This is a two-part study. The first part (Stratum I) is an open-label, dose escalation, safety, tolerability and pharmacokinetic study, where active study drug (PF-04523655) will be given to all patients who participate. Stratum I will determine the maximum tolerated dose and any dose-limiting toxicities. The second part (Stratum II) is a prospectively randomized, multi-center, double-masked, dose ranging study evaluating the efficacy and safety of PF-04523655 alone and in combination with ranibizumab versus ranibizumab alone in patients with DME.
Patients will be enrolled concurrently according to one of two sets of criteria designated as Stratum I and Stratum II. 1. Stratum I will enroll up to 24 subjects with low vision, inclusive of possible intermediate doses, in up to 4 cohorts of 3-6 evaluable subjects. 2. Stratum II will enroll approximately 240 subjects with DME 1:1:1:1 in up to 4 cohorts of 60 evaluable subjects.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
258
PF-04523655 (a small interfering RNA) - a single IVT injection
6 monthly IVT injections of ranibizumab (Stratum II)
6 monthly IVT injections of PF-04523655 (a small interfering RNA)
Retina Consultants of Arizona
Phoenix, Arizona, United States
Retina Institute of California
Arcadia, California, United States
Retina-Vitreous Associates
Beverly Hills, California, United States
Retina Diagnostic Center
Campbell, California, United States
Retinal Consultants Medical Group, Inc.
Sacramento, California, United States
Safety and dose-limiting toxicities (Stratum I)
\- To determine the safety and dose-limiting toxicities of a single intravitreal (IVT) injection of PF-04523655 in subjects with low vision
Time frame: 6 months post-injection
Pharmacokinetics (Stratum I)
\- To determine the pharmacokinetics (PK) of a single IVT injection of PF-04523655 in subjects with low vision
Time frame: 6 months post-injection
Safety and tolerability (Stratum II)
\- To evaluate the safety and tolerability of PF-04523655 alone and in combination with ranibizumab in subjects with diabetic macular edema (DME)
Time frame: 30 days after the last injection
Efficacy (Stratum II)
\- To evaluate the ability of PF-04523655 alone and in combination with ranibizumab to improve visual acuity compared to ranibizumab alone in subjects with DME
Time frame: 30 days after the last injection
Anatomical changes in retina and retinal nerve fiber layer morphology (Stratum II)
\- To evaluate the anatomical changes in retina and retinal nerve fiber layer (RNFL) morphology following administration of PF-04523655 alone and in combination with ranibizumab compared to ranibizumab alone by fundus photography (FP) and spectral domain optical coherence tomography (SD-OCT)
Time frame: 30 days after the last injection
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Orange County Reina Medical Group
Santa Ana, California, United States
MedEye Associates
Miami, Florida, United States
Center for Retina and Macular Disease
Winter Haven, Florida, United States
Southeast Retina Center
Augusta, Georgia, United States
Thomas A. Cuilla, MD, PC at Midwest Eye Institute
Indianapolis, Indiana, United States
...and 41 more locations