TrialReader


AGN-193408 SR in the Treatment of Open-angle Glaucoma or Ocular Hypertension

NCT04499248 — Phase 1 / Phase 2, Active not recruiting, 100 participants, AbbVie

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

A Phase 1/2 Study to Evaluate the Safety and Efficacy of AGN-193408 SR in Participants With Open-Angle Glaucoma or Ocular Hypertension

RegistryNCT04499248
StatusActive not recruiting
PhasePhase 1 / Phase 2
Study typeInterventional; randomized, parallel, masking: quadruple, treatment
Enrollment100 (Actual)
SponsorAbbVie (Industry)
ConditionsOpen-angle Glaucoma, Ocular Hypertension
InterventionsAGN-193408 SR, Lumigan, Sham Administration, Lumigan Vehicle (Drug, other)
Datesstart 2020-11-16, primary completion 2029-04-01 (estimated), completion 2029-04-01 (estimated), first posted 2020-08-05, last updated 2026-05-22
Locations49 sites in United States, Japan

Related Papers Related Patents Related Grants Related Experts
AI Assistant Save
All trials for Open-angle Glaucoma All trials for Ocular Hypertension All trials of AGN-193408 SR All trials of Lumigan

-Summary

This is a multicenter, open-label, dose escalation (Cohort 1) to masked, randomized, parallel-groups (Cohort 2) and (Cohort 3) study to evaluate the safety and efficacy of AGN-193408 SR in participants with open-angle glaucoma or ocular hypertension

Expand all sections  ·  Collapse all

+Arms and interventions

ArmTypeInterventionsDescription
Cohort 1 -Dose AExperimentalDrug: AGN-193408 SR; Other: LumiganSingle dose of AGN-193408 SR Dose A administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1.
Cohort 1 - Dose BExperimentalDrug: AGN-193408 SR; Other: LumiganSingle dose of AGN-193408 SR Dose B administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1.
Cohort 2 - Dose AExperimentalDrug: AGN-193408 SR; Other: Lumigan; Other: Sham Administration; Other: Lumigan VehicleAGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.
Cohort 2 - Dose BExperimentalDrug: AGN-193408 SR; Other: Lumigan; Other: Sham Administration; Other: Lumigan VehicleAGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.
Cohort 3 - Dose AExperimentalOther: Lumigan; Drug: AGN-193408 SR; Other: Sham Administration; Other: Lumigan VehicleAGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.
Cohort 3 - Dose BExperimentalOther: Lumigan; Drug: AGN-193408 SR; Other: Sham Administration; Other: Lumigan VehicleAGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.
  • AGN-193408 SR (Drug): An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant into the anterior chamber of the study eye.
  • Lumigan (Other), also known as Active Comparator: Control Treatment in Fellow Eye Lumigan 0.01% is a topical eye drop that is a solution containing 0.1 mg/mL bimatoprost
  • Sham Administration (Other): Needleless applicator contacting similar intracameral insertion location on eye as AGN-193408 SR.
  • Lumigan Vehicle (Other), also known as Vehicle: Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 2.
  • AGN-193408 SR (Drug): An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant in the study eye.
  • Sham Administration (Other): Needleless applicator contacting similar insertion location on eye as AGN-193408 SR.
  • Lumigan Vehicle (Other), also known as Vehicle: Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 3.

+Outcome measures

Primary outcomes

  • Change from Baseline in Hour 0 Intraocular Pressure (IOP) in the Study Eye [Baseline to Month 36]: IOP is a measurement of the fluid pressure inside the study eye. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.
  • Number of participants experiencing treatment emergent adverse events [Baseline to Month 36]

Secondary outcomes

  • Time to Rescue Treatment or Re-Treatment in the Study Eye [Baseline to Month 36]: Time to rescue treatment or the second treatment is defined as the time between the first treatment and the second treatment in the study eye.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Participant is willing to withhold his/her IOP (Intraocular Pressure) treatments according to the study requirements, and in the opinion of the investigator, can do so without significant risk.
* Diagnosis of either OAG \[open-angle glaucoma\] (ie, \[POAG\], pseudoexfoliation glaucoma,pigmentary glaucoma) or OHT (ocular hypertension) in both eyes.
* Must be pseudophakic (at least 4 months postcataract surgery prior to treatment administration \[Cycle 1 Day 1 Administration visit\]) (Cohort 3 only).

Exclusion Criteria:

* Known allergy or sensitivity to any study medication or its components, any component of the delivery vehicle, procedure-related materials, or diagnostic agents used during the study (eg, topical anesthetic, dilating drops, fluorescein, povidone-iodine).
* Concurrent or anticipated enrollment in an investigational drug or device study or participation in such a study within 2 months prior to the Baseline visit through the final study visit.
* History of intracameral implant in the study eye (eg, Bimatoprost SR, OTX-TIC, ENV515 Travoprost XR).
* History of laser trabeculoplasty within 6 months prior to screening in the study eye.
* History or evidence of clinically relevant, substantial ocular trauma (eg, a traumatic cataract, traumatic angle recession, etc.) in the study eye.
* History or evidence of complicated cataract/lens surgery, as stated in the protocol.
* Intraocular surgery (including cataract surgery) in the study eye within the 4 months prior to treatment administration.
* Any history of corneal graft, including partial grafts (eg, Descemet's Stripping Endothelial Keratoplasty \[DSEK\], Descemet's Membrane Endothelial Keratoplasty \[DMEK\]); or incisional refractive surgery (eg, radial keratotomy), other than astigmatic keratotomy or limbal relaxing incisions in the study eye.
* History of herpetic ocular diseases in either eye (including herpes simplex virus and varicella zoster virus).
* Anticipated need for any incisional or laser ocular surgery in either eye during the study.
* History of anatomically narrow angle resulting in evidence of angle changes or any history or closed angle glaucoma in the study eye.
* History or evidence of a peripheral iridotomy/iridectomy in the inferior iris in the study eye.
* Any history of trabeculectomy or other types of incisional glaucoma surgery, including a glaucoma seton or aqueous bypass stents in either eye, or minimally invasive glaucoma surgery (MIGS) type trabecular meshwork surgeries in the study eye.
* Anticipated use of corticosteroids in either eye except for permitted interventions or systemically during the study, or historical use prior to Baseline within:

  * 3 years: intraocular fluocinolone acetonide
  * 6 months: intraocular corticosteroid(s) other than fluocinolone; any injectable periocular or sub-Tenon's/subconjunctival corticosteroid
  * 2 months: systemic (eg, oral, intramuscular, intravenous) or topical ocular corticosteroids
  * 2 weeks: dermal corticosteroids applied to skin of the eyelid(s), around the eye, or adnexa.
* Anticipated use of other topical ocular medications in either eye except for permitted interventions.
* The anticipated wearing of contact lenses in the study eye (Cohort 1) and both eyes (Cohorts 2 and 3) during the study that deviates from the following (contact lens wear is allowed during the study, but is to be temporarily discontinued before study visits, and before and after an Administration Day according to the following):

  * Use of soft lenses should be discontinued at least 3 days prior to Baseline, and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to Baseline
  * Use of soft lenses should be discontinued at least 3 days and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to a scheduled study visit or Administration Day visit
  * Use of contact lenses of any kind should be discontinued for 1 week following any AGN-193408 SR administration
* Central corneal thickness of < 480 or > 620 micrometers in both eyes.
* Visual field loss in the study eye that, in the opinion of the investigator, is functionally significant (eg, split fixation, field defect within the central 10 degrees that is visually significant or likely to cause central visual impairment upon progression) or shows evidence of progressive visual field loss within the year prior to Baseline.
* Evidence of macular edema in either eye during screening or in participant's medical history.
* At Screening, evidence of posterior synechia behind the iris inferiorly in the study eye that in the investigator's opinion may inhibit the ability to safely receive at least 1 AGN-193408 SR implant (Cohort 3 only).

+Locations (49)

FacilityCityCountryStatus
Horizon Eye Specialists & Lasik Center - Sun City /ID# 252153Sun City, ArizonaUnited States
Global Research Management /ID# 241699Glendale, CaliforniaUnited States
United Medical Research Institute /ID# 241701Inglewood, CaliforniaUnited States
Lakeside Vision Center /ID# 241698Irvine, CaliforniaUnited States
The Eye Research Foundation /ID# 234528Newport Beach, CaliforniaUnited States
Sacramento Eye Consultants /ID# 241697Sacramento, CaliforniaUnited States
Premiere Practice Management LLC /ID# 235957Torrance, CaliforniaUnited States
Wolstan & Goldberg Eye Associates /ID# 241700Torrance, CaliforniaUnited States
Connecticut Eye Consultants P.C. /ID# 235862Danbury, ConnecticutUnited States
Brandon Eye Associates - Brandon /ID# 276600Brandon, FloridaUnited States
Nature Coast Clinical Research - Crystal River /ID# 237781Crystal River, FloridaUnited States
Advanced Research, LLC /ID# 276987Deerfield Beach, FloridaUnited States
University of Florida Health Ophthalmology - Jacksonville /ID# 243122Jacksonville, FloridaUnited States
East Florida Eye Institute /ID# 235762Stuart, FloridaUnited States
Logan Ophthalmic Research Inc. /ID# 252087Tamarac, FloridaUnited States
Coastal Research Associates /ID# 234649Roswell, GeorgiaUnited States
Thomas Eye Group PC /ID# 266775Sandy Springs, GeorgiaUnited States
University of Illinois Hospital and Health Sciences System /ID# 253630Chicago, IllinoisUnited States
Midwest Medical Advisors Inc /ID# 235845Carmel, IndianaUnited States
Indiana University - Glick Eye Institute /ID# 235887Indianapolis, IndianaUnited States
Ophthalmic Consultants of Boston /ID# 236535Boston, MassachusettsUnited States
Fraser Eye Care Center /ID# 267100Fraser, MichiganUnited States
Midwest Vision Research Foundation at Pepose Vision Institute /ID# 267094Chesterfield, MissouriUnited States
Silverstein Eye Centers /ID# 266767Kansas City, MissouriUnited States
Tekwani Vision Center /ID# 235149St Louis, MissouriUnited States
Nv Eye Surgery - Henderson /ID# 276925Henderson, NevadaUnited States
Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 234365Newark, New JerseyUnited States
Northern New Jersey Eye Institute /ID# 241545South Orange, New JerseyUnited States
Asheville Eye Associates /ID# 234963Asheville, North CarolinaUnited States
Private Practice - Dr. James D. Branch /ID# 234560Winston-Salem, North CarolinaUnited States
The Ohio State University /ID# 267590Columbus, OhioUnited States
Oklahoma Eye Surgeons /ID# 252089Oklahoma City, OklahomaUnited States
Drs Fine Hoffman & Sims LLC /ID# 235919Eugene, OregonUnited States
Scott and Christie and Associates /ID# 252284Cranberry Township, PennsylvaniaUnited States
Eye Specialty Group /ID# 252201Memphis, TennesseeUnited States
Vanderbilt Eye Institute /ID# 266915Nashville, TennesseeUnited States
Advancing Vision Research /ID# 236683Smyrna, TennesseeUnited States
Macro Trials (SMO/Network/Consortium) /ID# 266772Austin, TexasUnited States
San Antonio Eye Center /ID# 272087San Antonio, TexasUnited States
St. George Eye Center /ID# 236200St. George, UtahUnited States
Piedmont Eye Center /ID# 246455Lynchburg, VirginiaUnited States
Vistar Eye Center /ID# 234811Roanoke, VirginiaUnited States
Kitasato University Hospital /ID# 238880Sagamihara-shi, KanagawaJapan
National Hospital Organization Saitama Hospital /ID# 266953Wako, SaitamaJapan
Duplicate_Shimane University Hospital /ID# 238641Izumo-shi, ShimaneJapan
The University of Tokyo Hospital /ID# 238871Bunkyo-ku, TokyoJapan
Nippon Medical School Tama Nagayama Hospital /ID# 273428Tama-shi, TokyoJapan
University of Yamanashi Hospital /ID# 238642Chuo-shi, YamanashiJapan
Hayashi eye hospital /ID# 267604FukuokaJapan

+Investigators

  • ABBVIE INC., Study director, AbbVie

My Notes