RAINBOW Study: RAnibizumab Compared With Laser Therapy for the Treatment of INfants BOrn Prematurely With Retinopathy of Prematurity

NCT ID: NCT02375971

Last Updated: 2018-11-14

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

PHASE3

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-30

Study Completion Date

2017-12-14

Brief Summary

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

The purpose of this study was to determine if intravitreal ranibizumab is superior to laser ablation therapy in the treatment of retinopathy of prematurity (ROP).

Detailed Description

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

The study consisted of a screening period (screening and randomization could occur up to 3 days before the administration of the first investigational treatment), followed by a treatment and follow-up period (Day 1 to Day 169).

Conditions

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

Retinopathy of Prematurity

Study Design

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

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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

Ranibizumab 0.2 mg

1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

Administered as an intravitreal injection

Ranibizumab 0.1 mg

1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required

Group Type EXPERIMENTAL

Ranibizumab

Intervention Type DRUG

Administered as an intravitreal injection

Laser therapy

Laser treatment to each eye on Day 1 (Baseline), with supplementary treatments allowed

Group Type ACTIVE_COMPARATOR

Laser therapy

Intervention Type PROCEDURE

Transpupillary diode or frequency-doubled yttrium aluminum garnet (YAG) laser ablative therapy, following anesthesia or sedation

Interventions

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

Ranibizumab

Administered as an intravitreal injection

Intervention Type DRUG

Laser therapy

Transpupillary diode or frequency-doubled yttrium aluminum garnet (YAG) laser ablative therapy, following anesthesia or sedation

Intervention Type PROCEDURE

Eligibility Criteria

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

Inclusion Criteria

* preterm infants with a birth weight of less than 1500 g
* bilateral ROP with one of the following retinal findings in each eye: Zone I, stage 1+, 2+, 3 or 3+ disease, or Zone II, stage 3+ disease, or Aggressive posterior retinopathy of prematurity (AP-ROP)

Exclusion Criteria

* ROP disease characteristic in either eye other than that listed above at the time of the first investigational treatment
* A history of hypersensitivity (either the patient or the mother) to any of the investigational treatments or to drugs of similar chemical classes
* Had received any previous surgical or nonsurgical treatment for ROP (e.g., ablative laser therapy or cryotherapy, vitrectomy)
* Had been previously exposed to any intravitreal or systemic anti-VEGF agent (either the patient or the mother during this child's pregnancy)
* Had used (either the patient or the mother) other investigational drugs as part of another clinical study (other than vitamins and minerals) within 30 days or within 5 half-lives of the other investigational drug, whichever was longer
* Had ocular structural abnormalities that were assessed by the Investigator to have had a clinically significant impact on study assessments
* Had active ocular infection within 5 days before or on the day of first investigational treatment
* Had a history of hydrocephalus requiring treatment
* Had a history of any other neurological conditions that are assessed by the Investigator to have a significant risk of severe impact on visual function
* Had any other medical conditions or clinically significant comorbidities or personal circumstances that were assessed by the Investigator to have a clinically relevant impact on study participation, any of the study procedures, or on efficacy assessments (e.g., poor life expectancy, pupil not able to be adequately dilated, unable to comply with the visit schedule)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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

Novartis Pharmaceuticals

INDUSTRY

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.

Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Novartis Investigative Site

Loma Linda, California, United States

Site Status

Novartis Investigative Site

Sacramento, California, United States

Site Status

Novartis Investigative Site

Aurora, Colorado, United States

Site Status

Novartis Investigative Site

Chicago, Illinois, United States

Site Status

Novartis Investigative Site

Louisville, Kentucky, United States

Site Status

Novartis Investigative Site

Baltimore, Maryland, United States

Site Status

Novartis Investigative Site

Boston, Massachusetts, United States

Site Status

Novartis Investigative Site

Ann Arbor, Michigan, United States

Site Status

Novartis Investigative Site

Rochester, New York, United States

Site Status

Novartis Investigative Site

Austin, Texas, United States

Site Status

Novartis Investigative Site

Salt Lake City, Utah, United States

Site Status

Novartis Investigative Site

Morgantown, West Virginia, United States

Site Status

Novartis Investigative Site

Graz, , Austria

Site Status

Novartis Investigative Site

Vienna, , Austria

Site Status

Novartis Investigative Site

Bruges, , Belgium

Site Status

Novartis Investigative Site

Ghent, , Belgium

Site Status

Novartis Investigative Site

Osijek, , Croatia

Site Status

Novartis Investigative Site

Zagreb, , Croatia

Site Status

Novartis Investigative Site

Ostrava Poruba, Czech Republic, Czechia

Site Status

Novartis Investigative Site

Praha 4 - Podoli, Czech Republic, Czechia

Site Status

Novartis Investigative Site

Prague, , Czechia

Site Status

Novartis Investigative Site

Koebenhavn Ø, , Denmark

Site Status

Novartis Investigative Site

Alexandria, , Egypt

Site Status

Novartis Investigative Site

Tallinn, , Estonia

Site Status

Novartis Investigative Site

Amiens, , France

Site Status

Novartis Investigative Site

Marseille, , France

Site Status

Novartis Investigative Site

Bonn, , Germany

Site Status

Novartis Investigative Site

Hanover, , Germany

Site Status

Novartis Investigative Site

Ampelokipoi, GR, Greece

Site Status

Novartis Investigative Site

Thessaloniki, GR, Greece

Site Status

Novartis Investigative Site

Goudi- Athens, , Greece

Site Status

Novartis Investigative Site

Budapest, , Hungary

Site Status

Novartis Investigative Site

Debrecen, , Hungary

Site Status

Novartis Investigative Site

Ahmedabad, Gujarat, India

Site Status

Novartis Investigative Site

Mumbai, Maharashtra, India

Site Status

Novartis Investigative Site

Coimbatore, Tamil Nadu, India

Site Status

Novartis Investigative Site

Madurai, Tamil Nadu, India

Site Status

Novartis Investigative Site

Vanchiyoor, Thiruvanantapuram, India

Site Status

Novartis Investigative Site

New Delhi, , India

Site Status

Novartis Investigative Site

Florence, FI, Italy

Site Status

Novartis Investigative Site

Rome, Lazio, Italy

Site Status

Novartis Investigative Site

Perugia, PG, Italy

Site Status

Novartis Investigative Site

Fiumicino, RM, Italy

Site Status

Novartis Investigative Site

Nagoya, Aichi-ken, Japan

Site Status

Novartis Investigative Site

Nagoya, Aichi-ken, Japan

Site Status

Novartis Investigative Site

Yachiyo, Chiba, Japan

Site Status

Novartis Investigative Site

Fukuoka, Fukuoka, Japan

Site Status

Novartis Investigative Site

Fukuoka, Fukuoka, Japan

Site Status

Novartis Investigative Site

Kurume, Fukuoka, Japan

Site Status

Novartis Investigative Site

Fukushima, Fukushima, Japan

Site Status

Novartis Investigative Site

Sapporo, Hokkaido, Japan

Site Status

Novartis Investigative Site

Zentsujichó, Kagawa-ken, Japan

Site Status

Novartis Investigative Site

Shimajiri-Gun, Okinawa, Japan

Site Status

Novartis Investigative Site

Izumi, Osaka, Japan

Site Status

Novartis Investigative Site

Ohtsu-city, Shiga, Japan

Site Status

Novartis Investigative Site

Fuchū, Tokyo, Japan

Site Status

Novartis Investigative Site

Ōta-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Setagaya-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Sumida-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Toshima-ku, Tokyo, Japan

Site Status

Novartis Investigative Site

Kaunas, LTU, Lithuania

Site Status

Novartis Investigative Site

Kuala Lumpur, Kuala Lumpur, Malaysia

Site Status

Novartis Investigative Site

Kota Kinabalu, Sabah, Malaysia

Site Status

Novartis Investigative Site

Querataro, , Mexico

Site Status

Novartis Investigative Site

Bialystok, , Poland

Site Status

Novartis Investigative Site

Wroclaw, , Poland

Site Status

Novartis Investigative Site

Brasov, , Romania

Site Status

Novartis Investigative Site

Bucharest, , Romania

Site Status

Novartis Investigative Site

Timișoara, , Romania

Site Status

Novartis Investigative Site

Cheboksary, , Russia

Site Status

Novartis Investigative Site

Kazan', , Russia

Site Status

Novartis Investigative Site

Moscow, , Russia

Site Status

Novartis Investigative Site

Saint Petersburg, , Russia

Site Status

Novartis Investigative Site

Riyadh, , Saudi Arabia

Site Status

Novartis Investigative Site

Bratislava, , Slovakia

Site Status

Novartis Investigative Site

Taipei, , Taiwan

Site Status

Novartis Investigative Site

Taoyuan District, , Taiwan

Site Status

Novartis Investigative Site

Eskişehir, Meselik, Turkey (Türkiye)

Site Status

Novartis Investigative Site

Soguksu / Antalya, Turkey, Turkey (Türkiye)

Site Status

Novartis Investigative Site

Zuhuratbaba / Istanbul, Turkey, Turkey (Türkiye)

Site Status

Novartis Investigative Site

Ankara, , Turkey (Türkiye)

Site Status

Novartis Investigative Site

Ankara, , Turkey (Türkiye)

Site Status

Novartis Investigative Site

Istanbul, , Turkey (Türkiye)

Site Status

Novartis Investigative Site

Manchester, , United Kingdom

Site Status

Novartis Investigative Site

Oxford, , United Kingdom

Site Status

Novartis Investigative Site

Portsmouth, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Austria Belgium Croatia Czechia Denmark Egypt Estonia France Germany Greece Hungary India Italy Japan Lithuania Malaysia Mexico Poland Romania Russia Saudi Arabia Slovakia Taiwan Turkey (Türkiye) United Kingdom

References

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

Fleck BW, Reynolds JD, Zhu Q, Lepore D, Marlow N, Stahl A, Li J, Weisberger A, Fielder AR; RAINBOW Investigator Group. Time Course of Retinopathy of Prematurity Regression and Reactivation After Treatment with Ranibizumab or Laser in the RAINBOW Trial. Ophthalmol Retina. 2022 Jul;6(7):628-637. doi: 10.1016/j.oret.2022.02.006. Epub 2022 Feb 22.

Reference Type DERIVED
PMID: 35202890 (View on PubMed)

Stahl A, Lepore D, Fielder A, Fleck B, Reynolds JD, Chiang MF, Li J, Liew M, Maier R, Zhu Q, Marlow N. Ranibizumab versus laser therapy for the treatment of very low birthweight infants with retinopathy of prematurity (RAINBOW): an open-label randomised controlled trial. Lancet. 2019 Oct 26;394(10208):1551-1559. doi: 10.1016/S0140-6736(19)31344-3. Epub 2019 Sep 12.

Reference Type DERIVED
PMID: 31522845 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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

2014-003041-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRFB002H2301

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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