Age-related macular degeneration (AMD) is the abnormal growth of new blood vessels in the light-sensitive tissue at the back of the eye called the retina. Geographic Atrophy (GA) is an advanced form of dry AMD. The purpose of this study is to assess the adverse events and how intravitreal ABBV-6628 moves through the body of adult participants with secondary to age-related macular degeneration ABBV-6628 is an investigational monoclonal antibody fragment being developed for the treatment of geographic atrophy (GA) secondary to (AMD) age-related macular degeneration. Participants in the Stage 1 part will be placed in 1 of 4 groups, called treatment arms. Participants in Stage 2 will be placed into 1 of 2 groups. Each group receives different treatment. Adult participants aged 50 and older years with a diagnosis GA secondary to age-related macular degeneration will be enrolled. Around 66 participants will be enrolled in the study at approximately 27 sites across the US. Participants in Stage 1 will be given ABBV-6628 as an intravitreal injection (injection into the jelly-like tissue that fills the eyeball injection) with dose escalation. Participants in Stage 2 will receive ABBV-6628 or SYFOVRE, an approved treatment for geographic atrophy, administered as per the FDA-approved label. The treatment duration is approximately 22 months and 3 months of follow-up. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular weekly visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
66
Retina Partners Midwest, P.C. /ID# 262172
Carmel, Indiana, United States
RECRUITINGSierra Eye Associates /ID# 262142
Reno, Nevada, United States
RECRUITINGRetina Research Institute of Texas /ID# 262141
Abilene, Texas, United States
RECRUITINGRetina Foundation of the Southwest /ID# 262479
Dallas, Texas, United States
RECRUITINGRetina Consultants - The Woodlands /ID# 262138
The Woodlands, Texas, United States
RECRUITINGNumber of Participants Experiencing Adverse Events
An AE is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
Time frame: Up to approximately 25 months
Number of Participants with Abnormal Change in Physical Examinations
Number of participants with abnormal change in physical examinations in areas like cardiovascular, respiratory, gastrointestinal, and neurological systems will be assessed.
Time frame: Up to approximately 25 months
Number of Participants with Abnormal Change From Baseline in Vital Sign Measurements
Number of participants with abnormal change from baseline in vital sign measurements like systolic and diastolic blood pressure will be assessed.
Time frame: Up to approximately 25 months
Change From Baseline in Electrocardiograms (ECGs)
12-lead resting ECGs will be recorded. Parameters include heart rate, PR interval, QT interval, QRS duration, and QT interval corrected using Fridericia's formula (QTcF).
Time frame: Up to approximately 25 months
Number of Participants with Abnormal Change in Clinical Laboratory Test Results Like Hematology will be Assessed
Number of participants with abnormal change in clinical laboratory test results like hematology will be assessed.
Time frame: Up to approximately 25 months
Change from baseline in Best Corrected Visual Acuity (BCVA)
BCVA measured by Early Treatment Diabetic Retinopathy Study (ETDRS) (normal luminance and low luminance visual acuity)
Time frame: Up to approximately 25 months
Change in Slit lamp biomicroscopy assessment
Changes in Slit lamp biomicroscopy assessed by the physician will be assessed.
Time frame: Up to approximately 25 months
Change in Intraocular pressure (IOP)
Measured by using Goldmann applanation tonometry (GAT) or hand-held tonometer
Time frame: Up to approximately 25 months
Change in Lens examination assessment
Changes in Lens examination assessed by the physician will be assessed.
Time frame: Up to approximately 25 months
Change in Ophthalmoscopy assessment
Changes in Ophthalmoscopy assessed by the physician will be assessed.
Time frame: Up to approximately 25 months
Change in fundus autofluorescence (FAF) imaging assessed by Investigator
Fundus autofluorescence (FAF) imaging assessed by Investigator
Time frame: Up to approximately 25 months
Change in Retinal evaluation
Measured by color fundus photography (CFP) imaging assessed by Investigator
Time frame: Up to approximately 25 months
Change in spectral domain optical coherence tomography (SD-OCT)
Spectral domain optical coherence tomography (SD-OCT)
Time frame: Up to approximately 25 months
Change in Fluorescein angiography (FA) assessed by Investigator.
Fluorescein angiography (FA) assessed by Investigator
Time frame: Up to approximately 25 months
Change in choroidal neovascularization (CNV) assessed by Investigator.
Choroidal Neovascularization (CNV) assessed by Investigator.
Time frame: Up to approximately 25 months
Percentage of Participants with Clinically Significant Post-treatment Administration Assessment (study eye only) Findings as Assessed by the Investigator
Post-treatment Administration Assessment (study eye only)
Time frame: Up to approximately 25 months
Maximum Serum Concentration (Cmax) of ABBV-6628
Cmax of ABBV-6628
Time frame: Up to approximately 25 months
Time to Cmax (Tmax) of ABBV-6628
Tmax of ABBV-6628
Time frame: Up to approximately 25 months
Area Under the Concentration-Time Curve From zero to the last measurable Timepoint (AUC0-Tlast) of ABBV-6628
AUC0-Tlast of ABBV-6628
Time frame: Up to approximately 25 months
Stage 2-Trough serum concentration immediately before next dose (Ctrough) of ABBV-6628
Ctrough of ABBV-6628
Time frame: Up to approximately 12 months
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