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The purpose of this Phase 1, first in uveitis open-label study is to assess the safety and tolerability of TRX-103 in patients with non infectious uveitis (NIU). It is anticipated that up to 18 Subjects will be enrolled during a 18-24 month enrollment period. TRX-103 will be infused one time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TRX-103 Inpatient | Experimental | Infusion of TRX103 followed by 8 hour in patient observation period |
|
| TRX-103 Outpatient | Experimental | Outpatient Infusion of TRX103 followed by outpatient observation period |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TRX103 | Biological | TRX103 infusion via peripheral line |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment emergent Adverse events and Serious Adverse events at week 52 | Detailed physical and eye exams, labs and imaging to be performed at study visits for documenting safety and AE's graded using CTCAE V6.0 | Up to a year |
| Incidence of infections, either bacterial, fungal or viral at week 52 | Upto 1 year | |
| Negative Replication Competent Lentivirus (RCL) at approximately 3-months, 6-months, and 12-months. | Participants will be tested via pre-defined blood draw for Replication Competent Lentivirus as per FDA guidance for Testing of Retroviral Vector-Based Human Gene Therapy Products | At 3-month, 6-month, and 1-year. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Best-Corrected Visual acuity (BCVA) at week 52, compared to Baseline | Up to a year | |
| Change in Central subfield thickness on OCT at week 52 from baseline | Upto a year | |
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Inclusion Criteria:
≥ 18 to ≤ 70 years of age at time of consent.
Weight of ≥ 40 kg at time of consent.
Subjects must be able to understand and sign informed consent and be willing and able to complete all specified procedures and visits.
Diagnosis of active non-infectious uveitis (NIU); intermediate, posterior, or panuveitis at screening as defined as having at least ONE of the following findings:
Subjects on treatment with corticosteroids may be included if they meet the following:
If the patient is on specific therapies such as systemic non-corticosteroid biologic agents, immunomodulatory agents or small molecules etc., appropriate washout periods defined in the protocol must be met prior to infusion at Day 0.
Exclusion Criteria:
Any condition preventing evaluation/assessment of both eyes.
Any significant ocular disease that could compromise vision.
Proliferative or severe non-proliferative diabetic retinopathy or clinically significant macular edema due to non-uveitis causes.
Isolated anterior uveitis.
Macular edema as the only sign of uveitis, defined on OCT without active anterior/posterior inflammatory signs.
Age-related macular degeneration or serpiginous choroidopathy.
Myopic degeneration with active sub-foveal choroidal neovascularization.
Confirmed or suspected current infectious uveitis.
Has ocular masquerade syndrome, like ocular lymphoma.
Any of the following ongoing treatments or anticipated use of any of the following treatments prior to TRX103 dose, for the time periods specified below:
Has received intraocular or periocular (including subtenon, intracanalicular) corticosteroids within 8 weeks prior to TRX103 dose, unless otherwise specified below:
Ocular surgery within 90 days prior to TRX103 dose in the study eye, including glaucoma surgery (trabeculectomy or aqueous shunt device), and vitreoretinal surgery. Nd: YAG capsulotomy within 30 days prior to TRX103 dose in the study eye is also an exclusion criterion.
Any of the following cardiovascular risk factors:
Impaired kidney function, defined as any of the following:
Subjects who are breastfeeding, pregnant, or planning to become pregnant, or subjects of childbearing potential who are unwilling to apply a highly effective birth control method prior to TRX103 dose.
Anaphylaxis to fluorescein or unwillingness to undergo fluorescein angiograms.
Live vaccine within 6 weeks prior to Day 0 (day of infusion) or expected to need a live vaccine during the study.
Active bacterial, viral, fungal, mycobacterial, or other infections that would require treatment. Active infections must be resolved prior to enrollment.
Have required management of infections as follows:
History of significant trauma or major surgery within 4 weeks prior to TRX103 dose or scheduled to undergo major surgery during the study.
History of blood transfusion within the last 3 years.
Prior organ transplant, or allogeneic bone marrow, peripheral blood, or cord blood stem cell transplant.
Received another investigational agent or therapy, within 28 days of planned TRX103 infusion (or 5 half-lives, whichever is longer) and/or have not recovered from treatment related toxicities.
Screening laboratory and other analyses show any of the following abnormal results:
Subjects with a history of any other significant renal, hepatic, pulmonary, or cardiac dysfunction, or on treatment to support such dysfunction.
Any serious illness, uncontrolled inter-current illness, psychiatric illness, active or uncontrolled infection, or other medical condition or history, including laboratory results, which, in the Investigator's opinion:
Participation in any other clinical trial/ or receiving any other investigational treatment while enrolled in this study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| PEACOCX Study Team | Contact | 650-497-2078 | nguyenlabtrials@stanford.edu |
| Name | Affiliation | Role |
|---|---|---|
| Quan Nguyen, MD | Stanford University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Byers Eye Institute | Palo Alto | California | 94303 | United States |
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| ID | Term |
|---|---|
| D014605 | Uveitis |
| ID | Term |
|---|---|
| D014603 | Uveal Diseases |
| D005128 | Eye Diseases |
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| Change in quality of life at week 52 using NEI VFQ 25 compared to Baseline |
| Upto a year |