Efficacy and Safety of Ranibizumab With or Without Laser in Comparison to Laser in Branch Retinal Vein Occlusion

NCT ID: NCT01599650

Last Updated: 2016-11-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

455 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2015-05-31

Brief Summary

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This study will generate comparative data for 0.5-mg ranibizumab using PRN dosing administered with or without adjunctive laser treatment versus laser photocoagulation (the current standard of care) up to Month 6 in patients with visual impairment due to ME secondary to BRVO. Additionally the results of this study will provide long-term (24-month) safety and efficacy data for ranibizumab, administered with or without adjunctive laser treatment in this indication.

Detailed Description

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Conditions

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Branch Retinal Vein Occlusion

Keywords

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Macular Edema, Branch Retinal Vein Occlusion, visual impairment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1-ranibizumab monotherapy

Ranibizumab 0.5 mg

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

2-ranibizumab with laser

Ranibizumab 0.5 mg + laser

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

Laser

Intervention Type PROCEDURE

laser photocoagulation

3-laser monotherapy

Laser monotherapy with Ranibizumab 0.5 mg from Month 6

Group Type ACTIVE_COMPARATOR

Laser

Intervention Type PROCEDURE

laser photocoagulation

Interventions

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Ranibizumab

Intervention Type DRUG

Laser

laser photocoagulation

Intervention Type PROCEDURE

Other Intervention Names

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Lucentis

Eligibility Criteria

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Inclusion Criteria

* Written informed consent must be obtained before any study assessment is performed
* Diagnosis of visual impairment exclusively due to ME secondary to BRVO
* BCVA score at Screening and Baseline between 73 and 19 letters (ETDRS)

Exclusion Criteria

* Pregnant or nursing (lactating) women
* Stroke or myocardial infarction less than 3 months before Screening
* 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
* Neovascularization of the iris or neovascular glaucoma in the study eye
* Use of any systemic antivascular endothelial growth factor (anti-VEGF) drugs within 6 months before Baseline
* Panretinal laser photocoagulation within 3 months before Baseline or anticipated or scheduled within the next 3 months following Baseline in the study eye
* Focal or grid laser photocoagulation within 4 months before Baseline in the study eye
* Use of intra- or periocular corticosteroids (including sub-Tenon) within 3 months before Screening in the study eye
* Any use of intraocular corticosteroid implants (eg, dexamethasone \[Ozurdex®\], fluocinolone acetonide \[Iluvien®\]) 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

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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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Victoria, British Columbia, Canada

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Halifax, Nova Scotia, 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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Dijon, , France

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Lyon, , France

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Nice, , France

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Paris, , France

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Paris, , France

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Paris, , France

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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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Bari, , Italy

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Udine, , Italy

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Leiden 2333 ZA, Netherlands, 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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Bratislava, , 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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Madrid, Madrid, 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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Olten, Switzerland, Switzerland

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Zurich, Switzerland, Switzerland

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Bern, , Switzerland

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Lausanne, , Switzerland

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

Tadayoni R, Waldstein SM, Boscia F, Gerding H, Gekkieva M, Barnes E, Das Gupta A, Wenzel A, Pearce I; BRIGHTER Study Group. Sustained Benefits of Ranibizumab with or without Laser in Branch Retinal Vein Occlusion: 24-Month Results of the BRIGHTER Study. Ophthalmology. 2017 Dec;124(12):1778-1787. doi: 10.1016/j.ophtha.2017.06.027. Epub 2017 Aug 12.

Reference Type DERIVED
PMID: 28807635 (View on PubMed)

Tadayoni R, Waldstein SM, Boscia F, Gerding H, Pearce I, Priglinger S, Wenzel A, Barnes E, Gekkieva M, Pilz S, Mones J; BRIGHTER study group. Individualized Stabilization Criteria-Driven Ranibizumab versus Laser in Branch Retinal Vein Occlusion: Six-Month Results of BRIGHTER. Ophthalmology. 2016 Jun;123(6):1332-44. doi: 10.1016/j.ophtha.2016.02.030. Epub 2016 Mar 30.

Reference Type DERIVED
PMID: 27039022 (View on PubMed)

Other Identifiers

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2011-002859-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRFB002E2402

Identifier Type: -

Identifier Source: org_study_id