Study to Evaluate Efficacy and Safety of ONL1204 in Patients With GA Associated With AMD

Last updated: December 3, 2025
Sponsor: ONL Therapeutics
Overall Status: Active - Recruiting

Phase

2

Condition

Geographic Atrophy

Macular Degeneration

Treatment

Sham

ONL1204 Opthalmic solution

Avacincaptad Pegol intravitreal solution

Clinical Study ID

NCT06659445
ONL1204-GA-002
  • Ages > 55
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. 55 years of age or older at Screening.

  2. Able and willing to give informed consent and attend study visits.

  3. Women or intersex individuals must be willing to use 2 forms of effectivecontraception during the study and for at least 90 days following the last dose ofstudy drug, be postmenopausal for at least 12 months prior to study entry, orsurgically sterile. If of childbearing potential, a negative urine pregnancy test isrequired at Screening and prior to the administration of study drug at each visit.

  4. Men or intersex individuals with partners of childbearing potential must be willingto use permissible methods of contraception and refrain from sperm donation duringthe study and for at least 90 days following the last dose of study drug.

  5. If currently using Age-related Eye Disease Study 2 (AREDS, AREDS2, or similarnutraceutical therapy at Screening, patient must be willing to continue use for theduration of the study. If not currently using AREDS2 or similar, patient must bewilling to continue not to use therapy for the duration of the study. Patient mustagree to choose either approach. Study Eye Inclusion Criteria:

  6. BCVA of 24 letters or more using ETDRS charts in the study eye at Screening.

  7. Intraocular pressure (IOP) of 22 mmHg or lower in the study eye at Screening. The GA lesion must meet all the following criteria:

  8. Non-foveal GA associated with AMD without eMNV in the study eye per Investigator'sevaluation and as confirmed by the central RC.

  9. GA ≥0.85 disc area (DA) (2.125 mm2) and ≤8.05 DA (20.125 mm2) in the study eye asconfirmed by the central RC.

  10. 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.

  11. Non-foveal GA (GA lesion up to the fovea, but not subfoveal) with the lesion'sclosest border 1725 microns or less from the foveal center in the study eye, asconfirmed by the central RC.

  12. The entire GA lesion in the study eye must be completely visualized on themacula-centered FAF image, must be able to be imaged in its entirety, and must notbe contiguous with any areas of peripapillary atrophy per the Investigator'sevaluation and as confirmed by the central RC.

  13. A pattern of hyper-autofluorescence in the junctional zone of GA in the study eyemust be present as confirmed by the central RC. Fellow Eye Inclusion Criterion:

  14. BCVA of 19 letters or more using ETDRS charts in the fellow eye at Screening.

Exclusion

Exclusion Criteria:

  1. Current or planned participation in another investigational clinical study or use ofany other investigational drugs or devices at least 6 months prior to enrollment orduring the study period without prior written Sponsor approval.

  2. Previous ophthalmic disease gene therapy or planned participation in any genetherapy clinical study during the study period.

  3. Current or planned use of systemic complement inhibitors during the study period.

  4. Any ocular or systemic condition that, in the opinion of the Investigator, makes thepatient unsuitable for treatment with an investigational drug or that wouldcompromise the safety or efficacy assessments of the study.

  5. Treatment with any ocular or systemic medication that is known to be toxic to thelens, retina, or optic nerve (including, but not limited to, aminoglycosides,vancomycin, hydroxychloroquine, interferon, tacrolimus, cisplatin, bis-chloroethylnitrosourea, carmustine, ethambutol, and tamoxifen) within 90 days prior toScreening or anticipated during the study period.

  6. Any previous treatment of pentosan polysulfate (Elmiron®) is exclusionary.

  7. Known allergy to fluorescein, povidone iodine, or any ingredients of the study drugor avacincaptad pegol intravitreal solution.

  8. Individuals who are currently pregnant, planning to become pregnant, or are nursingat Screening or during the study period. Study Eye Exclusion Criteria:

  9. Active ocular or periocular infection in the study eye.

  10. Any contraindication to an IVT injection in the study eye.

  11. Any media opacity in the study eye that limits visual acuity, clinical visualizationof the retina, or retinal imaging as determined by the Investigator.

  12. Previous IVT pharmaceutical treatment in the study eye with any agent except Foodand Drug Administration (FDA)-approved complement inhibitors and treatment withFDA-approved complement inhibitors within 12 weeks prior to Screening.

  13. Any history of incisional retinal surgery in the study eye including but not limitedto scleral buckle or vitrectomy. (Retinal laser for a tear or hole 3 months or moreprior to Screening is not exclusionary).

  14. History of incisional glaucoma surgery including trabeculectomy, tube shunt, orminimally invasive glaucoma surgery in the study eye. (Glaucoma laser proceduresperformed at least 6 months prior to Screening are not exclusionary).

  15. Yttrium aluminum garnet capsulotomy in the study eye within 1 month prior toScreening.

  16. Cataract surgery in the study eye planned or expected during the study period.

  17. Aphakia with absence of the posterior capsule in the study eye. (Pseudophakia withan open posterior capsule is not exclusionary).

  18. Any current evidence or history in the study eye of exudative ("wet") AMD, includingany RPE rips or evidence of actively leaking neovascularization anywhere in theretina based on the FA or SD-OCT as assessed per the Investigator's evaluation andconfirmed by the central RC.

  19. Any clinically significant retinal disease other than AMD except benign degenerativeconditions (eg, Cobblestone degeneration) in the study eye.

  20. Intraocular surgery in the study eye (including lens replacement surgery) within 3months prior to Screening. See Exclusion Criteria 12 and 13 pertaining to retinaland glaucoma surgery, respectively.

  21. Previous therapeutic radiation (including transpupillary thermotherapy, photodynamictherapy, or external-beam) in the region of the study eye. Fellow Eye Exclusion Criterion:

  22. Planned or expected IVT injection in the fellow eye for treatment of GA with agentsother than FDA-approved complement inhibitors (pegcetacoplan or avacincaptad pegolIVT solution [Izervay™]) during the study period. Either Eye Exclusion Criteria:

  23. Active intraocular inflammation in either eye or a history of uveitis orendophthalmitis in either eye.

  24. GA in either eye due to causes other than AMD.

  25. Any ophthalmic condition in either eye that is likely to require surgery during thestudy period.

Study Design

Total Participants: 324
Treatment Group(s): 3
Primary Treatment: Sham
Phase: 2
Study Start date:
October 28, 2025
Estimated Completion Date:
November 30, 2028

Connect with a study center

  • Clinique d'ophtalmologie des Laurentides

    Boisbriand 5905132, Quebec 6115047 J7H0E8
    Canada

    Active - Recruiting

  • Associated Retina Consultants

    Gilbert 5295903, Arizona 5551752 85297
    United States

    Active - Recruiting

  • Associated Retina Consultants

    Phoenix 5308655, Arizona 5551752 85020
    United States

    Active - Recruiting

  • Doheny Image Reading Center

    Pasadena 5381396, California 5332921 91103
    United States

    Active - Recruiting

  • Bay Area Retina Associates

    Walnut Creek 5406990, California 5332921 94598
    United States

    Active - Recruiting

  • Retina Consultants of Southern Colorado

    Colorado Springs 5417598, Colorado 5417618 80909-1183
    United States

    Active - Recruiting

  • Retina Group of New England

    Waterford 8480031, Connecticut 4831725 06385
    United States

    Active - Recruiting

  • Florida Retina Institute

    Orlando 4167147, Florida 4155751 32806
    United States

    Active - Recruiting

  • Retina Associates, Ltd.

    Elmhurst 4891010, Illinois 4896861 60126
    United States

    Active - Recruiting

  • Retina Partners Midwest, P.C.

    Carmel 4255466, Indiana 4921868 46032
    United States

    Active - Recruiting

  • Retina Research Institute at New England Retina Consultants

    Springfield 4951788, Massachusetts 6254926 01107
    United States

    Active - Recruiting

  • Associated Retinal Consultants, P.C.

    Royal Oak 5007804, Michigan 5001836 48073
    United States

    Active - Recruiting

  • The Retina Institute

    St Louis 4407066, Missouri 4398678 63128
    United States

    Active - Recruiting

  • Sierra Eye Associates

    Reno 5511077, Nevada 5509151 89502
    United States

    Active - Recruiting

  • Retina Associates of Western NY

    Rochester 5134086, New York 5128638 14620
    United States

    Active - Recruiting

  • Long Island Vitreoretinal Consultants

    Westbury 5144040, New York 5128638 11590
    United States

    Active - Recruiting

  • North Carolina Retina Associates, S.C.

    Wake Forest 4497290, North Carolina 4482348 27587
    United States

    Active - Recruiting

  • Erie Retina Research, LLC

    Erie 5188843, Pennsylvania 6254927 16507
    United States

    Active - Recruiting

  • Erie Retina Research, LLC (Clinic)

    Erie 5188843, Pennsylvania 6254927 16505
    United States

    Active - Recruiting

  • Charleston Neuroscience Institute

    Mt. Pleasant 4588165, South Carolina 4597040 29464
    United States

    Active - Recruiting

  • Palmetto Retina Center

    West Columbia 4600541, South Carolina 4597040 29169
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    Beaumont 4672989, Texas 4736286 77707
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    Bellaire 4673353, Texas 4736286 77401
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    Katy 4702732, Texas 4736286 77494
    United States

    Active - Recruiting

  • Retina Associates of South Texas, PA

    San Antonio 4726206, Texas 4736286 78240
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    San Antonio 4726206, Texas 4736286 78240
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    The Woodlands 4736476, Texas 4736286 77384
    United States

    Active - Recruiting

  • Pacific Northwest Retina

    Bellevue 5786882, Washington 5815135 98004
    United States

    Active - Recruiting

  • Pacific Northwest Retina, PLLC

    Silverdale 5810490, Washington 5815135 98383
    United States

    Active - Recruiting

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