Evaluation of Kamuvudine-8 in Subjects With Geographic Atrophy

NCT ID: NCT06164587

Last Updated: 2025-12-22

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-18

Study Completion Date

2026-06-30

Brief Summary

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This interventional study is a single-center, open label, 26-week study, designed to evaluate the safety and treatment efficacy of K8 in patients with geographic atrophy (GA) due to age-related macular degeneration (AMD). Up to 5 subjects will receive study medication. Study treatment will be administered by intravitreal injections. Number of participants has been expanded to 30.

Participants will have 7 scheduled visits - Screening with baseline (injection), safety visit 2 days after injection, week 4, week 13 (injection), safety visit 2 days after injection, week 17, week 26.

Exams will look for continuous changes in visual acuity, change in area of geographic atrophy lesions in diagnostic imaging, response measured by multifocal electroretinogram, change in reading speed, and change in microperimetry response.

Detailed Description

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Conditions

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Geographic Atrophy Age-Related Macular Degeneration

Keywords

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ophthalmology K8 kamuvudine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients with geographic atrophy associated with age-related macular degeneration

Kamuvudine-8 treatment (0.3 mg) at baseline visit and week 13 visit, in one eye of each subject, for a total of up to 30 subjects. When new study drug is received, the next 20 patients will be enrolled to receive K8 treatment (either 0.7 mg or 1.05 mg) at baseline and week 13, in one eye of each subject, for a total of up to 30 subjects. The total of 30 patients is across three dosing groups. Once subjects have received one dose/type of implant, there is no crossover to a different group.

Patients will be followed for 26 weeks after baseline visit injection.

Group Type EXPERIMENTAL

K8

Intervention Type DRUG

sustained released bio-erodible intravitreal implants

Interventions

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K8

sustained released bio-erodible intravitreal implants

Intervention Type DRUG

Other Intervention Names

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SOM-401

Eligibility Criteria

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Inclusion Criteria

* Aged 50 or older, diagnosed with geographic atrophy (GA) due to age-related macular degeneration (AMD).
* Best corrected visual acuity (BCVA) 24 or greater Early Treatment of Diabetic Retinopathy Study (ETDRS) letters (approximately Snellen 20/320 or greater), in study eye.
* The entire geographic atrophy (GA) lesion must be completely visualized on the macula centered image and must be able to be imaged in its entirety and not contiguous with any areas of peripapillary atrophy except in such cases where there is a "neck" or some narrow area connecting the GA with the peripapillary atrophy, as determined by Fundus Autofluorescence (FAF) imaging at screening:
* Both eyes must have GA and the total GA area in each eye must be ≥ 2.5 and ≤ 20.0 mm2 (1 and 8 disk areas \[DA\] respectively)
* If geographic atrophy (GA) is multifocal, at least one focal lesion must be ≥ 1.25 mm2 (0.5 DA), with the overall aggregate area of GA, as specified above.
* If geographic atrophy (GA) is unifocal, then the lesion must be extrafoveal.
* Presence of any pattern of hyperautofluorescence in the junctional zone of geographic atrophy (GA). Absence of hyperautofluorescence (i.e., pattern = none) is exclusionary.
* Fundus Autofluorescence (FAF), spectral-domain optical coherence tomography (SD-OCT), or Fluorescein Angiography (FA) imaging of entire geographic atrophy (GA)lesion at least 6 months prior to entry.

Exclusion Criteria

* Females who are pregnant, nursing, planning a pregnancy or who are of childbearing potential not using a reliable method of contraception
* History or current evidence of hypersensitivity to any components of the study medication or fluorescein, as assessed by the investigator
* Participation in any investigational drug or device study within 30 days prior to baseline
* History or current evidence of a medical condition or medication use that may, in the opinion of the investigator, preclude the safe administration of study medication or affect the results of the study
* Participation in any systemic experimental treatment or any other systemic investigational new drug within 6 weeks or 5 half-lives of the active ingredient (whichever is longer) prior to the start of study treatment. Clinical trials solely involving observation, over-the-counter vitamins, supplements, or diets are not exclusionary.


* Active ocular or periocular infections, malignancy
* History of major ophthalmic surgery in the past 3 months, and any ophthalmic surgery in study eye in the last 30 days
* History of significant ocular disease other than AMD that may confound results
* Any history or current evidence of exudative ("wet") AMD including any evidence of retinal pigment epithelium rips or evidence of retinal, choroidal, or peripapillary neovascularization in either eye
* Known hypersensitivity to study drug or any of the excipients in implant
* Macular atrophy secondary to a condition other than AMD
* History of laser therapy in the macular region
* Aphakia or surgically compromised/absent posterior capsule including presence of scleral fixated lenses. Note: YAG laser posterior capsulotomy for posterior capsule opacification done at least 60 days prior to screening is not exclusionary
* History of prior posterior vitrectomy
* History of prior intraocular gene therapy for any indication
* History of extended hydroxychloroquine or pentosan polysulfate exposure (\> 3 months)
* Current use of medications known to be toxic to the lens, retina, or optic nerve (e.g., deferoxamine, chloroquine/hydroxychloroquine \[Plaquenil®\], tamoxifen, phenothiazines, ethambutol, digoxin, pentosan polysulfate, and aminoglycosides).
* Uncontrolled glaucoma (defined as intraocular pressure \>21mm Hg despite treatment with ocular hypotensive medications at baseline)
* Prior participation in another interventional clinical study or treatment for GA in the study eye including topical, IVT, subretinal, suprachoroidal, periocular or oral medication or placebo within 5 half-lives of the active ingredient

Prohibited Medications/Treatments:

* Systemic anti-VEGF medications
* Intravitreal injections of Syfovre (pegcetacoplan), Izervay (avacincaptad pegol) or other complement inhibitors in either eye
* Gene therapy injections in either eye
Minimum Eligible Age

50 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inflammasome Therapeutics

UNKNOWN

Sponsor Role collaborator

Michelle Abou-Jaoude

OTHER

Sponsor Role lead

Responsible Party

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Michelle Abou-Jaoude

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Michelle Abou-Jaoude, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kentucky

Locations

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Loma Linda University

Loma Linda, California, United States

Site Status

University of Kentucky Advanced Eye Care

Lexington, Kentucky, United States

Site Status

The Maine Eye Center

Portland, Maine, United States

Site Status

Oregon Eye Consultants, Cascade Medical Research

Eugene, Oregon, United States

Site Status

Hilton Head Retina Institute

Hilton Head, South Carolina, United States

Site Status

Ophthalmology LTD

Sioux Falls, South Dakota, United States

Site Status

Southeastern Retina Associates

Hixson, Tennessee, United States

Site Status

Southeastern Retina Associates

Bristol, Virginia, United States

Site Status

Vistar Eye Center

Roanoke, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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91507

Identifier Type: -

Identifier Source: org_study_id