ClinicalTrials.gg
Status unknownNCT03066869Updated Sep 12, 2019

Efficacy and Safety of H.P. ACTHAR GEL in Adults With Retinal Vasculitis

A Phase 4 interventional study of H.P. ACTHAR GEL in Uveitis, Posterior and Vasculitis Retinal, sponsored by Ocular Immunology and Uveitis Foundation. Status unknown at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-12.

Sponsored by Ocular Immunology and Uveitis Foundation · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the short- and long-term efficacy and safety of Acthar for the treatment of adults with non-infectious retinal vasculitis.

02

Conditions studied

  • Uveitis, Posterior
  • Vasculitis Retinal

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03

In context

Uveitis, Posterior

61 studies on the registry are indexed under Uveitis, Posterior; 4 are open to participants now.

This study's planned enrollment of 40 is close to the median of 37 across 45 interventional studies indexed under Uveitis, Posterior.

Browse Uveitis, Posterior studies →

Lead sponsor

This is the only study on the registry with Ocular Immunology and Uveitis Foundation as lead sponsor.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Any adult patient with active retinal vasculitis (involving arteries or veins) as a manifestation of non-infectious ocular inflammatory disease; fundus must be viewable with wide-field FA in the study eye
  • If both eyes are involved, both are eligible for inclusion in the study
  • Patients already on non-steroidal therapy may continue on this during the study, but the dose must not be increased or decreased within 6 weeks of initiating the trial
  • Willing and able to sign the form

Exclusion criteria

Exclusion Criteria:

  • Patients under age 18
  • Patients who are pregnant (must be ruled out in women of child-bearing age)
  • Active infectious ocular or systemic disease
  • Patients with active infectious ocular or extraocular disease
  • Patients with history of , except for dermatologic entities of basal or squamous cell carcinoma which have been completely excised or removed previously
  • Patients with systemic illness involving abnormalities of the hypothalamic-pituitary-adrenal axis; patients with primary adrenocortical insufficiency or adrenocortical hyperfunction
  • Patients with known to Acthar
  • Patients on other non-steroidal systemic immunomodulatory medications with dose adjusted sooner than 6 weeks prior to study drug administration
  • Patients currently on or recently treated with (within 6 weeks) systemic
  • Patients with periocular or intraocular injections of medications administered to help control inflammation sooner than 6 weeks prior to study drug administration
  • Patients with severe disease that warrants critical attention, deemed unsafe for the study by the investigator, or , including but not limited to, patients with scleroderma, osteoporosis, systemic fungal infections, ocular herpes simplex, recent surgery, history of or the presence of a peptic ulcer, congestive heart failure, uncontrolled hypertension, or sensitivity to proteins of porcine origin. Administration of live or is contraindicated in patients during the entire duration of the study and for one month prior
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    H.P. ACTHAR GEL

    Drug: H.P. ACTHAR GEL

Interventions

  • H.P. Acthar Gel is an adrenocorticotropic hormone (ACTH) analogue indicated for ophthalmic diseases.

06

What researchers measure

Primary outcomes

  1. Percentage of responders to Acthar at the end of treatment.

    A responder will be defined by the binominal presence or absence of active retinal vasculitis as evaluated at Week 24. Active retinal vasculitis is defined as angiographic leakage from retinal arterioles, venules, or capillaries as determined by investigator, seen on wide-field angiography. Complete resolution or absence of active retinal vasculitis at Week 24 is considered success or "remission".

    Time frame: 24 Weeks

Secondary outcomes

  1. Presence or absence of active retinal vasculitis at all other time points.

    Time frame: 1 Day to 24 Weeks

  2. Safety assessments, including drug tolerability and adverse events; other ocular and/or systemic complications.

    Time frame: 1 Day to 24 Weeks

  3. Percentage of patients requiring rescue therapy.

    Time frame: 1 Day to 24 Weeks

07

Study locations

1 of 1 sites recruiting
  • Ocular Immunology & Uveitis Foundation
    Waltham, Massachusetts 02451, United States
    Recruiting
    • C. Stephen Foster, MD · Contactsfoster@mersi.com · 781-891-6377
    • Stephen D. Anesi, MD · Contactsanesi@mersi.com · 781-891-6377
    • C. Stephen Foster, MD · Principal investigator
    • Stephen D. Anesi, MD · Sub investigator
    • Peter Chang, MD · Sub investigator
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2017 (actual). Primary completion is estimated for Feb 2020, 35 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 30, 2016
First posted
Mar 1, 2017
StartActual
Mar 22, 2017
Primary completionEst.
Feb 2020
CompletionEst.
Aug 2020
Last update
Sep 12, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03066869
Lead sponsor
Ocular Immunology and Uveitis Foundation
Responsible party
Sponsor
First posted
Mar 1, 2017
Start date
Mar 22, 2017
Primary completion
Feb 2020 (estimated)
Completion
Aug 2020 (estimated)
Last update
Sep 12, 2019

Study contacts

C. Stephen Foster, MD
Contact
sfoster@mersi.com
781-891-6377

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Adrenocorticotropic Hormone

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