ClinicalTrials.gg
TerminatedNCT05384249Updated Feb 21, 2025

Phase 2b Pivotal Study of Izokibep in Non-infectious, Intermediate-, Posterior- or Pan-uveitis

A Phase 2 interventional study of Izokibep and Placebo in Uveitis, sponsored by ACELYRIN Inc.. Terminated at 69 sites in 7 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-02-21.

Sponsored by ACELYRIN Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Study primary and secondary endpoints did not achieve statistical significance.

From the registry’s dates

  • Primary completion was Feb 2025, 1 year 9 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Izokibep is a small protein molecule that acts as a selective, potent inhibitor of interleukin-17A, to which it binds with high affinity. This study investigates izokibep in subjects with active non-infectious, intermediate-, posterior- or pan-uveitis requiring high-dose steroids.

02

Conditions studied

  • Uveitis

Keywords

  • Non-infectious uveitis
  • Intermediate-uveitis
  • Posterior-uveitis
  • Pan-uveitis
03

In context

Uveitis

299 studies on the registry are indexed under Uveitis; 32 are open to participants now.

This study's enrollment of 96 is above the median of 30 across 175 interventional studies indexed under Uveitis.

Browse Uveitis studies →

Lead sponsor

ACELYRIN Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
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

General

  • Subject has provided signed including consenting to comply with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
  • 18 years to 75 years of age

Type of Subject and Disease Characteristics

  • Subject is diagnosed with non-infectious intermediate-, posterior- or pan-uveitis
  • Active disease defined by the presence of at least 1 of the following criteria in at least 1 eye despite treatment with stable doses of for at least 2 weeks prior to day 1:

    • Active, inflammatory, chorioretinal and/or inflammatory retinal vascular lesion by dilated indirect ophthalmoscopy, fundus photography, fluorescein angiography (FA), and Spectral-Domain Optical Coherence Tomography (SD-OCT) to determine whether a lesion is active or inactive (the central reading center assessment using FA, fundus photography and/or SD-OCT is required to confirm eligibility prior to day 1).
    • ≥ 2+ vitreous haze (National Eye Institute [NEI]/Standardization of Uveitis Nomenclature [SUN] criteria) by digital indirect ophthalmoscope and fundus photography (the central reading center assessment using fundus photography is required to confirm eligibility prior to day 1).
  • Currently receiving treatment with oral corticosteroids (≥ 7.5 mg/day to ≤ 40 mg/day oral prednisone/prednisolone or corticosteroid equivalent) at a stable dose for at least 2 weeks prior to day 1.

Exclusion criteria

Exclusion Criteria:

Disease-related Medical Conditions

  • Subject with isolated anterior uveitis
  • Subject with serpiginous choroidopathy
  • Subject with confirmed or suspected infectious uveitis
  • Subject with corneal or lens opacity that precludes visualization of the fundus or that likely requires cataract surgery during the duration of the study
  • Subject with intraocular pressure of ≥ 25 mmHg while on ≥ 2 glaucoma medications or evidence of glaucomatous optic nerve injury
  • Subject with severe vitreous haze that precludes visualization of the fundus prior to first dose of study drug
  • Subject has a for mydriatic eye drops OR subject cannot be dilated sufficiently well to permit good fundus visualization
  • Subject with best corrected visual acuity (BCVA) \< 20 letters (Early Treatment Diabetic Retinopathy Study [ETDRS]) in at least 1 eye prior to first dose of study drug
  • Subject with proliferative or severe non-proliferative retinopathy or macular edema due to diabetic retinopathy
  • Subject with neovascular/wet age-related macular degeneration
  • Subject with an abnormality of the vitreo-retinal interface with the potential for macular structural damage independent of the inflammatory process
  • Subject with a history of active scleritis ≤ 12 months of first dose of study drug

Other protocol defined Inclusion/Exclusion criteria may apply

Terms in these criteria, in plain language(4)

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
96 participants (actual)

Study arms

  • Placebo comparator
    Group 1: Placebo subcutaneous once weekly

    Participants will receive placebo every week to week 51.

    Drug: Placebo

  • Experimental
    Group 2: Izokibep subcutaneous once weekly

    Participants will receive izokibep every week to week 51.

    Drug: Izokibep

Interventions

  • Biologic: IL-17A inhibitor Form: Solution for injection Route of administration: Subcutaneous (SC)

  • DrugPlacebo

    Form: Solution for injection Route of administration: Subcutaneous (SC)

06

What researchers measure

Primary outcomes

  1. Time to treatment failure defined as reaching treatment failure by meeting ≥ 1 of the 4 criteria specified in the protocol in at least 1 eye.

    Time frame: Up to Week 52

Secondary outcomes

  1. Change in best corrected visual acuity (BCVA) from best state achieved

    Time frame: Before Week 10 to Week 24

  2. Change in the National Eye Institute (NEI) Visual Function Questionnarie-25 (VFQ-25) score from best state achieved

    Time frame: Before Week 10 to Week 24

  3. Change in central retinal thickness by Spectral-Domain Optical Coherence Tomography (SD-OCT)

    Time frame: Baseline to Week 10

  4. Change in central retinal thickness by Spectral-Domain Optical Coherence Tomography (SD-OCT) from best state achieved

    Time frame: Week 10 up to Week 52

  5. Proportion of subjects that achieve quiescence

    Time frame: Week 10

  6. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: Baseline up to Follow-up (Week 65)

  7. Incidence of serious adverse events (SAEs)

    Time frame: Baseline up to Follow-up (Week 65)

  8. Incidence of clinically significant changes in laboratory values

    Time frame: Baseline up to Follow-up (Week 65)

  9. Incidence of clinically significant changes in vital signs

    Time frame: Baseline up to Follow-up (Week 65)

07

Study locations

69 sites
  • Clinical Research Site
    Phoenix, Arizona 85020-5505, United States
  • Clinical Research Site
    Bakersfield, California 93309, United States
  • Clinical Research Site
    Beverly Hills, California 90211-1841, United States
  • Clinical Research Site
    Los Angeles, California 90033-1036, United States
  • Clinical Research Site
    Los Angeles, California 90095-7065, United States
  • Clinical Research Site
    Palo Alto, California 94303, United States
  • Clinical Research Site
    Pasadena, California 91107-3747, United States
  • Clinical Research Site
    Redlands, California 92373, United States
  • Clinical Research Site
    Sacramento, California 95825, United States
  • Clinical Research Site
    San Francisco, California 94109, United States
  • Clinical Research Site
    Denver, Colorado 80246, United States
  • Clinical Research Site
    Clearwater, Florida 33761, United States
  • Clinical Research Site
    Marietta, Georgia 30060-8935, United States
  • Clinical Research Site
    Oak Park, Illinois 60304-1096, United States
  • Clinical Research Site
    Indianapolis, Indiana 46290, United States
  • Clinical Research Site
    Hagerstown, Maryland 21740-5940, United States
  • Clinical Research Site
    Waltham, Massachusetts 02451, United States
  • Clinical Research Site
    Detroit, Michigan 48201-1423, United States
  • Clinical Research Site
    Palisades Park, New Jersey 07650-2322, United States
  • Clinical Research Site
    New York, New York 10003, United States
  • Clinical Research Site
    Winston-Salem, North Carolina 27157, United States
  • Clinical Research Site
    Cleveland, Ohio 44106, United States
  • Clinical Research Site
    Cleveland, Ohio 44195-0001, United States
  • Clinical Research Site
    Portland, Oregon 97239, United States
  • Clinical Research Site
    Erie, Pennsylvania 16507-1429, United States
  • Clinical Research Site
    Pittsburgh, Pennsylvania 15213, United States
  • Clinical Research Site
    Charleston, South Carolina 29414, United States
  • Clinical Research Site
    Nashville, Tennessee 37232, United States
  • Clinical Research Site
    Austin, Texas 78714, United States
  • Clinical Research Site
    Bellaire, Texas 77401-3218, United States
  • Clinical Research Site
    Houston, Texas 77025-1756, United States
  • Clinical Research Site
    Houston, Texas 77030, United States
  • Clinical Research Site
    Houston, Texas 77494-3286, United States
  • Clinical Research Site
    Plano, Texas 75075-5025, United States
  • Clinical Research Site
    Spokane, Washington 99204-2509, United States
  • Clinical Research Site
    Madison, Wisconsin 53705-3644, United States
  • Clinical Research Site
    Graz, 8036, Austria
  • Clinical Research Site
    Salzburg, 5020, Austria
  • Clinical Research Site
    Vienna, 1090, Austria
  • Clinical Research Site
    Brno, 625 00, Czechia
  • Clinical Research Site
    Pardubice, 530 02, Czechia
  • Clinical Research Site
    Prague, 128 08, Czechia
  • Clinical Research Site
    Prague, 140 52, Czechia
  • Clinical Research Site
    Lyon, 69004, France
  • Clinical Research Site
    Marseille, 13008, France
  • Clinical Research Site
    Paris, 75013, France
  • Clinical Research Site
    Paris, 75014, France
  • Clinical Research Site
    Paris, 75019, France
  • Clinical Research Site
    Berlin, 13355, Germany
  • Clinical Research Site
    Bonn, 53127, Germany
  • Clinical Research Site
    Hamburg, 20246, Germany
  • Clinical Research Site
    Kiel, 24105, Germany
  • Clinical Research Site
    Leipzig, 4103, Germany
  • Clinical Research Site
    Münster, 48145, Germany
  • Clinical Research Site
    Münster, 48149, Germany
  • Clinical Research Site
    Milan, 20122, Italy
  • Clinical Research Site
    Milan, 20132, Italy
  • Clinical Research Site
    Milan, 20157, Italy
  • Clinical Research Site
    Reggio Emilia, 42123, Italy
  • Clinical Research Site
    Barcelona, 8017, Spain
  • Clinical Research Site
    Barcelona, 8028, Spain
  • Clinical Research Site
    Barcelona, 835, Spain
  • Clinical Research Site
    Barcelona, 8907, Spain
  • Clinical Research Site
    Madrid, 28040, Spain
  • Clinical Research Site (4007)
    Santiago de Compostela, 15706, Spain
  • Clinical Research Site (4008)
    Santiago de Compostela, 15706, Spain
  • Clinical Research Site
    Valencia, 46015, Spain
  • Clinical Research Site
    Zaragoza, 28040, Spain
  • Clinical Research Site
    Zaragoza, 50009, Spain
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05384249
Lead sponsor
ACELYRIN Inc.
Responsible party
Sponsor
First posted
May 20, 2022
Start date
Aug 23, 2022
Primary completion
Feb 7, 2025
Completion
Feb 7, 2025
Last update
Feb 21, 2025

Study contacts

Donald Betah
study director · ACELYRIN Inc.

Oversight

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

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This study is terminated, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Izokibep

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