Testing ONL1204 Opthalmic solution against a placebo for geographic atrophy (GA)
Official title: Study to Evaluate Efficacy and Safety of ONL1204 in Patients With GA Associated With AMD
A Phase 2 Multicenter, Randomized, Double-masked, Sham-controlled, Reference-arm Study to Evaluate Efficacy and Safety of ONL1204 in Patients With Geographic Atrophy (GA) Associated With Age-related Macular Degeneration (AMD)
Interventions
ONL1204 Opthalmic solution
Liquid formulation ONL1204 Ophthalmic Solution administered by intravitreal (IVT) injection
Avacincaptad Pegol intravitreal solution
Liquid formulation Avacincaptad Pegol administered by intravitreal (IVT) injection
Sham
Sham injection
Canadian Sites (4)
St. Joseph's Health Care London - Ivey Eye Institute
London, Ontario, Canada
Toronto Retina Institute
Toronto, Ontario, Canada
Toronto Western Hospital, University Health Network
Toronto, Ontario, Canada
Clinique d'ophtalmologie des Laurentides
Boisbriand, Quebec, Canada
Eligibility Criteria
See who this study is looking for45 criteria
The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.
Inclusion
- +55 years of age or older at ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →.
- +Able and willing to give informed consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more → and attend study visits.
- +If currently using Age-related Eye Disease Study 2 (AREDS, AREDS2, or similar nutraceutical therapy at Screening, patient must be willing to continue use for the duration of the study. If not currently using AREDS2 or similar, patient must be willing to continue not to use therapy for the duration of the study. Patient must agree to choose either approach.
- +Study Eye Inclusion CriteriaInclusion criteriaThe things you must have or be for a study to consider you.Read more →:
- +BCVA of 24 letters or more using ETDRS charts in the study eye at Screening.
- +Intraocular pressure (IOP) of 22 mmHg or lower in the study eye at Screening.
- +The GA lesion must meet all the following criteria:
- +Non-foveal GA associated with AMD without eMNV in the study eye per InvestigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →'s evaluation and as confirmed by the central RC.
- +GA ≥0.85 disc area (DA) (2.125 mm2) and ≤8.05 DA (20.125 mm2) in the study eye as confirmed by the central RC.
- +If GA in the study eye is multifocal, at least 1 focal lesion must be ≥0.425 DA (1.063 mm2) as confirmed by the central RC.
- +Non-foveal GA (GA lesion up to the fovea, but not subfoveal) with the lesion's closest border 1725 microns or less from the foveal center in the study eye, as confirmed by the central RC.
- +The entire GA lesion in the study eye must be completely visualized on the macula-centered FAF image, must be able to be imaged in its entirety, and must not be contiguous with any areas of peripapillary atrophy per the Investigator's evaluation and as confirmed by the central RC.
- +A pattern of hyper-autofluorescence in the junctional zone of GA in the study eye must be present as confirmed by the central RC.
- +Fellow Eye Inclusion Criterion:
- +BCVA of 19 letters or more using ETDRS charts in the fellow eye at Screening.
- +Women or intersex individuals must be willing to use 2 forms of effective contraception during the study and for at least 90 days following the last dose of study drug, be postmenopausal for at least 12 months prior to study entry, or surgically sterile. If of childbearing potential, a negative urine pregnancy test is required at Screening and prior to the administration of study drug at each visit.
- +Men or intersex individuals with partners of childbearing potential must be willing to use permissible methods of contraception and refrain from sperm donation during the study and for at least 90 days following the last dose of study drug.
Exclusion
- −Known allergy to fluorescein, povidone iodine, or any ingredients of the study drug or avacincaptad pegol intravitreal solution.
- −Current or planned participation in another investigational clinical study or use of any other investigational drugs or devices at least 6 months prior to enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → or during the study period without prior written SponsorSponsorThe organisation responsible for the study overall.Read more → approval.
- −Previous ophthalmic disease gene therapy or planned participation in any gene therapy clinical study during the study period.
- −Current or planned use of systemic complement inhibitors during the study period.
- −Any ocular or systemic condition that, in the opinion of the InvestigatorPrincipal investigatorThe doctor or researcher responsible for running the study at a site.Read more →, makes the patient unsuitable for treatment with an investigational drug or that would compromise the safety or efficacy assessments of the study.
- −Treatment with any ocular or systemic medication that is known to be toxic to the lens, retina, or optic nerve (including, but not limited to, aminoglycosides, vancomycin, hydroxychloroquine, interferon, tacrolimus, cisplatin, bis-chloroethyl nitrosourea, carmustine, ethambutol, and tamoxifen) within 90 days prior to ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more → or anticipated during the study period.
- −Any previous treatment of pentosan polysulfate (Elmiron®) is exclusionary.
- −Study Eye Exclusion CriteriaExclusion criteriaThe things that would prevent someone from taking part.Read more →:
- −Active ocular or periocular infection in the study eye.
- −Any contraindication to an IVT injection in the study eye.
- −Any media opacity in the study eye that limits visual acuity, clinical visualization of the retina, or retinal imaging as determined by the Investigator.
- −Previous IVT pharmaceutical treatment in the study eye with any agent except Food and Drug Administration (FDA)-approved complement inhibitors and treatment with FDA-approved complement inhibitors within 12 weeks prior to Screening.
- −Yttrium aluminum garnet capsulotomy in the study eye within 1 month prior to Screening.
- −Aphakia with absence of the posterior capsule in the study eye. (Pseudophakia with an open posterior capsule is not exclusionary).
- −Any current evidence or history in the study eye of exudative ("wet") AMD, including any RPE rips or evidence of actively leaking neovascularization anywhere in the retina based on the FA or SD-OCT as assessed per the Investigator's evaluation and confirmed by the central RC.
- −Any clinically significant retinal disease other than AMD except benign degenerative conditions (eg, Cobblestone degeneration) in the study eye.
- −Fellow Eye Exclusion Criterion:
- −Planned or expected IVT injection in the fellow eye for treatment of GA with agents other than FDA-approved complement inhibitors (pegcetacoplan or avacincaptad pegol IVT solution \[Izervay™\]) during the study period.
- −Either Eye Exclusion Criteria:
- −Active intraocular inflammation in either eye or a history of uveitis or endophthalmitis in either eye.
- −GA in either eye due to causes other than AMD.
- −Individuals who are currently pregnant, planning to become pregnant, or are nursing at Screening or during the study period.
- −Any history of incisional retinal surgery in the study eye including but not limited to scleral buckle or vitrectomy. (Retinal laser for a tear or hole 3 months or more prior to Screening is not exclusionary).
- −History of incisional glaucoma surgery including trabeculectomy, tube shunt, or minimally invasive glaucoma surgery in the study eye. (Glaucoma laser procedures performed at least 6 months prior to Screening are not exclusionary).
- −Cataract surgery in the study eye planned or expected during the study period.
- −Intraocular surgery in the study eye (including lens replacement surgery) within 3 months prior to Screening. See Exclusion Criteria 12 and 13 pertaining to retinal and glaucoma surgery, respectively.
- −Previous therapeutic radiation (including transpupillary thermotherapy, photodynamic therapy, or external-beam) in the region of the study eye.
- −Any ophthalmic condition in either eye that is likely to require surgery during the study period.
In plain language
Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.
What this study is
This study is testing a treatment for a condition.
Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → — a middle-stage study in a few hundred people at most, looking at what the treatment does and watching for side effectsSide effectAn unwanted effect thought to be caused by the treatment itself.Read more →.
What is being given or done in this study: ONL1204 Opthalmic solution, Avacincaptad Pegol intravitreal solution, ShamSham procedureA procedure made to feel like the real one, without the active step.Read more →.
From the trial registry
Built from these fields:
- designModule.designInfo.primaryPurpose
- designModule.phases
- armsInterventionsModule.interventions[].name
How the study is run
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
Neither you nor the study team would know which group you are in until the study ends.
From the trial registry
Built from these fields:
- designModule.designInfo.allocation
- designModule.designInfo.maskingInfo.masking
Is there a placebo?
One group receives a sham procedureSham procedureA procedure made to feel like the real one, without the active step.Read more → — one made to feel like the real thing but without the active step.
One group receives an existing treatment, so the two can be compared.
There are 6 groups in this study.
From the trial registry
Built from this field:
- armsInterventionsModule.armGroups[].type
Who the study is looking for
The study lists a minimum age of 55 years, with no upper limit given.
The study is open to people of any sex.
The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.
From the trial registry
Built from these fields:
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How big and how long
The study aims to enrol about 324 people.
The study is currently expected to finish around November 2028.
The main measurement is taken over: From enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → to the end of treatment at 48 weeks.
From the trial registry
Built from these fields:
- designModule.enrollmentInfo.count
- statusModule.completionDateStruct.date
- outcomesModule.primaryOutcomes[].timeFrame
What the study measures
Primary EndpointPrimary endpointThe single main question the study is designed to answer.Read more → — measured over From enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → to the end of treatment at 48 weeks.
From the trial registry
Built from these fields:
- outcomesModule.primaryOutcomes[].measure
- outcomesModule.primaryOutcomes[].timeFrame
Source: NCT06659445 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.
Not medical advice. What do these terms mean?
What is being tested — in plain terms
About ONL1204 Opthalmic solutionDrug
Liquid formulation ONL1204 Ophthalmic Solution administered by intravitreal (IVT) injection
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About Avacincaptad Pegol intravitreal solutionDrug
Liquid formulation Avacincaptad Pegol administered by intravitreal (IVT) injection
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About ShamOther
Sham injection
From the trial registry — its own words, unedited.
What a other is here: An intervention the registry did not place in another category.
Read the full explanation → · in clinical review
Common questions
Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.
Am I eligible for this trial?
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.
What the study lists: a minimum age of 55 years.
The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.
The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.eligibilityCriteria
Is there a placebo?
This study includes a shamSham procedureA procedure made to feel like the real one, without the active step.Read more → comparison — a procedure made to feel like the real one, without the active step.
One group receives an existing treatment so the two can be compared.
From the trial registry
- armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?
Neither you nor the study team would know which group you are in until the study ends.
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
From the trial registry
- designModule.designInfo.maskingInfo.masking
- designModule.designInfo.allocation
Who can join?
The study lists a minimum age of 55 years, with no upper limit given.
It is open to people of any sex.
It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How long would this take?
The study's main measurement is taken over: From enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → to the end of treatment at 48 weeks..
The study as a whole is currently expected to finish around 2028-11.
How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.
From the trial registry
- outcomesModule.primaryOutcomes[].timeFrame
- statusModule.completionDateStruct.date
How many people are taking part?
The study aims to enrol about 324 people.
From the trial registry
- designModule.enrollmentInfo.count
Where is this happening?
This study lists 13 locations, including: London, Ontario, Canada; Toronto, Ontario, Canada; Boisbriand, Quebec, Canada; Ann Arbor, Michigan, United States; Royal Oak, Michigan, United States; Traverse City, Michigan, United States, and 7 more.
Sites can open and close during a study, so confirm with the team before travelling.
From the trial registry
- trial_locations
About This Trial
The purpose of this study is to collect efficacy and safety information of intravitreal injection for 3 experimental arms, including 2 dose levels of ONL1204 and 2 treatment frequencies in patients with GA associated with AMD. GA associated with AMD is one of the world's leading causes of visual disability and legal blindness globally. Associated with aging, cigarette smoking, obesity, diets low in certain nutrients, a lifestyle related to cardiac risk, and a growing list of genetic factors, AMD is becoming an increasingly prevalent public health concern, especially as the global population ages. ONL1204 is a first-in-class inhibitor of fragment apoptosis stimulator receptor-mediated cell death that has demonstrated protection of multiple retinal cell types in numerous preclinical models of retinal disease, including models of dry AMD.
Other Sites (10)
University of Michigan Kellogg Eye Center
Ann Arbor, Michigan, United States
Associated Retinal Consultants, P.C.
Royal Oak, Michigan, United States
Associated Retinal Consultants, P.C.
Traverse City, Michigan, United States
Mayo Clinic
Rochester, Minnesota, United States
Retina Vitreous Surgeons of CNY, PC
Liverpool, New York, United States
Ophthalmic Consultants of Long Island
Oceanside, New York, United States
Retina Associates of Western NY
Rochester, New York, United States
Long Island Vitreoretinal Consultants
Westbury, New York, United States
Pacific Northwest Retina
Bellevue, Washington, United States
Pacific Northwest Retina, PLLC
Silverdale, Washington, United States
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See if this trial could fit youThis page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.