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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03780972
Registration number
NCT03780972
Ethics application status
Date submitted
14/12/2018
Date registered
19/12/2018
Titles & IDs
Public title
A Study to Evaluate the Safety and Tolerability of ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
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Scientific title
A Phase 1 Open-Label, Dose Escalation Study to Assess the Safety and Tolerability of Intravitreal ONL1204 in Patients With Macula-off, Rhegmatogenous Retinal Detachment
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Secondary ID [1]
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ONL1204-RRD-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rhegmatogenous Retinal Detachment - Macula Off
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ONL1204
Treatment: Surgery - Intravitreal Injection
Treatment: Surgery - Collection of ocular fluids
Active comparator: Cohort 1 Dose A - Intravitreal injection of 50 µl of ONL1204 liquid formulation to deliver dose 1
Active comparator: Cohort 2 Dose B - Intravitreal injection of 100 µl of ONL1204 liquid formulation to deliver dose 2
Active comparator: Cohort 3 Dose C - Intravitreal injection of 50 µl of ONL1204 liquid formulation to deliver dose 3
Active comparator: Cohort 4 Dose D - Intravitreal injection of 100 µl of ONL1204 liquid formulation to deliver dose 4
Treatment: Drugs: ONL1204
Administration of ONL1204 - inhibitor of Fas(CD95) signaling by intravitreal injection
Treatment: Surgery: Intravitreal Injection
Injection of study drug into the eye
Treatment: Surgery: Collection of ocular fluids
vitreous and aqueous fluid collection by a tap and during vitrectomy
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Vital sign-systolic and diastolic blood pressure
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Assessment method [1]
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Systolic and diastolic blood pressure in mmHg
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Timepoint [1]
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24 weeks
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Primary outcome [2]
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Vital sign-heart rate
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Assessment method [2]
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Heart rate in beats per minute
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Timepoint [2]
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24 weeks
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Primary outcome [3]
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Best corrected visual acuity
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Assessment method [3]
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ETDRS chart (number of letters read)
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Timepoint [3]
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24 weeks
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Primary outcome [4]
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Intraocular pressure
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Assessment method [4]
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Intraocular pressure in mmHg
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Timepoint [4]
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24 weeks
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Primary outcome [5]
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Slit lamp biomicroscopy
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Assessment method [5]
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Slit lamp biomicroscopy (using US FDA clinical grading scale 0-4; 0=normal, 4=very severe changes)
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Timepoint [5]
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24 weeks
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Primary outcome [6]
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Complete blood count
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Assessment method [6]
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White blood cells with differential, hemoglobin, hematocrit and platelet count
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Timepoint [6]
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24 weeks
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Eligibility
Key inclusion criteria
1. Males and females, = 18 to 80 years old
2. Able to give informed consent and comply with all study visits and procedures
3. Patients who:
1. Present between 1 week (7 days) and 4 weeks (28 days) of a macula-off RRD (based on patient-reported history of loss of central vision)
2. For whom standard retinal reattachment surgery by means of a pars plana vitrectomy (with or without scleral buckle) and gas tamponade is indicated, and
3. In the opinion of the investigator, can safely undergo all study procedures.
4. Best corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity of 20/100 to hand motion in the study eye
5. Best corrected ETDRS visual acuity in the fellow eye of 20/60 or better
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Presence of giant retinal tear defined as greater than 3 clock hours or other type of complex retinal detachment in the study eye
2. Presence of vitreous hemorrhage in the study eye
3. Presence of ocular or periocular infection or intraocular inflammation in either eye
4. Intraocular Pressure > 22 mmHg in the study eye
5. Any other significant ocular disease in the study eye including media opacity that, in the opinion of the investigator, would preclude a visual acuity of at least 20/25 following successful vitrectomy or limit adequate visibility of the retina
6. Any other ocular pathology in the study eye requiring treatment with topical ophthalmic drops or intravitreal injection
7. History of previous ocular surgery in the study eye other than uncomplicated cataract surgery with posterior chamber intraocular lens and intact posterior capsule (which must have occurred at least 6 months prior to the baseline visit)
8. Participation in other clinical trials or use of any other investigational drugs or devices within 3 months prior to study participation
9. Females who are pregnant or lactating and women of childbearing potential who are not using adequate contraceptive precautions (e.g., intrauterine device, oral contraceptives, barrier method, or other contraception deemed adequate by the investigator)
10. Known retinopathy, known hepatic disease (or history of significant chronic liver disease), or known renal disease. Patients with diabetes and no known retinopathy may be enrolled
11. History of uncontrolled hypertension
12. History of stroke, transient ischemic attack, or major cardiac surgery within 3 months prior to study, or current treatment for systemic infection
13. Any ocular or systemic condition that in the opinion of the investigator could compromise the safety of the patient, or may interfere with the safety and tolerability assessments or study procedures of the trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/10/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
24/08/2022
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Sample size
Target
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Accrual to date
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Final
14
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Save Sight Institute, Sydney Eye Hospital - Sydney
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Recruitment hospital [2]
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Royal Adelaide - Melbourne
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Recruitment hospital [3]
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Queensland Eye Institute - Melbourne
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Recruitment hospital [4]
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Center for Eye Rearch Australia - Melbourne
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Recruitment postcode(s) [1]
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2000 - Sydney
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Recruitment postcode(s) [2]
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3002 - Melbourne
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Recruitment postcode(s) [3]
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4101 - Melbourne
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Recruitment postcode(s) [4]
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VIC 3002 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
ONL Therapeutics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to evaluate the safety and tolerability of ONL1204 in participants with Macula-off, Rhegmatogenous Retinal Detachment (RRD). RRD is an acute and serious vision threatening condition in which a tear in the retina, typically resulting from a vitreous detachment, allows liquid to accumulate under the retina, detaching the photoreceptor (PR) layer of the retina from the retinal pigment epithelium (RPE). As the RPE is the principal source of nutritional support for the PR layer, the photoreceptors begin a cascade of inflammation and cell death. Photoreceptor cell death is the primary mechanism of vision loss after retinal detachment. ONL1204 is a first-in-class inhibitor of Fragment Apoptosis Stimulator receptor (Fas)-mediated cell death. ONL1204 has demonstrated protection of multiple retinal cell types in numerous preclinical models of acute ocular injury. This will be a first-in-human (FIH) study to evaluate safety and tolerability of a single-dose of ONL1204 in participants with macula-off RRD. The standard of care for surgical repair of macula-off RRD is reattachment surgery within 7 days of the macula detaching. Participants in this study will receive a single intravitreal injection upon diagnosis and enrollment in the study, followed by standard of care surgery. The surgery includes vitrectomy, a procedure that removes the bulk of drug remaining in the vitreous.
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Trial website
https://clinicaltrials.gov/study/NCT03780972
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Matthew Simunovic, M.D.
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Address
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Save Sight Institute, Sydney Eye Hospital, Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03780972