Effect of AIV007 by Periocular Administration in Subjects with Macular Edema Secondary to Neovascular Age-related Macular Degeneration (nAMD) and Diabetic Macular Edema (DME)

Last updated: March 4, 2025
Sponsor: AiViva BioPharma, Inc.
Overall Status: Active - Not Recruiting

Phase

1

Condition

Diabetic Retinopathy

Diabetic Macular Edema

Macular Edema

Treatment

AIV007

Clinical Study ID

NCT05698329
AIV007-E02
  • Ages 21-90
  • All Genders

Study Summary

To determine safety, pharmacokinetics, and duration of effect of periocularly administered AIV007 gel suspension in subjects with neovascular age-related macular degeneration (nAMD) or diabetic macular edema (DME).

Eligibility Criteria

Inclusion

Inclusion Criteria:

General inclusion Criteria:

  1. Male or female subjects aged 21-90 years (inclusive) at screening

  2. BCVA in the study eye at screening and baseline/Day 1: ETDRS letter score ≤ 75 and ≥ 24 (20/32 to 20/330 Snellen equivalent)

  3. Subject must have received treatment within the 24 months before screening withintravitreal (IVT) injections of an anti-VEGF agent with the last anti-VEGFinjection in the study eye being at least 6 weeks (42 days) before baseline/Day 1.

  4. Subject has documentation of anti-VEGF responsiveness

  5. Subject must provide written informed consent before any study-related proceduresare performed

  6. Clear ocular media and adequate pupil dilation in both eyes to permit good-qualityphotographic imaging

nAMD subject

  1. The active CNV is confirmed by FA (evidence of leakage)

  2. Residual intraretinal or subretinal fluid based on SD-OCT

  3. CST ≥ 300 µm as assessed by SD-OCT

  4. Total lesion size < 10 disc areas (25.4 mm2)

  5. Absence of geographic atrophy within 200 µm of the fovea

  6. If subretinal hemorrhage is present, it must be < 50% of the total CNV lesion and/ornot involve the fovea

  7. If fibrosis is present, it must be <50% of the total lesion area

DME subject

  1. Diagnosis of diabetes mellitus (Type 1 or Type 2)

  2. Subject has clinically significant DME with central involvement (CST≥300 μm by OCT)

  3. The decrease in vision in the study eye was determined by the investigator to beprimarily the result of DME

Exclusion

Exclusion Criteria:

  1. Previous treatment for nAMD or DME in the study eye other than standard-of-careanti-VEGF IVT injection, e.g., cell therapy, brachytherapy, gene therapy

  2. Uncontrolled IOP, defined as an IOP > 25 mmHg

  3. Poorly controlled diabetes mellitus defined as hemoglobin A1c (HbA1c) >10% atscreening visit

  4. The spherical equivalent for refractive error in the study eye of worse than 8.0diopters of myopia (before cataract or refractive surgery) per the currentprescription

  5. Any history of active bacterial, viral, fungal, or parasitic ocular or periocularinfection, or intraocular inflammation in either eye within the 30 days before thescreening Visit

  6. History of vitreous hemorrhage within 3 months before screening in the study eye

  7. Uncontrolled systemic disease or any other condition or therapy that would make theparticipant unsuitable for the study

  8. Participation in any investigational study within 60 days before the screeningvisit, or planned use of an investigational product or device during the study; anyexposure to a prior investigational drug product must be fully washed out (at least 5 half-lives)

  9. History of allergy or hypersensitivity to constituents of the study treatmentformulation, topical iodine, ocular antimicrobial solutions, or clinically relevanthypersensitivity to fluorescein

Study Design

Total Participants: 19
Treatment Group(s): 1
Primary Treatment: AIV007
Phase: 1
Study Start date:
March 02, 2023
Estimated Completion Date:
April 01, 2025

Study Description

AIV007 is a multiple kinase inhibitor of vascular endothelial growth factor receptors (VEGFR 1, -2 & -3); fibroblast growth factor receptors (FGFR-1, -2, -3 & -4); and platelet-derived growth factor receptors (PDGFR-α & β)1. Lenvatinib is the active pharmaceutical ingredient in AIV007 formulation that is FDA-approved for oral administration for patients with advanced renal cell carcinoma (RCC), differentiated thyroid cancer (DTC), unresectable hepatocellular carcinoma (HCC), and advanced endometrial carcinoma (Lenvima USPI 2021; NDA 206947).

AiViva BioPharma, Inc. (AiViva) has developed a novel, thermoresponsive gel suspension of AIV007 for periocular administration to form a durable depot. This monotherapy is in development for the treatment of retinal and choroidal vascular disease (i.e., neovascular age-related macular degeneration (nAMD) & diabetic macular edema (DME)). For preclinical and clinical (AIV007-E02) studies using periocular administration, AIV007 is injected outside the eyeball and the depot forms a soft mass, referred to as posterior juxtascleral depot (PJD) placement.

Connect with a study center

  • Retina-Vitreous Associates

    Beverly Hills, California 90211
    United States

    Site Not Available

  • Orange County Retina

    Santa Ana, California 92705
    United States

    Site Not Available

  • Verum Research

    Eugene, Oregon 97401
    United States

    Site Not Available

  • Retina Consultants of Austin

    Austin, Texas 78705
    United States

    Site Not Available

  • Valley Retina Institute

    McAllen, Texas 78503
    United States

    Site Not Available

  • Texas Retina Associates

    Plano, Texas 75075
    United States

    Site Not Available

  • Medical Center Ophthalmology

    San Antonio, Texas 78240
    United States

    Site Not Available

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