Age-related Macular Degeneration
Conditions
Keywords
AMD, CNV, choroidal neovascularization, retinal eye disease
Brief summary
A Phase 3 Study of the Efficacy and Safety of Squalamine Lactate Ophthalmic Solution 0.2% Twice Daily in Subjects with Neovascular Age-Related Macular Degeneration. Patients will receive injections of ranibizumab. In addition, patients will receive either Squalamine lactate 0.2% eye drops or Placebo eye drops. The study duration is approximately 9 months to primary endpoint
Detailed description
Phase 3 Study of the Efficacy and Safety of Squalamine Lactate Ophthalmic Solution 0.2% Twice Daily in Subjects with Neovascular Age-Related Macular Degeneration Methodology: Phase III, multicenter, randomized, double-masked, placebo-controlled study conducted over 9 months (Screening/Baseline to Week 36): Patients will be randomly assigned to one of 2 treatment groups in a 1:1 ratio: * Squalamine lactate ophthalmic solution, 0.2% BID + ranibizumab every 4 weeks * Placebo ophthalmic solution BID + monthly ranibizumab every 4 weeks
Interventions
Squalamine lactate ophthalmic solution, 0.2%
Placebo Ophthalmic solution
ranibizumab
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 50 years * A diagnosis of choroid neovascularization (CNV) secondary to AMD with CNV comprising at least 50% of the total lesion area on fluorescein angiography (FA) * Central subfield thickness (spectral domain (SD)-OCT central 1 mm) of ≥ 300 μm * Best-corrected visual acuity (BCVA) 20/40 to 20/320 (73- to 24-letter score on the Early Treatment of Diabetic Retinopathy Study \[ETDRS\] chart)
Exclusion criteria
* Neovascularization secondary to any other condition than AMD in the study eye; Blood occupying greater than 50% of the AMD lesion, or blood \> 1.0 sq. mm underlying the fovea * Pigment epithelial detachment (PED) without associated subretinal fluid and/or cystic retinal changes * Clinical evidence of diabetic retinopathy or diabetic macular edema in the study eye * Confounding ocular conditions in the study eye which will affect interpretation of OCT, VA or assessment of macular appearance (e.g., cataract, epiretinal membrane, retinal vascular occlusive disease) * Fibrosis or atrophy, retinal epithelial tear in the center of the fovea in the study eye or any condition preventing VA improvement * Uncontrolled glaucoma in the study eye, or currently receiving topical glaucoma medication in the study eye
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional change in visual acuity | 9 months | Effect of combination therapy of ranibizumab monthly intravitreal injections with Squalamine Lactate Ophthalmic Solution, 0.2% on change in visual function as assessed by ETDRS BCVA in subjects with Age-Related Macular Degeneration |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional changes in visual acuity | 9 months | Effect of combination therapy of ranibizumab monthly intravitreal injections with Squalamine Lactate Ophthalmic Solution, 0.2% on change in visual function as assessed by ETDRS BCVA in subjects with Age-Related Macular Degeneration |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment emergent Adverse Event (AE) monitoring | 9 months | Adverse and Serious Adverse Events in subjects receiving combination therapy of ranibizumab intravitreal injections with Squalamine Lactate Ophthalmic Solution, 0.2% assessed by adverse event reporting and Ophthalmic examinations |
Countries
United States