ClinicalTrials.gg
Not yet recruitingNCT07766473BEyONDUpdated Sep 18, 2026

First in Human Study of BETA-TT8 in wetAge-related Macular Degeneration (wetAMD)

A Phase 1/2 interventional study of BETA-TT8 ophthalmic gel 3.8% w/v in Neovascular (Wet) Age-Related Macular Degeneration, sponsored by Filamon LTD. Not yet recruiting at 4 sites in Australia. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Filamon LTD · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 77 studies in Macular Degeneration with a site in Australia — 17 open to participants now, 22 under way, 7 of them phase 3. Macular Degeneration · Australia.

Planned enrollment
60th of 66
24 · median 280
Started
2026
with 4 others
Phase 1/2
6 of 77
2 open now
Primary completion
2027-03
later than 4 of 21 live
Registered
77th of 77
by date

Among the 77 studies in Macular Degeneration with a site in Australia, this one is the 60th largest by planned enrollment of the 66 interventional ones that give a count, is one of 5 that started in 2026, is one of 6 in phase 1/2, reaches primary completion later than 4 of the 21 other live ones, and was the 77th registered.

Macular Degeneration

1,459 studies on the registry are indexed under Macular Degeneration; 238 are open to participants now.

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Open to participants now

17 of the 77 studies in Macular Degeneration with a site in Australia are open now. Recruiting first, the newest first:

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All 17 open studies →

A study can be open while its sites in Australia have not opened yet or have stopped. Only those recruiting at a site in Australia →

Who these studies take

Of the 166 Macular Degeneration studies recruiting now, 117 (70%) set no upper age limit and 5 (3%) stop at 75 or younger; 19 take children under 18; 35 take healthy volunteers.

This study: 50 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a first-in-human clinical trial evaluating the safety and tolerability of BETA-TT8 Ophthalmic Gel in people with wet age-related macular degeneration (AMD). Approximately 24 participants with stable wet AMD who have previously received at least three anti- Vascular Endothelial Growth Factor (anti -VEGF) injections will use the eye gel for up to 12 weeks at one of three dosing schedules (once, twice, or three times daily). Standard anti-VEGF treatment (aflibercept) will remain available if needed during the study. Participants who complete the initial 12-week treatment period may be invited to continue in an extension phase for up to 12 months to collect additional safety and treatment information.

Read the detailed description

This is a Phase Ib/IIa, first-in-human, open-label, multi-centre study of BETA-TT8 Ophthalmic Gel 3.8% in patients with neovascular (wet) age-related macular degeneration. BETA-TT8 is administered topically to the study eye. The study enrols twenty-four (24) patients recently diagnosed with wetAMD and stable on standard-of-care anti-VEGF at entry (stable being defined as absence of intraretinal fluid, less than 200microns of subretinal fluid, no new macula haemorrhage and stable visual acuity-less than 5 Early Treatment Diabetic Retinopathy Study (ETDRS) letter difference- over the last two visits), in three parallel groups of eight (8) per group. BETA-TT8 is added to each patient's established anti-VEGF backbone at a single fixed dose, identical across all three groups. Patients first receive a minimum of three loading intravitreal aflibercept 2 mg injections per the approved label. BETA-TT8 is then introduced approximately one week after the third or more injections. Aflibercept remains available as rescue throughout; BETA-TT8 dosing continues during and after rescue. All patients are randomised to one of three groups for the 12-week period (Group 1: Once-daily (OD); Group 2: Twice-daily (BD); Group 3: Three-times-daily (TDS)). Dose per administration is identical throughout and across groups; dosing frequency is the only variable. This is a safety and tolerability evaluation; dosing-frequency-finding is a pre-specified exploratory aim. Participants meeting the pre-specified Extension Gate criteria at Week 12 may enter a 12-month open-label extension.

03

Conditions studied

  • Neovascular (Wet) Age-Related Macular Degeneration

Keywords

  • BETA-TT8
  • wetAMD
  • Ophthalmic gel
  • neovascular AMD
  • ophthalmology
04

Who can participate

Ages eligible
50 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

  • Age 50 years or older.
  • Subfoveal or juxtafoveal choroidal neovascularisation (CNV) secondary to AMD in the study eye(s).
  • Stable disease having received three (3) or more previous intravitreal aflibercept 2mg as standard-of-care.
  • Total CNV lesion area no greater than 12-disc areas.
  • BCVA in the study eye between 24 and 78 ETDRS letters inclusive.
  • Suitable for intravitreal aflibercept rescue per its approved label.
  • Able to self-administer eye drops or has a trained caregiver able to administer drops at home.
  • Willing and able to comply with the protocol-defined visit schedule.
  • Signed .

Exclusion criteria

Exclusion Criteria:

  • Ocular Exclusion Criteria

    • to intravitreal aflibercept per its approved label, including active ocular or peri-ocular infection or active intraocular inflammation.
    • Dense fibrosis or scarring within the study eye(s) lesion limiting OCT interpretation.
    • Severe atrophy involving the fovea.
    • Subretinal haemorrhage involving or obscuring the fovea.
    • Subretinal fibrosis involving more than 50% of the lesion area.
    • Pigment epithelial detachment involving more than 50% of the CNV lesion.
    • Confounding retinal disease, including diabetic retinopathy, retinal vein occlusion, or myopic degeneration.
    • Significant corneal disease that would complicate topical safety interpretation.
    • Prior subfoveal laser photocoagulation, photodynamic therapy, or ocular radiation in the study eye.
    • Uncontrolled glaucoma or IOP greater than 25 mmHg at screening.
  • Systemic Exclusion Criteria

    • abnormality or concern at baseline (QTcF greater than 460 ms in men or greater than 480 ms in women).
    • Current use of QT-prolonging medications per a pre-specified list
    • Current use of medications with known MEK or MAPK pathway activity.
    • Clinically significant hepatic, renal, cardiovascular, or haematological disease.
    • Known to any component of the BETA-TT8 formulation or to aflibercept.
    • Active or history of malignancy requiring treatment within the prior 5 years. Cancers considered to be cured (eg. prostatectomy or radiation for prostate cancer, treatment for breast cancer) or treated non- skin or melanoma are excepted.
    • Pregnancy, breastfeeding, or inadequate during the study and for 30 days after last dose of BETA-TT8.
  • Other Exclusion Criteria

    • Inability or unwillingness to comply with study procedures or dosing requirements.
    • Cognitive impairment or insufficient home support that may compromise proper administration of study treatment.
    • Participation in another study within 30 days of screening.
Terms in these criteria, in plain language(11)

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • Active comparator
    BETA-TT8 Ophthalmic topical gel - Group one

    One drop, once daily

    Drug: BETA-TT8 ophthalmic gel 3.8% w/v

  • Active comparator
    BETA-TT8 Ophthalmic topical gel - Group two

    One drop, twice daily

    Drug: BETA-TT8 ophthalmic gel 3.8% w/v

  • Active comparator
    BETA-TT8 Ophthalmic topical gel - Group three

    One drop, three times daily

    Drug: BETA-TT8 ophthalmic gel 3.8% w/v

Interventions

  • DrugBETA-TT8 ophthalmic gel 3.8% w/v

    A selective small-molecule inhibitor of the MEK/ERK (MAPK) signalling pathway, topical ophthalmic gel.

06

What researchers measure

Primary outcomes

  1. To evaluate the safety of topical BETA-TT8 based on TEAEs.

    • Incidence of treatment-emergent adverse events (TEAEs) and ocular TEAEs through Week 12, coded using MedDRA and graded per Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

    Time frame: 12 weeks

  2. To evaluate the safety of topical BETA-TT8 based on DLTs.

    • Incidence of dose-limiting toxicities (DLTs) within pre-defined evaluation windows. A DLT is defined as any of the following events considered at least possibly related to BETA-TT8. Systemic DLTs; * Any Grade 3 or higher adverse event per CTCAE v5.0. * Any drug-related Grade 2 adverse event sustained for more than 7 days. * ALT or AST greater than 3× ULN with total bilirubin greater than 1.5× ULN. * Grade 3 or higher haematological toxicity. * QTcF greater than 500 ms, or an increase in QTcF greater than 60 ms from baseline, confirmed on repeat ECG. Ocular DLTs; * Clinically significant corneal toxicity (Grade 2 or higher on NEI/Oxford scale sustained more than 7 days, or any Grade 3 finding). * Anterior chamber inflammation above the pre-specified grading threshold. * Clinically significant IOP increase, defined as an increase greater than 10 mmHg from baseline AND an absolute IOP greater than 30 mmHg, confirmed on repeat measurement. * Clinically meaningful decrease in BCVA

    Time frame: 12 weeks

  3. To evaluate the safety of topical BETA-TT8 based on clinically significant ocular findings.

    Incidence of clinically significant ocular findings on slit-lamp and fundoscopic examination (cornea, conjunctiva, anterior chamber, lens, vitreous, retina). Corneal epithelial findings (including punctate keratopathy) are specifically monitored as a precaution for topical ocular small molecules.

    Time frame: 12 weeks

  4. To evaluate the safety of topical BETA-TT8 based on intraocular pressure changes.

    Incidence of clinically significant intraocular pressure (IOP) changes, defined as an increase greater than 10 mmHg from baseline or absolute IOP greater than 30 mmHg.

    Time frame: 12 weeks

  5. To evaluate the safety of topical BETA-TT8 based on corneal staining abnormalities.

    Incidence of corneal epithelial defects/staining abnormalities graded per National Eye Institute (NEI) or Oxford scale.

    Time frame: 12 weeks

  6. To evaluate the tolerability of topical BETA-TT8 based on reasons for discontinuations.

    Incidence of treatment discontinuations due to adverse events.

    Time frame: 12 weeks

  7. To evaluate the safety of topical BETA-TT8 based on TEAEs.

    • Severity of treatment-emergent adverse events (TEAEs) and ocular TEAEs through Week 12, coded using MedDRA and graded per Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

    Time frame: 12 weeks

  8. To evaluate the safety of topical BETA-TT8 based on TEAEs.

    • Relationship of treatment-emergent adverse events (TEAEs) and ocular TEAEs through Week 12, coded using MedDRA and graded per Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

    Time frame: 12 weeks

Secondary outcomes

  1. To further characterise ocular safety following repeated topical administration based on preliminary biological activity data.

    Based on Optical Coherence Tomography (OCT)-derived anatomical measures, including: • Mean change from baseline in Central Subfield Thickness (CST) at each scheduled visit.

    Time frame: 12 weeks

  2. Exploratory-efficacy signals during BETA-TT8 treatment phase.

    Exploratory efficacy signals, if identified, will inform endpoint selection and sample size determination for future adequately powered studies. • Time to first Aflibercept rescue (Kaplan-Meier) , referenced descriptively against site-derived historical anti-VEGF injection-burden data.

    Time frame: 12 weeks

  3. Exploratory-efficacy signals during BETA-TT8 treatment phase.

    Exploratory efficacy signals, if identified, will inform endpoint selection and sample size determination for future adequately powered studies. • Number of Aflibercept rescue injections during the 12-week treatment phase, referenced descriptively against site-derived historical anti-VEGF injection-burden data.

    Time frame: 12 weeks

  4. Exploratory-efficacy signals during BETA-TT8 treatment phase.

    Exploratory efficacy signals, if identified, will inform endpoint selection and sample size determination for future adequately powered studies. • Within-patient change in anti-VEGF rescue interval relative to each patient's own documented pre-study injection interval.

    Time frame: 12 weeks

  5. To further characterise ocular safety following repeated topical administration based on preliminary biological activity data.

    Based on Optical Coherence Tomography (OCT)-derived anatomical measures, including: • Mean change from baseline in Best Corrected Visual Acuity (BCVA) at each scheduled visit.

    Time frame: 12 weeks

Other outcomes

  1. To assess systemic exposure effects of BETA-TT8 over the Extension Phase

    Systemic exposure effects will be captured through fellow-eye (i.e. non-treated eye) safety assessments measuring mean change in BVCA (ETDRS letters) from baseline to each scheduled visit.

    Time frame: 12 months

  2. To assesses potential efficacy of BETA-TT8 over the Extension Phase

    At each scheduled visit during the Extension Phase, BCVA (ETDRS letters) assessment will be performed measuring mean change from baseline to each scheduled visit as previously described.

    Time frame: 12 months

  3. To characterise aflibercept injection burden over the 12-month Extension Phase

    This will be done by recording the cumulative number of rescues (aflibercept injection) required over the Extension Phase, compared to site-derived historical anti-VEGF standards.

    Time frame: 12 months

  4. To assesses potential efficacy of BETA-TT8 over the Extension Phase

    At each scheduled visit during the Extension Phase, CST assessments will be performed as previously described.

    Time frame: 12 months

  5. To assesses potential efficacy of BETA-TT8 over the Extension Phase

    At each scheduled visit during the Extension Phase, intraretinal fluid/sub-retinal fluid (IRF/SRF) assessments will be performed as previously described.

    Time frame: 12 months

  6. To assesses potential efficacy of BETA-TT8 over the Extension Phase

    Patient reported outcomes will also be assessed at time points using the NEI-VFQ-25 questionnaire (National Eye Institute Visual Function Questionnaire-25).

    Time frame: 12 months

  7. To assess systemic exposure effects of BETA-TT8 over the Extension Phase

    Systemic exposure effects will be captured through fellow-eye (i.e. non-treated eye) safety assessment, measuring mean change in CST from baseline to each scheduled visit.

    Time frame: 12 months

  8. To assess systemic exposure effects of BETA-TT8 over the Extension Phase

    Systemic exposure effects will be captured through fellow-eye (i.e. non-treated eye) safety assessments measuring mean change in slit-lamp from baseline to each scheduled visit.

    Time frame: 12 Months

  9. To assess systemic exposure effects of BETA-TT8 over the Extension Phase

    Systemic exposure effects will be captured through sparse plasma BETA-TT8 concentration at specified scheduled visits.

    Time frame: 12 months

07

Study locations

4 sites
08

References and documents

Individual participant data

Plan to share: No — IPD will not be shared due to commercial in confidence restrictions.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Mar 2027, 6 months later.

Of 52 phase 1/2 interventional studies under Macular Degeneration, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 65. This study's planned 6 months is below that.

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

Registered
Jul 21, 2026
First posted
Aug 14, 2026
StartEst.
Sep 2026
Primary completionEst.
Mar 2027
CompletionEst.
Sep 2027
Last update
Sep 18, 2026
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 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07766473
Lead sponsor
Filamon LTD
Responsible party
Sponsor
First posted
Aug 14, 2026
Start date
Sep 2026 (estimated)
Primary completion
Mar 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Sep 18, 2026

Study contacts

Hemal Mehta, MBBS MD, FRCOphth FRANZCO
Contact
HM@ispecialist.org
(02) 4325 2482
Sarrvesa Singh
Contact
sarrvesa.singh@retinaclinicaltrials.com.au
(02) 4325 2482
Hemal Mehta, MBBS MD, FRCOphth FRANZCO
principal investigator · Central Coast Eye Specialists

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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