnancy during the study period and men who are contemplating contributing sperm for a biologic child during the study period
14. Participation in other ophthalmic clinical trials or use of any other investigational drugs or devices in either eye or systemically for 3 months before Screening (Visit 1)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ONL Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Albury Eye Clinic Wodonga

Albury, New South Wales, Australia

Site Status

Sydney Eye Surgeons

Hurstville, New South Wales, Australia

Site Status

PersonalEYES

Parramatta, New South Wales, Australia

Site Status

Eye Associates

Sydney, New South Wales, Australia

Site Status

Armadale Eye Clinic

Armadale, Victoria, Australia

Site Status

Melbourne Eye Specialists

Fitzroy, Victoria, Australia

Site Status

North West Eye Specialists

Gladstone Park, Victoria, Australia

Site Status

Centre for Eye Research Australia (CERA)

Melbourne, Victoria, Australia

Site Status

Waverely Eye Clinic

Waverley, Victoria, Australia

Site Status

Eye Institute Limited

Remuera, Auckland, New Zealand

Site Status

Capital Eye Specialists

Wellington, Wellington Region, New Zealand

Site Status

Countries

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Australia New Zealand

Related Links

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https://www.onltherapeutics.com/clinical-trials/

ONL Therapeutics corporate website

Other Identifiers

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ONL1204-OAG-001

Identifier Type: -

Identifier Source: org_study_id

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