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. 2023 Jun 7;37(18):3725–3733. doi: 10.1038/s41433-023-02610-z

Table 3.

Clinical trial data on CLS-AX (Suprachoroidal delivery of Axitinib).

wet AMD wet AMD
Phase

I/IIa (OASIS)

NCT04626128

OASIS Extension study

NCT05131646

Geography US US
Status Completed Ongoing
No of Patients 27 (recruiting) 19 (enrolment completed)
Design Non-randomized, Multi-centre, Open-label, Dose-escalation, Sequential Assignment Non-interventional, Open-label, Dose-extension
Inclusion criteria

• Diagnosis of nAMD in the study eye

• Active subfoveal choroidal neovascularization secondary to AMD

• 2 or more prior anti-VEGF intravitreal injections

• EDTRS BCVA score ≤ 75 & ≥ 20 letters

Enrolled in & completed the Parent study (OASIS), as part of cohort 2 or cohort 3, or cohort 4.
Dose & Frequency

Dosing: 0.03, 0.10, 0.50, or 1 mg of CLS-AX; Suprachoroidal injection

• Cohort1: 0.03 mg (low dose) (n = 6)

• Cohort 2: 0.10 mg low-mid dose (n = 5)

• Cohort 3: 0.50 mg high-mid dose (n = 8)

• Cohort 4: 1.0 mg high dose (n = 8)

Participants who completed cohorts 2 or 3 or 4, were followed for an additional 12 weeks exit from the parent OASIS study.

• Cohort 2: 0.10 mg low-mid dose (n = 5)

• Cohort 3: 0.50 mg high-mid dose (n = 8)

• Cohort 4: 1.0 mg high dose (n = 8)

Primary endpoint

• Incidence of TEAEs (week 12)

• Incidence of serious AEs (week 12)

• The number of subjects experiencing TEAEs (24 weeks)

• The number of subjects experiencing serious AEs (24 weeks)

Secondary endpoint

• Change from baseline in pre-injection Intraocular Pressure (week 12)

• Change from Baseline (Visit 2) in central subfield retinal thickness & BCVA

• Incidence of subjects receiving & qualifying to receive additional IVT aflibercept injections (week 12)

• Change from baseline in pre-injection Intraocular Pressure (24 weeks)

• Change from Baseline in central subfield retinal thickness & BCVA (24 weeks)

• Incidence of subjects receiving additional therapy in the study eye (8 weeks)

Results

Safety

• Excellent safety profile at all doses and timepoints

• No Serious Adverse Events

No dose limiting toxicities

• No Adverse Events from inflammation

Results

Durability

• In OASIS, to 3 months: ≥73% reduction in treatment burden

69% of patients did not receive additional therapy

92% of patients did not receive additional therapy as per protocol

• In Extension Study, to 6 months (interim data: 77% reduction in treatment burden.

Results

Biologic Effect

• Stable mean Best Corrected Visual Acuity (BCVA)

• Stable mean Central Subfield Thickness (CST)

• On optical coherence tomography (OCT), anatomical signs of tyrosine kinase inhibitor (TKI) biologic effect were observed in anti-VEGF treatment-experienced sub-responders

AE adverse event, anti-VEGF anti vascular endothelial growth factor, BCVA best corrected visual acuity, CST central subfield thickness, ETDRS Early treatment diabetic retinopathy study, IVT intravitreal therapy, nAMD neovascular age-related macular degeneration, NPDR Nonproliferative diabetic retinopathy, OCT optical coherence tomography, SAE serious adverse event, TEAE treatment emergent adverse event, wet-AMD wet age-related macular degeneration.