Phase 2 Tolerability and Effects of ALK-001 on Stargardt Disease

Last updated: April 24, 2025
Sponsor: Alkeus Pharmaceuticals, Inc.
Overall Status: Active - Enrolling

Phase

2

Condition

Macular Degeneration

Geographic Atrophy

Myopic Macular Degeneration

Treatment

Placebo

ALK-001

Clinical Study ID

NCT02402660
ALK001-P1002
R01FD006316
R01FD006016
R01FD004098
  • Ages 8-70
  • All Genders

Study Summary

The purpose of this study is to determine the long term safety and tolerability of ALK-001 (C20-D3-retinyl acetate), and to explore the effects of ALK-001 on the progression of Stargardt disease in patients between the ages of 8 and 70 years old.

Funding Source - FDA OOPD

Eligibility Criteria

Inclusion

Simplified Inclusion Criteria:

  • Male or female between 8 and 70 years old (inclusive), with any visual acuity

  • Has a clinical diagnosis of typical autosomal recessive Stargardt macular dystrophy (STGD1)

  • Has provided a genetic report indicating at least two ABCA4 disease-causingmutations. When only one ABCA4 disease-causing mutation is reported, sponsor'spermission will be required.

  • At least one eye (called the "primary study eye") must have at least onewell-demarcated area of significantly reduced autofluorescence as imaged by fundusautofluorescence (FAF), have decreased retinal sensitivity as measured bymicroperimetry, or have maculopathy expected to progress over the duration of thestudy

  • Primary study eye must have clear ocular media and adequate pupillary dilation,including no allergy to dilating eyedrops, to permit good quality retinal imaging

  • Healthy as judged by investigator

  • Able and willing to comply with study requirements, restrictions and instructionsand is likely to complete the 24-month study

  • Has signed and dated the informed consent forms (or assent where appropriate) toparticipate

  • Female of childbearing potential has signed the informed consent about birth defectsor attestation on contraception requirements

Exclusion

Main Exclusion Criteria:

  • Has taken disallowed items (supplement containing vitamin A or beta-carotene,liver-based products, or prescription oral retinoid medications) over the past 30days

  • Is lactating, pregnant, or has a positive serum or urine pregnancy test at screeningor at randomization

  • Has concurrent medical condition or history, which in the opinion of theinvestigator, is likely to prevent compliance with the protocol and/or interferewith absorption of ALK-001 or study procedures

  • Has clinically significant abnormal laboratory result(s) at screening

  • Has active or historical acute or chronic liver disorder

  • Has active or historical ocular disorder in the primary study eye that, in theopinion of the investigator, may confound assessment of the retina morphologicallyor functionally (this could include for example cataract surgery within the past 6months, choroidal neovascularization (CNV), glaucoma, recurring uveitis, diabeticretinopathy, other retinal disease, etc.)

  • Has had intraocular surgery or injections in the primary study eye within 90 days ofthe screening visit

  • Has a clinically significant abnormal electrocardiogram (ECG), or has a corrected QTinterval (QTc) that is 450 ms or greater

Study Design

Total Participants: 160
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 2
Study Start date:
August 01, 2015
Estimated Completion Date:
November 30, 2026

Study Description

This study evaluates the effects of orally-administered ALK-001 on the progression of Stargardt disease (ABCA4-related). Stargardt disease is a rare genetic disorder that leads to damage to the retina and results in legal blindness. Stargardt disease is caused by a defective ABCA4 gene, which affects the processing of vitamin A in the eye and leads to the formation of toxic vitamin A aggregates (called "vitamin A dimers") in the eye. Vitamin A dimers are thought to contribute to vision loss in Stargardt disease. ALK-001, the investigational drug, is a chemically-modified vitamin A designed as a replacement of vitamin A to prevent the formation of toxic vitamin A dimers in the eye. Trial participants will receive either ALK-001 or placebo, and follow-up visits will take place periodically for up to 24 months. There is currently no treatment for Stargardt disease.

Connect with a study center

  • Alkeus Site

    Phoenix, Arizona 85020
    United States

    Site Not Available

  • Alkeus Site

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California Los Angeles - Jules Stein Eye Institute

    Los Angeles, California 90095
    United States

    Active - Recruiting

  • Alkeus Site

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Alkeus Site

    Gainesville, Florida 32601
    United States

    Site Not Available

  • Vitreoretinal Associates

    Gainesville, Florida 32607
    United States

    Active - Recruiting

  • Alkeus Site

    Miami, Florida 33136
    United States

    Site Not Available

  • University of Miami - Bascom Palmer Eye Institute

    Miami, Florida 33136
    United States

    Completed

  • Alkeus Site

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • Alkeus Site

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Johns Hopkins - Wilmer Eye Institute

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Alkeus Coordinating Center

    Cambridge, Massachusetts 02140
    United States

    Site Not Available

  • Alkeus Site

    Grand Rapids, Michigan 49546
    United States

    Site Not Available

  • Alkeus Site

    New York, New York 10032
    United States

    Site Not Available

  • Columbia University Medical Center - Harkness Eye Institute

    New York, New York 10032
    United States

    Active - Recruiting

  • Alkeus Site

    Westbury, New York 11590
    United States

    Site Not Available

  • Alkeus Site

    Houston, Texas 77025
    United States

    Site Not Available

  • Alkeus Site

    Salt Lake City, Utah 84132
    United States

    Site Not Available

  • University of Utah - Moran Eye Institute

    Salt Lake City, Utah 84132
    United States

    Completed

  • Alkeus Site

    Silverdale, Washington 98383
    United States

    Site Not Available

  • Alkeus Site

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

  • Medical College of Wisconsin - Eye Institute

    Milwaukee, Wisconsin 53226
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.