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TerminatedNCT02398500Updated Jun 5, 2019

Safety Tolerability and Efficacy of Intravitreal LMG324 in the Treatment of Neovascular Age-Related Macular Degeneration

A Phase 1/2 interventional study of LMG324 and Ranibizumab 0.5 mg in Age-related Macular Degeneration (AMD), sponsored by Alcon Research. Terminated at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2019-06-05.

Sponsored by Alcon Research · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Management decision
Phase
Phase 1/2
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The purpose of this first-in-human study is to evaluate the safety and tolerability of single ascending doses of LMG324 to determine the maximum tolerated dose (MTD) in neovascular age-related macular degeneration (nvAMD) subjects. Enrollment will be expanded at a safe and tolerated dose in treatment naïve nvAMD subjects to compare a single intravitreal (IVT) dose of LMG324 to ranibizumab 0.5 mg administered every 4 weeks for change from baseline in best-corrected visual acuity (BCVA) at Week 12 (Day 85).

Read the detailed description

The study will start with a single dose ascending (SAD) phase. LMG324 will be administered on Day 1 with no further treatment until implementation of standard of care (SoC) therapy. SoC therapy is ranibizumab 0.5 mg administered per label. Dose groups will be implemented sequentially to allow for safety review between the current and subsequent dose group. All treatments will be open-label, including ranibizumab used as SoC therapy.

In the enrollment expansion phase, subjects randomized to LMG324 arm will receive a single LMG324 IVT injection on Day 1 followed by sham (fake) IVT injections until implementation of SoC therapy. After implementation, SoC therapy will be applied monthly with sham injections applied at the interim planned visits. The enrollment expansion phase may start at a selected dose level whilst the dose escalation phase is still ongoing.

02

Conditions studied

  • Age-related Macular Degeneration (AMD)

Keywords

  • First-in-human
  • anti-VEGF
  • neovascular AMD (nvAMD)
03

In context

Macular Degeneration

1,474 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.

This study's enrollment of 25 is below the median of 51 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

Alcon Research is the lead sponsor of 608 studies on the registry; 9 are open to participants now.

Of its 109 completed or terminated interventional studies of FDA-regulated products, 99 (91%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Must give written informed consent, be able to make the required study visits and follow instructions.
  • Best corrected visual acuity (BCVA) of 34 letters (approximately 20/200 Snellen or better) in the non-study eye.

SAD population only:

  • Subject's study eye must have a choroidal neovascularization (CNV) lesion due to age-related macular degeneration (AMD), either treatment naïve or previously treated, that can be expected to benefit, in the opinion of the investigator, from anti-vascular endothelial growth factor (anti-VEGF) therapy.
  • Previously treated eyes must have a history of least 3 administrations of any intravitreal (IVT) anti-VEGF therapeutic for the treatment of CNV with the last injection administered ≥ 1 month prior to the planned administration of the study drug.

Enrollment expansion population only

  • Subject's study eye must have untreated and active CNV lesion due to AMD.
  • BCVA, between 73 - 23 letters, inclusive (approximate Snellen equivalent 20/40 - 20/320) in the study eye.

Exclusion criteria

Exclusion Criteria:

SAD and enrollment expansion population

  • Both eyes: any active ocular or periocular infection or active intraocular inflammation (eg, infectious blepharitis, infectious conjunctivitis, keratitis, scleritis, endophthalmitis).
  • Study eye: current vitreous hemorrhage or a history of rhegmatogenous retinal detachment.
  • Study eye: uncontrolled glaucoma (intraocular pressure [IOP] >25 mmHg on medication or according to Investigator's judgment).

SAD population only

  • Presence of any contraindications, in the Investigator's opinion, to IVT anti-VEGF therapeutic administration.

Enrollment expansion population only

  • Study eye: subject has received any approved or investigational treatment for exudative (wet) AMD other than vitamin supplements.
  • Study eye: any current or history of macular or retinal disease other than exudative AMD
  • Study eye: serous pigment epithelial detachment (PED) under the foveal center or retinal pigment epithelium (RPE) tear/rip.
  • Study eye: any concurrent intraocular condition (eg, cataract, diabetic retinopathy) that, in the opinion of the Investigator, could either require medical or surgical intervention during the course of the study.
  • Study eye: other ocular diseases that, in the opinion of the Investigator, can compromise the visual acuity
  • Study eye: Surgery, as specified in the protocol.
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    LMG324

    SAD: LMG324 administered as a single IVT injection in 1 eye (study eye) in 1 of 4 doses, with 15-day follow-up

    Biological: LMG324

  • Experimental
    LMG324 + sham

    Expansion: LMG324 administered as a single IVT injection in 1 eye (study eye), followed by sham injections, until implementation of SoC therapy as specified in the protocol, for 24 weeks

    Biological: LMG324 · Biological: Sham

  • Active comparator
    Lucentis + sham

    Expansion: Ranibizumab 0.5 mg administered as monthly IVT injections in 1 eye (study eye) with interim sham injections, for 24 weeks

    Biological: Ranibizumab 0.5 mg · Biological: Sham

Interventions

  • BiologicalLMG324

    IVT injection

  • BiologicalRanibizumab 0.5 mg

    IVT injection

    Also known as: Lucentis®

  • BiologicalSham

    Fake injection used for masking purposes

06

What researchers measure

Primary outcomes

  1. Mean change from baseline in best corrected visual acuity (BCVA) at Day 85

    Time frame: Baseline, Day 85

Secondary outcomes

  1. Percentage of LMG324-treated subjects with no identified SoC treatment need up to and including Day 85

    Time frame: Up to Day 85

  2. Best Corrected Visual Acuity (BCVA)

    Time frame: Up to Day 169

  3. Central subfield thickness total (CSFTtot)

    Time frame: Up to Day 169

  4. Central subfield thickness neuro-retina (CFSTnr)

    Time frame: Up to Day 169

  5. Lesion thickness

    Time frame: Up to Day 169

  6. Subretinal fluid with foveal involvement (SRFfi) thickness

    Time frame: Up to Day 169

  7. Retinal pigment epithelial detachment with foveal involvement (PEDfi) thickness

    Time frame: Up to Day 169

  8. Area of lesion (associated with CNV)

    Time frame: Up to Day 169

  9. Area of CNV within a lesion

    Time frame: Up to Day 169

  10. Area under the plasma concentration-time curve from time zero to infinity (AUCinf)

    Time frame: Up to Day 169

  11. Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)

    Time frame: Up to Day 169

  12. Area under the plasma concentration-time curve from time zero to time 't' where t is a defined time point after administration (AUC0-t)

    Time frame: Up to Day 169

  13. Maximum observed maximum plasma concentration (Cmax)

    Time frame: Up to Day 169

  14. Time to reach the maximum observed plasma concentration (Tmax)

    Time frame: Up to Day 169

  15. Observed maximum plasma concentration following drug administration, by dose (Cmax/D)

    Time frame: Up to Day 169

  16. Area under the plasma concentration-time curve divided by dose (AUC/D)

    Time frame: Up to Day 169

  17. Frequency of subjects with anti-LMG324 antibodies

    Time frame: Up to Day 169

07

Study locations

1 site
  • Call Alcon Call Center for Trial Locations
    Fort Worth, Texas 76134, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02398500
Lead sponsor
Alcon Research
Collaborators
Novartis Institutes for BioMedical Research
Responsible party
Sponsor
First posted
Mar 25, 2015
Start date
Jul 22, 2015
Primary completion
Feb 29, 2016
Completion
May 20, 2016
Last update
Jun 5, 2019

Study contacts

Clinical Scientist I, NIBR
study director · Alcon Research

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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