leakage of fluid and blood from blood vessels in the retina non-proliferative diabetic retinopaty
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Moderately severe to severe NPDR in the study eye: DRSS levels 47 or 53 - Diabetes type 1 or 2 - BCVA ETDRS letter score in the study eye of >=69 letters (approximate Snellen equivalent of 20/40 or better)
Exclusion criteria
Exclusion criteria: - Presence or history of macular edema involving the center of the macula (defined as the area of the center subfield on OCT) in the study eye with visual impairment or in need of treatment with anti-VEGF, immediately or anticipated within the next 3 months, by judgement of the investigator or with OCT central subfield thickness above gender specific thresholds, measured including Bruch*s membrane, >=305 µm in women, >= 320 µm in men, as provided by the central reading center - Any kind of neovascular growth in the study eye, including anterior segment neovascularization - Arterial hypotension with systolic blood pressure = 1.5 ULN at screening, known ascites - Estimated glomerular filtration rate (eGFR CKD-EPI) below 30 ml/min/1.73 m2 at screening - Any prior systemic anti-VEGF treatment or IVT anti-VEGF treatment in the study eye - Any prior intraocular steroid injection in the study eye - Any prior grid or focal laser photocoagulation within 500 microns of the foveal center or any prior PRP in the study eye - Use of nitrates or NO donors (such as amyl nitrate) in any form including topical; PDE5 inhibitors, non-specific PDE inhibitors within 1 week before first study drug administration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome Measures: • DRSS improvement >=2 steps at 48 Weeks of treatment in the study eye DRSS (Diabetic Retinopathy Severity Scale) will be graded centrally. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcome Measures: • Vision threatening complications at 48 weeks of treatment in the study eye • DRSS improvement >=2 steps at 24 Weeks of treatment in the study eye • Frequency of treatment emergent adverse events | — |
Countries
Netherlands