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A Study to Test Different Doses of BI 836880 in Patients With an Eye Disease Called Wet Age-related Macular Degeneration (wAMD)

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ClinicalTrials.gov Identifier: NCT03861234
Recruitment Status : Recruiting
First Posted : March 4, 2019
Last Update Posted : February 24, 2021
Sponsor:
Information provided by (Responsible Party):
Boehringer Ingelheim

Brief Summary:

This is a study in people with an eye disease called wet age-related macular degeneration (wAMD). The purpose of the study is to find out how well different doses of a medicine called BI 836880 are tolerated.

People can participate if they are at least 55 years old and if they have new blood vessels in their eyes despite treatment (anti-VEGF therapies). The study has 2 parts. In the first part, people get only 1 dose of BI 836880. This part takes 6 weeks. In the second part, people get 3 times the same dose of BI 836880. This part takes 6 months. BI 836880 is injected into the eye. During the entire study doctors regularly check the health of the participants.


Condition or disease Intervention/treatment Phase
Wet Macular Degeneration Drug: BI 836880 Phase 1

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 42 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Safety, Tolerability and Pharmacodynamics of Single Rising Intravitreal and Multiple Rising Intravitreal Doses of BI 836880 in Patients With wAMD (Open Label, Non-randomized, Uncontrolled).
Actual Study Start Date : June 27, 2019
Estimated Primary Completion Date : October 6, 2021
Estimated Study Completion Date : December 29, 2021

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: BI 836880
Single Rising Dose part followed by a Multiple Rising Dose part
Drug: BI 836880
Solution for Intravitreal (IVT) injection




Primary Outcome Measures :
  1. Single Rising Dose (SRD) part: Number of patients with ocular dose limiting events (DLEs) from drug administration till end of trial (EOT) [ Time Frame: Up to 43 days ]
  2. Multiple Rising Dose (MRD) part: Number of patients with drug related Adverse Events (AEs) from drug administration till end of trial (EOT) [ Time Frame: Up to 169 days ]

Secondary Outcome Measures :
  1. Single Rising Dose (SRD) part: Number of patients with drug related Adverse Events (AEs) [ Time Frame: Up to 43 days ]
  2. Single Rising Dose (SRD) part: Number of patients with any ocular Adverse Events (AEs) in the study eye [ Time Frame: Up to 43 days ]
  3. Multiple Rising Dose (MRD) part: Percent change from baseline in Central Subfield Thickness (CSFT) in the study eye at week 12, for each dose [ Time Frame: Baseline, Week 12 ]
  4. Multiple Rising Dose (MRD) part: Change from baseline in Best Corrected Visual Acuity (BCVA) in the study eye at week 12 [ Time Frame: Baseline, Week 12 ]
  5. Multiple Rising Dose (MRD) part: Time to recurrence after the last treatment [ Time Frame: Up to 169 days ]
  6. Multiple Rising Dose (MRD) part: Number of patients with any ocular AEs in the study eye [ Time Frame: Up to 169 days ]


Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   55 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

- Men and women over the age of 55 with active Choroidal Neovascularisation (CNV) secondary to Age-related macular degeneration (AMD) despite anti-Vascular Endothelial Growth Factor (VEGF) therapies (at least 3 prior injections with the last injection within 12 to 4 weeks before treatment). Active CNV secondary to AMD is to be defined either by recent fluorescein or Optical coherence tomography (OCT) angiogram within 4 weeks prior to screening or fluorescein or OCT angiogram obtained prior to first anti VEGF-treatment to confirm the diagnosis and still active according to investigator judgement.

For Multiple Rising Dose (MRD) part only: No more than 18 months elapsed since the first anti-VEGF therapy in the study eye

  • For MRD part only: Central subfield retinal thickness >350 microns in the study eye on Heidelberg Spectralis Spectral Domain Optical Coherence Tomography (SD-OCT)
  • Presence of sub- and/or intraretinal fluid on SD-OCT in the study eye
  • Any active CNV with subfoveal leakage in the study eye as determined by OCT
  • No subretinal hemorrhage involving the fovea in the study eye No significant subfoveal fibrosis or atrophy on SD-OCT in the study eye that, in the opinion of the investigator, is able to prevent improvement in Best Corrected Visual Acuity (BCVA) and/or Central Subfield Thickness (CSFT)
  • Best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) Visual Acuity (VA) in the study eye between 70 and 24 letters inclusive (approximately 20/40 and 20/320 or 6/12 and 6/95) at screening.
  • Best-corrected VA in the non-study eye better than best-corrected VA in the study-eye. If both eyes are eligible and have identical VA the investigator may select the study eye.
  • Male or female patients. Women of childbearing potential (WOCBP)1 cannot be included. Men able to father a child must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria is provided in the patient information
  • Signed informed consent consistent with ICH GCP guidelines and local legislation prior to participation in the trial, which includes medication washout and restrictions
  • Not under any administrative or legal supervision or under institutionalization due to regulatory or juridical order

Exclusion criteria:

  • Additional eye disease in the study eye that could compromise best corrected Visual Acuity (VA)(BCVA) with visual field loss, uncontrolled glaucoma (Intra-Ocular Pressure (IOP)>24), clinically significant diabetic maculopathy, history of ischemic optic neuropathy or retinal vascular occlusion, symptomatic vitreomacular traction, or genetic disorders such as retinitis pigmentosa); history of high myopia > 8 diopters in the study eye. Anterior segment and vitreous abnormalities in the study eye that would preclude adequate observation with Spectral Domain Optical Coherence Tomography (SD-OCT)
  • Any prior intraocular surgery in the study eye other then uneventful lens replacement for cataract within 3 months prior to screening
  • Aphakia or total absence of the posterior capsule. Yttrium aluminum garnet (YAG) laser capsulotomy permitted, more than 3 month prior to enrollment in the study eye
  • Current or planned use of medications known to be toxic to the retina, lens or optic nerve (e.g. desferoxamine, chloroquine/hydrochloroquine, chlorpromazine, phenothiazines, tamoxifen, nicotinic acid, and ethambutol)
  • Medical history or condition: Uncontrolled diabetes mellitus, with hemoglobin A1c (HbA1c) > 10%, myocardial infarction or stroke within 12 months of screening, active bleeding disorder, concomitant use of warfarin or anticoagulation therapy (use of antiplatelet therapy such as aspirin is allowed), major surgery within 1 month of screening or when planned within the study period, hepatic impairment, uncontrolled hypertension
  • Patients with a clinically relevant abnormal screening haematology, blood chemistry, or urinalysis, if the abnormality defines a significant disease as defined in other exclusion criteria. AST or ALT greater than 2.0-fold the upper limit of normal at screening. Patients with total bilirubin 2.5x upper limit of normal at screening.
  • Patient with impaired renal function defined as calculated GFR< 30 mL/min
  • Significant alcohol or drug abuse within past 2 years per investigator judgement
  • Previous participation in this trial or in other trials with Intravitreal (IVT) injections or in trials for treatment of Wet Age-related Macular Degeneration (wAMD).
  • Significant disease or other medical conditions (as determined by medical history, examination and clinical investigations at screening) that may, in the opinion of the investigator result in the any of the following:

    • Put the patient at risk because of participation in the study,
    • Influence the results of the study,
    • Cause concern regarding the patient's ability to participate in the study.
  • Known hypersensitivity to fluorescein or any of the ingredients used in the Investigational Medicinal Product (IMP) formulation, or any of the medications used
  • Active intraocular inflammation in the study eye
  • Active infectious conjunctivitis in either eye

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03861234


Contacts
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Contact: Boehringer Ingelheim 1-800-243-0127 clintriage.rdg@boehringer-ingelheim.com

Locations
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United States, California
Retina-Vitreous Associates Medical Group Recruiting
Beverly Hills, California, United States, 90211
Contact: David Boyer    +001 (213) 483-8810    vitdoc@aol.com   
United States, New York
New York Eye and Ear Infirmary of Mount Sinai Recruiting
New York, New York, United States, 10003
Contact: Richard Rosen    +001 (212) 979-4288    rrosen@nyee.edu   
United States, Pennsylvania
University of Pennsylvania Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Alexander Brucker    +001 (215) 662-9702    ajbrucke@mail.med.upenn.edu   
United States, Texas
Retina Research Institute of Texas Recruiting
Abilene, Texas, United States, 79606
Contact: Sunil Patel    +001 (325) 690-4414    dr.patel@txicr.com   
Retina Research Center, PLLC Recruiting
Austin, Texas, United States, 78750
Contact: Brian Berger    +001 (512) 279-1251    bberger@retinaresearchcenter.net   
Retina Consultants of Houston, PA Recruiting
Houston, Texas, United States, 77030
Contact: David Brown    +001 (713) 524-3434    dmbmd@retinaconsultantstexas.com   
Germany
Charité - Universitätsmedizin Berlin Recruiting
Berlin, Germany, 12200
Contact: Oliver Zeitz    +49 (30) 84452334    oliver.zeitz@charite.de   
United Kingdom
Bristol Eye Hospital Recruiting
Bristol, United Kingdom, BS1 2LX
Contact: Serena Salvatore    +44 117 923 0060    Serena.Salvatore@UHBristol.nhs.uk   
Moorfields Eye Hospital Recruiting
London, United Kingdom, EC1V 2PD
Contact: Sobha Sivaprasad    0207 566 2117    Sobha.Sivaprasad@moorfields.nhs.uk   
Sponsors and Collaborators
Boehringer Ingelheim
Additional Information:
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Responsible Party: Boehringer Ingelheim
ClinicalTrials.gov Identifier: NCT03861234    
Other Study ID Numbers: 1336-0007
2017-001221-40 ( EudraCT Number )
First Posted: March 4, 2019    Key Record Dates
Last Update Posted: February 24, 2021
Last Verified: February 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description:

Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents, except for the following exclusions: 1. studies in products where Boehringer Ingelheim is not the license holder; 2. studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; 3. studies conducted in a single center or targeting rare diseases (because of limitations with anonymization). Requestors can use the following link http:// trials.boehringer-ingelheim.com/ to:

  1. find information in order to request access to clinical study data, for listed studies.
  2. request access to clinical study documents that meet criteria, and upon a signed 'Document Sharing Agreement'.

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Macular Degeneration
Wet Macular Degeneration
Retinal Degeneration
Retinal Diseases
Eye Diseases