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Completed

NCT Number: NCT05345769

Safety and Efficacy of AM712 in Patients with NAMD

The purpose of this Phase 1 study is comprised of multiple ascending-dose component (Part 1) and high concentration component (Part 2) to evaluate the safety, tolerability, pharmacokinetics, and efficacy of AM712 in patients with neovascular age- related macular degeneration (nAMD).

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Key information

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Retina Consultants San Diego, Poway, California, United States

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About this study

The Part 1 of study is a multicenter, open-label, sequentially, multiple ascending-dose study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of AM712 in subjects with nAMD.

Subjects will be sequentially enrolled into different dose-level cohorts following the traditional "3+3" design until the maximally tolerated dose (MTD) or the maximally administered dose (MAD) has been reached.

The Part 2 of study is a multicenter, open-label, sequential study to evaluate the safety, tolerability, pharmacokinetics, and efficacy of AM712 in treatment-naïve patients with nAMD.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subjects with 50 years of age or older
  • Active sub-foveal CNV lesion secondary to nAMD including juxta or extra-foveal lesions that partially affect the fovea
  • The area of CNV must occupy at least 50% of total lesion
  • Total lesion area ≤ 12 DA
  • ETDRS BCVA letter score measured at screening and baseline
  • Clear ocular media and adequate pupil dilation to permit good quality photographic imaging in study eye

Exclusion criteria

  • Any previous systemic anti-VEGF treatment
  • Any systemic treatment or therapy to treat neovascular AMD
  • Continuous use of systemic corticosteroids
  • Diseases that affect intravenous injection and venous blood sampling
  • Presence of CNV due to other causes, such as ocular histoplasmosis, trauma, multifocal choroiditis, angioid streaks, history of choroidal rupture, or pathologic myopia in study eye
  • History or any concurrent ocular condition which, in opinion of investigator, could either confound interpretation of efficacy and safety of IP or require medical or surgical intervention.
  • The area of fibrosis occupies ≥ 50% of total lesion area in study eye
  • Evidence of myopia degeneration, diagnosis supported by the axial length examination in study eye
  • History or any concurrent macular abnormality other than AMD in study eye
  • Current vitreous hemorrhage or history of vitreous hemorrhage in study eye
  • History of recurrent inflammation in study eye
  • History of treatment for nAMD
  • Subject having out of range laboratory values defined as:

ALT or AST > 2 x ULN, total bilirubin > 1.5 x ULN Serum creatinine > 1.5 x ULN, BUN > 2 x ULN HbA1c > 7.5% at screening

Treatment and study plan

AM712(ASKG712)

Biological

AM712 is a recombinant anti-VEGF humanized monoclonal antibody and Ang-2 antagonist peptide fusion protein, which has high specificity for the binding of VEGF-A and Ang-2.

Primary outcomes

  1. Incidence of ocular adverse events (AEs) of the study eyes

    Time frame: 252 days

    To evaluate the safety and tolerability of AM712 in Subjects with neovascular Age-related Macular Degeneration (nAMD)

  2. Incidence of non-ocular AEs

    Time frame: 252 days

    To evaluate the safety and tolerability of AM712 in Subjects with neovascular Age-related Macular Degeneration (nAMD)

  3. Any relevant safety observations derived from BCVA

    Time frame: 252 days

    To evaluate the safety and tolerability of AM712 in Subjects with neovascular Age-related Macular Degeneration (nAMD)

  4. Any relevant safety observations derived from SD-OCT

    Time frame: 252 days

    To evaluate the safety and tolerability of AM712 in Subjects with neovascular Age-related Macular Degeneration (nAMD)

Secondary outcomes

  1. Mean change from baseline in central subfield thickness as assessed by SD-OCT

    Time frame: 252 days

    To evaluate the efficacy of AM712 in Subjects with nAMD

  2. Proportion of patients with no intraretinal fluid, subretinal fluid, or pigment epithelial detachment as assessed by SD-OCT

    Time frame: 252 days

    To evaluate the efficacy of AM712 in Subjects with nAMD

  3. Mean change from baseline in BCVA (ETDRS)

    Time frame: 252 days

    To evaluate the efficacy of AM712 in Subjects with nAMD

  4. Proportion of patients gaining ≥ 15 letters from baseline BCVA

    Time frame: 252 days

    To evaluate the efficacy of AM712 in Subjects with nAMD

Sponsors and collaborators

Lead sponsor

AffaMed Therapeutics Limited

Industry

Registry information

Official study title

A Prospective, Multi-Center, Open-label, Sequential, Multiple Ascending-Dose and High Concentration Cohorts Phase 1 Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Efficacy of AM712 Following Intravitreal Administration in Patients with Neovascular Age-related Macular Degeneration.

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Apr 26, 2022
Registry last updated
Dec 12, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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