Safety and Efficacy of Repeated Intravitreal Administration of Vascular Endothelial Growth Factor (VEGF) Trap in Patients With Wet Age-Related Macular Degeneration (AMD)

NCT ID: NCT00320788

Last Updated: 2012-03-01

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

159 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2008-08-31

Brief Summary

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This study examines the effect of intravitreally administered VEGF Trap in patients with wet AMD.

The purpose of this trial is to assess the ocular and systemic safety and tolerability of repeated intravitreal doses of VEGF Trap in patients with subfoveal choroidal neovascularization (CNV) due to AMD.

Detailed Description

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This is a double masked, prospective, randomized study in which five groups of approximately 30 patients meeting the eligibility criteria will be randomly assigned in a balanced ratio to receive a series of intravitreal (IVT) injections of VEGF Trap into the study eye at 4- or 12 -week intervals over a 12-week period.

After Week 12, patients will be evaluated every 4 weeks. Patients will remain on study or may be eligible to enter a long-term extension study, in which they will continue to receive VEGF Trap.

Conditions

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Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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aflibercept injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q4

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12

aflibercept injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q12

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

aflibercept injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q4

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12

aflibercept injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q12

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

aflibercept injection (VEGF Trap-Eye, BAY86-5321) 4.0mg q12

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received 4.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

Interventions

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aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received 4.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.

Intervention Type BIOLOGICAL

Other Intervention Names

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VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321

Eligibility Criteria

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Inclusion Criteria

* Subfoveal CNV secondary to AMD.
* Central retinal (including lesion) thickness ≥ 300 µm as measured by Optical Coherence Tomography (OCT).
* Early Treatment of Diabetic Retinopathy Study (ETDRS) best-corrected visual acuity of 73 letters to 34 letters.

Exclusion Criteria

* History of any vitreous hemorrhage within 4 weeks prior to Day 1.
* Aphakia.
* Significant subfoveal atrophy or scarring.
* Prior treatment with the following in the study eye:

* Subfoveal thermal laser therapy.
* Submacular surgery or other surgical intervention for the treatment of AMD.
* Extrafoveal laser coagulation treatment within 12 weeks prior to Day 1.
* Photodynamic therapy (PDT) within 12 weeks prior to Visit 2 (Day 1).
* Pegaptanib sodium (Macugen) within 8 weeks of Visit 2 (Day 1).
* Juxtascleral steroids or anecortave acetate within 24 weeks (6 months) prior to Visit 2 (Day 1).
* Intravitreal administration of triamcinolone acetonide or other steroids within 24 weeks prior to Visit 2 (Day 1), unless no visible residue of drug substance can be seen in the vitreous cavity using indirect ophthalmoscopy.
* Prior systemic or intravitreal treatment with VEGF Trap, ranibizumab (Lucentis) or bevacizumab (Avastin).
* Presence of any other condition or laboratory abnormality, which, in the opinion of the Investigator, would interfere with the assessment of disease status/progression or jeopardize the patient's appropriate participation in this Phase II study.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Associated Retina Consultants

Phoenix, Arizona, United States

Site Status

Retina Centers, PC

Tucson, Arizona, United States

Site Status

Retina Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

Loma Linda University Health Care

Loma Linda, California, United States

Site Status

Southeast Retina Center

Augusta, Georgia, United States

Site Status

University of Chicago

Chicago, Illinois, United States

Site Status

Midwest Eye Institute

Indianapolis, Indiana, United States

Site Status

Johns Hopkins Hospital School of Medicine

Baltimore, Maryland, United States

Site Status

Ophthalmic Consultants of Boston

Boston, Massachusetts, United States

Site Status

New England Retina Consultants PC

West Springfield, Massachusetts, United States

Site Status

Charlotte Eye, Ear, Nose & Throat Asssociates

Charlotte, North Carolina, United States

Site Status

Dean A. McGee Eye Institute

Oklahoma City, Oklahoma, United States

Site Status

Retina Northwest PC

Portland, Oregon, United States

Site Status

Retina Diagnostic and Treatment Assoc., LLC

Philadelphia, Pennsylvania, United States

Site Status

Black Hills Regional Eye Institute

Rapid City, South Dakota, United States

Site Status

Retina-Vitreous Associates, P.C.

Nashville, Tennessee, United States

Site Status

Vitreoretinal Consultants Scurlock Tower Texas Medical Center

Houston, Texas, United States

Site Status

Medical Center Ophthamology

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Li E, Donati S, Lindsley KB, Krzystolik MG, Virgili G. Treatment regimens for administration of anti-vascular endothelial growth factor agents for neovascular age-related macular degeneration. Cochrane Database Syst Rev. 2020 May 5;5(5):CD012208. doi: 10.1002/14651858.CD012208.pub2.

Reference Type DERIVED
PMID: 32374423 (View on PubMed)

Related Links

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http://www.ncbi.nlm.nih.gov/pubmed/21640257

Primary endpoint results of a phase II study of vascular endothelial growth factor trap-eye in wet age-related macular degeneration.

http://www.ncbi.nlm.nih.gov/pubmed/21640258

The 1-year results of CLEAR-IT 2, a phase 2 study of vascular endothelial growth factor trap-eye dosed as-needed after 12-week fixed dosing.

Other Identifiers

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VGFT-OD-0508

Identifier Type: -

Identifier Source: org_study_id

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