910 Participants NeededMy employer runs this trial

Tabirafusp Tedromer for Diabetic Macular Edema

(ALTO Trial)

Recruiting at 45 trial locations
KS
Overseen ByKodiak Sciences Inc
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Kodiak Sciences Inc
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called Tabirafusp Tedromer for individuals with diabetic macular edema (DME), an eye condition that can impair vision in those with diabetes. Researchers aim to determine if this new treatment is more effective and safe compared to the existing treatment, Aflibercept. Participants will receive injections of either Tabirafusp Tedromer or Aflibercept in their eyes to manage their condition. Individuals with diabetes and DME who have not received eye treatments before or have tried other treatments may be suitable for this study. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to a potentially groundbreaking treatment for DME.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that Tabirafusp Tedromer demonstrated promising safety results in earlier studies. Most participants handled the treatment well, with side effects typically mild to moderate. Serious side effects occurred rarely, and the treatment's safety aligned with expectations for similar drugs.

Aflibercept, already approved by the FDA for other uses, has a strong safety record. Past research indicates that most patients tolerate it well, with common side effects being manageable.

Overall, studies have shown that both treatments exhibit good safety results, suggesting they are reasonably safe for patients with diabetic macular edema.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about Tabirafusp Tedromer for diabetic macular edema because it offers a fresh approach compared to standard treatments like aflibercept. Unlike traditional therapies, Tabirafusp Tedromer is a fusion protein that may enhance the body's immune response specifically in the eye, potentially leading to better control of inflammation and fluid leakage. The flexibility in its dosing schedule, which can be tailored from every four weeks up to every 24 weeks, also presents a significant advantage, offering the potential for fewer injections and a more convenient treatment option for patients.

What evidence suggests that this trial's treatments could be effective for diabetic macular edema?

Research has shown that aflibercept, one of the treatments in this trial, effectively treats diabetic macular edema. Patients using aflibercept have experienced significant vision improvements because it reduces fluid buildup in the retina by blocking proteins that cause blood vessels in the eye to leak.

Tabirafusp tedromer, another treatment option in this trial, lacks extensive data. However, it is designed to target and adjust immune responses, potentially reducing inflammation and fluid leakage in the retina. Early signs suggest it could offer a new approach to treating diabetic macular edema, but more research is needed to confirm its effectiveness.678910

Who Is on the Research Team?

JP

J. Pablo Velazquez-Martin, MD

Principal Investigator

Kodiak Sciences Inc

Are You a Good Fit for This Trial?

This trial is for adults (18 or older) with diabetic macular edema (DME), whether they've had treatment before or not. Participants must have type 1 or type 2 diabetes, an HbA1c of 12% or less, and be able to give informed consent.

Inclusion Criteria

I have diabetic macular edema, whether or not I have had treatment before.
I am 18 or older with Type 1 or Type 2 diabetes and my HbA1c is 12% or less.
I am able to understand and sign a consent form.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive intravitreal injections of either tabirafusp tedromer or aflibercept. Tabirafusp tedromer is administered once every 4 weeks for 6 doses, followed by every-8-week dosing or individualized dosing. Aflibercept is administered once every 4 weeks for 5 doses, followed by every-8-week dosing.

52 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment, with a focus on changes in best corrected visual acuity (BCVA).

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Aflibercept
  • Tabirafusp Tedromer

Trial Overview

The study compares two treatments for DME: a new drug called Tabirafusp tedromer versus the standard drug Aflibercept. Participants are randomly assigned to receive one of these medicines by injection into the eye.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Active Control

Group I: Tabirafusp tedromer 5 mg Q8WExperimental Treatment1 Intervention
Group II: Tabirafusp tedromer 5 mg Q4-24WExperimental Treatment1 Intervention
Group III: Aflibercept 2 mgActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Kodiak Sciences Inc

Lead Sponsor

Trials
9
Recruited
3,900+

Citations

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