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CompletedNCT02006147Updated Dec 23, 2021Results posted

Phase 1 Open-label Study to Evaluate Efficacy and Tolerability of TLC399 in Patients With Macular Edema Due to RVO

A Phase 1/2 interventional study of TLC399 in Central Retinal Vein Occlusion With Macular Edema and Branch Retinal Vein Occlusion With Macular Edema, sponsored by Taiwan Liposome Company. Completed at 6 sites in Taiwan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-12-23.

Sponsored by Taiwan Liposome Company · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
14
Allocation
Non-randomized
Ages
20 Years and older
Sex
All
01

Study summary

To determine whether TLC399 (ProDex) provides an ideal, safe, long-acting, dexamethasone sodium phosphate (DSP) delivery system for the treatment of macular edema due to retinal vein occlusion (RVO).

Read the detailed description

\<Part 1> An open-label, sequential dose escalation part to determine the DLT of TLC399 (ProDex) in patients with macular edema due to central retinal vein occlusion (CRVO) or branch retinal vein occlusion (BRVO). The safety results should be evaluated by Safety Monitor Committee regularly every 6 months and after last patient of each cohort completes DLT observation period. The SMC would advise or give permission for further dose escalation, de-escalation, or any study design adjustment. After the study drug administration, these patients will continue to be evaluated for efficacy and safety outcomes up to a period of 12 months unless the patient is withdrawn or discontinues the study.

  • Group R1: 0.24 mg DSP with 100 mM PL (20 µL)
  • Group 1: 0.36 mg DSP with 100 mM PL (30 µL)
  • Group 2: 0.6 mg DSP with 100 mM PL (50 µL)
  • Group 3: 0.6 mg DSP with 50 mM PL (50 µL)

\<Part 2> An open-label, single-arm design to investigate the use of TLC399 (ProDex) in patients with macular edema due to CRVO or BRVO in one dose level selected from Part 1. The enrollment of subjects for analysis will include approximately 20 patients in total, inclusive of Part 1 and Part 2 for the selected dose group. The safety and efficacy outcomes will be assessed for up to 12 months.

02

Conditions studied

  • Central Retinal Vein Occlusion With Macular Edema
  • Branch Retinal Vein Occlusion With Macular Edema

Keywords

  • Macular Edema
  • RVO
03

In context

Macular Edema

841 studies on the registry are indexed under Macular Edema; 56 are open to participants now.

This study's enrollment of 14 is below the median of 50 across 619 interventional studies indexed under Macular Edema.

Browse Macular Edema studies →

Lead sponsor

Taiwan Liposome Company is the lead sponsor of 18 studies on the registry; 1 is open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female, > 20 years of age.
  • Patients with macular edema due to CRVO or BRVO diagnosed within 36 months.
  • BCVA score of 20/40 to 20/400 by chart ETDRS in the study eye.
  • Mean central subfield thickness ≥350uM on Spectral/Fourier domain by OCT measurements in the study eye.
  • Willing and able to comply with the study procedure and sign a written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Macular edema due to diabetic retinopathy or other etiologies.
  • Brisk afferent pupillary defect.
  • Stroke or myocardial infarction within 3 months.
  • Uncontrolled systemic disease, or poorly controlled hypertension, or poorly controlled diabetes.
  • Any ocular condition that in the opinion of the Investigator would prevent a 15-letter gain in visual acuity.
  • Presence of an epiretinal membrane in the study eye which is the primary cause of macular edema, or is severe enough to prevent gain in visual acuity despite reduction in macular edema.
  • History of clinically significant IOP elevation in response to steroid treatment.
  • History of glaucoma or optic nerve head change consistent with glaucoma damage, and/or glaucomatous visual field loss in both eyes.
  • Active ocular hypertension ≥21mmHg or history of treated ocular hypertension in the study eye.
  • Aphakia or presence of anterior chamber intraocular lens in the study eye.
  • Active retinal neovascularization in the study eye.
  • Active or history of choroidal neovascularization in the study eye.
  • History of central serous chorioretinopathy in either eye.
  • Presence of rubeosis iridis in the study eye.
  • Any active ocular infection in either eye.
  • History of herpetic ocular infection in the study eye or adnexa.
  • Presence of active or inactive toxoplasmosis in either eye.
  • Presence of visible scleral thinning or ectasia in the study eye.
  • Media opacity in the study eye that precludes clinical and photographic evaluation.
  • Intraocular surgery in the stydy eye within 6 months.
  • History of pars plana vitrectomy, radial optic neurotomy, or sheathotomy in the study eye.
  • Anticipated need for ocular surgery in the study eye during the 12-months study period.
  • Use of hemodilution for the treatment of RVO within 3 months.
  • Use of any intraocular anti-VEGF therapy in the study eye.
  • Use of laser of any type in the study eye within 3 months.
  • Previous use of intravitreal steroids in the study eye within 6 months.
  • Periocular depot of steroids to the study eye within 1 month.
  • Use of systemic sterois, or warfarin/heparin within 1 month.
  • Use of immunosuppressants, immunomodulators, antimetabolites, and/or alkylating agents within 6 months.
  • BCVA score \<34 letters in the non-study eye.
  • Known allergy or hypersensitivity to the study medication or its components.
  • Known allergy or contraindication to the use of fluorescein or povidone iodine or contraindication to pupil dilation in either eye.
  • Female patients who are pregnant, nursing, or planning a pregnancy, or who are of childbearing potential and not using a reliable means of contraception.
  • Current enrollment in an investigational drug or device study or participation in such a study within 90 days.
  • Patient has a condition or is in a situation which will interfere with the patient's ability to comply with the dosig and visit schedules and the protocol evaluations or may not suitable for this study.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    TLC399 (Group 1)

    TLC399 is manufactured with the proprietary lipid formulation in lyophilized form (BioSeizer) for the reconstitution with the aqueous DSP.

    Drug: TLC399

  • Experimental
    TLC399 (Group R1)

    TLC399 is manufactured with the proprietary lipid formulation in lyophilized form (BioSeizer) for the reconstitution with the aqueous DSP.

    Drug: TLC399

  • Experimental
    TLC399 (Group 2)

    TLC399 is manufactured with the proprietary lipid formulation in lyophilized form (BioSeizer) for the reconstitution with the aqueous DSP.

    Drug: TLC399

  • Experimental
    TLC399 (Group 3)

    TLC399 is manufactured with the proprietary lipid formulation in lyophilized form (BioSeizer) for the reconstitution with the aqueous DSP.

    Drug: TLC399

Interventions

  • DrugTLC399

    Dose-escalation Study from 100 mM PL (20 µL) with 0.24 mg DSP to 100 mM PL (20 µL) with0.36 mg DSP to 100 mM PL (20 µL) with 0.6 mg DSP to 50 mM PL (10 µL) with 0.6 mg DSP.

    Also known as: TLC399 (BioSeizer)

06

What researchers measure

Primary outcomes

  1. Part 1: Dose-limiting Toxicity (DLT)

    Ocular AEs

    Time frame: 4 weeks

  2. Part 2: Safety Assessment: Number of SAEs and Treatment-related Severe AEs

    Number of SAEs and treatment-related severe AEs

    Time frame: Up to 1 year

07

Results

Posted Dec 23, 2021

Participant flow

Participant flow — Overall Study
MilestoneTLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)
Started5900
Completed3700
Not completed2200
Withdrew: Protocol violation1100
Withdrew: Withdrawal by subject0100
Withdrew: Withdrawal by sponsor1000

Outcome measures

PrimaryPart 1: Dose-limiting Toxicity (DLT)

Ocular AEs

Time frame:
4 weeks
Reported as:
Count of participants · Participants
Part 1: Dose-limiting Toxicity (DLT)
ParticipantsTLC399 (Group 1)TLC399 (Group R1)
Part 1: Dose-limiting Toxicity (DLT)10
PrimaryPart 2: Safety Assessment: Number of SAEs and Treatment-related Severe AEs

Number of SAEs and treatment-related severe AEs

Time frame:
Up to 1 year
Reported as:
Number · Number of events
Part 2: Safety Assessment: Number of SAEs and Treatment-related Severe AEs
Number of eventsTLC399 (Group 1)TLC399 (Group R1)
Number of SAE25
Number of Treatment-related severe AE05

Adverse events

Collected over 14 days (screeing) + 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TLC399 (Group 1)0/4 (0%)2/4 (50%)4/4 (100%)
TLC399 (Group R1)0/9 (0%)4/9 (44.4%)8/9 (88.9%)
Most frequent serious events
Most frequent serious events
EventTLC399 (Group 1)TLC399 (Group R1)
Head Injury With ContusionInjury, poisoning and procedural complications1/40/9
Ocular HypertensionEye disorders1/40/9
Intraocular Pressure IncreasedInvestigations0/41/9
Prolong Vitreous OpacityEye disorders0/41/9
IOP ElevationInvestigations0/41/9
More than 30 Letters Visual Acuity Reduction from Baseline of BCVAEye disorders0/41/9
Increased Intraocular PressureInvestigations0/41/9
Most frequent other events
Showing 10 of 45
Most frequent other events
EventTLC399 (Group 1)TLC399 (Group R1)
Vitreous opacitiesEye disorders4/46/9
Visual acuity reducedEye disorders2/45/9
Intraocular pressure increasedInvestigations0/45/9
Conjunctival haemorrhageEye disorders2/42/9
Ocular hypertensionEye disorders2/40/9
Visual field defectNervous system disorders1/43/9
Corneal oedemaEye disorders1/41/9
Retinal thickeningEye disorders1/41/9
Abnormal sensation in eyeEye disorders1/40/9
Cataract nuclearEye disorders1/40/9

Baseline characteristics

Baseline Analysis Population was based on the Safety Populaiont who exposed to study treatment, either complete or partial.

Age, Continuous
Age, Continuous(years)TLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)Total
Mean61.8 ± 10.465.8 ± 16.2——64.5 ± 14.4
Sex: Female, Male
Sex: Female, Male(Participants)TLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)Total
Female44——8
Male05——5
Race (NIH/OMB)
Race (NIH/OMB)(Participants)TLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)Total
American Indian or Alaska Native00——0
Asian49——13
Native Hawaiian or Other Pacific Islander00——0
Black or African American00——0
White00——0
More than one race00——0
Unknown or Not Reported00——0
Region of Enrollment
Region of Enrollment(participants)TLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)Total
Taiwan49——13
Macular edema by retinal vein occlusion
Macular edema by retinal vein occlusion(Participants)TLC399 (Group 1)TLC399 (Group R1)TLC399 (Group 2)TLC399 (Group 3)Total
Branch retinal vein occlusion37——10
Central retinal vein occlusion12——3
08

Study locations

6 sites
  • Changhua Christian Medical Foundation Changhua Christian Hospital
    Chang Hua, Taiwan
  • Kaohsiung Veterans General Hospital
    Kaohsiung, Taiwan
  • National Taiwan University Hospital
    Taipei, Taiwan
  • Shin Kong Wu Ho-Su Memorial Hospital
    Taipei, Taiwan
  • Taipei Veterans General Hospital
    Taipei, Taiwan
  • Chang Gung Memorial Hospital, Linkou Branch
    Taoyuan, Taiwan
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 28, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02006147
Lead sponsor
Taiwan Liposome Company
Responsible party
Sponsor
First posted
Dec 10, 2013
Start date
Nov 2014
Primary completion
Jul 15, 2020
Completion
Jul 15, 2020
Results posted
Dec 23, 2021
Last update
Dec 23, 2021

Study contacts

Carl Brown, PhD
study director · Taiwan Liposome Company

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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