Ranibizumab Intravitreal Injections in Patients With Visual Impairment Due to Macular Edema Secondary to Central Retinal Vein Occlusion

NCT ID: NCT01535261

Last Updated: 2016-10-27

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

357 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2015-03-31

Brief Summary

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The present study provided additional efficacy and safety data for 0.5-mg ranibizumab using as needed (PRN) dosing over 24 months in patients with visual impairment due to macular edema secondary to Central Retinal Vein Occlusion (CRVO). Spectral domain high-definition optical coherence tomography (OCT) images was analyzed to gain insights into predictive factors for disease progression and the possibility of reduced monitoring was assessed in Year 2. The results of this open-label study provided long-term safety and efficacy data to further guide recommendations on the use of ranibizumab in this indication.

Detailed Description

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Conditions

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Macular Edema Central Retinal Vein Occlusion

Keywords

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Ophthalmology Ranibizumab Central Retinal Vein Occlusion

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ranibizumab arm

Intravitreal injection with standard dose of 0.5 mg/0.05mL PRN

Group Type EXPERIMENTAL

Ranibizumab 0.5 mg/0.05 ml

Intervention Type DRUG

Patients will receive the first dose at Baseline, as an intravitreal injection with a standard dose of 0.5 mg/0.05 ml. Patients will receive at least 3 study treatments at monthly intervals (Day 1, Month 1 and Month 2). The last mandatory dose during treatment initiation will be administered approximately 60 days after the first study treatment. If there is no improvement in VA over the course of the first 3 injections, continued treatment is not recommended and the patient may receive alternative treatment at the investigator's discretion.

Interventions

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Ranibizumab 0.5 mg/0.05 ml

Patients will receive the first dose at Baseline, as an intravitreal injection with a standard dose of 0.5 mg/0.05 ml. Patients will receive at least 3 study treatments at monthly intervals (Day 1, Month 1 and Month 2). The last mandatory dose during treatment initiation will be administered approximately 60 days after the first study treatment. If there is no improvement in VA over the course of the first 3 injections, continued treatment is not recommended and the patient may receive alternative treatment at the investigator's discretion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients ≥ 18 years of age
* Diagnosis of visual impairment exclusively due to ME secondary to CRVO
* BCVA score at Screening and Baseline between 73 and 19 letters Early Treatment Diabetic Retinopathy Study (ETDRS), inclusively (approximate Snellen chart equivalent of 20/40 and 20/400)

Exclusion Criteria

* Uncontrolled blood pressure defined as systolic value of \> 160 mm Hg or diastolic value of \> 100 mm Hg at Screening or Baseline.
* Any active periocular or ocular infection or inflammation at Screening or Baseline in either eye
* Uncontrolled glaucoma at Screening or Baseline or diagnosed within 6 months before Baseline in either eye
* Use of any systemic antivascular endothelial growth factor (anti-VEGF) drugs within 6 months before Baseline (eg, sorafenib \[Nexavar®\], sunitinib \[Sutent®\], bevacizumab \[Avastin®\])
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

Parramatta, New South Wales, Australia

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Sydney, New South Wales, Australia

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Melbourne, Victoria, Australia

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Nedlands, Western Australia, Australia

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Vienna, Austria, Austria

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Linz, , Austria

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Victoria, British Columbia, Canada

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London, Ontario, Canada

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Boisbriand, Quebec, Canada

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Montreal, Quebec, Canada

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Olomouc, , Czechia

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Prague, , Czechia

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Glostrup Municipality, , Denmark

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Pátrai, Greece, Greece

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Thessaloniki, Greece, Greece

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Athens, GR, Greece

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Heraklion Crete, GR, Greece

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Larissa, GR, Greece

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Thessaloniki, GR, Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Dublin, Ireland, Ireland

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Dublin, , Ireland

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Bologna, BO, 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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Roma, RM, Italy

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Torino, TO, Italy

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Udine, , Italy

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Leiden 2333 ZA, Netherlands, Netherlands

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Amsterdam, , Netherlands

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Nijmegen, , Netherlands

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Rotterdam, , Netherlands

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Tilburg, , Netherlands

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Bielsko-Biala, , Poland

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Gdansk, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Porto, Porto District, Portugal

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Coimbra, Portugal, Portugal

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Coimbra, Portugal, Portugal

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Porto, Portugal, Portugal

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Lisbon, , Portugal

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Lisbon, , Portugal

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Žilina, Slovak Republic, Slovakia

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Bratislava, Slovakia, Slovakia

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Banská Bystrica, , Slovakia

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Bilbao, Basque Country, Spain

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Valladolid, Castille and León, Spain

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Barcelona, Catalonia, Spain

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Barcelona, Catalonia, Spain

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L'Hospitalet de Llobregat, Catalonia, Spain

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Santiago de Compostela, Galicia, Spain

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Alicante, Valencia, Spain

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Valencia, Valencia, Spain

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Valencia, Valencia, Spain

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Örebro, , Sweden

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Zurich, Switzerland, Switzerland

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Bern, , Switzerland

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Lausanne, , Switzerland

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Ankara, Turkey, Turkey (Türkiye)

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Frimley, Surrey, United Kingdom

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London, United Kingdom, United Kingdom

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Belfast, , United Kingdom

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Birmingham, , United Kingdom

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Bristol, , United Kingdom

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Hull, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Plymouth, , United Kingdom

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Southampton, , United Kingdom

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Countries

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France Australia Austria Canada Czechia Denmark Greece Hungary Ireland Italy Netherlands Poland Portugal Slovakia Spain Sweden Switzerland Turkey (Türkiye) United Kingdom

References

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Pawloff M, Bogunovic H, Gruber A, Michl M, Riedl S, Schmidt-Erfurth U. SYSTEMATIC CORRELATION OF CENTRAL SUBFIELD THICKNESS WITH RETINAL FLUID VOLUMES QUANTIFIED BY DEEP LEARNING IN THE MAJOR EXUDATIVE MACULAR DISEASES. Retina. 2022 May 1;42(5):831-841. doi: 10.1097/IAE.0000000000003385.

Reference Type DERIVED
PMID: 34934034 (View on PubMed)

Larsen M, Waldstein SM, Priglinger S, Hykin P, Barnes E, Gekkieva M, Das Gupta A, Wenzel A, Mones J; CRYSTAL Study Group. Sustained Benefits from Ranibizumab for Central Retinal Vein Occlusion with Macular Edema: 24-Month Results of the CRYSTAL Study. Ophthalmol Retina. 2018 Feb;2(2):134-142. doi: 10.1016/j.oret.2017.05.016. Epub 2017 Sep 9.

Reference Type DERIVED
PMID: 31047340 (View on PubMed)

Other Identifiers

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2011-002350-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRFB002E2401

Identifier Type: -

Identifier Source: org_study_id