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NCT02949024: HULK

Suprachoroidal Injection of CLS-TA Alone or With Aflibercept in Subjects With Diabetic Macular Edema

Completed Phase 1, PHASE2 Results posted Last updated 13 May 2021
What this trial tests

Phase 1, PHASE2 trial testing IVT Aflibercept in Diabetic Macular Edema in 20 participants. Completed in 17 October 2017.

Timeline
10 November 2016
Primary endpoint
17 October 2017
17 October 2017

Quick facts

Lead sponsorClearside Biomedical, Inc.
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment20
Start date10 November 2016
Primary completion17 October 2017
Estimated completion17 October 2017
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Clearside Biomedical, Inc. — full company profile →

Who can join

18 and older, any sex, with Diabetic Macular Edema. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events Primary · Over 6 months of follow-up

Number of participants with treatment emergent adverse events and serious adverse events reported over 6 months of follow-up

Number of participants with treatment emergent adverse events
GroupValue95% CI
TX Naïve Arm8
Previous TX Arm9
Number of participants with serious adverse events
GroupValue95% CI
TX Naïve Arm0
Previous TX Arm0
Mean Change From Baseline in Intraocular Pressure Secondary · Baseline and 6 months

Baseline and change from baseline at 6 months in intraocular pressure as measured by applanation tonometry

Baseline
GroupValue95% CI
TX Naïve Arm14.2± 3.52
Previous TX Arm13.3± 2.50
Month 6
GroupValue95% CI
TX Naïve Arm-0.3± 2.41
Previous TX Arm2.8± 7.89
Mean Change From Baseline in Central Subfield Thickness Secondary · Baseline and 6 months

Baseline and change from baseline at 6 months in central subfield thickness. Central subfield thickness (CST) is a diagnostic measurement used in identifying the presence of edema in the circular area 1 mm in diameter centered around the fovea. CST was measured using spectral domain optical coherence tomography (SD-OCT). A masked reading center graded the SD-OCT digital images. A negative change from baseline value represents a reduction in macular edema.

Baseline
GroupValue95% CI
Previous TX Arm421.6± 94.33
TX Naïve Arm472.7± 109.46
Month 6
GroupValue95% CI
Previous TX Arm-90.9± 62.48
TX Naïve Arm-119.6± 65.48
Best Corrected Visual Acuity Secondary · Baseline and 6 months

Baseline and Change from baseline at 6 months in best corrected visual acuity before and after treatment Best corrected visual acuity (BCVA) refers to the measurement of the best possible vision that can be achieved following refraction or correction. BCVA was assessed following the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol and was measured as the number of letters read correctly on an ETDRS eye chart. A positive change from baseline value represents an improvement in vision.

Baseline
GroupValue95% CI
TX Naïve Arm67.2± 11.66
Previous TX Arm67.2± 8.95
Month 6
GroupValue95% CI
TX Naïve Arm8.5± 11.96
Previous TX Arm1.1± 11.94
CLS-TA Injections Secondary · 2 to 6 months following initial treatment with study drug

After the initial treatment with CLS-TA, with or without intravitreal aflibercept, at Baseline, retreatment with CLS-TA was allowed in either treatment group from Month 2 through Month 6 if pre-defined retreatment criteria were met. Number of patients receiving 0, 1, 2, 3, 4 or 5 retreatments with CLS-TA.

0 additional injections
GroupValue95% CI
TX Naïve Arm4
Previous TX Arm1
1 additional injection
GroupValue95% CI
TX Naïve Arm2
Previous TX Arm3
2 additional injections
GroupValue95% CI
TX Naïve Arm0
Previous TX Arm2
3 additional injections
GroupValue95% CI
TX Naïve Arm2
Previous TX Arm0
4 additional injections
GroupValue95% CI
TX Naïve Arm2
Previous TX Arm4

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

TX Naïve Arm
Serious: 0/10 (0%)
Deaths: 0/10
Previous TX Arm
Serious: 0/10 (0%)
Deaths: 0/10
Other adverse events (23 terms — click to expand)

ReactionSystemTX Naïve ArmPrevious TX Arm
CataractEye disorders
Conjunctival haemorrhageEye disorders
CataractEye disorders
HeadacheNervous system disorders
Dry eyeEye disorders
Dry eyeEye disorders
EpiscleritisEye disorders
Eye irritationEye disorders
Eye irritationEye disorders
Eye painEye disorders
IritisEye disorders
Macular fibrosisEye disorders
Ocular hypertensionEye disorders
NasopharyngitisInfections and infestations
Intraocular pressure increasedInvestigations
Optic nerve cup/disc ratio increasedInvestigations
HypercholesterolaemiaMetabolism and nutrition disorders
Type 2 diabetes mellitusMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Neuropathy peripheralNervous system disorders
Skin ulcerSkin and subcutaneous tissue disorders
HypertensionVascular disorders

Data from ClinicalTrials.gov NCT02949024 adverse events section.

Sponsor's own description

This study is designed to demonstrate the safety and tolerability of suprachoroidal CLS-TA alone or in combination with intravitreal aflibercept in subjects with diabetic macular edema associated with diabetes mellitus.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The role of inflammation in immune system of diabetic retinopathy: Molecular mechanisms, pathogenetic role and therapeutic implications.
    Yue T, Shi Y, Luo S, Weng J, et al · · 2022 · cited 120× · PMID 36582230 · DOI 10.3389/fimmu.2022.1055087
  2. Host Immune Responses after Suprachoroidal Delivery of AAV8 in Nonhuman Primate Eyes.
    Chung SH, Mollhoff IN, Mishra A, Sin TN, et al · · 2021 · cited 50× · PMID 33446041 · DOI 10.1089/hum.2020.281
  3. Drug Delivery via the Suprachoroidal Space for the Treatment of Retinal Diseases.
    Naftali Ben Haim L, Moisseiev E. · · 2021 · cited 41× · PMID 34206925 · DOI 10.3390/pharmaceutics13070967
  4. Clinical Characterization of Suprachoroidal Injection Procedure Utilizing a Microinjector across Three Retinal Disorders.
    Wan CR, Kapik B, Wykoff CC, Henry CR, et al · · 2020 · cited 20× · PMID 33150052 · DOI 10.1167/tvst.9.11.27
  5. Revolutionizing Eye Care: Exploring the Potential of Microneedle Drug Delivery.
    Rojekar S, Parit S, Gholap AD, Manchare A, et al · · 2024 · cited 13× · PMID 39598522 · DOI 10.3390/pharmaceutics16111398
  6. Suprachoroidal Injection of Triamcinolone- Review of a Novel Treatment for Macular Edema Caused by Noninfectious Uveitis.
    Price KW, Albini TA, Yeh S. · · 2020 · cited 11× · PMID 34322164 · DOI 10.17925/usor.2020.13.2.76
  7. What's New in Ocular Drug Delivery: Advances in Suprachoroidal Injection since 2023.
    Wu KY, Gao A, Giunta M, Tran SD. · · 2024 · cited 10× · PMID 39204112 · DOI 10.3390/ph17081007
  8. Suprachoroidal Drug Delivery for Macular Edema Associated With Noninfectious Uveitis.
    Huang Y, Choo C, Hancock S, Ciulla TA, et al · · 2024 · cited 6× · PMID 39148567 · DOI 10.1177/24741264241246314

Verify or expand the search:

Other recruiting trials for Diabetic Macular Edema

Currently open trials in the same condition.

Other Clearside Biomedical, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02949024.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing