Comparison of Pharmacokinetics of and Effect on Systemic VEGF Levels in Age Related Macular Degeneration Patients

NCT ID: NCT02296567

Last Updated: 2015-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-07-31

Brief Summary

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To demonstrate the effects of Lucentis (ranibizumab), Avastin ( bevacizumab), and Eylea ( aflibercept) on the levels of naturally occurring Vascular Endothelial Growth Factor (VEGF) in the systemic circulation of Age Related Macular Degeneration patients currently treated with these medications.

Detailed Description

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To determine plasma levels of VEGF and serum Pharmacokinetic (PK) levels after varying lengths of time following intravitreal injection with Avastin, Lucentis, or Eylea in exudative macular degeneration. Patients will be tested while following a normal course of treatment in our institute. All screenings and testing will be conducted in three study visits.

Conditions

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Age Related Macular Degeneration

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Group 1 Lucentis 4 weeks

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

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.

Group 2 Avastin 4 weeks

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

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care.

Group 3 Eylea 4 weeks

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

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care.

Group 4 Lucentis 6 weeks

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

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.

Group 5 Avastin 6 weeks

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

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care

Group 6 Eylea 6 weeks

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

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care

Group 7 Lucentis 8 weeks

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

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care

Group 8 Avastin 8 weeks

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

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

Drug: Bevacizumab Subjects will receive intravitreal bevacizumab as part of their routine medical care

Group 9 Eylea 8 weeks

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

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care

Group 10 Control Group no treatment

Blood samples will be collected from patients who are not receiving anti-VEGF treatment.

Group Type ACTIVE_COMPARATOR

Control Group

Intervention Type OTHER

Control group Subjects will no previous anti-VEGF treatment

Interventions

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Ranibizumab

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.

Intervention Type DRUG

Bevacizumab

Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care.

Intervention Type DRUG

Aflibercept

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care.

Intervention Type DRUG

Ranibizumab

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.

Intervention Type DRUG

Bevacizumab

Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care

Intervention Type DRUG

Aflibercept

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care

Intervention Type DRUG

Ranibizumab

Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care

Intervention Type DRUG

Bevacizumab

Drug: Bevacizumab Subjects will receive intravitreal bevacizumab as part of their routine medical care

Intervention Type DRUG

Aflibercept

Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care

Intervention Type DRUG

Control Group

Control group Subjects will no previous anti-VEGF treatment

Intervention Type OTHER

Other Intervention Names

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Lucentis Avastin Eylea Lucentis Avastin Eylea Lucentis Avastin Eylea

Eligibility Criteria

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Inclusion Criteria

1. Ability to provide written informed consent for participation in this study.
2. Adults ≥ 50 years of age with exudative macular degeneration treated with Avastin, Lucentis, or Eylea in previously determined time intervals exclusive to a single anti-VEGF treatment type for not than three months.
3. CONTROL GROUP: Age matched control group with no previously diagnosed exudative macular degeneration will also be enrolled.
4. Provide signed informed consent.

Exclusion Criteria

1. Uncontrolled blood pressure (defined as systolic \> 160mm Hg or Diastolic \> 95mm Hg while patient is sitting)
2. Uncontrolled diabetes mellitus defined by Hemoglobin A1c (HbA1C \> 12% at screening)
3. Concomitant ocular or systemic administration of drugs that may interfere with or potentiate the mechanism of action of anti-VEGF medications.
4. Previous administration of systemic anti-angiogenic medications within 3 months
5. Participation in a simultaneous medical investigation or trial.
6. Treatment within 2 months with anti-VEGF agent in the fellow eye or anticipated need for further treatment during the study.
7. Patients with any cancer diagnosis in remission for less than five years with the exception that patients with skin cancers, basal cell or squamous cell, treated exclusively or topical treatment will be allowed.
8. Female patients who have not reached menopause, defined as cessation of menses for a minimum of twelve months with no perimenopausal symptoms.
9. Patients who have significant wound healing during the trial.
10. Patients with a history of vitrectomy in the study eye.
11. patients with uncontrolled psoriasis, rheumatoid arthritis, osteoarthritis.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

East Florida Eye Institute

OTHER

Sponsor Role lead

Responsible Party

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Ronald E. Frenkel, MD

Prinicipal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ronald E Frenkel, MD

Role: PRINCIPAL_INVESTIGATOR

East Florida Eye Institute

Locations

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East Florida Eye Institute

Stuart, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ronald E. Frenkel, MD

Role: CONTACT

772.287.9000

Facility Contacts

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Ronald E. Frenkel, MD

Role: primary

772-287-9000

Other Identifiers

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ML29189

Identifier Type: -

Identifier Source: org_study_id

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