Trial Outcomes & Findings for Systemic Pharmacokinetics Following Intravitreal Injections of Anti-VEGF (NCT NCT02118831)

NCT ID: NCT02118831

Last Updated: 2016-05-19

Results Overview

Maximum serum levels of ranibizumab, bevacizumab or aflibercept will be measured after the first and third injections, up to 28 days following each treatment.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

56 participants

Primary outcome timeframe

Up to 4 months

Results posted on

2016-05-19

Participant Flow

patients were recruited at a single private medical clinic between May of 2012 through October 2013

Participant milestones

Participant milestones
Measure
Aflibercept
Blood samples will be collected from patients receiving aflibercept following the first and third dose of standard care therapy. Aflibercept: Subjects will receive intravitreal aflibercept as part of their routine medical care.
Bevacizumab
Blood samples will be collected from patients receiving bevacizumab following the first and third dose of standard care therapy. Bevacizumab: Subjects will receive intravitreal bevacizumab as part of their routine medical care.
Ranibizumab
Blood samples will be collected from patients receiving ranibizumab following the first and third dose of standard care therapy. Ranibizumab: Subjects will receive intravitreal ranibizumab injections as part of their routine medical care.
Overall Study
STARTED
21
15
20
Overall Study
COMPLETED
21
15
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Systemic Pharmacokinetics Following Intravitreal Injections of Anti-VEGF

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aflibercept
n=21 Participants
Blood samples will be collected from patients receiving aflibercept following the first and third dose of standard care therapy. Aflibercept: Subjects will receive intravitreal aflibercept as part of their routine medical care.
Bevacizumab
n=15 Participants
Blood samples will be collected from patients receiving bevacizumab following the first and third dose of standard care therapy. Bevacizumab: Subjects will receive intravitreal bevacizumab as part of their routine medical care.
Ranibizumab
n=20 Participants
Blood samples will be collected from patients receiving ranibizumab following the first and third dose of standard care therapy. Ranibizumab: Subjects will receive intravitreal ranibizumab injections as part of their routine medical care.
Total
n=56 Participants
Total of all reporting groups
Age, Continuous
75 years
STANDARD_DEVIATION 4 • n=5 Participants
75 years
STANDARD_DEVIATION 3 • n=7 Participants
77 years
STANDARD_DEVIATION 5 • n=5 Participants
76 years
STANDARD_DEVIATION 4 • n=4 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
27 Participants
n=4 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
29 Participants
n=4 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
15 participants
n=7 Participants
20 participants
n=5 Participants
56 participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 4 months

Maximum serum levels of ranibizumab, bevacizumab or aflibercept will be measured after the first and third injections, up to 28 days following each treatment.

Outcome measures

Outcome measures
Measure
Aflibercept
n=21 Participants
Blood samples will be collected from patients receiving aflibercept following the first and third dose of standard care therapy. Aflibercept: Subjects will receive intravitreal aflibercept as part of their routine medical care.
Bevacizumab
n=15 Participants
Blood samples will be collected from patients receiving bevacizumab following the first and third dose of standard care therapy. Bevacizumab: Subjects will receive intravitreal bevacizumab as part of their routine medical care.
Ranibizumab
n=20 Participants
Blood samples will be collected from patients receiving ranibizumab following the first and third dose of standard care therapy. Ranibizumab: Subjects will receive intravitreal ranibizumab injections as part of their routine medical care.
Serum Pharmacokinetics Following Treatment From 1st and 3rd Doses
After 3rd dose
0.58 nM
Standard Deviation 0.52
1.47 nM
Standard Deviation 0.55
0.07 nM
Standard Deviation 0.05
Serum Pharmacokinetics Following Treatment From 1st and 3rd Doses
After 1st dose
0.45 nM
Standard Deviation 0.29
0.76 nM
Standard Deviation 0.31
0.11 nM
Standard Deviation 0.13

SECONDARY outcome

Timeframe: baseline and month 4

Minimum serum levels of free vascular endothelial growth factor will be measured at baseline and at 4 months following treatment (one month after last treatment).

Outcome measures

Outcome measures
Measure
Aflibercept
n=21 Participants
Blood samples will be collected from patients receiving aflibercept following the first and third dose of standard care therapy. Aflibercept: Subjects will receive intravitreal aflibercept as part of their routine medical care.
Bevacizumab
n=15 Participants
Blood samples will be collected from patients receiving bevacizumab following the first and third dose of standard care therapy. Bevacizumab: Subjects will receive intravitreal bevacizumab as part of their routine medical care.
Ranibizumab
n=20 Participants
Blood samples will be collected from patients receiving ranibizumab following the first and third dose of standard care therapy. Ranibizumab: Subjects will receive intravitreal ranibizumab injections as part of their routine medical care.
Change in Minimum Serum Levels of Free Vascular Endothelial Growth Factor From Baseline to Month 4 (One Month After Last Treatment)
Baseline
19.2 pg/mL
Interval 15.3 to 23.1
22.5 pg/mL
Interval 17.3 to 27.6
17.0 pg/mL
Interval 11.6 to 22.5
Change in Minimum Serum Levels of Free Vascular Endothelial Growth Factor From Baseline to Month 4 (One Month After Last Treatment)
Month 4
11.3 pg/mL
Interval 8.5 to 14.2
10.6 pg/mL
Interval 6.9 to 14.1
17.0 pg/mL
Interval 13.2 to 21.7

Adverse Events

Aflibercept

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

Bevacizumab

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

Ranibizumab

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Director of Research

California Retina Consultants

Phone: 8059631648

Results disclosure agreements

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