Neovascular Age-related Macular Degeneration
Conditions
Keywords
Neovascular age-related macular degeneration, anti-VEGF, brolucizumab, choroidal neovascularization, multimodal imaging biomarkers, fluid resolution, Macular degeneration, age-related macular degeneration (ARMD), vision loss, macula damage, retina damage, dry macular degeneration, wet macular degeneration, AMD
Brief summary
The purpose of this study was to identify innovative early imaging parameters as predictors of the long-term clinical response to brolucizumab in terms of fluid resolution in patients with wet Age-related Macular Degeneration (wAMD) to evaluate their potential in supporting the choice of treatment regimen (q12w or q8w).
Detailed description
The study was a one-year, open-label, single arm, multicenter, phase IV study in patients with wAMD. The study planned to enroll approximately 263 (male and female) patients aged 50 years or older with untreated active subfoveal choroidal neovascularization (CNV) secondary to wAMD in the study eye from approximately 30 centers in Italy. The duration of the study treatment for enrolled patients was a maximum of 48 weeks, consisting of 8 weeks of three monthly loading doses and 40 weeks of maintenance regimen period (q8w or q12w) according to disease activity assessment.
Interventions
120 mg/ml solution for intravitreal injection
Sponsors
Study design
Intervention model description
The study is a one-year, open-label, single arm, multicenter, phase IV study in patients with wAMD.
Eligibility
Inclusion criteria
* Signed written informed consent must be obtained prior to participation in the study * Active choroidal neo-vascularization (CNV) secondary to AMD that affects the central subfield, including retinal angiomatous proliferation (RAP) with a CNV component, confirmed by presence of active leakage from CNV seen by fluorescein angiography (or other imaging modalities) and sequelae of CNV, e.g. pigment epithelial detachment (PED), subretinal or sub-retinal pigment epithelium (sub-RPE) hemorrhage, blocked fluorescence, macular edema in the study eye at Screening; * Presence of intraretinal fluid (IRF) or subretinal fluid (SRF) affecting the central subfield (study eye), as seen by SD-OCT in the study eye at Screening; * Best-corrected visual acuity (BCVA) score greater than or equal to 23 letters measured at 4-meters starting distance using Early Treatment Diabetic Retinopathy Study (EDTRS) visual acuity charts at both Screening and Baseline visits in the study eye.
Exclusion criteria
* Any active intraocular or periocular infection or active intraocular inflammation (e.g. infectious conjunctivitis, keratitis, scleritis, endophthalmitis, infectious blepharitis) in study eye at Screening or Baseline; * Not interpretable OCTA and SD-OCT images according to Investigator's clinical judgment at Screening in the study eye; * Concomitant conditions or ocular disorders in the study eye, at Screening or Baseline which, in the opinion of the Investigator, could prevent response to study treatment or may confound interpretation of study results, compromise visual acuity or require planned medical or surgical intervention during the course of the study; * Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) \> 25 mmHg on medication or according to Investigator's judgment at Screening or Baseline; * Previous treatment with any anti-vascular endothelial growth factor (anti-Vascular endothelial growth factor (VEGF)) drugs or investigational drugs (other than vitamin supplements) in the study eye at any time prior to Screening; * Systemic anti-VEGF therapy at any time; * Stroke or myocardial infarction in the 6-month period prior to Baseline.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Patients Classified as q12w Fluid-free or Not q12w Fluid-free | Up to Week 48 | Early predictive factors of fluid-free response is defined as the absence of retinal fluid at Week 48 in patients with a stable q12w treatment regimen up to Week 48 after the loading phase, As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). q12w fluid-free: pts completing the treatment and the study maintaining a stable q12w regimen assigned at Wk 16 up to Wk 48 and without the presence of IRF and SRF at Wk 48. not q12w fluid-free: * Pt who completed treatment and the study with the presence of IRF or SRF at Wk 48 * Pt who followed the q8w regimen of treatment at any time during the study (considering also who started with q12w regimen but then due to disease activity shifted to q8w regimen) * Pt who discontinued treatment at any time after b/l since treatment disc. was considered as intercurrent event and a 'failure'. * Pt who dropped out at any time after b/l since study disc. was considered as intercurrent event and a 'failure'. |
| Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free | Baseline | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Type 1 neovascularization arises when CNV proliferation occurs below the Retinal Pigment Epithelium (RPE) and corresponds to occult CNV with a poorly defined pattern of leakage on fluorescein angiography (FA). Type 2 neovascularization refers to CNV proliferation above the RPE in the subretinal space and corresponds to classic CNV with intense fluorescein leakage. Type 3 neovascularization (or retinal angiomatous proliferation \[RAP\]) occurs when retinal circulation is involved, with an anastomosis between the choroidal and retinal circulations. Types 1-3 classification is a classification according to the type of anatomical lesion and is determined by multimodal imaging characteristics. Please note that by design, this is not a grading nor scores on a scale. PCV = Polypoidal Choroidal Vasculopathy |
| Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free | Baseline | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Type 1 neovascularization arises when CNV proliferation occurs below the Retinal Pigment Epithelium (RPE) and corresponds to occult CNV with a poorly defined pattern of leakage on fluorescein angiography (FA). Type 2 neovascularization refers to CNV proliferation above the RPE in the subretinal space and corresponds to classic CNV with intense fluorescein leakage. Type 3 neovascularization (or retinal angiomatous proliferation \[RAP\]) occurs when retinal circulation is involved, with an anastomosis between the choroidal and retinal circulations. Types 1-3 classification is a classification according to the type of anatomical lesion and is determined by multimodal imaging characteristics. Please note that by design, this is not a grading nor scores on a scale. PCV = Polypoidal Choroidal Vasculopathy |
| Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No'). |
| Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. * Stable Fibrovascular only (i.e., all measurements 'Fibrovascular only'). * Stable not only fibrovascular (i.e., all measurements 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid Pigment Epithelial Detachment (PED)'). * From not only fibrovascular to Fibrovascular only (i.e., last measurement collected 'Fibrovascular only' and baseline 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED'). * From Fibrovascular only to not only fibrovascular (i.e., last measurement collected 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED' and baseline 'Fibrovascular only'). |
| Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free | Baseline to Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. * Stable Fibrovascular only (i.e., all measurements 'Fibrovascular only'). * Stable not only fibrovascular (i.e., all measurements 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid Pigment Epithelial Detachment (PED)'). * From not only fibrovascular to Fibrovascular only (i.e., last measurement collected 'Fibrovascular only' and baseline 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED'). * From Fibrovascular only to not only fibrovascular (i.e., last measurement collected 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED' and baseline 'Fibrovascular only'). |
| Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as q12w Fluid-free | Baseline, Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Mean (SD) was computed on the Safety Population within 'No' and 'Yes' groups according to q12w fluid free. |
| Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as Not q12w Fluid-free | Baseline, Week 16 | As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Mean (SD) was computed on the Safety Population within 'No' and 'Yes' groups according to q12w fluid free. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). Status of the ELM as an indicator of retinal integrity was evaluated focusing on ELM integrity loss in center 1 mm (i.e., considering the central 1 x 1-mm subfield). |
| Change in Best-corrected Visual Acuity (BCVA) From Baseline up to Week 48 | Baseline, Week 16, Week 48 | BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of \>= 34 ETDRS letters (Snellen equivalent 20/200) at Screening / Baseline in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better functioning. Last observation carried forward (LOCF) was used for the imputation of missing values. |
| Number of Patients With Fluid Resolution of the Study Eye | Week 16, Week 48 | Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Among patients with fluid present at Baseline, patients with fluid resolution were identified in case of absence of IRF and SRF and patients without fluid resolution were categorized in 'only IRF present', 'only SRF present', 'both IRF and SRF present' at each post-baseline timepoint. IRF = Intraretinal Fluid SRF = Subretinal Fluid |
| Sustained Dryness of the Study Eye - Kaplan-Meier Estimates - Median Time to the Achievement of Sustained Dryness | Up to Week 48 | Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Patients who achieved sustained dryness were identified considering those with fluid resolution for at least 2/3 consecutive visits. Median time to the achievement of sustained dryness was calculated by the Kaplan-Meier method. Sustained dryness of the study eye, is defined by the absence of IRF and SRF for at least 2 consecutive visits and for at least 3 consecutive visits. IRF = Intraretinal Fluid SRF = Subretinal Fluid |
| Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Weeks 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48 | Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Sustained dryness of the study eye, is defined by the absence of IRF and SRF for at least 2 consecutive visits and for at least 3 consecutive visits. IRF = Intraretinal Fluid SRF = Subretinal Fluid |
| Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Up to Week 16 | Evaluate the reasons underlying the Investigators' choice of brolucizumab treatment regimen (q8w) BVCA=Best-Corrected Visual Acuity, CFP=Color Fundus Photography; CNV=Choroidal Neovascularization; FA=Fluorescein Angiography; ICGA=IndoCyanine Green Angiography; OCTA=Optical Coherence Tomography Angiography; SD-OCT=Spectral Domain Optical Coherence Tomography |
| Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Up to Week 16 | Evaluate the reasons underlying the Investigators' choice of brolucizumab treatment regimen (q12w) BVCA=Best-Corrected Visual Acuity, CFP=Color Fundus Photography; CNV=Choroidal Neovascularization; FA=Fluorescein Angiography; ICGA=IndoCyanine Green Angiography; OCTA=Optical Coherence Tomography Angiography; SD-OCT=Spectral Domain Optical Coherence Tomography |
| Change in Hospital Anxiety and Depression Scale (HADS) Scores | Up to Week 48 | Evaluate anxiety/depression in patients with wAMD treated with brolucizumab. The Hospital Anxiety and Depression Scale (HADS) is a fourteen-item scale that generates ordinal data. Seven items relate to anxiety and seven relate to depression. This patient-reported outcome measure was specifically developed to avoid reliance on anxiety/depression aspects which are also common somatic symptoms of illness, such as fatigue and insomnia or hypersomnia. Calculations of scores: each item is rated on a 4-point scale. The HADS consists of two sub-scores: the HAD-A for anxiety and HAD-D for depression. Each sub-score ranges from 0 to 21 points: scores ≥11 indicate the presence of an anxious or depressive disorder, scores between 8-10 points are borderline abnormal, and scores ≤7 indicate that an anxious or depressive disorder is not present. |
| Change in European Quality of Life-5D-5L (EQ-5D-5L) Scores | Baseline, Week 48 | Evaluate quality of life in patients with wAMD treated with brolucizumab. The EQ-5D-5L is a standardized widely used instrument for measuring generic health status. It comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels. i.e. no problems, slight problems, moderate problems, severe problems and extreme problems, corresponding to digit numbers ranging from 1 to 5. The EQ-5D-5L total score is determined through a Visual Analogue Scale (VAS) and ranges from 0 to 100 with higher scores indicative of a better health status. |
| Treatment Emergent Adverse Events | AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks. | An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject |
| Ocular Treatment Emergent Adverse Events - Study Eye | AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks. | An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD) The morphology of the Neovascularization (CNV) complex was evaluated qualitatively by assessing the presence/absence of branching vessels. The presence of tiny vessels branching from bigger vessels is indicative of an active CNV lesion. UNG/P = Ungradable due to pathology UNG/Q = Ungradable due to Quality |
| Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks. | An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Total CNV Lesion Area (mm*2) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The total Basal Choroidal Neovascularization (CNV) lesion area (mm\^2) and greatest linear diameter of lesion (mm) are the parameters related to CNV flow size. |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Choroidal Neovascularization (CNV) Vascular Density (%) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The Choroidal Neovascularization (CNV) vascular density (%) is calculated as a ratio of the area occupied by vessels and the total area of the lesion and multiplied by 100. |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Lesion Greatest Linear Diameter (mm) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The total Basal Choroidal Neovascularization (CNV) lesion area (mm\^2) and greatest linear diameter of lesion (mm) are the parameters related to CNV flow size. |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the peripheral anastomotic arcades. The presence of peripheral anastomotic arcades at the vessel termini is indicative of an active CNV lesion. |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the vascular loops. The presence of vascular loops is indicative of an active CNV lesion. |
| Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the dark halo. The presence of dark halo is considered a region of choriocapillaris alteration corresponding to local flow impairment and is indicative of an active CNV lesion. |
| Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD) |
| Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Central Subfield Thickness (CST) (μm) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). The central retina thickness (CRT) evaluated in this study represents the average retinal thickness of the circular area within 1 mm diameter around the foveal center and was called Center Subfield Thickness (CST), also known as foveal thickness. |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD) |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). IRF is the fluid that accumulates within the neurosensory retina due to the disruption of the external limiting membrane (ELM)-photoreceptor complex in the outer retina by the active Choroidal Neovascularization (CNV) membrane. |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). SRF is the fluid that commonly accumulates between the neurosensory retina and the retinal pigment epithelium (RPE) due to the profuse leakage from blood vessels of the Choroidal Neovascularization (CNV) complex. |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). Sub-RPE fluid, i.e., the fluid that accumulates under the RPE, thus often leading to Pigment Epithelial Detachments (PEDs). |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). SHRM, i.e., a poorly defined, medium-to-hyperreflective mass between the neurosensory layers and the sub retinal pigment epithelium (RPE) on SD-OCT, which is indicative of the neurovascular membrane, particularly in type II Choroidal Neovascularization (CNV) lesions, and of disciform scar formation |
| Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | Baseline, Week 16, Week 48 | Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). ORT, i.e., branching tubular structures located in the outer nuclear layer of the retina, which seems to be indicative of a rearrangement of degenerating photoreceptors in a variety of retinal diseases, including wAMD. On SD-OCT, ORT appears as well-defined round or ovoid hyporeflective spaces with hyperreflective borders. |
Countries
Italy
Participant flow
Pre-assignment details
If both eyes were eligible as per the inclusion and exclusion criteria, only one eye was treated during the study, with the eye with the worse visual acuity (BCVA) at Baseline selected as the study eye. If both eyes had the same BCVA, the right eye was chosen as the study eye.
Participants by arm
| Arm | Count |
|---|---|
| Brolucizumab 6 mg Participants received 3 monthly ocular injections followed by a q12w or q8w maintenance phase based on patient's disease activity (DA). | 122 |
| Total | 122 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Adverse Event | 15 |
| Overall Study | Lost to Follow-up | 3 |
| Overall Study | Physician Decision | 6 |
| Overall Study | The original PI resigned and a new one could not be appointed | 4 |
| Overall Study | Withdrawal by Subject | 3 |
Baseline characteristics
| Characteristic | Brolucizumab 6 mg |
|---|---|
| Age, Continuous | 76.1 Years STANDARD_DEVIATION 7.88 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 122 Participants |
| Sex: Female, Male Female | 72 Participants |
| Sex: Female, Male Male | 50 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 122 |
| other Total, other adverse events | 52 / 122 |
| serious Total, serious adverse events | 14 / 122 |
Outcome results
Number of Patients Classified as q12w Fluid-free or Not q12w Fluid-free
Early predictive factors of fluid-free response is defined as the absence of retinal fluid at Week 48 in patients with a stable q12w treatment regimen up to Week 48 after the loading phase, As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). q12w fluid-free: pts completing the treatment and the study maintaining a stable q12w regimen assigned at Wk 16 up to Wk 48 and without the presence of IRF and SRF at Wk 48. not q12w fluid-free: * Pt who completed treatment and the study with the presence of IRF or SRF at Wk 48 * Pt who followed the q8w regimen of treatment at any time during the study (considering also who started with q12w regimen but then due to disease activity shifted to q8w regimen) * Pt who discontinued treatment at any time after b/l since treatment disc. was considered as intercurrent event and a 'failure'. * Pt who dropped out at any time after b/l since study disc. was considered as intercurrent event and a 'failure'.
Time frame: Up to Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact. (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Number of Patients Classified as q12w Fluid-free or Not q12w Fluid-free | q12w fluid free - NO | 93 Participants |
| Brolucizumab 6 mg | Number of Patients Classified as q12w Fluid-free or Not q12w Fluid-free | q12w fluid free - YES | 27 Participants |
Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free | Stable absent; q12w fluid free - No | 25 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free | Stable present; q12w fluid free- No | 43 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free | Improved; q12w fluid free - No | 11 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as Not q12w Fluid-free | Worsened; q12w fluid free - No | 14 Participants |
Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free | Stable absent; q12w fluid free - Yes | 8 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free | Stable present; q12w fluid free - Yes | 13 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free | Improved; q12w fluid free - Yes | 3 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: External Limiting Membrane (ELM) Integrity Loss in Center 1 mm - Patients Classified as q12w Fluid-free | Worsened; q12w fluid free - Yes | 3 Participants |
Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free | Stable absent; q12w fluid free - No | 84 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free | Stable present; q12w fluid free - No | 1 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free | Improved; q12w fluid free - No | 3 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as Not q12w Fluid-free | Worsened; q12w fluid free - No | 5 Participants |
Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free | Stable absent; q12w fluid free - Yes | 25 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free | Stable present; q12w fluid free - Yes | 2 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free | Improved; q12w fluid free - Yes | 0 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Outer Retinal Tubulation (ORT) - Patients Classified as q12w Fluid-free | Worsened; q12w fluid free - Yes | 0 Participants |
Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Mean (SD) was computed on the Safety Population within 'No' and 'Yes' groups according to q12w fluid free.
Time frame: Baseline, Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and who were classified as not q12w fluid-free and with a valid measurement without a protocol deviation with impact. (N=92). (Excludes patients with protocol deviations.)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as Not q12w Fluid-free | -31.7 Percentage change | Standard Deviation 18.28 |
Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Mean (SD) was computed on the Safety Population within 'No' and 'Yes' groups according to q12w fluid free.
Time frame: Baseline, Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Percentage Changes in Central Subfield Thickness (CST) From Baseline at Week 16 - Patients Classified as q12w Fluid-free | -36.4 Percentage change | Standard Deviation 16.85 |
Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free | Stable absent; q12w fluid free - No | 41 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free | Stable present; q12w fluid free - No | 33 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free | Improved; q12w fluid free - No | 7 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as Not q12w Fluid-free | Worsened; q12w fluid free - No | 12 Participants |
Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free | Stable absent; q12w fluid free - Yes | 11 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free | Stable present; q12w fluid free - Yes | 7 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free | Improved; q12w fluid free - Yes | 4 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Subretinal Hyperreflective Material (SHRM) - Patients Classified as q12w Fluid-free | Worsened; q12w fluid free - Yes | 5 Participants |
Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free | Stable absent; q12w fluid free - No | 39 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free | Stable present; q12w fluid free - No | 32 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free | Improved; q12w fluid free - No | 20 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as Not q12w Fluid-free | Worsened; q12w fluid free - No | 2 Participants |
Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Of note, the category 'Stable absent' is considered also for cases with baseline and last measurement collected equal to 'No' even if there are at least one 'Yes' in one of the other collected measurements. Similarly, the category 'Stable present' is considered also for cases with baseline and last measurement collected equal to 'Yes' even if there are at least one 'No' in one of the other collected measurements. Stable absent (i.e., all measurements 'No), Stable present (i.e., all measurements 'Yes'), Improved (i.e., last measurement collected as 'No' and baseline 'Yes'), Worsened (i.e., last measurement collected 'Yes' and baseline 'No').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free | Stable absent; q12w fluid free - Yes | 12 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free | Stable present; q12w fluid free - Yes | 7 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free | Improved; q12w fluid free - Yes | 8 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Sub-retinal Pigment Epithelium (Sub-RPE) Fluid - Patients Classified as q12w Fluid-free | Worsened; q12w fluid free - Yes | 0 Participants |
Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. * Stable Fibrovascular only (i.e., all measurements 'Fibrovascular only'). * Stable not only fibrovascular (i.e., all measurements 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid Pigment Epithelial Detachment (PED)'). * From not only fibrovascular to Fibrovascular only (i.e., last measurement collected 'Fibrovascular only' and baseline 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED'). * From Fibrovascular only to not only fibrovascular (i.e., last measurement collected 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED' and baseline 'Fibrovascular only').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free | Stable Fibrovascular only; q12w fluid free - No | 38 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free | Stable not only fibrovascular; q12w fluid free - No | 28 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free | From not only fibrovascular to Fibrovascular only; q12w fluid free - No | 24 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as Not q12w Fluid-free | From Fibrovascular only to not only fibrovascular; q12w fluid free - No | 3 Participants |
Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. * Stable Fibrovascular only (i.e., all measurements 'Fibrovascular only'). * Stable not only fibrovascular (i.e., all measurements 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid Pigment Epithelial Detachment (PED)'). * From not only fibrovascular to Fibrovascular only (i.e., last measurement collected 'Fibrovascular only' and baseline 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED'). * From Fibrovascular only to not only fibrovascular (i.e., last measurement collected 'Predominantly fibrovascular' or 'Predominantly serous' or 'Drusenoid PED' and baseline 'Fibrovascular only').
Time frame: Baseline to Week 16
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free | Stable Fibrovascular only; q12w fluid free - Yes | 13 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free | Stable not only fibrovascular; q12w fluid free - Yes | 7 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free | From not only fibrovascular to Fibrovascular only; q12w fluid free - Yes | 7 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Pigment Epithelium Detachment (PED) - Patients Classified as q12w Fluid-free | From Fibrovascular only to not only fibrovascular; q12w fluid free - Yes | 0 Participants |
Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Type 1 neovascularization arises when CNV proliferation occurs below the Retinal Pigment Epithelium (RPE) and corresponds to occult CNV with a poorly defined pattern of leakage on fluorescein angiography (FA). Type 2 neovascularization refers to CNV proliferation above the RPE in the subretinal space and corresponds to classic CNV with intense fluorescein leakage. Type 3 neovascularization (or retinal angiomatous proliferation \[RAP\]) occurs when retinal circulation is involved, with an anastomosis between the choroidal and retinal circulations. Types 1-3 classification is a classification according to the type of anatomical lesion and is determined by multimodal imaging characteristics. Please note that by design, this is not a grading nor scores on a scale. PCV = Polypoidal Choroidal Vasculopathy
Time frame: Baseline
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as not q12w fluid-free (N=93). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free | TYPE I + PCV; q12w fluid free - No | 61 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free | TYPE II; q12w fluid free - No | 21 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free | TYPE III; q12w fluid free - No | 5 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as Not q12w Fluid-free | Missing; q12w fluid free - No | 6 Participants |
Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free
As assessed by Spectral Domain Optical Coherence Tomography (SD-OCT). Percentages were computed on Safety Population within 'No' and 'Yes' groups according to q12w fluid free. Type 1 neovascularization arises when CNV proliferation occurs below the Retinal Pigment Epithelium (RPE) and corresponds to occult CNV with a poorly defined pattern of leakage on fluorescein angiography (FA). Type 2 neovascularization refers to CNV proliferation above the RPE in the subretinal space and corresponds to classic CNV with intense fluorescein leakage. Type 3 neovascularization (or retinal angiomatous proliferation \[RAP\]) occurs when retinal circulation is involved, with an anastomosis between the choroidal and retinal circulations. Types 1-3 classification is a classification according to the type of anatomical lesion and is determined by multimodal imaging characteristics. Please note that by design, this is not a grading nor scores on a scale. PCV = Polypoidal Choroidal Vasculopathy
Time frame: Baseline
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug and with a valid measurement without a protocol deviation with impact and who were classified as q12w fluid-free (N=27). (Excludes patients with protocol deviations.)
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free | TYPE I + PCV; q12w fluid free - Yes | 19 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free | TYPE II; q12w fluid free - Yes | 4 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free | TYPE III; q12w fluid free - Yes | 3 Participants |
| Brolucizumab 6 mg | Potential Predictor Factors of Fluid-free Response: Type of Predominant Basal Choroidal Neovascularization (CNV) Lesion Type, as Assessed by SD-OCT at Baseline - Patients Classified as q12w Fluid-free | Missing; q12w fluid free- Yes | 1 Participants |
Change in Best-corrected Visual Acuity (BCVA) From Baseline up to Week 48
BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of \>= 34 ETDRS letters (Snellen equivalent 20/200) at Screening / Baseline in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better functioning. Last observation carried forward (LOCF) was used for the imputation of missing values.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Best-corrected Visual Acuity (BCVA) From Baseline up to Week 48 | Week 16 | 4.0 Letters read |
| Brolucizumab 6 mg | Change in Best-corrected Visual Acuity (BCVA) From Baseline up to Week 48 | Week 48 | 5.5 Letters read |
Change in European Quality of Life-5D-5L (EQ-5D-5L) Scores
Evaluate quality of life in patients with wAMD treated with brolucizumab. The EQ-5D-5L is a standardized widely used instrument for measuring generic health status. It comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels. i.e. no problems, slight problems, moderate problems, severe problems and extreme problems, corresponding to digit numbers ranging from 1 to 5. The EQ-5D-5L total score is determined through a Visual Analogue Scale (VAS) and ranges from 0 to 100 with higher scores indicative of a better health status.
Time frame: Baseline, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Brolucizumab 6 mg | Change in European Quality of Life-5D-5L (EQ-5D-5L) Scores | 0.00 Scores on a scale | Standard Deviation 0.147 |
Change in Hospital Anxiety and Depression Scale (HADS) Scores
Evaluate anxiety/depression in patients with wAMD treated with brolucizumab. The Hospital Anxiety and Depression Scale (HADS) is a fourteen-item scale that generates ordinal data. Seven items relate to anxiety and seven relate to depression. This patient-reported outcome measure was specifically developed to avoid reliance on anxiety/depression aspects which are also common somatic symptoms of illness, such as fatigue and insomnia or hypersomnia. Calculations of scores: each item is rated on a 4-point scale. The HADS consists of two sub-scores: the HAD-A for anxiety and HAD-D for depression. Each sub-score ranges from 0 to 21 points: scores ≥11 indicate the presence of an anxious or depressive disorder, scores between 8-10 points are borderline abnormal, and scores ≤7 indicate that an anxious or depressive disorder is not present.
Time frame: Up to Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Change in Hospital Anxiety and Depression Scale (HADS) Scores | HAD-A - Absolute change from baseline at Week 48 | -0.78 Scores on a scale | Standard Deviation 3.258 |
| Brolucizumab 6 mg | Change in Hospital Anxiety and Depression Scale (HADS) Scores | HAD-D - Absolute change from baseline at Week 48 | -0.10 Scores on a scale | Standard Deviation 3.049 |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD) The morphology of the Neovascularization (CNV) complex was evaluated qualitatively by assessing the presence/absence of branching vessels. The presence of tiny vessels branching from bigger vessels is indicative of an active CNV lesion. UNG/P = Ungradable due to pathology UNG/Q = Ungradable due to Quality
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Increased from prior - Week 16 | 11 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Increased from prior - Week 48 (n=91) | 4 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Decreased from prior - Week 16 | 2 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Decreased from prior - Week 48 (n=91) | 11 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Stable - Week 16 | 26 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - Stable - Week 48 (n=91) | 20 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - UNG/P - Week 16 | 9 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - UNG/P - Week 48 (n=91) | 21 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - UNG/Q - Week 16 | 66 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Branching Vessels | Branching Vessels - UNG/Q - Week 48 (n=91) | 35 Participants |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Choroidal Neovascularization (CNV) Vascular Density (%)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The Choroidal Neovascularization (CNV) vascular density (%) is calculated as a ratio of the area occupied by vessels and the total area of the lesion and multiplied by 100.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Choroidal Neovascularization (CNV) Vascular Density (%) | Week 16 | 1.326 % CNV Vascular Density | Standard Deviation 35.6003 |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Choroidal Neovascularization (CNV) Vascular Density (%) | Week 48 (n=8) | 29.900 % CNV Vascular Density | Standard Deviation 52.3079 |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Lesion Greatest Linear Diameter (mm)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The total Basal Choroidal Neovascularization (CNV) lesion area (mm\^2) and greatest linear diameter of lesion (mm) are the parameters related to CNV flow size.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Lesion Greatest Linear Diameter (mm) | Week 16 | -0.211 mm | Standard Deviation 0.5416 |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Lesion Greatest Linear Diameter (mm) | Week 48 (n=20) | -0.147 mm | Standard Deviation 0.5837 |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Total CNV Lesion Area (mm*2)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The total Basal Choroidal Neovascularization (CNV) lesion area (mm\^2) and greatest linear diameter of lesion (mm) are the parameters related to CNV flow size.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients with a CNV lesion who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Total CNV Lesion Area (mm*2) | Week 16 (n=27) | 0.476 mm^2 | Standard Deviation 1.0012 |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Change From Baseline of Total CNV Lesion Area (mm*2) | Week 48 (n=20) | 0.533 mm^2 | Standard Deviation 0.9053 |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the dark halo. The presence of dark halo is considered a region of choriocapillaris alteration corresponding to local flow impairment and is indicative of an active CNV lesion.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | No at Baseline and No at Week 16 (n=15) | 9 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | Yes at Baseline and No at Week 16 (n=15) | 2 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | No at Baseline and Yes at Week 16 (n=15) | 0 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | Yes at Baseline and Yes at Week 16 (n=15) | 4 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | No at Baseline and No at Week 48 (n=17) | 6 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | Yes at Baseline and No at Week 48 (n=17) | 5 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | No at Baseline and Yes at Week 48 (n=17) | 2 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Dark Halo | Yes at Baseline and Yes at Week 48 (n=17) | 4 Participants |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the peripheral anastomotic arcades. The presence of peripheral anastomotic arcades at the vessel termini is indicative of an active CNV lesion.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | No at Baseline and No at Week 16 | 14 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | Yes at Baseline and No at Week 16 | 1 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | No at Baseline and Yes at Week 16 | 4 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | Yes at Baseline and Yes at Week 16 | 6 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | No at Baseline and No at Week 48 (n=21) | 7 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | Yes at Baseline and No at Week 48 (n=21) | 2 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | No at Baseline and Yes at Week 48 (n=21) | 8 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Peripheral Anastomotic Arcades | Yes at Baseline and Yes at Week 48 (n=21) | 4 Participants |
Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD). The morphology of the Choroidal Neovascularization (CNV) complex was evaluated qualitatively by assessing the vascular loops. The presence of vascular loops is indicative of an active CNV lesion.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | No at Baseline and No at Week 16 | 12 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | Yes at Baseline and No at Week 16 | 1 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | No at Baseline and Yes at Week 16 | 3 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | Yes at Baseline and Yes at Week 16 | 10 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | No at Baseline and No at Week 48 (n=22) | 4 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | Yes at Baseline and No at Week 48 (n=22) | 3 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | No at Baseline and Yes at Week 48 (n=22) | 7 Participants |
| Brolucizumab 6 mg | Change in Optical Coherence Tomography (OCTA) Features Baseline up to Week 48 - Vascular Loops | Yes at Baseline and Yes at Week 48 (n=22) | 8 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative OCTA parameters of wet Age-related Macular Degeneration (wAMD)
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 | Week 16 | -188.4 micrometers | Standard Deviation 142.79 |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 | Week 48 (n=60) | -197.6 micrometers | Standard Deviation 152.63 |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). Status of the ELM as an indicator of retinal integrity was evaluated focusing on ELM integrity loss in center 1 mm (i.e., considering the central 1 x 1-mm subfield).
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | No at Baseline and No at Week 16 | 30 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | Yes at Baseline and No at Week 16 | 14 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | No at Baseline and Yes at Week 16 | 15 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | Yes at Baseline and Yes at Week 16 | 54 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | No at Baseline and No at Week 48 (n=91) | 24 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | Yes at Baseline and No at Week 48 (n=91) | 9 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | No at Baseline and Yes at Week 48 (n=91) | 15 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - External Limiting Membrane (ELM) Integrity Loss | Yes at Baseline and Yes at Week 48 (n=91) | 43 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). IRF is the fluid that accumulates within the neurosensory retina due to the disruption of the external limiting membrane (ELM)-photoreceptor complex in the outer retina by the active Choroidal Neovascularization (CNV) membrane.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | No at Baseline and No at Week 16 | 46 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | Yes at Baseline and No at Week 16 | 38 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | No at Baseline and Yes at Week 16 | 4 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | Yes at Baseline and Yes at Week 16 | 26 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | No at Baseline and No at Week 48 (n=92) | 40 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | Yes at Baseline and No at Week 48 (n=92) | 30 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | No at Baseline and Yes at Week 48 (n=92) | 1 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Intraretinal Fluid (IRF) Cystoid Edema | Yes at Baseline and Yes at Week 48 (n=92) | 21 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). ORT, i.e., branching tubular structures located in the outer nuclear layer of the retina, which seems to be indicative of a rearrangement of degenerating photoreceptors in a variety of retinal diseases, including wAMD. On SD-OCT, ORT appears as well-defined round or ovoid hyporeflective spaces with hyperreflective borders.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | No at Baseline and No at Week 16 | 103 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | Yes at Baseline and No at Week 16 | 3 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | No at Baseline and Yes at Week 16 | 5 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | Yes at Baseline and Yes at Week 16 | 3 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | No at Baseline and No at Week 48 (n=92) | 77 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | Yes at Baseline and No at Week 48 (n=92) | 3 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | No at Baseline and Yes at Week 48 (n=92) | 10 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Outer Retinal Tubulation (ORT) | Yes at Baseline and Yes at Week 48 (n=92) | 2 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). SRF is the fluid that commonly accumulates between the neurosensory retina and the retinal pigment epithelium (RPE) due to the profuse leakage from blood vessels of the Choroidal Neovascularization (CNV) complex.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | No at Baseline and No at Week 16 | 7 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | Yes at Baseline and No at Week 16 | 75 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | No at Baseline and Yes at Week 16 | 1 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | Yes at Baseline and Yes at Week 16 | 31 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | No at Baseline and No at Week 48 (n=92) | 6 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | Yes at Baseline and No at Week 48 (n=92) | 57 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | No at Baseline and Yes at Week 48 (n=92) | 0 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Fluid (SRF) | Yes at Baseline and Yes at Week 48 (n=92) | 29 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). SHRM, i.e., a poorly defined, medium-to-hyperreflective mass between the neurosensory layers and the sub retinal pigment epithelium (RPE) on SD-OCT, which is indicative of the neurovascular membrane, particularly in type II Choroidal Neovascularization (CNV) lesions, and of disciform scar formation
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | No at Baseline and No at Week 16 | 50 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | Yes at Baseline and No at Week 16 | 11 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | No at Baseline and Yes at Week 16 | 16 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | Yes at Baseline and Yes at Week 16 | 37 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | No at Baseline and No at Week 48 (n=92) | 45 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | Yes at Baseline and No at Week 48 (n=92) | 14 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | No at Baseline and Yes at Week 48 (n=92) | 8 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Subretinal Hyperreflective Material (SHRM) | Yes at Baseline and Yes at Week 48 (n=92) | 25 Participants |
Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). Sub-RPE fluid, i.e., the fluid that accumulates under the RPE, thus often leading to Pigment Epithelial Detachments (PEDs).
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | No at Baseline and No at Week 16 | 49 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | Yes at Baseline and No at Week 16 | 26 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | No at Baseline and Yes at Week 16 | 1 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | Yes at Baseline and Yes at Week 16 | 38 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | No at Baseline and No at Week 48 (n=92) | 36 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | Yes at Baseline and No at Week 48 (n=92) | 26 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | No at Baseline and Yes at Week 48 (n=92) | 2 Participants |
| Brolucizumab 6 mg | Change in Spectral Domain Optical Coherence Tomography (SD-OCT) Features From Baseline up to Week 48 - Sub Retinal Pigment Epithelium (Sub RPE) Fluid | Yes at Baseline and Yes at Week 48 (n=92) | 28 Participants |
Cumulative Incidence of Patients With Sustained Dryness of the Study Eye
Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Sustained dryness of the study eye, is defined by the absence of IRF and SRF for at least 2 consecutive visits and for at least 3 consecutive visits. IRF = Intraretinal Fluid SRF = Subretinal Fluid
Time frame: Weeks 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48
Population: Full Analysis Set - includes all patients with fluid present at baseline who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 8 | 36 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 12 | 54 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 16 | 64 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 20 | 68 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 24 | 68 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 28 | 68 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 32 | 73 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 36 | 76 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 40 | 77 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 44 | 77 Participants |
| Brolucizumab 6 mg | Cumulative Incidence of Patients With Sustained Dryness of the Study Eye | Patients with sustained dryness - Week 48 | 78 Participants |
Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16
Evaluate the reasons underlying the Investigators' choice of brolucizumab treatment regimen (q12w) BVCA=Best-Corrected Visual Acuity, CFP=Color Fundus Photography; CNV=Choroidal Neovascularization; FA=Fluorescein Angiography; ICGA=IndoCyanine Green Angiography; OCTA=Optical Coherence Tomography Angiography; SD-OCT=Spectral Domain Optical Coherence Tomography
Time frame: Up to Week 16
Population: Full Analysis Set - includes Patients who performed Week 16 and still on treatment of brolucizumab dosing regimen (q12w) with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Hemorrhage at CFP | 17 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Vessel morphology at OCTA | 13 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Vessel density at OCTA | 11 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Other - investigator's discretion | 11 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Leakage at FA/ICGA | 0 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Intraretinal fluid (IRF) at SD-OCT | 46 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Subretinal fluid (SRF) at SD-OCT | 41 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Central Subfield Thickness (CST) at SD-OCT | 35 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | BCVA | 29 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Subretinal pigment epithelium (sub-RPE) fluid at SD-OCT | 26 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Central Retinal Thickness (CRT) | 26 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Subretinal hyperreflective material (SHRM) at SD-OCT | 22 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | Retina Pigment Epithelial Detachment volume at SD-OCT | 19 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q12w) at Week 16 | CNV size at OCTA | 18 Participants |
Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16
Evaluate the reasons underlying the Investigators' choice of brolucizumab treatment regimen (q8w) BVCA=Best-Corrected Visual Acuity, CFP=Color Fundus Photography; CNV=Choroidal Neovascularization; FA=Fluorescein Angiography; ICGA=IndoCyanine Green Angiography; OCTA=Optical Coherence Tomography Angiography; SD-OCT=Spectral Domain Optical Coherence Tomography
Time frame: Up to Week 16
Population: Full Analysis Set - iincludes Patients who performed Week 16 and still on treatment of brolucizumab dosing regimen (q8w) with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Intraretinal fluid (IRF) at SD-OCT | 17 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Subretinal fluid (SRF) at SD-OCT | 21 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Central Subfield Thickness (CST) at SD-OCT | 15 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Best-corrected visual acuity (BCVA) | 13 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Subretinal pigment epithelium (sub-RPE) fluid at SD-OCT | 4 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Central Retinal Thickness (CRT) | 4 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Subretinal hyperreflective material (SHRM) at Domain Optical Coherence Tomography. (SD-OCT) | 6 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Retina Pigment Epithelial Detachment volume at SD-OCT | 3 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | CNV size at OCTA | 2 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Hemorrhage at CFP | 2 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Vessel morphology at OCTA | 2 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Vessel density at OCTA | 3 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Other - investigator's discretion | 2 Participants |
| Brolucizumab 6 mg | Determinants in the Investigator's Choice of Brolucizumab Dosing Regimen (q8w) at Week 16 | Leakage at FA/ICGA | 0 Participants |
Number of Patients With Fluid Resolution of the Study Eye
Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Among patients with fluid present at Baseline, patients with fluid resolution were identified in case of absence of IRF and SRF and patients without fluid resolution were categorized in 'only IRF present', 'only SRF present', 'both IRF and SRF present' at each post-baseline timepoint. IRF = Intraretinal Fluid SRF = Subretinal Fluid
Time frame: Week 16, Week 48
Population: Full Analysis Set - includes all patients with fluid present at Baseline who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients with fluid resolution - Week 16 | 64 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Week 16 | 49 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Only IRF present - Week 16 (n=49) | 18 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Only SRF present - Week 16 (n=49) | 19 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Both IRF and SRF present - Week 16 (n=49) | 12 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients with fluid resolution - Week 48 (n=92) | 49 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Unknown- Week 48 (n=92) | 1 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Week 48 (n=92) | 42 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Only IRF present - Week 48 (n=42) | 13 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Only SRF present - Week 48 (n=42) | 20 Participants |
| Brolucizumab 6 mg | Number of Patients With Fluid Resolution of the Study Eye | Patients without fluid resolution - Both IRF and SRF present - Week 48 (n=42) | 9 Participants |
Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT)
An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject
Time frame: AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks.
Population: Safety Set - includes all patients who received at least one dose of the study drug
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal vasculitis | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | Eye disorders | 30 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Cataract | 3 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Conjunctival haemorrhage | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Eye haemorrhage | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Eye inflammation | 2 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Iridocyclitis | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Macular degeneration | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Macular detachment | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Macular fibrosis | 2 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Macular hole | 3 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Maculopathy | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Neovascular age-related macular degeneration | 3 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Ocular hypertension | 2 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal haemorrhage | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal occlusive vasculitis | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal pigment epithelial tear | 3 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal tear | 2 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Retinal vascular disorder | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Uveitis | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Vision blurred | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Visual impairment | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Vitreous floaters | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - by System Organ Class (SOC) and Preferred Term (PT) | -Vitritis | 5 Participants |
Ocular Treatment Emergent Adverse Events - Study Eye
An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject
Time frame: AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks.
Population: Safety Set - includes all patients who received at least one dose of the study drug
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs | 25 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Serious Ocular TEAEs | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with suspected drug-related Ocular TEAEs | 11 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs related to Ocular injection procedure | 3 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs leading to temporary interruption of treatment | 1 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs leading to withdrawn of treatment | 10 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs leading to study discontinuation | 5 Participants |
| Brolucizumab 6 mg | Ocular Treatment Emergent Adverse Events - Study Eye | Patients with Ocular TEAEs with fatal outcome | 0 Participants |
Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Central Subfield Thickness (CST) (μm)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD). The central retina thickness (CRT) evaluated in this study represents the average retinal thickness of the circular area within 1 mm diameter around the foveal center and was called Center Subfield Thickness (CST), also known as foveal thickness.
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Central Subfield Thickness (CST) (μm) | Baseline | 482.6 micrometers | Standard Deviation 177.4 |
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Central Subfield Thickness (CST) (μm) | Week 16 (n=114) | 309.2 micrometers | Standard Deviation 107.69 |
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Central Subfield Thickness (CST) (μm) | Week 48 (n=93) | 307.9 micrometers | Standard Deviation 118.05 |
Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED)
Evaluate the effect of brolucizumab on the evolution of qualitative and quantitative SCD-OCT parameters of wet Age-related Macular Degeneration (wAMD)
Time frame: Baseline, Week 16, Week 48
Population: Full Analysis Set - includes all patients who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED) | Yes - Baseline | 120 Participants |
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED) | Yes - Week 16 (n=114) | 114 Participants |
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED) | Yes - Week 48 (n=93) | 92 Participants |
| Brolucizumab 6 mg | Spectral Domain Optical Coherence Tomography (SD-OCT) Features Baseline up to Week 48 - Pigment Epithelial Detachment (PED) | Missing - Week 48 (n=93) | 1 Participants |
Sustained Dryness of the Study Eye - Kaplan-Meier Estimates - Median Time to the Achievement of Sustained Dryness
Evaluate the effect of brolucizumab on sustained dryness from Baseline to Week 48. Patients who achieved sustained dryness were identified considering those with fluid resolution for at least 2/3 consecutive visits. Median time to the achievement of sustained dryness was calculated by the Kaplan-Meier method. Sustained dryness of the study eye, is defined by the absence of IRF and SRF for at least 2 consecutive visits and for at least 3 consecutive visits. IRF = Intraretinal Fluid SRF = Subretinal Fluid
Time frame: Up to Week 48
Population: Full Analysis Set - includes all patients with fluid present at baseline and who received at least one dose of the study drug with a valid measurement without a protocol deviation with impact.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Brolucizumab 6 mg | Sustained Dryness of the Study Eye - Kaplan-Meier Estimates - Median Time to the Achievement of Sustained Dryness | 16.43 weeks |
Treatment Emergent Adverse Events
An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a subject or clinical investigation subject
Time frame: AEs are reported from first dose of study treatment until 4 weeks after last treatment, for a maximum time frame of approx. 48 weeks.
Population: Safety Set - includes all patients who received at least one dose of the study drug
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with suspected drug-related TEAEs | 13 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs related to Ocular injection procedure | 4 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs | 59 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with Serious TEAEs | 14 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with Ocular TEAEs | 33 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with non-ocular TEAEs | 40 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs leading to temporary interruption of treatment | 2 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs leading to withdrawn of treatment | 15 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs leading to study discontinuation | 7 Participants |
| Brolucizumab 6 mg | Treatment Emergent Adverse Events | Patients with TEAEs with fatal outcome | 0 Participants |