The Phase 1 safety study of VOY-101 is comprised of escalating dose Cohorts, followed by a Phase 2 at the recommended phase 2 dose.
The study has a prospective, open-label, multi-center, two-part design to evaluate a single, unilateral intravitreal (IVT) injection of VOY-101 in subjects with geographic atrophy (GA), the advanced form of non-neovascular age-related macular degeneration (AMD). Phase 1 followed a standard dose escalation model to establish safety and tolerability of VOY-101 and determine the recommended phase 2 dose. This dose is being used in the randomized Phase 2 part of the study to evaluate the safety and efficacy of VOY-101 in the study eye compared to untreated fellow eye.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
VOY-101
Retina Macula Institute of AZ
Scottsdale, Arizona, United States
Retina Consultants San Diego
Poway, California, United States
Phase 1: To evaluate the safety and tolerability of a single intravitreal injection of escalating doses of VOY-101
Frequency and type of ocular and systemic adverse events and non-serious treatment-emergent adverse events
Time frame: 24 Months
Phase 1: Change from Baseline in markers of inflammation
Change from Baseline in markers of inflammation including anterior chamber cells, vitreous cells, and retinal vasculitis and retinitis.
Time frame: Baseline to Month 24
Phase 1: Establish the recommended Phase 2 dose in subjects with Geographic Atrophy.
Determine whether the maximum tolerated dose (MTD) has been reached (as determined by the occurrence of dose-limiting toxicities \[DLTs\]) and select the RP2D.
Time frame: Month 12
Phase 2: To evaluate the effect of VOY-101 in the study eye compared with untreated fellow eye on change in Geographic Atrophy lesion size.
Change from Baseline in Geographic Atrophy lesion size
Time frame: 15 Months
Phase 1: To evaluate the effect of VOY-101 on geographic atrophy lesion size and photoreceptors
Growth rate of total geographic atrophy lesion size and photoreceptor change
Time frame: Baseline through 24 Months
Phase 1/2: To establish the pharmacokinetic (PK) profile of VOY-101.
Change from Baseline for complement levels in aqueous humor
Time frame: Baseline through 24 Months
Phase 1/2: To evaluate the effect of VOY-101 on best corrected distance visual acuity
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Retinal Consultants Medical Group
Sacramento, California, United States
Ophthalmic Consultants of Boston
Boston, Massachusetts, United States
The Retina Institute
St Louis, Missouri, United States
Mid Atlantic Retina
Cherry Hill, New Jersey, United States
Retina Northwest
Portland, Oregon, United States
Black Hills Regional Eye Institute
Rapid City, South Dakota, United States
Austin Research Center for Retina
Austin, Texas, United States
Star Retina
Fort Worth, Texas, United States
...and 6 more locations
Change from Baseline in Early Treatment Diabetic Retinopathy Study (ETDRS) BCDVA and Percentage of subjects with \<15 letters lost in BCDVA from Treatment
Time frame: 24 Months
Phase 1/2: Development of macular neovascularization
Incidence, frequency, severity, and timing of development of macular neovascularization
Time frame: Month 24
Phase 2: To further characterize the ocular and systemic safety and tolerability of VOY-101
Frequency of Investigational Product related ocular and systemic adverse events, adverse events of special interest and non-serious treatment-emergent adverse events.
Time frame: 24 Months
Phase 2: To evaluate the effect of VOY-101 in the study eye compared with untreated fellow eye on geographic atrophy lesion size and photoreceptors
Change in geographic atrophy lesion size and rate of photoreceptor loss
Time frame: Baseline through Month 24
Phase 2: To evaluate the effect of VOY-101 on low luminance visual acuity
Change from Baseline in the change in visual function using Early Treatment Diabetic Retinopathy Study (ETDRS) Low Luminance Visual (LLVA) vision test
Time frame: Baseline through Month 24