Geographic Atrophy, Macular Degeneration, Age-Related
Conditions
Brief summary
The purpose of this study is to evaluate the long-term safety and tolerability of intravitreal (ITV) injections of galegenimab (FHTR2163) administered every 4 weeks (Q4W) or every 8 weeks (Q8W) in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) who completed the parent study (NCT03972709/GR40973).
Interventions
Intravitreal (ITV) injections of galegenimab
Sponsors
Study design
Masking description
The study will be masked until database lock of the parent study (NCT03972709/GR40973). After the masked period, the study will follow an open-label design. The Outcome Assessor is masked for BCVA assessments.
Eligibility
Inclusion criteria
* Completed the parent study (NCT03972709/GR40973) through the Week 76 visit without early treatment discontinuation * Sufficiently clear ocular media, adequate pupillary dilation, and fixation to permit acceptable fundus imaging. Ocular Inclusion Criteria: Study Eye - If the study eye best corrected visual acuity (BCVA) letter score is ≥69 letters (Snellen equivalent of 20/40 or better), the non-study eye must have a BCVA letter score of ≥44 letters (Snellen equivalent of 20/125 or better) on visit Day 1 of the open label extension (OLE)/Week 76 of parent study. Ocular Inclusion Criteria: Non-Study Eye \- The non-study eye must have a BCVA letter score of ≥44 letters (Snellen equivalent of 20/125 or better) if the study eye BCVA letter score is ≥69 letters (Snellen equivalent of 20/40 or better) on visit Day 1 OLE/Week 76 of parent study.
Exclusion criteria
Ocular
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Ocular Adverse Events | From baseline up to Week 104 | An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region. |
| Percentage of Participants With Systemic (Non-Ocular) Adverse Events | From Baseline up to Week 104 | An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Galegenimab 10MG Q4W Participants will receive 10 milligrams (mg) galegenimab via intravitreal (ITV) injection every 4 weeks (Q4W). | 14 |
| Galegenimab 20MG Q4W Participants will receive 20 mg galegenimab via ITV injection Q4W. | 70 |
| Galegenimab 10MG Q8W Participants will receive 10 mg galegenimab via ITV injection Q8W. | 12 |
| Galegenimab 20MG Q8W Participants will receive 20 mg galegenimab via ITV injection Q8W. | 48 |
| Total | 144 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 1 | 0 | 0 |
| Overall Study | Death | 0 | 3 | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 2 | 0 | 0 |
| Overall Study | Non-Compliance With Study Drug | 0 | 1 | 0 | 0 |
| Overall Study | Sponsor Decision | 0 | 0 | 1 | 0 |
| Overall Study | Study Terminated by Sponsor | 14 | 59 | 9 | 39 |
| Overall Study | Withdrawal by Subject | 0 | 4 | 2 | 8 |
Baseline characteristics
| Characteristic | Galegenimab 10MG Q4W | Galegenimab 20MG Q4W | Galegenimab 10MG Q8W | Galegenimab 20MG Q8W | Total |
|---|---|---|---|---|---|
| Age, Continuous | 77.3 Years STANDARD_DEVIATION 5.4 | 80.2 Years STANDARD_DEVIATION 7.2 | 78.1 Years STANDARD_DEVIATION 6.9 | 78.8 Years STANDARD_DEVIATION 8.5 | 79.3 Years STANDARD_DEVIATION 7.5 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 3 Participants | 0 Participants | 1 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 14 Participants | 67 Participants | 12 Participants | 47 Participants | 140 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 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 | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 14 Participants | 69 Participants | 12 Participants | 48 Participants | 143 Participants |
| Sex: Female, Male Female | 9 Participants | 41 Participants | 6 Participants | 30 Participants | 86 Participants |
| Sex: Female, Male Male | 5 Participants | 29 Participants | 6 Participants | 18 Participants | 58 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 14 | 3 / 70 | 0 / 12 | 1 / 48 |
| other Total, other adverse events | 13 / 14 | 26 / 70 | 6 / 12 | 14 / 48 |
| serious Total, serious adverse events | 1 / 14 | 13 / 70 | 2 / 12 | 10 / 48 |
Outcome results
Percentage of Participants With Ocular Adverse Events
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region.
Time frame: From baseline up to Week 104
Population: Safety analysis population included all randomized participants who received at least one dose of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Galegenimab 10MG Q4W | Percentage of Participants With Ocular Adverse Events | 50 Percentage of Participants |
| Galegenimab 20MG Q4W | Percentage of Participants With Ocular Adverse Events | 42.9 Percentage of Participants |
| Galegenimab 10MG Q8W | Percentage of Participants With Ocular Adverse Events | 25 Percentage of Participants |
| Galegenimab 20MG Q8W | Percentage of Participants With Ocular Adverse Events | 27.1 Percentage of Participants |
Percentage of Participants With Systemic (Non-Ocular) Adverse Events
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test.
Time frame: From Baseline up to Week 104
Population: Safety analysis population included all randomized participants who received at least one dose of study drug.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Galegenimab 10MG Q4W | Percentage of Participants With Systemic (Non-Ocular) Adverse Events | 71.4 Percentage of Participants |
| Galegenimab 20MG Q4W | Percentage of Participants With Systemic (Non-Ocular) Adverse Events | 70 Percentage of Participants |
| Galegenimab 10MG Q8W | Percentage of Participants With Systemic (Non-Ocular) Adverse Events | 33.3 Percentage of Participants |
| Galegenimab 20MG Q8W | Percentage of Participants With Systemic (Non-Ocular) Adverse Events | 47.9 Percentage of Participants |