Trial Outcomes & Findings for Aflibercept Injection for Proliferative Diabetic Retinopathy (NCT NCT01805297)

NCT ID: NCT01805297

Last Updated: 2023-12-27

Results Overview

Percentage of patients who had no vitreous hemorrhage before or at week 24

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

12 participants

Primary outcome timeframe

24 weeks

Results posted on

2023-12-27

Participant Flow

Participant milestones

Participant milestones
Measure
Vitrectomy With Aflibercept Injection
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Overall Study
STARTED
6
6
Overall Study
COMPLETED
4
3
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Optical Coherence Tomography performed only as visualization permitted

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vitrectomy With Aflibercept Injection
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, immediately following pars plana vitrectomy.
Standard Vitrectomy
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=6 Participants
5 Participants
n=6 Participants
11 Participants
n=12 Participants
Age, Categorical
>=65 years
0 Participants
n=6 Participants
1 Participants
n=6 Participants
1 Participants
n=12 Participants
Sex: Female, Male
Female
3 Participants
n=6 Participants
2 Participants
n=6 Participants
5 Participants
n=12 Participants
Sex: Female, Male
Male
3 Participants
n=6 Participants
4 Participants
n=6 Participants
7 Participants
n=12 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=6 Participants
1 Participants
n=6 Participants
2 Participants
n=12 Participants
Race (NIH/OMB)
Asian
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=6 Participants
0 Participants
n=6 Participants
1 Participants
n=12 Participants
Race (NIH/OMB)
White
4 Participants
n=6 Participants
5 Participants
n=6 Participants
9 Participants
n=12 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=6 Participants
0 Participants
n=6 Participants
0 Participants
n=12 Participants
Region of Enrollment
United States
6 participants
n=6 Participants
6 participants
n=6 Participants
12 participants
n=12 Participants
Mean visual acuity
13.8 number of letters read on ETDRS Chart
n=6 Participants
17.7 number of letters read on ETDRS Chart
n=6 Participants
15.9 number of letters read on ETDRS Chart
n=12 Participants
Intraocular pressure
14 mmHg
n=6 Participants
11.2 mmHg
n=6 Participants
12.6 mmHg
n=12 Participants
Central retinal thickness
304 Microns
n=1 Participants • Optical Coherence Tomography performed only as visualization permitted
305 Microns
n=1 Participants • Optical Coherence Tomography performed only as visualization permitted
304.5 Microns
n=2 Participants • Optical Coherence Tomography performed only as visualization permitted

PRIMARY outcome

Timeframe: 24 weeks

Percentage of patients who had no vitreous hemorrhage before or at week 24

Outcome measures

Outcome measures
Measure
Vitrectomy With Aflibercept Injection
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Rate of Resolved Post-operative Vitreous Hemorrhage.
6 Participants
5 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Patients who completed 24 week visit

Change in visual acuity measured using "Early Treatment of Diabetic Retinopathy Study" visual acuity charts and letter score difference from baseline to 6 month. A greater number indicates a higher increase in vision from the baseline score. A negative number would indicate that vision decreased.

Outcome measures

Outcome measures
Measure
Vitrectomy With Aflibercept Injection
n=4 Participants
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
n=3 Participants
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Mean Change in Visual Acuity
56.75 Number of letters Read
Interval 0.0 to 100.0
41.67 Number of letters Read
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: 24 weeks

Outcome measures

Outcome measures
Measure
Vitrectomy With Aflibercept Injection
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
n=6 Participants
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Need for Any Additional Surgical Intervention.
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 24 weeks

Population: Due to lack of clear view due to vitreous Hemorrhage, all but 2 patients were unable to have optical coherence tomography at baseline, and one these was lost to follow up. For this reason, data collected for the few patients who were able to have the test was not analyzed

The amount of thickness change in microns from baseline to 6 month visit. A positive number indicates an increase in thickness and a negative number would indicate a decrease in thickness.

Outcome measures

Outcome measures
Measure
Vitrectomy With Aflibercept Injection
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
n=1 Participants
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
Changes in Mean Central Retinal Thickness.
20 Microns

Adverse Events

Vitrectomy With Aflibercept Injection

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Standard Vitrectomy

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Vitrectomy With Aflibercept Injection
n=6 participants at risk
Preoperative 2.0mg intravitreal aflibercept and vitrectomy with intraoperative 2.0mg intravitreal aflibercept injection. Intravitreal Aflibercept Injection: One time 2.0mg aflibercept injection, following pars plana vitrectomy.
Standard Vitrectomy
n=6 participants at risk
Preoperative 2.0mg intravitreal aflibercept and standard of care vitrectomy. Standard Vitrectomy: Surgical intervention
General disorders
Headache
16.7%
1/6 • Number of events 1 • 6 months
50.0%
3/6 • Number of events 3 • 6 months
Musculoskeletal and connective tissue disorders
Broken Rib
0.00%
0/6 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
Eye disorders
Post operative ocular pain
50.0%
3/6 • Number of events 3 • 6 months
66.7%
4/6 • Number of events 4 • 6 months
Eye disorders
descemet's folds
0.00%
0/6 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
Bronchitis
0.00%
0/6 • 6 months
33.3%
2/6 • Number of events 2 • 6 months
Eye disorders
Subconjunctival Hemorrhage
33.3%
2/6 • Number of events 2 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
Eye disorders
vitreous haze
16.7%
1/6 • Number of events 1 • 6 months
0.00%
0/6 • 6 months
Eye disorders
cataract
0.00%
0/6 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
Eye disorders
Optic disc pallor
0.00%
0/6 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
Eye disorders
visual disturbance
16.7%
1/6 • Number of events 1 • 6 months
0.00%
0/6 • 6 months
Gastrointestinal disorders
Nausea
33.3%
2/6 • Number of events 2 • 6 months
0.00%
0/6 • 6 months
Eye disorders
vitreous hemorrhage
16.7%
1/6 • Number of events 1 • 6 months
0.00%
0/6 • 6 months
Eye disorders
photophobia
16.7%
1/6 • Number of events 1 • 6 months
0.00%
0/6 • 6 months
General disorders
tooth decay
16.7%
1/6 • Number of events 1 • 6 months
16.7%
1/6 • Number of events 1 • 6 months
General disorders
tongue injury
16.7%
1/6 • Number of events 1 • 6 months
0.00%
0/6 • 6 months
Eye disorders
ocular irritation
0.00%
0/6 • 6 months
16.7%
1/6 • Number of events 1 • 6 months

Additional Information

Robert E. Leonard, II, MD

Dean McGee Eye Institute

Phone: 405-271-6060

Results disclosure agreements

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