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Safety Study of iCo-007 Intravitreal Injection to Treat Diabetic Macular Edema
This study is currently recruiting participants.
Verified by iCo Therapeutics Inc., April 2009
First Received: April 22, 2009   No Changes Posted
Sponsored by: iCo Therapeutics Inc.
Information provided by: iCo Therapeutics Inc.
ClinicalTrials.gov Identifier: NCT00886808
  Purpose

The goal of the study is to evaluate the safety and tolerability of 4 different doses of iCo-007 Intravitreal Injection in patients with diffuse diabetic macular edema.


Condition Intervention Phase
Diffuse Diabetic Macular Edema
Drug: iCo-007 Intravitreal Injection
Phase I

Genetics Home Reference related topics: X-linked juvenile retinoschisis
MedlinePlus related topics: Edema
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety Study
Official Title: A Phase I, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of iCo-007 Intravitreal Injection in Subjects With Diffuse Diabetic Macular Edema

Further study details as provided by iCo Therapeutics Inc.:

Primary Outcome Measures:
  • Safety and tolerability of 4 dose levels of intravitreal administration of iCo-007. [ Time Frame: At multiple points after injection up to and including 6 months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • To assess the systemic pharmacokinetics of iCo-007 after intravitreal administration. To assess change in retinal thickness relative to baseline as determined by OCT. To assess change in best corrected visual acuity relative to baseline. [ Time Frame: At multiple points after injection up to and including 6 months ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 15
Study Start Date: February 2008
Estimated Study Completion Date: January 2010
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
110 microgram dose of iCo-007 Intravitreal Injection
Drug: iCo-007 Intravitreal Injection
single dose iCo-007 Intravitreal Injection
2: Experimental
350microgram dose of iCo-007 Intravitreal Injection
Drug: iCo-007 Intravitreal Injection
single dose iCo-007 Intravitreal Injection
3: Experimental
700microgram dose of iCo-007 Intravitreal Injection
Drug: iCo-007 Intravitreal Injection
single dose iCo-007 Intravitreal Injection
4: Experimental
1,000microgram dose of iCo-007 Intravitreal Injection
Drug: iCo-007 Intravitreal Injection
single dose iCo-007 Intravitreal Injection

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Men or women 18 years of age or older
  2. Confirmed diagnosis of diabetes mellitus type I or II (both, insulin or non-insulin dependent)
  3. Subjects who have moderate to severe non-proliferative diabetic retinopathy (NPDR), as defined by ETDRS criteria, and diffuse DME within 300 microns from the center of the macula in the study eye (with or without cystoid changes) confirmed by FA.
  4. Retinal thickness must be at least 250 microns in the central subfield, as shown by OCT
  5. Best-corrected visual acuity between 60 and 15 letters measured with ETDRS charts (approximately 20/63 to 20/500 with Snellen charts)
  6. Woman of child-bearing potential must not be pregnant or lactating, must have a negative pregnancy test at screening (serum). Both men and women are required to practice an adequate method of birth control
  7. Able and willing to sign an approved informed consent form and return for all scheduled study visits

Exclusion Criteria:

  1. Subjects with macular or perimacular edema secondary to an etiology other than diabetes mellitus
  2. Subjects with concurrent retinal diseases or conditions in the study eye (including conditions requiring urgent PRP), glaucoma (or ocular hypertension), retinal vascular occlusion, exudative age-related macular degeneration (drusen permitted), tear (rip) of the retinal pigment epithelium, a vitelliform-like lesion of the outer retina (e.g. pattern dystrophies or basal laminar drusen), idiopathic parafoveal telangiectasis or retinal-lesion anastomosis
  3. Subjects who have any additional ocular disease or condition which could compromise treatment safety, visual acuity or interfere with assessment of the macular edema, such as ocular inflammation, amblyopia, anterior ischemic optic neuropathy, media opacity, cataract
  4. Subjects who have diffuse DME with severe capillary non-perfusion (avascular zone diameter >1,000 microns)
  5. Allergy to fluorescein dye
  6. Subjects who had intraocular surgery, photocoagulation, intravitreal or subfoveal injection, topical or systemic steroids or who received any experimental treatment as part of another clinical trial within the last 3 months of the study start (in case of Anecortave within the last 6 months, any panretinal photocoagulation prior to study start)
  7. Subjects with uncontrolled diabetes (glycosylated hemoglobin Hb A1c >12%)
  8. Subjects with systolic blood pressure higher than 180 mm Hg or diastolic above 100 mm Hg, with or without anti-hypertensive treatment
  9. Subjects with congestive heart disease or any unstable cardiac condition
  10. Subjects with clinically significantly impaired renal function (serum creatinine >2.0 mg/dL) and/or moderate to severe hepatic impairment (subjects with >2.5 times the upper limit of the normal range for aspartate transaminase [AST], alanine transaminase [ALT], or total bilirubin)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00886808

Contacts
Contact: Nidia Rosado (919) 668-7817 nidia.rosado@duke.edu
Contact: Thomas Barfield (919) 668-7031 thomas.barfield@duke.edu

Locations
United States, California
Retina-Vitreous Associates Medical Group Recruiting
Los Angeles, California, United States
Contact: Charles Yoon     310-289-2478 ext 112        
United States, Florida
Bascom Palmer Eye Institute Recruiting
Miami, Florida, United States
Contact: Maria Esquiabro     305-326-6508        
United States, North Carolina
Duke Eye Center Recruiting
Durham, North Carolina, United States
Contact: Noreen McClain     919-684-0558        
United States, Texas
Valley Retina Institute Recruiting
McAllen, Texas, United States
Contact: Aaron Guel     956-631-8875        
Sponsors and Collaborators
iCo Therapeutics Inc.
  More Information

No publications provided

Responsible Party: iCo Therapeutics Inc. ( Peter Hnik, MD )
Study ID Numbers: 2006-007-01-DME
Study First Received: April 22, 2009
Last Updated: April 22, 2009
ClinicalTrials.gov Identifier: NCT00886808     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by iCo Therapeutics Inc.:
DME, Diabetic Retinopathy, Diabetic Macular Edema

Study placed in the following topic categories:
Signs and Symptoms
Macular Edema
Diabetic Retinopathy
Eye Diseases
Retinal Degeneration
Macular Degeneration
Edema
Retinal Diseases

Additional relevant MeSH terms:
Signs and Symptoms
Macular Edema
Eye Diseases
Retinal Degeneration
Macular Degeneration
Edema
Retinal Diseases

ClinicalTrials.gov processed this record on May 06, 2009