RecruitingPhase 1Phase 2NCT04499248

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

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


Sponsor

AbbVie

Enrollment

96 participants

Start Date

Nov 16, 2020

Study Type

INTERVENTIONAL

Conditions

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


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • 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 Criteria27

  • 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:
  • years: intraocular fluocinolone acetonide
  • months: intraocular corticosteroid(s) other than fluocinolone; any injectable periocular or sub-Tenon's/subconjunctival corticosteroid
  • months: systemic (eg, oral, intramuscular, intravenous) or topical ocular corticosteroids
  • 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).

Interventions

DRUGAGN-193408 SR

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.

OTHERLumigan

Control Treatment in Fellow Eye Lumigan 0.01% is a topical eye drop that is a solution containing 0.1 mg/mL bimatoprost

OTHERSham Administration

Needleless applicator contacting similar intracameral insertion location on eye as AGN-193408 SR.

OTHERLumigan 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.

DRUGAGN-193408 SR

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.

OTHERSham Administration

Needleless applicator contacting similar insertion location on eye as AGN-193408 SR.

OTHERLumigan 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.


Locations(49)

Horizon Eye Specialists & Lasik Center - Sun City /ID# 252153

Sun City, Arizona, United States

Global Research Management /ID# 241699

Glendale, California, United States

United Medical Research Institute /ID# 241701

Inglewood, California, United States

Lakeside Vision Center /ID# 241698

Irvine, California, United States

The Eye Research Foundation /ID# 234528

Newport Beach, California, United States

Sacramento Eye Consultants /ID# 241697

Sacramento, California, United States

Premiere Practice Management LLC /ID# 235957

Torrance, California, United States

Wolstan & Goldberg Eye Associates /ID# 241700

Torrance, California, United States

Connecticut Eye Consultants P.C. /ID# 235862

Danbury, Connecticut, United States

Brandon Eye Associates - Brandon /ID# 276600

Brandon, Florida, United States

Nature Coast Clinical Research - Crystal River /ID# 237781

Crystal River, Florida, United States

Advanced Research, LLC /ID# 276987

Deerfield Beach, Florida, United States

University of Florida Health Ophthalmology - Jacksonville /ID# 243122

Jacksonville, Florida, United States

East Florida Eye Institute /ID# 235762

Stuart, Florida, United States

Logan Ophthalmic Research Inc. /ID# 252087

Tamarac, Florida, United States

Coastal Research Associates /ID# 234649

Roswell, Georgia, United States

Thomas Eye Group PC /ID# 266775

Sandy Springs, Georgia, United States

University of Illinois Hospital and Health Sciences System /ID# 253630

Chicago, Illinois, United States

Midwest Medical Advisors Inc /ID# 235845

Carmel, Indiana, United States

Indiana University - Glick Eye Institute /ID# 235887

Indianapolis, Indiana, United States

Ophthalmic Consultants of Boston /ID# 236535

Boston, Massachusetts, United States

Fraser Eye Care Center /ID# 267100

Fraser, Michigan, United States

Midwest Vision Research Foundation at Pepose Vision Institute /ID# 267094

Chesterfield, Missouri, United States

Silverstein Eye Centers /ID# 266767

Kansas City, Missouri, United States

Tekwani Vision Center /ID# 235149

St Louis, Missouri, United States

Nv Eye Surgery - Henderson /ID# 276925

Henderson, Nevada, United States

Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 234365

Newark, New Jersey, United States

Northern New Jersey Eye Institute /ID# 241545

South Orange, New Jersey, United States

Asheville Eye Associates /ID# 234963

Asheville, North Carolina, United States

Private Practice - Dr. James D. Branch /ID# 234560

Winston-Salem, North Carolina, United States

The Ohio State University /ID# 267590

Columbus, Ohio, United States

Oklahoma Eye Surgeons /ID# 252089

Oklahoma City, Oklahoma, United States

Drs Fine Hoffman & Sims LLC /ID# 235919

Eugene, Oregon, United States

Scott and Christie and Associates /ID# 252284

Cranberry Township, Pennsylvania, United States

Eye Specialty Group /ID# 252201

Memphis, Tennessee, United States

Vanderbilt Eye Institute /ID# 266915

Nashville, Tennessee, United States

Advancing Vision Research /ID# 236683

Smyrna, Tennessee, United States

Macro Trials (SMO/Network/Consortium) /ID# 266772

Austin, Texas, United States

San Antonio Eye Center /ID# 272087

San Antonio, Texas, United States

St. George Eye Center /ID# 236200

St. George, Utah, United States

Piedmont Eye Center /ID# 246455

Lynchburg, Virginia, United States

Vistar Eye Center /ID# 234811

Roanoke, Virginia, United States

Kitasato University Hospital /ID# 238880

Sagamihara-shi, Kanagawa, Japan

National Hospital Organization Saitama Hospital /ID# 266953

Wako, Saitama, Japan

Duplicate_Shimane University Hospital /ID# 238641

Izumo-shi, Shimane, Japan

The University of Tokyo Hospital /ID# 238871

Bunkyo-ku, Tokyo, Japan

Nippon Medical School Tama Nagayama Hospital /ID# 273428

Tama-shi, Tokyo, Japan

University of Yamanashi Hospital /ID# 238642

Chuo-shi, Yamanashi, Japan

Hayashi eye hospital /ID# 267604

Fukuoka, Japan

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NCT04499248


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