Age-Related Macular Degeneration
Conditions
Keywords
Wet AMD, subfoveal choroidal neovascularization, Fovista®, Avastin®, Lucentis®, Eylea®
Brief summary
To evaluate the safety of intravitreal (IVT) Fovista® administered in combination with anti-VEGF therapy.
Detailed description
60 subjects randomized 1:1:1 and treated with IVT Fovista® 1.5 mg/eye in combination with anti-VEGF therapy as follows: * Avastin® 1.25 mg/eye (20 subjects) * Lucentis® 0.5 mg/eye (20 subjects) * Eylea® 2.0 mg/eye (20 subjects) Subjects will be stratified by lesion size (≤2 DA vs. \>2 DA). 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. When administered, IVT Fovista® will be given first, followed by IVT anti-VEGF (same day).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects of either gender aged ≥ 50 years. * Active subfoveal choroidal neovascularization (CNV) due to AMD.
Exclusion criteria
* Any intraocular surgery or thermal laser within three (3) months of trial entry. Any prior thermal laser in the macular region, regardless of indication. * Subjects with subfoveal scar or subfoveal atrophy * Any ocular or periocular infection in the past twelve (12) weeks. * History of any of the following conditions or procedures in the study eye: Rhegmatogenous retinal detachment, pars plana vitrectomy, filtering surgery (e.g. trabeculectomy), glaucoma drainage device, corneal transplant.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Numer of Systemic Adverse Events | 2 years | Number of Patients with Systemic Adverse Events |
| Total Number of Other Adverse Events (>5%) | 2 years | Number of Patients with Other Adverse Events |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Fovista® Plus Bevacizumab Fovista® 1.5 mg intravitreal injection + bevacizumab 1.25 mg intravitreal injection
Fovista®
bevacizumab | 21 |
| Fovista® Plus Ranibizumab Fovista® 1.5 mg intravitreal injection + 0.5 mg ranibizumab intravitreal injection
Fovista®
ranibizumab | 21 |
| Fovista® Plus Aflibercept Fovista® 1.5 mg intravitreal injection + 2.0 mg aflibercept intravitreal injection
Fovista®
aflibercept | 21 |
| Total | 63 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | The study was discontinued | 21 | 21 | 20 |
Baseline characteristics
| Characteristic | Fovista® Plus Ranibizumab | Fovista® Plus Aflibercept | Total | Fovista® Plus Bevacizumab |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 18 Participants | 19 Participants | 55 Participants | 18 Participants |
| Age, Categorical Between 18 and 65 years | 3 Participants | 2 Participants | 8 Participants | 3 Participants |
| Age, Continuous | 77.2 years STANDARD_DEVIATION 10.43 | 77.9 years STANDARD_DEVIATION 8.99 | 77.9 years STANDARD_DEVIATION 9.51 | 78.5 years STANDARD_DEVIATION 9.51 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 21 Participants | 20 Participants | 62 Participants | 21 Participants |
| Region of Enrollment United States | 21 participants | 21 participants | 63 participants | 21 participants |
| Sex: Female, Male Female | 16 Participants | 15 Participants | 44 Participants | 13 Participants |
| Sex: Female, Male Male | 5 Participants | 6 Participants | 19 Participants | 8 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 21 | 0 / 21 | 0 / 21 |
| other Total, other adverse events | 15 / 21 | 16 / 21 | 16 / 21 |
| serious Total, serious adverse events | 3 / 21 | 3 / 21 | 5 / 21 |
Outcome results
Total Number of Other Adverse Events (>5%)
Number of Patients with Other Adverse Events
Time frame: 2 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Fovista® Plus Bevacizumab | Total Number of Other Adverse Events (>5%) | 15 Participants |
| Fovista® Plus Ranibizumab | Total Number of Other Adverse Events (>5%) | 16 Participants |
| Fovista® Plus Aflibercept | Total Number of Other Adverse Events (>5%) | 16 Participants |
Total Numer of Systemic Adverse Events
Number of Patients with Systemic Adverse Events
Time frame: 2 years
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Fovista® Plus Bevacizumab | Total Numer of Systemic Adverse Events | 3 Participants |
| Fovista® Plus Ranibizumab | Total Numer of Systemic Adverse Events | 3 Participants |
| Fovista® Plus Aflibercept | Total Numer of Systemic Adverse Events | 5 Participants |