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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-004029-60 | EudraCT Number |
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This is a Phase 1 randomized, double-masked, placebo-controlled study performed with healthy participants to assess the safety and tolerability of laquinimod eye-drops.
Laquinimod administered as an oral capsule formulation has previously been studied in neurodegenerative and autoimmune diseases. The clinical side effect profile of orally administered laquinimod is well-characterized based on this previous experience.
This trial will establish a safe and tolerated dose of laquinimod when administered as an eye-drop formulation following single ascending dose (SAD) and multiple ascending dose (MAD) administrations. There are four planned groups in the SAD-part of the study which will enroll 28 participants, if all dose levels are explored. The subsequent MAD-part of the study will enroll another 28 participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laquinimod - Single Ascending Doses | Experimental | One single dose of laquinimod eye-drops. There are up to four planned dose levels. |
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| Placebo - Single Ascending Doses | Placebo Comparator | One single dose of placebo eye-drops. |
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| Laquinimod - Multiple Ascending Doses | Experimental | Eye-drops administered once daily for 14-21 days. There are up to two planned dose levels. The first dose level will be defined in the SAD-part of the study. |
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| Placebo - Multiple Ascending Doses | Placebo Comparator | Eye-drops administered once daily for 14-21 days. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laquinimod | Drug | Eye-drops |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Type, frequency, seriousness, severity and relationship to treatment | For 7 days post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Participant-reported eye-toxicities | Assessed from change from baseline in ocular symptoms score determined using a Visual Analogue Scale with 0-100 range, where 0= no symptom and 100= worst possible discomfort. | Pre-dose (baseline) and immediately after the intervention |
| Investigator-reported eye-toxicities - BCVA |
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Main inclusion criteria:
Main exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gerhard Garhöfer, MD PhD | Clinical trial center at Medical University Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical trial center at Medical University Vienna | Vienna | Austria |
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| ID | Term |
|---|---|
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| C476223 | laquinimod |
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| Placebo | Drug | Eye-drops |
|
Assessed from change from baseline in Best Corrected Visual Acuity (BCVA) using the Early Treatment Diabetic Retinopathy Study research group (ETDRS) visual acuity chart with objective and subjective refraction. |
| Pre-dose (baseline) and immediately after the intervention |
| Investigator-reported eye-toxicities - Slit lamp examination | Assessed from change from baseline in slit lamp examination parameters (eyelid swelling, eyelid redness, conjunctival redness, conjunctival chemosis, scleral redness, corneal opacity, iris alterations and anterior chamber flare) graded on a 4-point scale where 0= none, 1= mild, 2= moderate, and 3= severe. | Pre-dose (baseline) and immediately after the intervention |
| Investigator-reported eye-toxicities - Corneal fluorescein staining | Assessed from change from baseline in corneal fluorescein staining determined using the NEI/Industry Workshop guidelines. The cornea is divided into five sectors (central, superior, inferior, nasal and temporal) and each sector scored on a 4-point scale, where 0= no staining and 3= maximum staining. | At screening visit (baseline) and immediately after the intervention |
| Investigator-reported eye-toxicities - Intraocular pressure | Assessed from change from baseline in intraocular pressure (mmHg) determined using a Goldmann applanation tonometer. | At screening visit (baseline) and immediately after the intervention |
| Investigator-reported eye-toxicities - Funduscopy in mydriasis | Assessed from change from baseline in clinical signs detected by indirect funduscopic inspection of the optic disc, macula, retinal vessels and retinal periphery. | At screening visit (baseline) and immediately after the intervention |
| Peak plasma concentration of laquinimod | Maximal plasma concentration (Cmax) of laquinimod as assessed from samples collected pre-dose and at frequent intervals over 7 days after (last) dose | Over up to 21 days after (last) dose |
| Time to peak plasma concentration of laquinimod | Time to maximal plasma concentration (tmax) of laquinimod as assessed from samples collected pre-dose and at frequent intervals over 7 days after (last) dose | Over up to 21 days) after (last) dose |
| Trough plasma concentration of laquinimod at steady-state | Minimal plasma concentration (Cmin,ss) of laquinimod as assessed from samples collected pre-dose on Days 12, 13 and 14 within the multiple-dose arm | On the last three days of multiple dosing |
| Systemic exposure of laquinimod | Area under the plasma concentration time curve (AUC) of laquinimod | Over up to 21 days after (last) dose |