Trial Outcomes & Findings for Safety Study of 2.0mg Lucentis to Treat Polypoidal Choroidal Vasculopathy (NCT NCT01469156)

NCT ID: NCT01469156

Last Updated: 2022-12-12

Results Overview

Examples include 30 letter loss, major subretinal hemorrhage, involving 75% or more clinical macula (arcade to arcade), disease related vitreous hemorrhage, injection-related endophthalmitis, retinal detachment, vitreous hemorrhage, study drug/procedure - related uveitis, incidence and severity of other adverse events, as identified by physical examination, subject reporting, and changes in vital signs.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

20 participants

Primary outcome timeframe

2 years

Results posted on

2022-12-12

Participant Flow

Participant milestones

Participant milestones
Measure
Ranibizumab 1.0 or 2.0 mg (HIGH DOSE)
Intraocular injection of 2.0 mg/0.05 cc ranibizumab or 1.0mg/0.05cc ranibizumab. Photodynamic therapy with visudyne or laser photocoagulation or intravitreal steroids may be considered as monotherapy or in combination with Ranibizumab at the investigator's discretion if rescue criteria are met ranibizumab 0.5 or 2.0 mg/0.05 cc: ranibizumab (3:1 ratio of 2mg:0.5 mg ranibizumab) administered in three initial monthly doses followed by a 9 month period of criteria-based, as-needed retreatment and 12 month off drug safety follow up.
Ranibizumab 0.5 mg
Intraocular injection of 0.5 mg/0.05 cc ranibizumab. Photodynamic therapy with visudyne or laser photocoagulation or intravitreal steroids may be considered as monotherapy or in combination with Ranibizumab at the investigator's discretion if rescue criteria are met ranibizumab 0.5 or 2.0 mg/0.05 cc: ranibizumab (3:1 ratio of 2mg:0.5 mg ranibizumab) administered in three initial monthly doses followed by a 9 month period of criteria-based, as-needed retreatment and 12 month off drug safety follow up.
Overall Study
STARTED
15
5
Overall Study
COMPLETED
15
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety Study of 2.0mg Lucentis to Treat Polypoidal Choroidal Vasculopathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ranibizumab 1.0 or 2.0 mg (HIGH DOSE)
n=15 Participants
Intraocular injection of 2.0 mg/0.05 cc ranibizumab. Photodynamic therapy with visudyne or laser photocoagulation or intravitreal steroids may be considered as monotherapy or in combination with Ranibizumab at the investigator's discretion if rescue criteria are met ranibizumab 0.5 or 2.0 mg/0.05 cc: ranibizumab (3:1 ratio of 2mg:0.5 mg ranibizumab) administered in three initial monthly doses followed by a 9 month period of criteria-based, as-needed retreatment and 12 month off drug safety follow up.
Ranibizumab 0.5 mg
n=5 Participants
Intraocular injection of 0.5 mg/0.05 cc ranibizumab. Photodynamic therapy with visudyne or laser photocoagulation or intravitreal steroids may be considered as monotherapy or in combination with Ranibizumab at the investigator's discretion if rescue criteria are met ranibizumab 0.5 or 2.0 mg/0.05 cc: ranibizumab (3:1 ratio of 2mg:0.5 mg ranibizumab) administered in three initial monthly doses followed by a 9 month period of criteria-based, as-needed retreatment and 12 month off drug safety follow up.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
5 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants
5 Participants
n=7 Participants
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Examples include 30 letter loss, major subretinal hemorrhage, involving 75% or more clinical macula (arcade to arcade), disease related vitreous hemorrhage, injection-related endophthalmitis, retinal detachment, vitreous hemorrhage, study drug/procedure - related uveitis, incidence and severity of other adverse events, as identified by physical examination, subject reporting, and changes in vital signs.

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=5 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=15 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Total Ocular and Notable Systemic AEs
4 Adverse events
24 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Blurred or decreased vision
0 Adverse events
6 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Dark Spots
0 Adverse events
3 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Superior hemorrhage
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Increased Choroidal Neovascularization
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Progression of edema
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Floaters
2 Adverse events
4 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Injection site or ocular pain
0 Adverse events
2 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Increased Cataracts
0 Adverse events
2 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Subretinal hemorrhage
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Corneal abrasion
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Trace epiretinal membrane
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Flashes
0 Adverse events
1 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Light sensitivity
1 Adverse events
0 Adverse events
Incidence and Severity of Ocular and Systemic Adverse Events Will be Compared Between the 2.0mg or 1.0mg (HIGH DOSE) and 0.5 mg Groups.
Elevated blood pressure
1 Adverse events
0 Adverse events

SECONDARY outcome

Timeframe: 12 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Mean Best Corrected Visual Acuity Letter Change at 4 Meters Between Baseline and 12 Months
6.7 letters
Interval -3.0 to 25.0
-5 letters
Interval -25.0 to 9.0

SECONDARY outcome

Timeframe: 12 Months

Population: Randomized in a 3:1 ratio

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Change in Mean Central Foveal Thickness From Baseline
-49.7 um
Standard Deviation 100.71
94.4 um
Standard Deviation 89.6

SECONDARY outcome

Timeframe: 12 Months

Population: Randomized in a 3:1 ratio

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Mean Change From Baseline in Total Area of FA CNV Leakage Over 12 Months
2.38 mm^2
Interval -1.12 to 8.71
-0.38 mm^2
Interval -1.12 to -0.02

SECONDARY outcome

Timeframe: 3 Months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 3 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
5-9 letters
3 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
10-14 letters
2 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
15 letters or more
3 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
Less than 5 letters
6 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
Unevaluable
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 6 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 6 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
5 letters
3 Participants
1 Participants
Number of Participants at Month 6 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
10 letters
1 Participants
0 Participants
Number of Participants at Month 6 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
15 or more letters
4 Participants
0 Participants

SECONDARY outcome

Timeframe: 9 Months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 9 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
5 letters
3 Participants
0 Participants
Number of Participants at Month 9 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
10 letters
3 Participants
0 Participants
Number of Participants at Month 9 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
15 letters
2 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 Months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 12 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
5 letters
4 Participants
1 Participants
Number of Participants at Month 12 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
10 letters
1 Participants
0 Participants
Number of Participants at Month 12 With Best Corrected Visual Acuity Gain of 5, 10, and 15 or More Letters
15 letters
3 Participants
0 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Mean Change Best Corrected Visual Acuity at 4 Meters at Baseline, Month 3, Month 6, Month 9, and Month 12
Mean Change Baseline - M3
9.87 letters
Standard Deviation 15.27
-2.8 letters
Standard Deviation 32.71
Mean Change Best Corrected Visual Acuity at 4 Meters at Baseline, Month 3, Month 6, Month 9, and Month 12
Mean Change Baseline - M6
10.23 letters
Standard Deviation 33.51
-3.6 letters
Standard Deviation 2.35
Mean Change Best Corrected Visual Acuity at 4 Meters at Baseline, Month 3, Month 6, Month 9, and Month 12
Mean Change Baseline - M9
10.93 letters
Standard Deviation 43.81
-6.8 letters
Standard Deviation 9.08
Mean Change Best Corrected Visual Acuity at 4 Meters at Baseline, Month 3, Month 6, Month 9, and Month 12
Mean Change Baseline - M12
6.37 letters
Standard Deviation 26.02
-7.3 letters
Standard Deviation 20.11

SECONDARY outcome

Timeframe: 3 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 3 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
5 letters
1 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
10 letters
0 Participants
0 Participants
Number of Participants at Month 3 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
15 letters
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 6 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 6 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
15 letters
1 Participants
0 Participants
Number of Participants at Month 6 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
5 letters
0 Participants
1 Participants
Number of Participants at Month 6 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
10 letters
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 9 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 9 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
5 letters
0 Participants
0 Participants
Number of Participants at Month 9 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
10 letters
0 Participants
0 Participants
Number of Participants at Month 9 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
15 letters
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Randomized in a 3:1 ratio - number in participant flow is 20

Outcome measures

Outcome measures
Measure
Control Group: Ranibizumab 0.5mg
n=15 Participants
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=5 Participants
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Number of Participants at Month 12 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
5 letters
0 Participants
1 Participants
Number of Participants at Month 12 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
10 letters
0 Participants
0 Participants
Number of Participants at Month 12 With Best Corrected Visual Acuity Loss at 4 Meters of 5, 10 and 15 or More Letters
15 letters
0 Participants
1 Participants

Adverse Events

Control Group: Ranibizumab 0.5mg

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

Ranibizumab 1.0mg or 2.0mg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Control Group: Ranibizumab 0.5mg
n=5 participants at risk
standard-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Ranibizumab 1.0mg or 2.0mg
n=15 participants at risk
high-dose ranibizumab in 3 monthly loading doses, followed by 9 months of criteria-based, as-needed retreatment
Eye disorders
Affected vision
20.0%
1/5 • Number of events 3
40.0%
6/15 • Number of events 14
Eye disorders
Intravitreal injection side effects
0.00%
0/5
13.3%
2/15 • Number of events 3
Eye disorders
Increased cataract
0.00%
0/5
13.3%
2/15 • Number of events 2
Eye disorders
Superior hemorrhage
0.00%
0/5
6.7%
1/15 • Number of events 1
Eye disorders
Increased Choroidal neovascularization
0.00%
0/5
6.7%
1/15 • Number of events 1
Eye disorders
Corneal Abrasion
0.00%
0/5
6.7%
1/15 • Number of events 1
Eye disorders
Trace epiretinal membrane
0.00%
0/5
6.7%
1/15 • Number of events 1
Cardiac disorders
Progression of edema
0.00%
0/5
6.7%
1/15 • Number of events 1
Cardiac disorders
Elevated Blood pressure
20.0%
1/5 • Number of events 1
0.00%
0/15

Additional Information

Dr. Dennis Marcus

Southeast Retina Center

Phone: 706-650-0061

Results disclosure agreements

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