Assess the Efficacy and Safety of Repeat Intravitreal Injections of Foselutoclax (UBX1325) in Patients With DME (ASPIRE)

NCT ID: NCT06011798

Last Updated: 2025-08-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-23

Study Completion Date

2025-04-08

Brief Summary

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The goal of this clinical trial is to assess the efficacy and safety of multiple doses of foselutoclax (UBX1325) in patients with Diabetic Macular Edema. The main questions the study aims to answer are:

* Assess the efficacy of foselutoclax compared to aflibercept
* Assess the safety and tolerability of foselutoclax

Detailed Description

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This study is intended to assess the efficacy and safety of foselutoclax, a phosphate pro-drug, and its active parent molecule (UBX0601, a BCL-xL inhibitor) following repeat intravitreal (IVT) injections of foselutoclax in patients with Diabetic Macular Edema (DME).

Approximately 50 patients will be enrolled and randomized 1:1 into either the foselutoclax arm,10 μg given 8 weeks apart, or the control arm of aflibercept, 2 mg every 8 weeks in order to assess the primary objective. All patients will be followed for approximately 36 weeks.

The injector will be unmasked but the evaluator will remain masked throughout the study.

This study will enroll participants ≥18 years of age with active DME disease despite treatment, with best corrected visual acuity (BCVA) between 70 to 30 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (equivalent to 20/40 to 20/250 on the Snellen chart). Once patients meet inclusion/exclusion criteria, patients will receive 3 run-in injections of aflibercept approximately 4 weeks apart, with the last aflibercept injection 4-6 weeks prior to Day 1.

Conditions

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Diabetic Macular Edema Retinal Disease Macular Edema Diabetes Mellitus Diabetic Retinopathy Retinal Degeneration Retinal Diseases Eye Diseases Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Anti-VEGF control arm

Prior to randomization, participants will receive 3 IVT injections of aflibercept over 4-week intervals. Upon randomization, participants will receive 2 mg aflibercept (50 μl of 40 μg/μl solution) IVT on Day 1, Weeks 8, and 16. A sham procedure will also be administered on Day 1.

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

Anti-VEGF control

foselutoclax arm

Prior to randomization, participants will receive 3 IVT injections of aflibercept over 4-week intervals. Upon randomization, participants will receive 10 μg foselutoclax (50 μl of 0.2 μg/μl solution) IVT on Day 1 and Weeks 8 and 16. 2 mg aflibercept (50 μl of 40 μg/μl solution) will also be administered on Day 1.

Group Type EXPERIMENTAL

Aflibercept

Intervention Type DRUG

Anti-VEGF control

foselutoclax

Intervention Type DRUG

Experimental drug

Interventions

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Aflibercept

Anti-VEGF control

Intervention Type DRUG

foselutoclax

Experimental drug

Intervention Type DRUG

Other Intervention Names

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UBX1325

Eligibility Criteria

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Inclusion Criteria

* Patients aged ≥18 years.
* Patients with nonproliferative DR and DME
* Center-involved DME with Central Subfield Thickness (CST) ≥325-900 μm
* BCVA in the SE (most affected) of 70 to 30 ETDRS letters (equivalent to 20/40 to 20/250 on the Snellen chart)

Exclusion Criteria

* Concurrent disease in the study eye (SE) or structural damage, other than DME, that could compromise BCVA, prevent BCVA improvement, require medical or surgical intervention during the study period, confound interpretation of the results, or interfere with assessment of toxicity or Color Fundus Photography (CFP) in the SE.
* Significant media opacities, including cataract, or posterior capsule opacification, which might interfere with VA, assessment of toxicity, or fundus imaging in either eye.
* Any medical condition that is uncontrolled and may prevent participation in this study, as determined by the Investigator or disqualify individuals from enrollment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Unity Biotechnology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Bhisitkul, MD, Ph.D.

Role: STUDY_DIRECTOR

Unity Biotechnology, Inc.

Locations

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California Retina Consultants

Bakersfield, California, 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

Bay Area Retina Associates

Walnut Creek, California, United States

Site Status

Advanced Vision Research Institute

Longmont, Colorado, United States

Site Status

Rand Eye Institute

Deerfield Beach, Florida, United States

Site Status

Florida Eye Associates

Melbourne, Florida, United States

Site Status

Retina Vitreous Associates of Florida

St. Petersburg, Florida, United States

Site Status

University Retina and Macula Associates

Lemont, Illinois, United States

Site Status

Midwest Eye

Carmel, Indiana, United States

Site Status

Cumberland Valley Retina Consultants

Hagerstown, Maryland, United States

Site Status

Sierra Eye Associates

Reno, Nevada, United States

Site Status

EyeHealth Northwest

Portland, Oregon, United States

Site Status

Erie Retina Research, LLC

Erie, Pennsylvania, United States

Site Status

Vision Research Solutions, PLLC

Philadelphia, Pennsylvania, United States

Site Status

Retina Consultants of Carolina

Greenville, South Carolina, United States

Site Status

Retina Research Institution of Texas

Abilene, Texas, United States

Site Status

Austin Retina Associates

Round Rock, Texas, United States

Site Status

Retina Center of Texas

Southlake, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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UBX1325-04

Identifier Type: -

Identifier Source: org_study_id

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