Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration

NCT ID: NCT01780935

Last Updated: 2017-08-14

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

671 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-03

Study Completion Date

2015-07-09

Brief Summary

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This study will evaluate and compare two individualized ranibizumab treatment regimens in patients with neovascular (wet) AMD aiming to achieve and to maintain a maximum visual function benefit, while aiming to avoid unnecessary intravitreal injections.

The results will be used to generate further recommendations on functional and anatomical monitoring of the disease and timing of treatment administration for patients with neovascular AMD. In this context, the study will investigate the utility of optical coherence tomography (OCT) to aid retreatment decisions with ranibizumab.

Detailed Description

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During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

Conditions

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Neovascular Age-related Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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RBZ 0.5 mg: VA only (Group I)

RBZ 0.5 mg: Visual Acuity (VA) only (Group I) 0.5 mg intravitreal injections of ranibizumab with retreatment based on best-corrected visual acuity (BCVA) loss due to neovascular (wet) age-related macular degeneration (nAMD)

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

Intravitreal injections of 0.5 mg Ranibizumab

RBZ 0.5 mg: VA and/or OCT (Group II)

RBZ 0.5 mg: VA and/or OCT (Group II) 0.5 mg intravitreal injections of ranibizumab with retreatment based on best-corrected visual acuity (BCVA)loss due to neovascular (wet) age-related macular degeneration (nAMD) and/or signs of wet AMD disease activity on optical coherence tomography (OCT).

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

Intravitreal injections of 0.5 mg Ranibizumab

Interventions

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Ranibizumab

Intravitreal injections of 0.5 mg Ranibizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Visual impairment predominantly due to neovascular age-related macular degeneration AMD
* Active, newly diagnosed, untreated CNV due to AMD
* CNV involving the center of the retina
* A qualifying vision score at study entry

Exclusion Criteria

* Stroke or myocardial infarction less than 3 Months prior to study entry
* Active injection or inflammation of either eye at the time of study entry
Minimum Eligible Age

50 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

Buenos Aires, , Argentina

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Ciudad Autonoma de Bs As, , Argentina

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Vienna, , Austria

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Vancouver, British Columbia, Canada

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Halifax, Nova Scotia, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Boisbriand, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Medellín, Antioquia, Colombia

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Bogotá, Cundinamarca, Colombia

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Olomouc, CZE, Czechia

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Brno, , Czechia

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Hradec Králové, , Czechia

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Prague, , Czechia

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HUS, , Finland

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Kuopio, , Finland

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Paris, , France

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Bonn, , Germany

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Chemnitz, , Germany

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Cologne, , Germany

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Darmstadt, , Germany

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Freiburg im Breisgau, , Germany

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München, , Germany

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Münster, , Germany

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Münster, , Germany

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Regensburg, , Germany

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Ampelokipoi, Athens, Greece

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Glyfada, Athens, Greece

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Athens, GR, Greece

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Ioannina, , Greece

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Guatemala City, , Guatemala

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Guatemala City, , Guatemala

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Szeged, , Hungary

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Veszprém, , Hungary

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Zalaegerszeg, , Hungary

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Dublin, , Ireland

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Waterford, , Ireland

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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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Kaunas, LTU, Lithuania

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Vilnius, , Lithuania

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Mexico City, Mexico City, Mexico

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's-Hertogenbosch, , Netherlands

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Nijmegen, , Netherlands

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Rotterdam, , Netherlands

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Panama City, , Panama

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Coimbra, , Portugal

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Lisbon, , Portugal

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Porto, , Portugal

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Bratislava, , Slovakia

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Bratislava, , Slovakia

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Nitra, , Slovakia

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Trenčín, , Slovakia

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Zvolen, , Slovakia

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Žilina, , Slovakia

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Bilbao, Basque Country, Spain

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Santiago de Compostela, Galicia, Spain

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Oviedo, Principality of Asturias, Spain

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Barcelona, , Spain

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Madrid, , Spain

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Linköping, , Sweden

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Bern, , Switzerland

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Geneva, , Switzerland

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Lausanne, , Switzerland

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Zurich, , Switzerland

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Frimley, Surrey, United Kingdom

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Belfast, , United Kingdom

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Bristol, , United Kingdom

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Cheshire, , United Kingdom

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Derby, , United Kingdom

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Gloucester, , United Kingdom

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Great Yarmouth, , United Kingdom

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Guildford, Surrey, , United Kingdom

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Hull, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Middlesbrough, , United Kingdom

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Rugby, , United Kingdom

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Southampton, , United Kingdom

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Wolverhampton, , United Kingdom

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York, , United Kingdom

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Countries

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Argentina Austria Canada Colombia Czechia Finland France Germany Greece Guatemala Hungary Ireland Italy Lithuania Mexico Netherlands Panama Portugal Slovakia Spain Sweden Switzerland Turkey (Türkiye) United Kingdom

References

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Staurenghi G, Garweg JG, Gerendas BS, Macfadden W, Gekkiev B, Margaron P, Dunger-Baldauf C, Kolar P. Functional versus functional and anatomical criteria-guided ranibizumab treatment in patients with neovascular age-related macular degeneration - results from the randomized, phase IIIb OCTAVE study. BMC Ophthalmol. 2020 Jan 9;20(1):18. doi: 10.1186/s12886-019-1251-6.

Reference Type DERIVED
PMID: 31918685 (View on PubMed)

Other Identifiers

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2011-004959-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRFB002A2405

Identifier Type: -

Identifier Source: org_study_id

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