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 effect for longer; 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, China
The Affiliated Eye Hospital of Nanchang University
Nanchang, China
...and 9 more locations
Vital signs( 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: After patient resting for more than 3 minutes
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: After patient resting for more than 3 minutes
Vital signs(respiratory rate)
respiratory rate Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: After patient resting for more than 3 minutes
Vital signs(blood pressure)
blood pressure Any clinically significant abnormality should be reported as an adverse event and recorded in the original
Time frame: After patient resting for more than 3 minutes
physical examination
Physical examination should include at least general conditions, head and face, skin, lymph nodes, ears, nose, throat, respiratory system, cardiovascular system, abdomen (including liver and spleen), genitourinary system, musculoskeletal system, nervous system, and mental condition
Time frame: The investigator or other authorized and qualified investigator shall perform the prescribed physical examination according to the evaluation schedule. During the visit, the investigator performed a physical examination as indicated by symptoms
laboratory examination(blood routine)
In the test process will be carried out in accordance with the testing program flow chart of blood routine, the laboratory testing results of the subjects to evaluate the change of relative to the baseline, the each evaluate clinical significance of abnormal experimental value, the researchers don't think with basic diseases related to abnormal subjects as AE record
Time frame: Screening period,Week 12, Week 24, Week 48 of the last visit
laboratory examination(outine urine)
In the test process will be carried out in accordance with the testing program flow chart of routine urine , the laboratory testing results of the subjects to evaluate the change of relative to the baseline, the each evaluate clinical significance of abnormal experimental value, the researchers don't think with basic diseases related to abnormal subjects as AE record
Time frame: Screening period,Week 12, Week 24, Week 48 of the last visit
laboratory examination(blood biochemical examination)
In the test process will be carried out in accordance with the testing program flow chart of blood biochemical examination, the laboratory testing results of the subjects to evaluate the change of relative to the baseline, the each evaluate clinical significance of abnormal experimental value, the researchers don't think with basic diseases related to abnormal subjects as AE record
Time frame: Screening period,Week 12, Week 24, Week 48 of the last visit
laboratory examination(blood coagulation function)
In the test process will be carried out in accordance with the testing program flow chart of blood coagulation function, the laboratory testing results of the subjects to evaluate the change of relative to the baseline, the each evaluate clinical significance of abnormal experimental value, the researchers don't think with basic diseases related to abnormal subjects as AE record
Time frame: Screening period,Week 12, Week 24, Week 48 of the last visit
electrocardiogram(12- Lead ECG)
During the trial, the examination of the electrocardiogram (ecg) method must be consistent, and to evaluate the clinical significance of the results, will any researchers to make judgment for clinical significance of abnormal as adverse events were reported, and recorded in the original records and case report form, the subjects in the process of the entire study if there is clinical indications by researchers to determine whether the need for ecg examination.
Time frame: Screening period of the first visit: Week 12 of the fifth visit, Week 24 of the eighth visit, and Week 48 of the last visit
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: 24 hours before 1, 2, 3, 4 dosing, 5 dosing to last visit, each dosing before and 24 hours before the last 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
Effectiveness evaluation
Main efficacy indicators (study eye) At week 24, Change in BCVA from baseline At week 24, the mean change of BCVA from baseline. Secondary efficacy indicators (research eyes): At 12th and 48th week, the mean change of BCVA from baseline; At week 12, week 24 and week 48, the average change of CRT from baseline after OCT examination; At Week 12, 24 and 48, the proportion of subjects whose BCVA increased ≥10 letters from baseline, BCVA increased ≥15 letters from baseline, and BCVA decreased ≥15 letters from baseline; The average number of BAT5906 injections in 24 weeks and 48 weeks. The definition of CRT is: the average thickness of the central retina with the fixation point as the center and a diameter of 1 mm.
Time frame: Week 24
Effectiveness evaluation
Secondary efficacy indicators (study eye) At week 12 and 48, the mean change of BCVA from baseline.
Time frame: Week 12 and 48
Effectiveness evaluation
Changes in CRT from baseline were examined by OCT CRT:The mean thickness of the central retina with a diameter of 1mm, centered on the fixed point of view
Time frame: at weeks 12, 24, and 48
Effectiveness evaluation
Percentage of subjects whose BCVA increased by ≥10 letters from baseline, increased by ≥15 letters from baseline, and decreased by ≥15 letters from baseline;
Time frame: at weeks 12, 24, and 48
Effectiveness evaluation
Average number of injections for BAT5906
Time frame: 24 weeks and 48 weeks
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