Reduced Fluence Visudyne-Anti-VEGF-Dexamethasone In Combination for AMD Lesions (RADICAL)

NCT ID: NCT00492284

Last Updated: 2011-06-02

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2010-05-31

Brief Summary

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The objective of this study is to determine if combination therapy (reduced-fluence Visudyne followed by Lucentis \[within 2 hours\] or either of two regimens of reduced-fluence Visudyne followed by Lucentis-Dexamethasone triple therapy \[within 2 hours\]) reduces retreatment rates compared with Lucentis monotherapy while maintaining similar vision outcomes and an acceptable safety profile.

Detailed Description

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Conditions

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Choroidal Neovascularization Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1/4 Fluence Triple Therapy

Very low fluence Visudyne followed by intravitreal Lucentis-Dexamethasone triple therapy \[within 2 hours\] administered on Day 0, and then as required every 2 months thereafter

Group Type EXPERIMENTAL

verteporfin

Intervention Type DRUG

Very-low fluence Visudyne (15 J/cm2, 180 mW/cm2, 83 seconds)

ranibizumab

Intervention Type DRUG

0.5 mg intravitreal injection

dexamethasone

Intervention Type DRUG

0.5 mg intravitreal injection

1/2 Fluence Triple Therapy

Reduced-fluence Visudyne followed by intravitreal Lucentis-Dexamethasone triple therapy \[within 2 hours\] administered on Day 0, and then as required every 2 months thereafter

Group Type EXPERIMENTAL

verteporfin

Intervention Type DRUG

Reduced-fluence Visudyne (25 J/cm2, 300 mW/cm2, 83 seconds)

ranibizumab

Intervention Type DRUG

0.5 mg intravitreal injection

dexamethasone

Intervention Type DRUG

0.5 mg intravitreal injection

1/2 Fluence Double Therapy

Reduced-fluence Visudyne followed by Lucentis double therapy \[within 2 hours\] administered on Day 0, and then as required every 2 months thereafter

Group Type EXPERIMENTAL

verteporfin

Intervention Type DRUG

Reduced-fluence Visudyne (25 J/cm2, 300 mW/cm2, 83 seconds)

ranibizumab

Intervention Type DRUG

0.5 mg intravitreal injection

Ranibizumab

Lucentis monotherapy administered on Day 0, Month 1 and Month 2, and then as required monthly thereafter

Group Type EXPERIMENTAL

ranibizumab

Intervention Type DRUG

0.5 mg intravitreal injection

Interventions

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verteporfin

Reduced-fluence Visudyne (25 J/cm2, 300 mW/cm2, 83 seconds)

Intervention Type DRUG

verteporfin

Very-low fluence Visudyne (15 J/cm2, 180 mW/cm2, 83 seconds)

Intervention Type DRUG

ranibizumab

0.5 mg intravitreal injection

Intervention Type DRUG

dexamethasone

0.5 mg intravitreal injection

Intervention Type DRUG

Other Intervention Names

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Visudyne photodynamic therapy Visudyne photodynamic therapy Lucentis

Eligibility Criteria

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Inclusion Criteria

* Treatment naive for choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD) in the study eye except for laser treatment outside the subfoveal area
* Subfoveal CNV due to AMD
* CNV must be = or \>50 % of the entire lesion
* All lesion composition types with a lesion greatest linear dimension (GLD) \< 5400 microns (approximately = or \<9 disc areas \[DA\])
* Best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity (VA score) of 25 - 73 letters (approximate Snellen equivalent of 20/40 - 20/320), inclusive

Exclusion Criteria

* Subfoveal geographic atrophy or subfoveal fibrosis of the study eye
* Intraocular surgery within 3 months of enrollment
* Inability to attend the protocol-required visits
* Known allergies or hypersensitivity to any of the study treatments.
* Other systemic diseases or active uncontrolled infections that would make subject a poor medical risk
* Uncontrolled glaucoma, defined as (1)subject is on \>1 glaucoma medication (includes combination treatments) or (2)subject has glaucoma that could lead to progressive visual field deterioration
* If subject has had a stroke within the last year
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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QLT Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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QLT Inc.

Principal Investigators

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Henry Hudson, MD

Role: PRINCIPAL_INVESTIGATOR

Retina Centers, PC

Allen Ho, MD

Role: PRINCIPAL_INVESTIGATOR

Retina Diagnostic & Treatment Associates, LLC

Andrew Strong, Ph.D

Role: STUDY_CHAIR

QLT Inc.

Oscar Cuzzani, MD

Role: STUDY_DIRECTOR

QLT Inc.

Locations

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Mobile, Alabama, United States

Site Status

Phoenix, Arizona, United States

Site Status

Retina Centers, PC

Tucson, Arizona, United States

Site Status

Beverly Hills, California, United States

Site Status

Campbell, California, United States

Site Status

Los Angeles, California, United States

Site Status

Poway, California, United States

Site Status

Sacramento, California, United States

Site Status

Torrance, California, United States

Site Status

Fort Myers, Florida, United States

Site Status

Indianapolis, Indiana, United States

Site Status

Davenport, Iowa, United States

Site Status

Missoula, Montana, United States

Site Status

Omaha, Nebraska, United States

Site Status

Portsmouth, New Hampshire, United States

Site Status

Portland, Oregon, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

West Mifflin, Pennsylvania, United States

Site Status

Arlington, Texas, United States

Site Status

Temple, Texas, United States

Site Status

Seattle, Washington, United States

Site Status

Calgary, Alberta, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

Halifax, Nova Scotia, Canada

Site Status

London, Ontario, Canada

Site Status

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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BPD OCR 022

Identifier Type: -

Identifier Source: org_study_id

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