Efficacy and Safety of Ranibizumab in Patients With Visual Impairment Due to Choroidal Neovascularization Secondary to Pathologic Myopia

NCT ID: NCT01217944

Last Updated: 2014-02-10

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

277 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2012-08-31

Brief Summary

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This study is designed to evaluate the efficacy and safety of two different dosing regimens of 0.5 mg ranibizumab given as intravitreal injection in comparison to verteporfin PDT in patients with visual impairment due to choroidal neovascularization (CNV) secondary to pathologic myopia (PM).

Detailed Description

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Conditions

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Pathological Myopia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Ranibizumab driven by disease activity

Participants received active ranibizumab on day 1. Thereafter they received ranibizumab treatment based on disease activity criteria

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

0.5 mg ranibizumab intravitreal injection

Sham Ranibizumab

Intervention Type DRUG

Empty vial to mimic the intravitreal injection

Sham verteporfin PDT

Intervention Type DRUG

Sham vPDT intravenous infusion of dextrose 5% solution followed by light application (PDT).

Ranibizumab driven by stabilization criteria

Participants received ranibizumab on day 1 and month 1. Thereafter they received ranibizumab based on stabilization criteria for visual acuity

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

0.5 mg ranibizumab intravitreal injection

Sham Ranibizumab

Intervention Type DRUG

Empty vial to mimic the intravitreal injection

Sham verteporfin PDT

Intervention Type DRUG

Sham vPDT intravenous infusion of dextrose 5% solution followed by light application (PDT).

Verteporfin PDT

Participants received active vPDT on day 1. From month 3 onwards participants could receive ranibizumab, vPDT or a combination of the two if needed.

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

0.5 mg ranibizumab intravitreal injection

Verteporfin PDT

Intervention Type DRUG

Verteporfin (6 mg/m2) intravenous infusion

Sham Ranibizumab

Intervention Type DRUG

Empty vial to mimic the intravitreal injection

Sham verteporfin PDT

Intervention Type DRUG

Sham vPDT intravenous infusion of dextrose 5% solution followed by light application (PDT).

Interventions

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Ranibizumab

0.5 mg ranibizumab intravitreal injection

Intervention Type DRUG

Verteporfin PDT

Verteporfin (6 mg/m2) intravenous infusion

Intervention Type DRUG

Sham Ranibizumab

Empty vial to mimic the intravitreal injection

Intervention Type DRUG

Sham verteporfin PDT

Sham vPDT intravenous infusion of dextrose 5% solution followed by light application (PDT).

Intervention Type DRUG

Other Intervention Names

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vPDT

Eligibility Criteria

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Inclusion Criteria

* Visual impairment due to choroidal neovascularization (CNV) secondary to PM
* Best corrected visual acuity (BCVA) in the study eye \> 24 and \< 78 Early Treatment Diabetic Retinopathy Study (ETDRS) letters
* High myopia (\> -6D), anterior-posterior elongation \> 26 mm; posterior changes compatible with the pathologic myopia
* Either lesion types in the study eye: subfoveal, juxtafoveal, extrafoveal

Exclusion Criteria

* Patients with uncontrolled systemic or ocular diseases
* Blood pressure \> 150/90 mmHg
* History of pan-retinal, focal/grid laser photocoagulation or intraocular treatment with any anti-VEGF or vPDT in the study eye
* Intravitreal treatment with corticosteroids or intraocular surgery within last 3 months in the study eye
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Vienna, Austria, Austria

Site Status

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Linz, Upper Austria, Austria

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Vancouver, British Columbia, Canada

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Montreal, Quebec, Canada

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Bordeaux, France, France

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Dijon, , France

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Paris, , France

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Reims, , France

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Toulouse, , France

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Berlin, , Germany

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Bonn, , Germany

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Cologne, , Germany

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Freiburg im Breisgau, , Germany

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Hamburg, , Germany

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München, , Germany

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Münster, , Germany

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Münster, , Germany

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Nuremberg, , Germany

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Regensburg, , Germany

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Hong Kong, Hong Kong, Hong Kong

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Budapest, , Hungary

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Debrecen, , Hungary

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Mumbai, Maharashtra, India

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New Delhi, New Delhi, India

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Chennai, Tamil Nadu, India

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Madurai, Tamil Nadu, India

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Bangalore, , India

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Bari, BA, Italy

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Florence, FI, Italy

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Milan, MI, Italy

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Milan, MI, Italy

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Udine, UD, Italy

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Fukuoka, Fukuoka, Japan

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Fukushima, Fukushima, Japan

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Sapporo, Hokkaido, Japan

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Kita-gun, Kagawa-ken, Japan

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Kyoto, Kyoto, Japan

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Matsumoto, Nagano, Japan

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Hirakata, Osaka, Japan

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Suita, Osaka, Japan

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Bunkyo-ku, Tokyo, Japan

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Bunkyo-ku, Tokyo, Japan

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Chiyoda-ku, Tokyo, Japan

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Mitaka, Tokyo, Japan

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Riga, , Latvia

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Kaunas, , Lithuania

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Vilnius, , Lithuania

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Bielsko-Biala, , Poland

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Coimbra, , Portugal

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Porto, , Portugal

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Singapore, Singapore, Singapore

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Singapore, Singapore, Singapore

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Singapore, , Singapore

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Banská Bystrica, Slovak Republic, Slovakia

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Bratislava, Slovakia, Slovakia

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Seoul, Korea, South Korea

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Seoul, Korea, South Korea

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Seoul, Korea, South Korea

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Seoul, , South Korea

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Bilbao, Basque Country, Spain

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Valladolid, Castille and León, Spain

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L'Hospitalet de Llobregat, Catalonia, Spain

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Alicante, Valencia, Spain

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Bern, , Switzerland

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Geneva, , Switzerland

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Lausanne, , Switzerland

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Ankara, Turkey, Turkey (Türkiye)

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Ankara, Turkey, Turkey (Türkiye)

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Etlik / Ankara, , Turkey (Türkiye)

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Belfast, , United Kingdom

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Bristol, , United Kingdom

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Wolverhampton, , United Kingdom

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Countries

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Austria Canada France Germany Hong Kong Hungary India Italy Japan Latvia Lithuania Poland Portugal Singapore Slovakia South Korea Spain Switzerland Turkey (Türkiye) United Kingdom

References

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Ceklic L, Wolf-Schnurrbusch U, Gekkieva M, Wolf S. Visual acuity outcome in RADIANCE study patients with dome-shaped macular features. Ophthalmology. 2014 Nov;121(11):2288-9. doi: 10.1016/j.ophtha.2014.06.012. Epub 2014 Aug 8. No abstract available.

Reference Type DERIVED
PMID: 25109929 (View on PubMed)

Wolf S, Balciuniene VJ, Laganovska G, Menchini U, Ohno-Matsui K, Sharma T, Wong TY, Silva R, Pilz S, Gekkieva M; RADIANCE Study Group. RADIANCE: a randomized controlled study of ranibizumab in patients with choroidal neovascularization secondary to pathologic myopia. Ophthalmology. 2014 Mar;121(3):682-92.e2. doi: 10.1016/j.ophtha.2013.10.023. Epub 2013 Dec 8.

Reference Type DERIVED
PMID: 24326106 (View on PubMed)

Other Identifiers

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2010-021662-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRFB002F2301

Identifier Type: -

Identifier Source: org_study_id

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