A Phase 1 interventional study of CLG561 in Age-related Macular Degeneration, sponsored by Alcon Research. Completed. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-03-25.
Sponsored by Alcon Research (part of Alcon) · Phase 1, Interventional, and Basic science
The purpose of this study is to evaluate the safety, tolerability, and serum pharmacokinetics of CLG561 in subjects with advanced age-related macular degeneration (AMD).
Subjects were divided into 5 cohorts, with the subjects in each cohort being administered a single IVT dose of CLG561 in 1 of 5 concentration levels A-E, where A=lowest and E=highest. All subjects received active CLG561. Progress from one cohort to the next was time-lagged to allow for safety review. Dosing was also time-lagged within each cohort. Only one eye (designated as the study eye) was dosed per subject. Post-dose safety assessments and ocular examination occurred immediately after the IVT injection and continued throughout the outpatient visits at pre-determined timepoints. Collection of post-injection blood samples began after the IVT injection at pre-determined timepoints. Subjects were followed for up to 84 days.
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Exclusion Criteria:
Single 50 μL intravitreal injection of CLG561, Dose Level A
Drug: CLG561
Single 50 μL intravitreal injection of CLG561, Dose Level B
Drug: CLG561
Single 50 μL intravitreal injection of CLG561, Dose Level C
Drug: CLG561
Single 50 μL intravitreal injection of CLG561, Dose Level D
Drug: CLG561
Single 100 μL intravitreal injection of CLG561, Dose Level E
Drug: CLG561
Administered by intravitreal injection, Day 1
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) by Visit - Study Eye
BCVA (with spectacles or other visual corrective devices) using Early Treatment Diabetic Retinopathy Study (ETDRS) testing was reported in letters read correctly. Improvement of BCVA was defined as an increase (gain) in letters read from the baseline assessment. One eye (study eye) contributed to the analysis.
Time frame: Baseline, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
Mean Intra-Ocular Pressure (IOP) by Visit - Study Eye
IOP was measured by Goldmann applanation tonometry or tonopen, at the discretion of the Investigator, and reported in mmHg (millimeters of mercury). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye (study eye) contributed to the analysis.
Time frame: Baseline, Day 1, Day 2, Day 4, Day 15, Day 29, Day 57, Day 85
Number of Subjects With Change From Normal to Abnormal in Fundus Examination at Any Post-Therapy Visit as Compared to Baseline Assessment
A dilated fundus examination was performed to evaluate the health of the retina, macula, choroid, and optic nerve. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
Time frame: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
Number of Subjects With a Change From Normal to Abnormal in Ocular Signs at Any Post-Therapy Visit as Compared to Baseline Assessment
A slit-lamp biomicroscopy examination was performed to evaluate the anterior segment of the eye. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
Time frame: Baseline, Day 2, Day 4, Day 8, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve (AUC) From Time Zero to All [AUC(0-all)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental pharmacokinetic (PK) method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Time to Reach the Maximum Serum Concentration After Drug Administration (Tmax)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose Normalized Observed Maximum Serum Concentration Following Drug Administration (Cmax/D)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Dose-normalized Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)/D]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Area Under the Serum Concentration-time Curve From Time Zero to Time "t" Where t is a Defined Time Point After Administration [AUC(0-t)]
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Terminal Elimination Half-life (T½)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
The Apparent Volume of Distribution During the Terminal Elimination Phase Following Extravascular Administration (Vz/F)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Apparent Systemic (or Total Body) Clearance From Serum Following Extravascular Administration (CL/F)
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Time frame: Day 1 pre-injection, 2h, 6h, Day 2, Day 4, Day 6, Day 8, Day 11, Day 15, Day 29, Day 57, Day 85
Subjects were recruited from 4 investigational centers located in the US.
| Milestone | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Started | 6 | 6 | 7 | 6 | 6 |
| Completed | 6 | 6 | 6 | 6 | 6 |
| Not completed | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Adverse event | 0 | 0 | 1 | 0 | 0 |
BCVA (with spectacles or other visual corrective devices) using Early Treatment Diabetic Retinopathy Study (ETDRS) testing was reported in letters read correctly. Improvement of BCVA was defined as an increase (gain) in letters read from the baseline assessment. One eye (study eye) contributed to the analysis.
| letters | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Baseline, n=6,6,7,6,6 | 23.7 ± 16.55 | 25.7 ± 15.20 | 27.6 ± 17.67 | 41.5 ± 20.42 | 38.0 ± 11.75 |
| Change from Baseline, Day 2, n=6,6,7,6,6 | 0.7 ± 8.24 | 2.5 ± 5.24 | 1.1 ± 3.02 | 0.0 ± 5.73 | -1.0 ± 10.02 |
| Change from Baseline, Day 4, n=6,6,7,6,6 | 3.5 ± 8.53 | 4.8 ± 4.67 | 1.7 ± 3.04 | 1.8 ± 5.19 | 3.3 ± 7.87 |
| Change from Baseline, Day 15, n=6,6,6,6,6 | 2.7 ± 7.99 | 3.7 ± 4.50 | 2.0 ± 4.73 | 3.5 ± 8.26 | 5.2 ± 8.06 |
| Change from Baseline, Day 29, n=6,5,6,6,6 | 2.2 ± 5.85 | 4.8 ± 5.02 | 1.3 ± 5.28 | 2.0 ± 6.84 | 1.5 ± 4.51 |
| Change from Baseline, Day 57, n=6,5,6,6,6 | 4.7 ± 11.09 | 2.0 ± 3.24 | 2.5 ± 5.75 | 4.2 ± 11.09 | 2.3 ± 2.94 |
| Change from Baseline, Day 85, n=6,6,6,6,6 | 3.8 ± 9.43 | 3.0 ± 4.86 | 2.2 ± 5.12 | 2.2 ± 5.12 | 3.2 ± 5.12 |
IOP was measured by Goldmann applanation tonometry or tonopen, at the discretion of the Investigator, and reported in mmHg (millimeters of mercury). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye (study eye) contributed to the analysis.
| mmHg | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Baseline, n=6,6,7,6,6 | 14.7 ± 2.16 | 14.3 ± 2.42 | 15.7 ± 3.86 | 15.2 ± 3.06 | 16.5 ± 3.67 |
| Day 1, n=6,6,7,6,6 | 16.3 ± 3.72 | 20.2 ± 8.01 | 16.6 ± 6.24 | 22.3 ± 3.50 | 20.2 ± 3.97 |
| Day 2, n=6,6,7,6,6 | 16.0 ± 1.79 | 14.5 ± 1.05 | 14.3 ± 3.15 | 14.0 ± 4.00 | 15.0 ± 3.10 |
| Day 4, n=6,6,7,6,6 | 16.2 ± 2.32 | 14.5 ± 3.99 | 15.1 ± 4.74 | 14.7 ± 4.23 | 15.3 ± 3.93 |
| Day 15, n=6,6,6,6,6 | 14.0 ± 1.67 | 15.5 ± 2.81 | 16.2 ± 6.21 | 16.2 ± 3.76 | 16.5 ± 4.09 |
| Day 29, n=6,5,6,6,6 | 16.8 ± 3.19 | 16.8 ± 4.60 | 16.0 ± 4.94 | 16.8 ± 4.26 | 16.2 ± 4.67 |
| Day 57, n=6,5,6,6,6 | 17.7 ± 2.94 | 15.6 ± 5.32 | 16.3 ± 3.27 | 16.3 ± 2.25 | 15.8 ± 3.13 |
| Day 85, n=6,6,6,6,6 | 16.5 ± 2.07 | 15.5 ± 5.24 | 16.7 ± 4.27 | 16.2 ± 4.07 | 16.2 ± 4.26 |
A dilated fundus examination was performed to evaluate the health of the retina, macula, choroid, and optic nerve. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
| participants | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Retina: Baseline Normal | 5 | 4 | 4 | 6 | 5 |
| Retina: Change from Normal to Abnormal | 1 | 0 | 0 | 0 | 1 |
| Macula: Baseline Normal | 6 | 6 | 6 | 6 | 6 |
| Macula: Change from Normal to Abnormal | 0 | 0 | 0 | 0 | 1 |
| Choroid: Baseline Normal | 6 | 6 | 6 | 6 | 6 |
| Choroid: Change from Normal to Abnormal | 0 | 0 | 0 | 0 | 0 |
| Optic Nerve: Baseline Normal | 6 | 3 | 5 | 6 | 5 |
| Optic Nerve: Change from Normal to Abnormal | 1 | 0 | 2 | 0 | 0 |
A slit-lamp biomicroscopy examination was performed to evaluate the anterior segment of the eye. Subjects having a normal baseline evaluation were examined at subsequent visits, and any change from normal to abnormal was recorded. Criteria for reclassifying from normal to abnormal were left to the opinion of the investigators. One eye (study eye) contributed to the analysis. None of the abnormalities were deemed related to the study medication.
| participants | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Lids/Lashes: Baseline Normal | 5 | 4 | 5 | 6 | 6 |
| Lids/Lashes: Change from Normal to Abnormal | 0 | 1 | 1 | 0 | 1 |
| Conjunctiva: Baseline Normal | 5 | 4 | 6 | 5 | 5 |
| Conjunctiva: Change from Normal to Abnormal | 2 | 1 | 4 | 0 | 2 |
| Cornea: Baseline Normal | 6 | 5 | 6 | 6 | 5 |
| Cornea: Change from Normal to Abnormal | 0 | 0 | 2 | 0 | 1 |
| Iris: Baseline Normal | 6 | 6 | 6 | 6 | 6 |
| Iris: Change from Normal to Abnormal | 0 | 0 | 0 | 0 | 0 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental pharmacokinetic (PK) method.
| hr*ng/mL | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Area Under the Serum Concentration-time Curve (AUC) From Time Zero to All [AUC(0-all)] | NA ± NA | NA ± NA | NA ± NA | 238000 ± 81800 | 373000 ± 160000 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
| hr*ng/mL | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)] | NA ± NA | NA ± NA | NA ± NA | 195000 ± 78300 | 304000 ± 148000 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
| hours | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Time to Reach the Maximum Serum Concentration After Drug Administration (Tmax) | NA ± NA | NA ± NA | NA ± NA | 144 ± 62.7 | 187 ± 79.8 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
| ng/mL/mg | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Dose Normalized Observed Maximum Serum Concentration Following Drug Administration (Cmax/D) | NA ± NA | NA ± NA | NA ± NA | 102 ± 30 | 75.8 ± 30.9 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method. These data were analyzed using a noncompartmental PK method.
| hr*ng/mL/mg | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E |
|---|---|---|---|---|---|
| Dose-normalized Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration [AUC(0-last)/D] | NA ± NA | NA ± NA | NA ± NA | 38900 ± 15700 | 30400 ± 14800 |
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
No measurements were reported for this outcome.
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
No measurements were reported for this outcome.
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
No measurements were reported for this outcome.
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
No measurements were reported for this outcome.
Collected over Adverse events (AEs) were collected for the duration of a subject's participation in the study (up to 84 days). Ocular AEs are presented for both study eye and non-study eye. AEs were obtained as solicited comments and observations by the Investigator.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| CLG561, Level A | — | 1/6 (16.7%) | 5/6 (83.3%) |
| CLG561, Level B | — | 0/6 (0%) | 3/6 (50%) |
| CLG561, Level C | — | 1/7 (14.3%) | 6/7 (85.7%) |
| CLG561, Level D | — | 0/6 (0%) | 2/6 (33.3%) |
| CLG561, Level E | — | 0/6 (0%) | 3/6 (50%) |
| Pretreatment | — | 0/50 (0%) | 0/50 (0%) |
| Event | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E | Pretreatment |
|---|---|---|---|---|---|---|
| Blindness TransientEye disorders | 1/6 | 0/6 | 1/7 | 0/6 | 0/6 | 0/50 |
| Event | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E | Pretreatment |
|---|---|---|---|---|---|---|
| Conjunctival haemorrhageEye disorders | 3/6 | 1/6 | 3/7 | 1/6 | 1/6 | 0/50 |
| Punctate keratitisEye disorders | 0/6 | 0/6 | 3/7 | 0/6 | 0/6 | 0/50 |
| Amylase increasedInvestigations | 0/6 | 2/6 | 0/7 | 0/6 | 0/6 | 0/50 |
| Lipase increasedInvestigations | 0/6 | 2/6 | 0/7 | 0/6 | 0/6 | 0/50 |
| Conjunctival hyperaemiaEye disorders | 0/6 | 0/6 | 2/7 | 0/6 | 0/6 | 0/50 |
| Erythema of eyelidEye disorders | 0/6 | 1/6 | 2/7 | 0/6 | 1/6 | 0/50 |
| Optic atrophyEye disorders | 0/6 | 0/6 | 2/7 | 0/6 | 0/6 | 0/50 |
| Angina pectorisCardiac disorders | 0/6 | 0/6 | 0/7 | 0/6 | 1/6 | 0/50 |
| ConjunctivochalasisEye disorders | 0/6 | 1/6 | 0/7 | 0/6 | 0/6 | 0/50 |
| Eye painEye disorders | 1/6 | 0/6 | 0/7 | 0/6 | 0/6 | 0/50 |
This analysis population includes all enrolled subjects who received CLG561.
| Age, Continuous(years) | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E | Total |
|---|---|---|---|---|---|---|
| Mean | 74.2 ± 6.82 | 76.2 ± 8.80 | 76.1 ± 6.69 | 73.3 ± 9.52 | 76.5 ± 10.86 | 75.3 ± 8.12 |
| Sex: Female, Male(Participants) | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E | Total |
|---|---|---|---|---|---|---|
| Female | 6 | 1 | 4 | 5 | 3 | 19 |
| Male | 0 | 5 | 3 | 1 | 3 | 12 |
| Primary Diagnosis(participants) | CLG561, Level A | CLG561, Level B | CLG561, Level C | CLG561, Level D | CLG561, Level E | Total |
|---|---|---|---|---|---|---|
| Geographic atrophy | 0 | 2 | 2 | 1 | 2 | 7 |
| Exudative macular degeneration | 6 | 4 | 5 | 5 | 4 | 24 |
No study locations are listed for this record.
This study is completed, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.
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