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Safety and Efficacy of AGN208397 in the Treatment of Macular Edema Associated With Retinal Vein Occlusion (RVO)

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01027650
Enrollment
121
Registered
2009-12-08
Start date
2010-03-31
Completion date
2013-02-28
Last updated
2014-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Macular Edema, Retinal Vein Occlusion

Brief summary

This study will evaluate the safety and efficacy of a single intravitreal injection of AGN208397 to treat Macular Edema associated with Retinal Vein Occlusion. This study is being conducted in two stages: Stage 1 will enroll approximately 21 subjects who will receive a single open label intravitreal injection of either 75 ug, 300 ug, 600 ug or 900 ug of AGN208397 and be followed for 12 months post treatment; based on Stage 1 results, Stage 2 will enroll approximately 96 subjects who will receive a single masked intravitreal injection of one of three doses of AGN208397 or Ozurdex® and be followed for 12 months post treatment.

Interventions

DRUGAGN208397 intravitreal injection

AGN208397 intravitreal injection on Day 1.

DRUGdexamethasone intravitreal implant

Dexamethasone 700 ug intravitreal implant on Day 1.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* macular edema due to retinal vein occlusion * visual acuity in the study eye between 20/320 to 20/40

Exclusion criteria

* cataract surgery or Lasik within 3 months prior to study Day 1 or anticipated need for cataract surgery during study period (12 months) * use of injectable drugs in the study eye within 2 months prior to day 1 * active eye infection in either eye * visual acuity in the non-study eye of 20/200 or worse

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Baseline, Month 1BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Baseline, Month 1Retinal thickness is assessed by optical coherence tomography (OCT) in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.
Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Baseline, Month 1Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.
Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Baseline, Month 1BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Secondary

MeasureTime frameDescription
Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Baseline, Month 12Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.
Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Baseline, Month 12Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.
Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Baseline, Month 12BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Baseline, Month 12BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Countries

Australia, Canada, Israel, South Africa, United States

Participant flow

Pre-assignment details

Doses for Stage 2 were selected based on the safety and pharmacodynamic results from Stage 1. No patients in Stage 1 were enrolled in Stage 2.

Participants by arm

ArmCount
Stage 1 Cohort 4
AGN208397 intravitreal injection 900 ug on Day 1.
6
Stage 1 Cohort 3
AGN208397 intravitreal injection 600 ug on Day 1.
6
Stage 1 Cohort 2
AGN208397 intravitreal injection 300 ug on Day 1.
6
Stage 1 Cohort 1
AGN208397 intravitreal injection 75 ug on Day 1.
3
Stage 2 Arm 1
AGN208397 intravitreal injection 600 ug on Day 1.
25
Stage 2 Arm 2
AGN208397 intravitreal injection 450 ug on Day 1.
26
Stage 2 Arm 3
AGN208397 intravitreal injection 300 ug on Day 1.
25
Stage 2 Arm 4
Dexamethasone 700 ug intravitreal implant on Day 1.
24
Total121

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyLack of Efficacy00000100
Overall StudyLost to Follow-up00000010
Overall StudyPersonal Reasons00002100

Baseline characteristics

CharacteristicStage 1 Cohort 4Stage 1 Cohort 3Stage 1 Cohort 2Stage 1 Cohort 1Stage 2 Arm 1Stage 2 Arm 2Stage 2 Arm 3Stage 2 Arm 4Total
Age, Customized
<45 years
1 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants3 Participants10 Participants
Age, Customized
>65 years
2 Participants2 Participants2 Participants3 Participants17 Participants13 Participants11 Participants12 Participants62 Participants
Age, Customized
Between 45 and 65 years
3 Participants4 Participants4 Participants0 Participants8 Participants10 Participants11 Participants9 Participants49 Participants
Sex: Female, Male
Female
2 Participants2 Participants3 Participants1 Participants10 Participants11 Participants13 Participants12 Participants54 Participants
Sex: Female, Male
Male
4 Participants4 Participants3 Participants2 Participants15 Participants15 Participants12 Participants12 Participants67 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
6 / 66 / 66 / 63 / 325 / 2526 / 2625 / 2524 / 24
serious
Total, serious adverse events
1 / 60 / 61 / 60 / 34 / 254 / 262 / 253 / 24

Outcome results

Primary

Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Time frame: Baseline, Month 1

Population: Per Protocol Population: all randomized and treated qualified patients with baseline and at least one post-baseline data for retinal thickness or BCVA in the study eye

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Baseline49.5 Number of Letters Read CorrectlyStandard Deviation 12.88
Stage 1 Cohort 4Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 112.0 Number of Letters Read CorrectlyStandard Deviation 9.38
Stage 1 Cohort 3Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 112.5 Number of Letters Read CorrectlyStandard Deviation 12.74
Stage 1 Cohort 3Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Baseline47.6 Number of Letters Read CorrectlyStandard Deviation 13.6
Stage 1 Cohort 2Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Baseline58.2 Number of Letters Read CorrectlyStandard Deviation 12.89
Stage 1 Cohort 2Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 114.0 Number of Letters Read CorrectlyStandard Deviation 12.35
Stage 1 Cohort 1Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Baseline50.5 Number of Letters Read CorrectlyStandard Deviation 14.27
Stage 1 Cohort 1Change From Baseline at Month 1 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 111.0 Number of Letters Read CorrectlyStandard Deviation 11.99
Primary

Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Time frame: Baseline, Month 1

Population: Safety Population: all patients who received study treatment

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Baseline54.5 Number of Letters Read CorrectlyStandard Deviation 16.13
Stage 1 Cohort 4Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Change from Baseline at Month 110.0 Number of Letters Read CorrectlyStandard Deviation 8.72
Stage 1 Cohort 3Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Change from Baseline at Month 111.7 Number of Letters Read CorrectlyStandard Deviation 7.17
Stage 1 Cohort 3Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Baseline50.2 Number of Letters Read CorrectlyStandard Deviation 14.12
Stage 1 Cohort 2Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Baseline59.7 Number of Letters Read CorrectlyStandard Deviation 6.62
Stage 1 Cohort 2Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Change from Baseline at Month 18.7 Number of Letters Read CorrectlyStandard Deviation 4.84
Stage 1 Cohort 1Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Baseline53.0 Number of Letters Read CorrectlyStandard Deviation 9.54
Stage 1 Cohort 1Change From Baseline at Month 1 in Best Corrected Visual Acuity (BCVA) in the Study Eye During Stage 1Change from Baseline at Month 19.7 Number of Letters Read CorrectlyStandard Deviation 2.31
Primary

Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1

Retinal thickness is assessed by optical coherence tomography (OCT) in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.

Time frame: Baseline, Month 1

Population: Safety Population: all patients who received study treatment

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Baseline500.2 MicronsStandard Deviation 197.58
Stage 1 Cohort 4Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 1-234.3 MicronsStandard Deviation 200.23
Stage 1 Cohort 3Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 1-210.5 MicronsStandard Deviation 173.69
Stage 1 Cohort 3Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Baseline495.8 MicronsStandard Deviation 163.13
Stage 1 Cohort 2Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Baseline499.5 MicronsStandard Deviation 158.33
Stage 1 Cohort 2Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 1-256.2 MicronsStandard Deviation 102.61
Stage 1 Cohort 1Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Baseline468.3 MicronsStandard Deviation 24.34
Stage 1 Cohort 1Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 1-206.7 MicronsStandard Deviation 96.4
Primary

Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2

Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.

Time frame: Baseline, Month 1

Population: Per Protocol Population: all randomized and treated qualified patients with baseline and at least one post-baseline data for retinal thickness or BCVA in the study eye

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Baseline612.6 MicronsStandard Deviation 166.15
Stage 1 Cohort 4Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 1-298.5 MicronsStandard Deviation 174.59
Stage 1 Cohort 3Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 1-314.1 MicronsStandard Deviation 169.35
Stage 1 Cohort 3Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Baseline637.8 MicronsStandard Deviation 203.69
Stage 1 Cohort 2Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Baseline597.9 MicronsStandard Deviation 217.54
Stage 1 Cohort 2Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 1-307.0 MicronsStandard Deviation 217.98
Stage 1 Cohort 1Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Baseline679.7 MicronsStandard Deviation 237.2
Stage 1 Cohort 1Change From Baseline at Month 1 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 1-317.3 MicronsStandard Deviation 212.51
Secondary

Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Time frame: Baseline, Month 12

Population: Safety Population: all patients who received study treatment

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Baseline54.5 Number of Letters Read CorrectlyStandard Deviation 16.13
Stage 1 Cohort 4Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Change from Baseline at Month 12 (N=6, 5, 6, 3)14.2 Number of Letters Read CorrectlyStandard Deviation 15.3
Stage 1 Cohort 3Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Change from Baseline at Month 12 (N=6, 5, 6, 3)0.8 Number of Letters Read CorrectlyStandard Deviation 24.88
Stage 1 Cohort 3Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Baseline50.2 Number of Letters Read CorrectlyStandard Deviation 14.12
Stage 1 Cohort 2Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Baseline59.7 Number of Letters Read CorrectlyStandard Deviation 6.62
Stage 1 Cohort 2Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Change from Baseline at Month 12 (N=6, 5, 6, 3)11.0 Number of Letters Read CorrectlyStandard Deviation 7.43
Stage 1 Cohort 1Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Baseline53.0 Number of Letters Read CorrectlyStandard Deviation 9.54
Stage 1 Cohort 1Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 1Change from Baseline at Month 12 (N=6, 5, 6, 3)14.0 Number of Letters Read CorrectlyStandard Deviation 5.29
Secondary

Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Time frame: Baseline, Month 12

Population: Per Protocol Population: all randomized and treated qualified patients with baseline and at least one post-baseline data for retinal thickness or BCVA in the study eye

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Baseline49.5 Number of Letters Read CorrectlyStandard Deviation 12.88
Stage 1 Cohort 4Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 128.0 Number of Letters Read CorrectlyStandard Deviation 13.55
Stage 1 Cohort 3Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 1210.2 Number of Letters Read CorrectlyStandard Deviation 17.22
Stage 1 Cohort 3Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Baseline47.6 Number of Letters Read CorrectlyStandard Deviation 13.6
Stage 1 Cohort 2Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Baseline58.2 Number of Letters Read CorrectlyStandard Deviation 12.89
Stage 1 Cohort 2Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 1212.4 Number of Letters Read CorrectlyStandard Deviation 14.31
Stage 1 Cohort 1Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Baseline50.5 Number of Letters Read CorrectlyStandard Deviation 14.27
Stage 1 Cohort 1Change From Baseline at Month 12 in BCVA in the Study Eye During Stage 2Change from Baseline at Month 125.0 Number of Letters Read CorrectlyStandard Deviation 11.18
Secondary

Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1

Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.

Time frame: Baseline, Month 12

Population: Safety Population: all patients who received study treatment

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Baseline500.2 MicronsStandard Deviation 197.58
Stage 1 Cohort 4Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 12 (N=3, 3, 3, 3)-221.7 MicronsStandard Deviation 208.33
Stage 1 Cohort 3Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 12 (N=3, 3, 3, 3)-173.0 MicronsStandard Deviation 145.01
Stage 1 Cohort 3Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Baseline495.8 MicronsStandard Deviation 163.13
Stage 1 Cohort 2Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Baseline499.5 MicronsStandard Deviation 158.33
Stage 1 Cohort 2Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 12 (N=3, 3, 3, 3)-239.7 MicronsStandard Deviation 121.33
Stage 1 Cohort 1Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Baseline468.3 MicronsStandard Deviation 24.34
Stage 1 Cohort 1Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 1Change from Baseline at Month 12 (N=3, 3, 3, 3)-167.7 MicronsStandard Deviation 96.72
Secondary

Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2

Retinal thickness is assessed by OCT in the study eye. The retina is the light-sensitive part of the eye. OCT is a laser-based, noninvasive, diagnostic system providing high-resolution, three-dimensional images of the retina. A negative change from baseline indicates an improvement.

Time frame: Baseline, Month 12

Population: Per Protocol Population: all randomized and treated qualified patients with baseline and at least one post-baseline data for retinal thickness or BCVA in the study eye

ArmMeasureGroupValue (MEAN)Dispersion
Stage 1 Cohort 4Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Baseline612.6 MicronsStandard Deviation 166.15
Stage 1 Cohort 4Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 12-252.8 MicronsStandard Deviation 177.09
Stage 1 Cohort 3Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 12-218.0 MicronsStandard Deviation 166.57
Stage 1 Cohort 3Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Baseline637.8 MicronsStandard Deviation 203.69
Stage 1 Cohort 2Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Baseline597.9 MicronsStandard Deviation 217.54
Stage 1 Cohort 2Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 12-208.2 MicronsStandard Deviation 200.48
Stage 1 Cohort 1Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Baseline679.7 MicronsStandard Deviation 237.2
Stage 1 Cohort 1Change From Baseline at Month 12 in Retinal Thickness in the Study Eye During Stage 2Change from Baseline at Month 12-169.1 MicronsStandard Deviation 213.5

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026