Trial Outcomes & Findings for Study Investigating OCT, Multifocal ERG, and Microperimetry in Monthly Versus PRN Ranibizumab in Neovascular Age-Related Macular Degeneration (NCT NCT00764738)

NCT ID: NCT00764738

Last Updated: 2020-09-22

Results Overview

As measured within the central ring of the multifocal electroretinography study this measurement is the difference between the first positive peak (P1) and the first negative peak (N1).

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

91 participants

Primary outcome timeframe

One Year

Results posted on

2020-09-22

Participant Flow

Participant milestones

Participant milestones
Measure
Monthly Ranibizumab 0.5 mg
Intravitreal ranibizumab 0.5 mg dosing monthly for entire study.
PRN Ranibizumab 0.5 mg
Intravitreal ranibizumab 0.5 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Monthly Ranibizumab 2.0 mg
Intravitreal ranibizumab 2.0 mg dosing monthly for entire study.
PRN Ranibizumab 2.0 mg
Intravitreal ranibizumab 2.0 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Overall Study
STARTED
24
28
15
24
Overall Study
COMPLETED
22
25
12
18
Overall Study
NOT COMPLETED
2
3
3
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study Investigating OCT, Multifocal ERG, and Microperimetry in Monthly Versus PRN Ranibizumab in Neovascular Age-Related Macular Degeneration

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Monthly Ranibizumab 0.5 mg
n=22 Participants
Intravitreal ranibizumab 0.5 mg dosing monthly for entire study.
PRN Ranibizumab 0.5 mg
n=25 Participants
Intravitreal ranibizumab 0.5 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Monthly Ranibizumab 2.0 mg
n=12 Participants
Intravitreal ranibizumab 2.0 mg dosing monthly for entire study.
PRN Ranibizumab 2.0 mg
n=18 Participants
Intravitreal ranibizumab 2.0 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Total
n=77 Participants
Total of all reporting groups
Age, Continuous
79.6 years
STANDARD_DEVIATION 1.0 • n=5 Participants
75.8 years
STANDARD_DEVIATION 0.8 • n=7 Participants
75.3 years
STANDARD_DEVIATION 1.4 • n=5 Participants
78.8 years
STANDARD_DEVIATION 1.0 • n=4 Participants
77.5 years
STANDARD_DEVIATION 1.0 • n=21 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
15 Participants
n=7 Participants
6 Participants
n=5 Participants
11 Participants
n=4 Participants
43 Participants
n=21 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
10 Participants
n=7 Participants
6 Participants
n=5 Participants
7 Participants
n=4 Participants
34 Participants
n=21 Participants

PRIMARY outcome

Timeframe: One Year

Population: Required maintenance on device limited data collection for part of the study population.

As measured within the central ring of the multifocal electroretinography study this measurement is the difference between the first positive peak (P1) and the first negative peak (N1).

Outcome measures

Outcome measures
Measure
Monthly Ranibizumab
n=22 Participants
Intravitreal ranibizumab injections monthly for entire study.
PRN Ranibizumab
n=29 Participants
Intravitreal ranibizumab injections monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Ranibizumab 0.5 mg
n=31 Participants
Intravitreal ranibizumab 0.5 mg dosing
Ranibizumab 2.0 mg
n=20 Participants
Intravitreal ranibizumab 2.0 mg dosing.
Multifocal Electroretinography N1-P1 Amplitude
Baseline
3.6 nV/deg^2
Standard Error 0.4
5.3 nV/deg^2
Standard Error 0.4
4.9 nV/deg^2
Standard Error 0.4
4.0 nV/deg^2
Standard Error 0.4
Multifocal Electroretinography N1-P1 Amplitude
1-year
3.4 nV/deg^2
Standard Error 0.4
4.7 nV/deg^2
Standard Error 0.4
4.4 nV/deg^2
Standard Error 0.4
3.6 nV/deg^2
Standard Error 0.4

PRIMARY outcome

Timeframe: One Year

Population: For 4 patients, data was unavailable on microperimetry from all visits (including screening).

Outcome measures

Outcome measures
Measure
Monthly Ranibizumab
n=32 Participants
Intravitreal ranibizumab injections monthly for entire study.
PRN Ranibizumab
n=41 Participants
Intravitreal ranibizumab injections monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Ranibizumab 0.5 mg
n=43 Participants
Intravitreal ranibizumab 0.5 mg dosing
Ranibizumab 2.0 mg
n=30 Participants
Intravitreal ranibizumab 2.0 mg dosing.
Microperimetry Mean Sensitivity
Baseline
5.5 dB
Standard Error 0.8
5.1 dB
Standard Error 0.7
5.7 dB
Standard Error 0.7
4.6 dB
Standard Error 0.8
Microperimetry Mean Sensitivity
1-year
6.7 dB
Standard Error 0.7
7.3 dB
Standard Error 0.8
7.3 dB
Standard Error 0.7
6.6 dB
Standard Error 1.0

SECONDARY outcome

Timeframe: One Year

Outcome measures

Outcome measures
Measure
Monthly Ranibizumab
n=34 Participants
Intravitreal ranibizumab injections monthly for entire study.
PRN Ranibizumab
n=43 Participants
Intravitreal ranibizumab injections monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Ranibizumab 0.5 mg
n=47 Participants
Intravitreal ranibizumab 0.5 mg dosing
Ranibizumab 2.0 mg
n=30 Participants
Intravitreal ranibizumab 2.0 mg dosing.
Best Corrected Visual Acuity
1-year
56.4 Letters
Standard Error 3.8
58.6 Letters
Standard Error 3.4
55.4 Letters
Standard Error 3.4
61.1 Letters
Standard Error 3.6
Best Corrected Visual Acuity
Baseline
48.7 Letters
Standard Error 4.0
52.6 Letters
Standard Error 3.3
48.6 Letters
Standard Error 3.5
54.5 Letters
Standard Error 3.6

SECONDARY outcome

Timeframe: One Year

Outcome measures

Outcome measures
Measure
Monthly Ranibizumab
n=34 Participants
Intravitreal ranibizumab injections monthly for entire study.
PRN Ranibizumab
n=43 Participants
Intravitreal ranibizumab injections monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Ranibizumab 0.5 mg
n=47 Participants
Intravitreal ranibizumab 0.5 mg dosing
Ranibizumab 2.0 mg
n=30 Participants
Intravitreal ranibizumab 2.0 mg dosing.
Central Foveal Thickness on Optical Coherence Tomography
Baseline
341.2 micrometers
Standard Error 21.9
298.1 micrometers
Standard Error 16.8
308.2 micrometers
Standard Error 14.9
331.1 micrometers
Standard Error 26.2
Central Foveal Thickness on Optical Coherence Tomography
1-year
246.8 micrometers
Standard Error 17.0
227.9 micrometers
Standard Error 12.2
231.7 micrometers
Standard Error 14.3
242.7 micrometers
Standard Error 13.3

Adverse Events

Monthly Ranibizumab 0.5 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

PRN Ranibizumab 0.5 mg

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Monthly Ranibizumab 2.0 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PRN Ranibizumab 2.0 mg

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Monthly Ranibizumab 0.5 mg
n=22 participants at risk
Intravitreal ranibizumab 0.5 mg dosing monthly for entire study.
PRN Ranibizumab 0.5 mg
n=25 participants at risk
Intravitreal ranibizumab 0.5 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Monthly Ranibizumab 2.0 mg
n=12 participants at risk
Intravitreal ranibizumab 2.0 mg dosing monthly for entire study.
PRN Ranibizumab 2.0 mg
n=18 participants at risk
Intravitreal ranibizumab 2.0 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Eye disorders
Uveitic Glaucoma
0.00%
0/22
4.0%
1/25
0.00%
0/12
0.00%
0/18
Eye disorders
Vitreous Hemorrhage
0.00%
0/22
4.0%
1/25
0.00%
0/12
0.00%
0/18

Other adverse events

Other adverse events
Measure
Monthly Ranibizumab 0.5 mg
n=22 participants at risk
Intravitreal ranibizumab 0.5 mg dosing monthly for entire study.
PRN Ranibizumab 0.5 mg
n=25 participants at risk
Intravitreal ranibizumab 0.5 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Monthly Ranibizumab 2.0 mg
n=12 participants at risk
Intravitreal ranibizumab 2.0 mg dosing monthly for entire study.
PRN Ranibizumab 2.0 mg
n=18 participants at risk
Intravitreal ranibizumab 2.0 mg dosing monthly for initial 4 injections followed by as needed dosing based on the presence of fluid on optical coherence tomography imaging.
Eye disorders
Corneal Abrasion
0.00%
0/22
4.0%
1/25
0.00%
0/12
0.00%
0/18
Eye disorders
Injection Site Irritation
4.5%
1/22
4.0%
1/25
0.00%
0/12
0.00%
0/18

Additional Information

Dr. Ron Gallemore

Retina Macula Institute

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place