Systemic Pharmacokinetics Following Intravitreal Injections of Anti-VEGF

NCT ID: NCT02118831

Last Updated: 2016-05-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2014-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Comparable data for bevacizumab and aflibercept are lacking, as are studies comparing the systemic levels of ranibizumab, bevacizumab, and aflibercept and their relative effects on circulating vascular endothelial growth factor. In the present prospective study, the investigators evaluated serum drug levels and plasma free vascular endothelial growth factor (VEGF) levels in patients with neovascular age-related macular degeneration following intravitreal injections of ranibizumab, bevacizumab and aflibercept.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Age-related Macular Degeneration Diabetic Macular Edema Retinal Vein Occlusion

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Aflibercept Blood Sample Collection

Blood samples will be collected from patients receiving aflibercept following the first and third dose of standard care therapy.

Group Type ACTIVE_COMPARATOR

Blood Sample Collection

Intervention Type BIOLOGICAL

Subjects will have their blood drawn for analysis following their first and third injections of anti-VEGF.

Aflibercept

Intervention Type DRUG

an intravitreal injection of Aflibercept administered three times on a monthly basis.

Bevacizumab Blood Sample Collection

Blood samples will be collected from patients receiving bevacizumab following the first and third dose of standard care therapy.

Group Type ACTIVE_COMPARATOR

Blood Sample Collection

Intervention Type BIOLOGICAL

Subjects will have their blood drawn for analysis following their first and third injections of anti-VEGF.

Bevacizumab

Intervention Type DRUG

an intravitreal injection of Bevacizumab administered three times on a monthly basis.

Ranibizumab Blood Sample Collection

Blood samples will be collected from patients receiving ranibizumab following the first and third dose of standard care therapy.

Group Type ACTIVE_COMPARATOR

Blood Sample Collection

Intervention Type BIOLOGICAL

Subjects will have their blood drawn for analysis following their first and third injections of anti-VEGF.

Ranibizumab

Intervention Type DRUG

an intravitreal injection of Ranibizumab administered three times on a monthly basis.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Blood Sample Collection

Subjects will have their blood drawn for analysis following their first and third injections of anti-VEGF.

Intervention Type BIOLOGICAL

Aflibercept

an intravitreal injection of Aflibercept administered three times on a monthly basis.

Intervention Type DRUG

Bevacizumab

an intravitreal injection of Bevacizumab administered three times on a monthly basis.

Intervention Type DRUG

Ranibizumab

an intravitreal injection of Ranibizumab administered three times on a monthly basis.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Eylea Avastin Lucentis

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Ability to provide written informed consent for participation in this study
* Subjects with a diagnosis of neovascular age-related macular degeneration, diabetic macular edema, or retinal vein occlusion who are either treatment naïve or more than 4 months out from a prior intravitreal anti-vascular endothelial growth factor injection

Exclusion Criteria

* Subjects unwilling to receive 3 monthly injections of anti-vascular endothelial growth factor as initial therapy
* Subjects who may need or have received systemic anti-vascular endothelial growth factor for oncology in the past year
* Subjects with history of another ocular disease other than neovascular age-related macular degeneration, diabetic macular edema, or retinal vein occlusion
* Subjects with history of vitrectomy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

California Retina Consultants

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Robert L Avery, MD

Role: PRINCIPAL_INVESTIGATOR

California Retina Consultants

Melvin D Rabena, BS

Role: STUDY_DIRECTOR

California Retina Consultants

References

Explore related publications, articles, or registry entries linked to this study.

Avery RL, Castellarin AA, Steinle NC, Dhoot DS, Pieramici DJ, See R, Couvillion S, Nasir MA, Rabena MD, Le K, Maia M, Visich JE. Systemic pharmacokinetics following intravitreal injections of ranibizumab, bevacizumab or aflibercept in patients with neovascular AMD. Br J Ophthalmol. 2014 Dec;98(12):1636-41. doi: 10.1136/bjophthalmol-2014-305252. Epub 2014 Jul 7.

Reference Type DERIVED
PMID: 25001321 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

ML28032

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Anti-VEGF in Real-world
NCT05222633 UNKNOWN
Analysis of Aqueous and Vitreous Humor
NCT02067013 UNKNOWN PHASE2