Diabetic Macular Edema, DME
Conditions
Brief summary
The objective of this study is to assess the safety, efficacy, and tolerability of SNP318 in patients with DME.
Detailed description
DME is a prevalent complication of diabetic retinopathy, resulting in fluid accumulation in the macula due to the leakage of fluid from damaged retinal blood vessels. It is a leading cause of vision impairment in diabetic patients and can significantly affect quality of life if left untreated. SNP318 is a small molecule and selective inhibitor of Lp-PLA2. It plays a critical role in the regulation of the pro-neuroinflammatory pathway, which is implicated in the pathogenesis of multiple diseases. This is a phase 2a, randomized, double-masked, placebo-controlled, multicenter study to evaluate the safety, tolerability, and efficacy of SNP318 in patients with Diabetic Macular Edema. Participants who consent will undergo a 3-week screening period to evaluate their eligibility. Once enrolled, participants will be randomized to receive orally either SNP318 or placebo for up to 12 weeks, and then enter into a 4-week follow up period.
Interventions
Once daily, oral administration
Once daily, oral administration
Sponsors
Study design
Eligibility
Inclusion criteria
Main Inclusion Criteria: 1. Confirmed diabetes mellitus Type 1 or Type 2, with stable glycemic control 2. Center-involved DME with CST \>=320 µm (Study eye) 3. BCVA between 82 and 25 letters, inclusive (Study eye) 4. BCVA score ≥ 25 letters (Non-study eye) Main
Exclusion criteria
1\. Use of the last intravitreal anti-VEGF injection in the study eye within 90 days prior to Screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety Events | 12 weeks | Incidence of adverse events (AEs) / serious adverse events (SAEs) |
| Central Subfield Thickness (CST) | 12 weeks | Spectral Domain Optical Coherence Tomography (SD-OCT) measurements of CST |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Acuity | 12 weeks | Best Corrected Visual Acuity (BCVA) assessed according to ETDRS criteria |
| Pharmacokinetics (PK) | 12 weeks | Plasma concentrations of SNP318 |
| Pharmacodynamics | 12 weeks | Plasma Lp-PLA2 activity |