A Phase 2 Study to Assess the Safety and Efficacy of Intravitreal ONL1204 Ophthalmic Solution in Subjects With Mac-off Retinal Detachment

NCT ID: NCT05730218

Last Updated: 2024-02-29

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

PHASE2

Total Enrollment

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-04

Study Completion Date

2024-02-21

Brief Summary

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The goal of this Phase 2 clinical trial is to learn about ONL1204 Ophthalmic Solution in terms of safety and how well the drug works in patients that have a macula-off (central point of vision) rhegmatogenous retinal detachment (RRD). The main questions it aims to answer are:

* Does ONL1204 improve vision in macula-off RRD patients when used before retinal detachment repair surgery compared to patients that have surgery alone?
* Is ONL1204 safe to use as an add-on drug before retinal repair surgery?

Researchers will observe patients that receive two different dosages of ONL1204 Ophthalmic Solution (50 µg or 200 µg) compared to current standard therapy (no treatment) to see if there are differences in vision and safety outcomes.

Detailed Description

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Conditions

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Rhegmatogenous Retinal Detachment - Macula Off

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

Intervention Type DRUG

ONL1204 Ophthalmic Solution at one of two doses delivered via intravitreal injection

Treatment Group B

ONL1204 Ophthalmic Solution Dose B administered by intravitreal injection

Group Type EXPERIMENTAL

ONL1204 Ophthalmic Solution

Intervention Type DRUG

ONL1204 Ophthalmic Solution at one of two doses delivered via intravitreal injection

Treatment Group C

Sham injection is performed by touching the eye surface with a syringe without a needle

Group Type SHAM_COMPARATOR

Sham treatment

Intervention Type DRUG

Sham injection is performed by touching the eye surface with a syringe without a needle

Interventions

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ONL1204 Ophthalmic Solution

ONL1204 Ophthalmic Solution at one of two doses delivered via intravitreal injection

Intervention Type DRUG

Sham treatment

Sham injection is performed by touching the eye surface with a syringe without a needle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adult subject, ≥18 years old at the time of informed consent
2. Able and willing to give informed consent and comply with all study visits and procedures
3. Presentation with macula-off RRD with a duration ≥24 hours up to 14 days from time of central visual decline to the Baseline (Visit 2) visit, inclusive (based on subject reported date of loss of central vision) in the Study Eye (SE)
4. Visual acuity with subject's current corrective lenses or pinhole of 20/100 (line scoring) on the Snellen or ETDRS chart to light perception (LP) in the SE
5. Visual acuity with subject's current corrective lenses or pinhole of 20/200 (line scoring) or better in the fellow eye
6. Determination by Investigator of macula-off status by clinical examination with confirmation by SD-OCT or B-scan ultrasound, if available.
7. SOC retinal reattachment surgery by means of a pars plana vitrectomy (with or without scleral buckle) is indicated
8. In the opinion of the Investigator, can safely undergo the IVT injection procedure at Baseline (Visit 2)
9. Surgical repair scheduled or anticipated to take place \>12 hours after IVT injection or sham (Visit 2) and ≤10 days from Screening (Visit 1)

Exclusion Criteria

1. Presence of a complex retinal detachment (RD) in the SE, identified by one or more of the following:

1. Giant retinal tear, defined as retinal break ≥3 clock hours in extent
2. Proliferative vitreoretinopathy grade C1 or worse on the Retina Society Terminology Committee Classification System
3. Presence of tractional detachments as seen in proliferative retinopathies
4. RRD in the setting of open- or closed-globe trauma
5. RRD following endophthalmitis or infectious retinitis
6. Similarly complex RD as determined by the Investigator
2. Use of silicone oil tamponade in the primary RD repair without planned removal by end of study
4. Presence of ocular or periocular infection or intraocular inflammation in either eye
5. Uncontrolled glaucoma, as defined by an IOP \>36 mmHg in either eye, at Screening
6. Any other significant ocular disease in the SE that, in the opinion of the Investigator, would preclude a postoperative (post-op) visual acuity of at least 20/30
7. History of previous ocular surgery in the SE for RD (excluding only barrier laser), endophthalmitis, glaucoma tube shunts, trabeculectomy, or ocular trauma
8. Any systemic condition or ocular condition in either eye that, in the opinion of the Investigator, makes the subject unsuitable for treatment with an investigational agent or that would compromise the safety and tolerability of assessments in the trial
9. History of and/or active:

1. Autoimmune disease in active flare (i.e., not well controlled on current medications) with ocular involvement that, in the opinion of the Investigator, would impact ability to participate in the trial and/or alter the outcome of retinal reattachment surgery
2. Ocular malignancy
3. Proliferative diabetic retinopathy or diabetic macular edema or uveitis
10. Currently participating in other clinical trials or use of any other investigational drugs or devices within 12 weeks prior to Visit 1
11. Females who are pregnant or lactating, and women of childbearing potential (WOCBP) or men with female partners of childbearing potential who are not using at least one adequate contraceptive precaution (e.g., intrauterine device, oral contraceptive, barrier method, or other contraception deemed adequate by the Investigator)
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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Associated Retina Consultants

Phoenix, Arizona, United States

Site Status

Retina Associates SW PC

Tucson, Arizona, United States

Site Status

Win Retina

Arcadia, California, United States

Site Status

Global Research Management, Inc.

Glendale, California, United States

Site Status

Salehi Retina Institute, Inc.

Huntington Beach, California, United States

Site Status

Florida Retina Institute

Jacksonville, Florida, United States

Site Status

Florida Retina Consultants

Lakeland, Florida, United States

Site Status

Retina Specialty Institute

Pensacola, Florida, United States

Site Status

Sarasota Retina Institute

Sarasota, Florida, United States

Site Status

Retina Vitreous Associates of Florida

St. Petersburg, Florida, United States

Site Status

Retina Specialists of Tampa

Wesley Chapel, Florida, United States

Site Status

Marietta Eye Clinic

Marietta, Georgia, United States

Site Status

Retina Associates, Ltd.

Elmhurst, Illinois, United States

Site Status

Retina Associates, Ltd

Elmhurst, Illinois, United States

Site Status

Midwest Eye Institute

Carmel, Indiana, United States

Site Status

Cumberland Valley Retina Consultants

Hagerstown, Maryland, United States

Site Status

University of Michigan Kellogg Eye Center

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

The Retina Institute

St Louis, Missouri, United States

Site Status

Retina Vitreous Surgeons of CNY, PC

Liverpool, New York, United States

Site Status

Retina Associates of Western NY, PC

Rochester, New York, United States

Site Status

Velocity Clinical Research, Inc.

Cincinnati, Ohio, United States

Site Status

Oregon Health & Science University - Casey Eye Institute

Portland, Oregon, United States

Site Status

Erie Retina Research, LLC

Erie, Pennsylvania, United States

Site Status

Charleston Neuroscience Institute

Ladson, South Carolina, United States

Site Status

Palmetto Retina Center, LLC

West Columbia, South Carolina, United States

Site Status

Opthalmology Ltd

Sioux Falls, South Dakota, United States

Site Status

Southeastern Retina Associates

Chattanooga, Tennessee, United States

Site Status

Charles Retina Institute

Germantown, 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

Retina Consultants of Texas

Beaumont, Texas, United States

Site Status

Valley Retina Institute, P.A.

McAllen, Texas, United States

Site Status

San Antonio Eye Center

San Antonio, Texas, United States

Site Status

Retina Consultants of Texas

The Woodlands, Texas, United States

Site Status

Retina Center NW, PLLC

Silverdale, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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ONL1204-RRD-002

Identifier Type: -

Identifier Source: org_study_id

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