Title

A Phase 1/ Phase 2 Study of TTHX1114(NM141)
A Phase 1/ Phase 2 Study Evaluating the Safety and Efficacy of the Investigational New Drug TTHX1114(NM141) on the Regeneration of Corneal Endothelial Cells in Patients With Corneal Endothelial Dystrophies Following Intracameral Delivery
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    22
Prospective, multicenter, randomized, masked, vehicle-controlled, dose-escalation study
This is a prospective, multi-center, randomized, masked, vehicle-controlled, dose-escalation study that will include an observational (no intervention) sub-study. Eligible subjects with moderate to severe corneal endothelial dystrophy (defined as Endothelial Cell Density < 2000 mm^2) in at least one eye will be enrolled and randomized.
Study Started
Aug 19
2020
Primary Completion
Apr 23
2021
Study Completion
May 18
2021
Results Posted
Oct 30
2023
Last Update
Oct 30
2023

Drug TTHX1114(NM141)

engineered FGF-1 delivered intracamerally

Other Vehicle (placebo)

Placebo

Vehicle (placebo) Placebo Comparator

Placebo weekly x 4

Low dose Experimental

TTHX1114(NM141) low-dose weekly x 4

Mid-dose Experimental

TTHX1114(NM141) mid-dose weekly x 4

High-dose Experimental

TTHX1114(NM141) high-dose weekly x 4

Criteria

Key Inclusion Criteria:

Fuchs Endothelial Corneal Dystrophy, pseudophakic bullous keratopathy, or endothelial dysfunction/ insufficiency due to surgical intervention diagnosed more than 6 months prior to Study Day 0
Central endothelial cell count of < 2000 mm^2 in at least one eye as determined by the central reading facility

Key Exclusion Criteria:

Conditions that would impair examination of the anterior chamber structure
Documented repeated elevated intra ocular pressure (in either eye)
Corneal transplant (in either eye)
Posterior Polymorphous Corneal Dystrophy (PPCD)
History of uveitis or herpetic keratitis
Cataract surgery within the past 3 months
Refractive surgery (in the Study Eye)
Anterior Chamber IOL placement (in the Study Eye)
Active extra-ocular inflammation from any non-infectious or infectious cause within the past 6 months
Expected or planned ocular surgery within the next 3 months
Use of cytotoxic chemotherapy within the last 1 month
Treatment with a rho kinase inhibitor within the last 3 months
Use of cyclosporine ophthalmic emulsion or lifitegrast ophthalmic solution in the last 30 days
Systemic or ophthalmic corticosteroid use in the 30 days prior to Study Day 0 unless approved by the Medical Monitor
History of significant allergy, hypersensitivity, or intolerance to any drug compound, food, or other substance
Unwilling to use birth control

Summary

Vehicle (Placebo)

Low Dose

Mid-dose

High-dose

All Events

Event Type Organ System Event Term Vehicle (Placebo) Low Dose Mid-dose High-dose

DLTs/ Adverse Reactions

Suspected Adverse Reactions Reported Following Study Drug Adminsitration

Vehicle (Placebo)

Low Dose

Mid-dose

High-dose

Total

22
Participants

Age, Continuous

74.5
years (Mean)
Standard Deviation: 10.5

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

Vehicle (Placebo)

Low Dose

Mid-dose

High-dose