Real Life of Aflibercept in France in Patients Refractory to Ranibizumab: Observational Study in Wet AMD

NCT ID: NCT02321241

Last Updated: 2018-07-02

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

COMPLETED

Total Enrollment

236 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-02-01

Study Completion Date

2017-08-18

Brief Summary

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The aim of the TITAN study is to describe the clinical practices of a cohort of patients with wAMD refractory to ranibizumab (persistence of intra-retinal and/or subretinal fluid) who switch to aflibercept after less than 12 months of ranibizumab treatment.

The study will be conducted in real-life conditions and will allow describing conditions of use of aflibercept in patients refractory to ranibizumab

Detailed Description

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The study is both retrsopective and prospective to collect local real life data on patients under routine treatment.

The observation periods starts on January 2014. Patients who initiated a treatment by Aflibercept between the 1st of january 2014 and the 31 December 2015 will be enrolled.

Conditions

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Wet Macular Degeneration

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Group 1

According to the recommendations of the Summary of Products Characteristics (SmPC) Administration by intravitreal injection

Aflibercept (EYLEA, BAY-86-5321)

Intervention Type DRUG

1. st year: 3 monthly injections followed by 1 injection every two months
2. nd year and following: injection according the visual and anatomical results observed the 1st year

Interventions

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Aflibercept (EYLEA, BAY-86-5321)

1. st year: 3 monthly injections followed by 1 injection every two months
2. nd year and following: injection according the visual and anatomical results observed the 1st year

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Man or woman \> 18 years old
* Patient with wAMD previously treated with ranibizumab (for less than 12 months before initiation of Aflibercept)
* Refractory to ranibizumab (defined by persistent fluid despite a treatment conducted according to the HAS French recommendations with at least 3 loading doses injections)
* Patient who switched to aflibercept (Eylea) between 1st of January 2014 and 30th June 2015
* Written informed consent given

Exclusion Criteria

* Patient who do not meet the local indication criteria for aflibercept treatment. Contraindications listed in the local SmPC (Summary of Product Characteristics) have to be considered
* Recurrent patients with wAMD previously treated with ranibizumab and switched to aflibercept because of a high recurrence rate (recurrent patients described by Yonegawa et al.in AJO (American Journal of Ophthalmology )2013= exudation suppressed but high rate of injections)
* Patient who have been previously treated by any macular laser Visudyne/PD (Photodynamic therapy)
* Patient with a Visual Acuity (VA) \<1/10
* Patient with Fibrosis involving Macula
* Patient with atrophic AMD
* Patient with any other retinal disease as myopia, diabetic retinopathy, diabetic macular oedema,chorioretinal anastomosis (CRA),, angioid streaks
* Patients taking part in an interventional study at the time of enrolment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Multiple Locations, , France

Site Status

Countries

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France

References

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Razavi S, Kodjikian L, Giocanti-Auregan A, Dufour I, Souied E. Efficacy and safety of intravitreal aflibercept in ranibizumab-refractory patients with neovascular age-related macular degeneration. BMC Ophthalmol. 2021 Feb 17;21(1):90. doi: 10.1186/s12886-021-01841-6.

Reference Type DERIVED
PMID: 33596867 (View on PubMed)

Other Identifiers

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EY1413FR

Identifier Type: OTHER

Identifier Source: secondary_id

17405

Identifier Type: -

Identifier Source: org_study_id

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