This study is a multi-center, open, multiple-dose phase Ib/IIa clinical study evaluating the efficacy and safety of BAT5906 injection in patients with diabetic macular edema. BAT5906's phase I study on w-AMD shows that it is safe from 0.3-4.0 mg, and the higher dose (2.5 mg and 4 mg) may maintain the anti-VEGF effect for a longer time just like the same target drugs (such as brolucizumab and Abecip ) It has also been found in clinical studies that high doses can extend the dosing interval and reduce the dosing frequency. Therefore, in this study, two safe and effective doses were selected, and the optimal clinical effective dose and frequency of BAT5906 in DME were initially explored.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Specification: 2.5mg of BAT5906
Specification: 4.0mg of BAT5906
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Beijiang, Beijing Municipality, China
Eye Hospital of China Academy of Chinese Medical Sciences
Beijing, China
Peking University First Hospital
Beijing, China
The First Affiliated Hospital of Bengbu Medical College
Bengbu, China
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, China
Zhejiang Provincial People's Hospital
Hangzhou, China
Henan Provincial Eye Hospital
Henan, China
Jieyang People's Hospital
Jieyang, China
The First Hospital of Jilin University
Jilin City, China
The Affiliated Eye Hospital of Nanchang University
Nanchang, China
...and 9 more locations
1.1 Safety evaluation - Vital signs# the patient's body temperature;
the patient's body temperature (axillary temperature) Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: Day-14~Day-1;Day0;Day28;Day56;Day84;Day112;Day140;Day168;Day196;Day224;Day252;Day280;Day308;Day336
1.2 Safety evaluation - Vital signs# heart rate/pulse
heart rate/pulse Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: Day-14~Day-1;Day0;Day28;Day56;Day84;Day112;Day140;Day168;Day196;Day224;Day252;Day280;Day308;Day336
1.3 Safety evaluation - Vital signs# respiratory rate
respiratory rate Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: Day-14~Day-1;Day0;Day28;Day56;Day84;Day112;Day140;Day168;Day196;Day224;Day252;Day280;Day308;Day336
1.4 Safety evaluation - Vital signs# blood pressure
blood pressure Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: Day-14~Day-1;Day0;Day28;Day56;Day84;Day112;Day140;Day168;Day196;Day224;Day252;Day280;Day308;Day336
Number of subjects with clinically significant abnormal physical examination signs identified byprotocol-specified full physical examination (general appearance, skin, lungs, heart, abdomen,extremities, musculoskeletal system)
Full physical examination including general appearance, skin, pulmonary, cardiac, abdominalextremity and musculoskeletal assessments will be performed per study evaluation schedule. Allclinically significant abnormalities relative to baseline screening physical exam findings will bedocumented as adverse events. The primary summary metric is the proportion and number ofsubjects presenting 21 clinically significant abnormal physical examination finding during on-treatment study visits.
Time frame: Day-14~Day-1;Day84;Day168;Day336
Number of participants with clinically significant abnormal laboratory findings
Laboratory examinations include complete blood count, urinalysis, blood biochemistry (including liver and renal function), and coagulation function. Clinically significant changes from baseline will be assessed and reported as adverse events (AEs) based on CTCAE v4.0 criteria.
Time frame: Day-14~Day-1;Day84;Day168;Day336
Number of participants with clinically significant abnormal ECG findings
The 12-lead ECG will be performed to measure parameters including heart rate, PR interval, QRS duration, and QT/QTc interval. Clinically significant changes from baseline will be assessed by the investigator and recorded as adverse events
Time frame: Day-14~Day-1;Day84;Day168;Day336
Anti-drug antibody (ADA);
Plasma samples for anti-drug antibody (ADA) detection were collected to detect the positive incidence of ADA associated with plasma levels of BAT5906
Time frame: Screening (within 24 hours prior to first dose), Day 7 (168h), Day 14 (336h), prior to the 3rd dose (within 24 hours), and prior to the 5th dose through end of study visit (as needed)
ocular and non-ocular adverse events (AE) and serious adverse events (SAE)
Any adverse medical event that occurs after a subject participates in a clinical trial and receives the investigational drug, but is not necessarily cause-and-effect with the treatment. An adverse event can be any adverse or unexpected sign (including abnormal laboratory tests), symptom, or disease, whether or not it is drug related.
Time frame: Adverse events were collected from the time the patient signed the informed consent to the time 28 days after the last dication
Efficacy evaluation
2.1 Primary efficacy endpoint (study eye):Change from baseline in BCVA
Time frame: at Week 36
Pharmacokinetic (PK) Evaluation
Blood samples were collected from each treatment group throughout the study to determine the serum concentration of BAT5906 Injection. The PK blood sample collection schedule is detailed in the PK/VEGF/ADA Blood Collection Schedule.
Time frame: Once within 24 hours before administration.6 hours after administration, 24 hours after administration(once every 3 days) up to 672 hours after administration
Peripheral Blood VEGF Assessment (VEGF)
lood samples were collected from each treatment group throughout the study to measure blood VEGF concentrations. The blood sample collection schedule is detailed in the PK/VEGF/ADA Blood Sampling Schedule
Time frame: Once within 24 hours before administration.24 hours after administration (once every 7 days) up to 672hours after administration
Immunogenicity Assessment
Anti-BAT5906 antibodies (ADA) were detected. The blood sample collection schedule is detailed in the PK/VEGF/ADA Blood Sampling Schedule. Anti-drug antibodies (ADA) in serum were detected; samples confirmed positive for ADA were subsequently analyzed for neutralizing antibodies (Nab)
Time frame: First administration: within 24 hours prior to administration.168 hours and 336 hours after administration,and the second until the last administration: within 24 hours before administration
1、Efficacy evaluation
1.1 Change from baseline in BCVA 1.2 Change from baseline in CRT as assessed by OCT 1.3 Proportion of subjects with a ≥10-letter gain from baseline in BCVA, a ≥15-letter gain from baseline in BCVA, and a ≥15-letter loss from baseline in BCVA 1.4 Mean number of BAT5906 injections administered
Time frame: at Weeks 12, 24, and 48
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