156 Participants NeededMy employer runs this trial

ASP2767 for Glaucoma

AP
Overseen ByAstellas Pharma Global Development Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new gene therapy, ASP2767, to treat open-angle glaucoma, a condition that can damage eye nerves and lead to vision loss. The researchers aim to determine if this treatment can slow or prevent further vision loss by protecting these nerves. Participants will receive a single injection of ASP2767 in one eye, and the study will assess its safety and effectiveness. Individuals with moderate to advanced open-angle glaucoma and stable vision tests might be suitable for this trial. As a Phase 1, Phase 2 trial, this research focuses on understanding how ASP2767 works in people and measuring its effectiveness in an initial, smaller group.

Is there any evidence suggesting that ASP2767 is likely to be safe for humans?

Research has shown that ASP2767 is being tested for safety and effectiveness in treating open-angle glaucoma. This study marks the first use of ASP2767 in humans, so information about its safety remains limited. The study monitors how participants handle varying doses of ASP2767, starting with small amounts and gradually increasing them to identify the safest dose.

ASP2767 employs a safe virus to deliver genes into the eye, a method known as gene therapy, aiming to protect the eye's nerves and slow vision loss. Although the safety of ASP2767 is still under investigation, similar treatments involving eye injections have generally been considered safe. Known risks, such as temporary increases in eye pressure, can be managed with proper care.

In summary, the safety of ASP2767 in humans is still under study, but the trial aims to determine the safest dose and closely monitor for any side effects.12345

Why do researchers think this study treatment might be promising for glaucoma?

Researchers are excited about ASP2767 for glaucoma because it introduces a novel approach with its unique delivery method. Unlike standard treatments like eye drops or oral medications, ASP2767 is administered directly into the eye via intravitreal injection. This method allows for more targeted action, potentially improving the drug's effectiveness and reducing systemic side effects. Additionally, ASP2767 is being tested in various dosages, which could help tailor treatments to individual patient needs more precisely. This innovative approach has the potential to offer a new level of care for those managing glaucoma.

What evidence suggests that ASP2767 might be an effective treatment for glaucoma?

ASP2767 is a new gene therapy that early research suggests might help protect the optic nerve in people with open-angle glaucoma. This trial will explore different dosing strategies of ASP2767, including dose escalation and dose expansion phases, to assess its safety and effectiveness. The therapy uses a safe virus to deliver specific genes to the eye, which help produce proteins that could slow or stop vision loss. Studies on similar gene therapies have shown promising results in preserving sight by protecting nerve cells in the eye. ASP2767 has also received FDA Fast Track Designation, highlighting its potential to meet unmet needs in glaucoma treatment. Although researchers are testing ASP2767 in humans for the first time, the method it uses has shown promise in other studies.13567

Who Is on the Research Team?

SP

Study Physician

Principal Investigator

Astellas Pharma Global Development, Inc.

Are You a Good Fit for This Trial?

This trial is for adults with open-angle glaucoma who have moderate to advanced vision loss and confirmed optic nerve damage in one eye. Participants must be able to attend regular clinic visits, complete required tests, and not join other studies during the year-long follow-up.

Inclusion Criteria

My eye pressure is 21 mmHg or lower and well controlled with my current treatment.
My vision in the study eye is at least 20/200.
I will not donate eggs during the study.
See 13 more

Exclusion Criteria

Participant has severe acute or chronic medical, psychiatric condition, physical exam finding or lab abnormality interfering with study procedures or making participant unsuitable for study
I currently have an active eye infection, not just mild blepharitis.
I have or had eye inflammation or uveitis in either eye.
See 25 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1 Treatment

Participants receive ascending doses of ASP2767 with prophylactic medicines to reduce inflammation risk

Up to 4 weeks
Multiple visits for dose escalation and monitoring

Phase 2 Treatment

Participants receive either the highest safe dose of ASP2767, a lower dose, or a sham injection with prophylactic or placebo regimen

Single injection with follow-up
Regular visits for health checks and vision tests

Follow-up

Participants are monitored for safety and effectiveness after treatment

52 weeks
Regular visits for health checks, vision tests, and sample collection

What Are the Treatments Tested in This Trial?

Interventions

  • ASP2767

Trial Overview

The study is testing a new gene therapy called ASP2767, given as a single injection into one eye. It aims to see if ASP2767 is safe and can help protect nerves in people with glaucoma. Some participants will get different doses or a sham (fake) injection for comparison.

How Is the Trial Designed?

5

Treatment groups

Experimental Treatment

Placebo Group

Group I: Phase 2: ASP2767 Low Dose - Dose Expansion + Prophylactic RegimenExperimental Treatment3 Interventions
Group II: Phase 2: ASP2767 High Dose - Dose Expansion + Prophylactic RegimenExperimental Treatment3 Interventions
Group III: Phase 1: ASP2767 Dose Escalation + Prophylactic Regimen BExperimental Treatment2 Interventions
Group IV: Phase 1: ASP2767 Dose Escalation + Prophylactic Regimen AExperimental Treatment2 Interventions
Group V: Phase 2: Sham ASP2767 + Placebo Prophylactic RegimenPlacebo Group2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Astellas Pharma Global Development, Inc.

Lead Sponsor

Trials
204
Recruited
123,000+

Tadaaki Taniguchi

Astellas Pharma Global Development, Inc.

Chief Medical Officer

M.D., Ph.D.

Naoki Okamura profile image

Naoki Okamura

Astellas Pharma Global Development, Inc.

Chief Executive Officer

Not available

Citations

A Study About the Safety of ASP2767 and Whether it Helps ...

The main aims of the study are to check the safety of ASP2767 in people with open-angle glaucoma, how well they tolerate it, and to find the highest dose of ...

NCT07770685 | A Study About the Safety of ASP2767 and ...

This is an early development study of ASP2767 in people with open-angle glaucoma. is a type of treatment called gene therapy. to Evaluate the Safety and ...

Astellas Launches ASP2767 Trial in Glaucoma

The first-in-human study will evaluate the safety, tolerability, and efficacy of ASP2767, which uses a viral vector to deliver genes that cause ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/36122660/

Laser in Glaucoma and Ocular Hypertension (LiGHT) Trial

The SLT arm showed better Glaucoma Symptom Scale scores than the drops arm (83.6 ± 18.1 vs. 81.3 ± 17.3, respectively). Of eyes in the SLT arm, ...

6-Year Results Support SLT for Glaucoma & Ocular ...

SLT provides better long-term disease control than initial drop therapy, with reduced need for incisional glaucoma and cataract surgery over 6 ...

A new study published in Ophthalmology Glaucoma ...

Patients receiving intravitreal injections for neovascular age-related macular degeneration had a higher risk of developing a new glaucoma ...

The effects of intravitreal injections on intraocular pressure ...

In general, these injections are considered relatively safe, nevertheless, long-term use of the injections can increase the chance of ocular ...