Subjects will be treated with "combination therapy" of IVT Fovista® and IVT anti-VEGF therapy
every month for the first 5 months (Day 1, Months 1,2,3,4), followed by Q12W (every 12 weeks)
administration (Months 7,10, 13,16, 19 and 22), for a total of 24 months. --- Q12W ---
Primary Outcomes
Description: Number of Patients with Systemic Adverse Events
Measure: Total Numer of Systemic Adverse Events Time: 2 years
Description: Number of Patients with Other Adverse Events
Measure: Total Number of Other Adverse Events (>5%) Time: 2 years
This study will evaluate the efficacy, safety, durability, and pharmacokinetics of KSI-301
administered at 12, 16 and 20 weeks intervals as specified in the protocol, compared with
aflibercept once every 8 weeks (Q8W), in participants with treatment-naïve neovascular (wet)
age-related macular degeneration (nAMD).
Mean change in Best Corrected Visual Acuity (BCVA) from Day 1.. BCVA is measured using ETDRS visual acuity charts..
Proportion of subjects on a Q12W, Q16W or Q20W dosing regimen of KSI-301.. null. --- Q12W ---
Primary Outcomes
Description: BCVA is measured using ETDRS visual acuity charts.
Measure: Mean change in Best Corrected Visual Acuity (BCVA) from Day 1. Time: Year 1
Secondary Outcomes
Measure: Proportion of subjects on a Q12W, Q16W or Q20W dosing regimen of KSI-301. Time: Year 1 Measure: Proportion of subjects who gain ≥ 5, ≥10 and ≥15 letters from Day 1. Time: Year 1 Measure: Proportion of subjects who lose ≥ 5, ≥10 and ≥15 letters from Day 1. Time: Year 1 Measure: Proportion of subjects with BCVA Snellen equivalent of 20/40 or better. Time: Year 1 Measure: Proportion of subjects with BCVA Snellen equivalent of 20/200 or worse. Time: Year 1 Measure: Mean change in OCT central subfield retinal thickness (CST) from Day 1. Time: Year 1 Measure: Mean change in OCT intraretinal fluid volume from Day 1. Time: Year 1 Measure: Mean change in OCT subretinal fluid volume from Day 1. Time: Year 1 Measure: Proportion of subjects without intraretinal fluid on OCT. Time: Year 1 Measure: Proportion of subjects without subretinal fluid on OCT. Time: Year 1 Measure: Mean change in CNV total lesion area on FA from baseline. Time: Year 1 Measure: Mean chance in area of leakage on FA from baseline. Time: Year 1
This study will evaluate the efficacy, safety, and pharmacokinetics of faricimab administered
at 8-week intervals or as specified in the protocol following treatment initiation, compared
with aflibercept once every 8 weeks (Q8W), in participants with diabetic macular edema (DME).
The global enrollment phase has closed, but participants are still being recruited only at
sites in China.
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year. --- Q12W ---
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years. --- Q12W ---
Primary Outcomes
Description: As measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
Measure: Average Change From Baseline in Best-Corrected Visual Acuity (BCVA) at 1 Year Time: Baseline (Day 1) and 1 year
Secondary Outcomes
Measure: Percentage of Participants with a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at 1 Year Time: Baseline and 1 year Measure: Change From Baseline in BCVA Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of >0 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥15 Letters or Achieving BCVA of ≥84 Letters Over Time Time: Up to 2 years Measure: Percentage of Participants with BCVA Snellen Equivalent of 20/40 or Better Over Time Time: Up to 2 years Measure: Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse Over Time Time: Up to 2 years Measure: Percentage of Participants with a ≥2-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants with a ≥3-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Who Develop New Proliferative Diabetic Retinopathy Over Time Time: Up to 2 years Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year Time: 1 year Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years Time: 2 years Measure: Change From Baseline in Central Subfield Thickness Over Time Time: From Baseline up to 2 years Measure: Change From Baseline in Central Subfield Thickness at 1 Year Time: Baseline and 1 year Measure: Percentage of Participants with Absence of DME Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Intraretinal Fluid Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Subretinal Fluid Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Intraretinal Fluid and Subretinal Fluid Over Time Time: Up to 2 years Measure: Change From Baseline in National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) Composite Score Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants with At Least One Ocular Adverse Event Time: Up to 2 years Measure: Percentage of Participants with At Least One Non-Ocular Adverse Event Time: Up to 2 years Measure: Plasma Concentration of Faricimab Over Time Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years) Measure: Percentage of Participants with Presence of Anti-Drug Antibodies Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)
This study will evaluate the efficacy, safety, and pharmacokinetics of faricimab administered
at 8-week intervals or as specified in the protocol following treatment initiation, compared
with aflibercept once every 8 weeks (Q8W), in participants with diabetic macular edema (DME).
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year. --- Q12W ---
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years. --- Q12W ---
Primary Outcomes
Description: As measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
Measure: Average Change From Baseline in Best-Corrected Visual Acuity (BCVA) at 1 Year Time: Baseline (Day 1) and 1 year
Secondary Outcomes
Measure: Percentage of Participants with a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at 1 Year Time: Baseline and 1 year Measure: Change From Baseline in BCVA Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Avoiding a Loss of >0 Letters in BCVA From Baseline Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Gaining ≥15 Letters or Achieving BCVA of ≥84 Letters Over Time Time: Up to 2 years Measure: Percentage of Participants with BCVA Snellen Equivalent of 20/40 or Better Over Time Time: Up to 2 years Measure: Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse Over Time Time: Up to 2 years Measure: Percentage of Participants with a ≥2-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants with a ≥3-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants Who Develop New Proliferative Diabetic Retinopathy Over Time Time: Up to 2 years Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year Time: 1 year Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years Time: 2 years Measure: Change From Baseline in Central Subfield Thickness Over Time Time: From Baseline up to 2 years Measure: Change From Baseline in Central Subfield Thickness at 1 Year Time: Baseline and 1 year Measure: Percentage of Participants with Absence of DME Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Intraretinal Fluid Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Subretinal Fluid Over Time Time: Up to 2 years Measure: Percentage of Participants with Absence of Intraretinal Fluid and Subretinal Fluid Over Time Time: Up to 2 years Measure: Change From Baseline in National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) Composite Score Over Time Time: From Baseline up to 2 years Measure: Percentage of Participants with At Least One Ocular Adverse Event Time: Up to 2 years Measure: Percentage of Participants with At Least One Non-Ocular Adverse Event Time: Up to 2 years Measure: Plasma Concentration of Faricimab Over Time Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years) Measure: Percentage of Participants with Presence of Anti-Drug Antibodies Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)
This study is a Phase 1, first-in-human, open-label, dose-escalation study designed to
characterize the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity,
and preliminary antitumor activity of IMGC936 administered by intravenous (IV) infusion.
Tumor assessments are performed every 6 weeks (Q6W) for the first 6 months on study drug then
every 12 weeks (Q12W). --- Q12W ---
If
feasible, participants who discontinue study drug for reasons other than progressive disease
(PD) (e.g., toxicity) should continue to undergo tumor assessments Q12W as post-treatment
follow up until evidence of PD, initiation of another anticancer therapy, withdrawal of
consent, LTFU, death, or end of study. --- Q12W ---
Primary Outcomes
Description: Number of treatment emergent adverse events as assessed by CTCAE v5.0
Measure: Incidence and severity of Treatment Emergent Adverse Events by CTCAE v5.0 Time: From screening to end of study (approximately up to 2 years) for each patient
Description: Incidence of DLTs
Measure: To characterize dose-limiting toxicities (DLTs) Time: DLT evaluation period is through cycle 1 (21 days)
Secondary Outcomes
Description: Study drug concentration
Measure: To characterize study drug concentration Time: There are 9 blood draw collection time points at Cycles 1 and 3, 3 blood draw time points at Cycles 2,4,5 and 6, and collection at every 3 cycles after cycle 6 until end of study (approximately up to 2 years). Each cycle is 21 days.
Description: Anti-drug antibody
Measure: To measure the concentration of anti-drug antibody Time: There are 2 collection time points at Cycles 1 and 3, 1 collection time point at Cycles 2, 4, 5 and 6, and and collection at every 3 cycles after cycle 6 until end of study (approximately up to 2 years). Each cycle is 21 days.
This randomized pilot clinical trial studies the side effects of tremelimumab with or without
tissue cryoablation in treating patients with kidney cancer that has spread to other places
in the body. Tremelimumab binds to a protein called cytotoxic T-lymphocyte-associated protein
4 (CTLA-4), which is found on the surface of T cells (a type of white blood cell).
Tremelimumab may block CTLA-4 and help the immune system kill cancer cells. Cryoablation is a
procedure that uses a hollow, thin tube called a cryoprobe to freeze and destroy cancer
tissue. It is not yet known whether tremelimumab with or without cryoablation is effective in
treating patients with kidney cancer.
After surgery or biopsy, patients
receive tremelimumab IV every 4 weeks (Q4W) for 3 doses, and then every 12 weeks (Q12W) in
the absence of disease progression or unacceptable toxicity. --- Q12W ---
After surgery or biopsy, patients receive tremelimumab IV Q4W for 3 doses, and then
Q12W in the absence of disease progression or unacceptable toxicity. --- Q12W ---
Primary Outcomes
Description: Safety will be recorded through the incidence of adverse events, serious adverse events and specific laboratory abnormalities (worst grade) in each treatment arm. Descriptive statistical analyses will be performed to summarize the incidence of adverse events.
Measure: Incidence of adverse events as graded by the National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03 Time: Up to 2 weeks
Description: Extreme toxicities will be defined as any grade 3 or higher adverse event that is possibly, probably, or definitely related to therapy that occurs within the first two cycles of therapy with the following exceptions: any grade 3 or higher adverse event that is potentially treatable with steroids will only count as an extreme toxicity if it does not improve to grade 1 or better within 2 weeks of steroid therapy, grade 3 or 4 amylase or lipase abnormalities that are not associated with symptoms or clinical manifestations of pancreatitis, or grade 3 or 4 drug related endocrinopathies which within two weeks of presentation are adequately controlled with only physiologic hormone replacement therapy.
Measure: Incidence of extreme toxicities as graded by National Cancer Institute Common Terminology Criteria for Adverse Events version 4.03 Time: Up to 2 weeks
Secondary Outcomes
Description: Descriptive statistical analyses will be performed to summarize the response rate including summary tables, scatter-plots, box-plots, proportions, 95% credible intervals, median, means, and standard deviations.
Measure: Response rate Time: Up to 5 years
Description: Differences of indication markers between arms will be compared using a t-test with transformations of non-normal data, as needed. A mixed model accounting for patient effects will be used to analyze the longitudinal data on immunological values over time.
Measure: Changes in indication markers Time: Up to 5 years
Description: Descriptive statistical analyses will be performed.
Measure: Progression free survival Time: Up to 5 years
Description: A mixed model accounting for patient effects will be used to analyze the longitudinal data on immunological values over time.
Measure: Longitudinal data on immunological values over time Time: Up to 13 weeks