A Proof-of-Concept Study of Faricimab (RO6867461) in Participants With Choroidal Neovascularization (CNV) Secondary to Age-Related Macular Degeneration (AMD)

NCT ID: NCT02484690

Last Updated: 2020-11-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

273 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-11

Study Completion Date

2017-09-26

Brief Summary

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This multiple-center, multiple-dose and regimen, randomized, double-masked active comparator-controlled, double-masked, five parallel group, 36-week study will evaluate the efficacy, safety, tolerability, and pharmacokinetics of faricimab (RO6867461) in participants with choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD).

The study was designed to allow the evaluation of RO6867461 in a treatment-naive population (comparison of Arms A, B, C, and D) and an anti-VEGF-incomplete responder population that met a predefined criterion at Week 12 (comparison between Arms A and E). Only one eye per participant was chosen as the study eye.

Detailed Description

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Conditions

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Choroidal Neovascularization

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm A: Ranibizumab, 0.5 mg Every 4 Weeks (Q4W)

Participants will receive ranibizumab, 0.5 milligrams (mg) intravitreal (IVT) Q4W up to Week 32 (total 9 injections). The final study visit will take place at Week 36.

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Ranibizumab will be administered as per the regimen specified in the individual arm.

Arm B: Faricimab, 1.5 mg Q4W

Participants will receive faricimab 1.5 mg IVT Q4W up to Week 32 (total 9 injections). The final study visit will take place at Week 36.

Group Type EXPERIMENTAL

Faricimab

Intervention Type DRUG

Faricimab will be administered as per the regimen specified in the individual arm.

Arm C: Faricimab, 6 mg Q4W

Participants will receive faricimab 6 mg IVT Q4W up to Week 32 (9 injections). The final study visit will take place at Week 36.

Group Type EXPERIMENTAL

Faricimab

Intervention Type DRUG

Faricimab will be administered as per the regimen specified in the individual arm.

Arm D: Faricimab, 6 mg Every 4-8 weeks

Participants will receive faricimab, 6 mg IVT Q4W up to Week 12 (4 injections), followed by 6 mg IVT every 8 weeks up to Week 28 (2 injections). On Weeks 16, 24, and 32, participants received the sham procedure in order to maintain masking. The final study visit will take place at Week 36.

Group Type EXPERIMENTAL

Faricimab

Intervention Type DRUG

Faricimab will be administered as per the regimen specified in the individual arm.

Sham Procedure

Intervention Type DRUG

The sham is a procedure that mimics an intravitreal injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It will be administered to participants in treatment arm D at applicable visits to maintain masking.

Arm E: Ranibizumab 0.5 mg + Faricimab 6 mg Q4W

Participants will receive ranibizumab, 0.5 mg IVT Q4W up to Week 8 (3 injections), followed by faricimab, 6 mg IVT Q4W up to Week 32 (6 injections). The final study visit will take place at Week 36.

Group Type EXPERIMENTAL

Faricimab

Intervention Type DRUG

Faricimab will be administered as per the regimen specified in the individual arm.

Ranibizumab

Intervention Type DRUG

Ranibizumab will be administered as per the regimen specified in the individual arm.

Interventions

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Faricimab

Faricimab will be administered as per the regimen specified in the individual arm.

Intervention Type DRUG

Ranibizumab

Ranibizumab will be administered as per the regimen specified in the individual arm.

Intervention Type DRUG

Sham Procedure

The sham is a procedure that mimics an intravitreal injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It will be administered to participants in treatment arm D at applicable visits to maintain masking.

Intervention Type DRUG

Other Intervention Names

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RO6867461 RG7716 Lucentis

Eligibility Criteria

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Inclusion Criteria

* Treatment-naive with CNV secondary to AMD, with subfoveal CNV or juxtafoveal CNV with a subfoveal component related to the CNV activity by FFA or SD-OCT
* Active CNV

Exclusion Criteria

* CNV due to causes other than AMD
* Subretinal hemorrhage, fibrosis, or atrophy involving either the fovea or more than 50% of the total lesion area
* Cataract surgery within 3 months of baseline, or any other previous intraocular surgery
* Major illness or surgery within 1 month prior to Screening
* Glycosylated hemoglobin (HbA1c) above 7.5%
* Uncontrolled blood pressure
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Associated Retina Consultants

Phoenix, Arizona, United States

Site Status

Retinal Consultants of Arizona

Phoenix, Arizona, United States

Site Status

California Retina Consultants

Bakersfield, California, United States

Site Status

Retina-Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

The Retina Partners

Encino, California, United States

Site Status

Retina Consultants, San Diego

Poway, California, United States

Site Status

Orange County Retina Med Group

Santa Ana, California, United States

Site Status

Bay Area Retina Associates

Walnut Creek, California, United States

Site Status

American Institute of Research

Whittier, California, United States

Site Status

Retina Consultants of Southern

Colorado Springs, Colorado, United States

Site Status

Colorado Retina Associates, PC

Golden, Colorado, United States

Site Status

New England Retina Associates

Hamden, Connecticut, United States

Site Status

Retina Health Center

Fort Myers, Florida, United States

Site Status

National Ophthalmic Research Institute

Fort Myers, Florida, United States

Site Status

Florida Eye Associates

Melbourne, Florida, United States

Site Status

Central Florida Retina

Orlando, Florida, United States

Site Status

Retina Care Specialists

Palm Beach Gardens, Florida, United States

Site Status

Retina Vitreous Assoc of FL

St. Petersburg, Florida, United States

Site Status

Southern Vitreoretinal Assoc

Tallahassee, Florida, United States

Site Status

Southeast Retina Center

Augusta, Georgia, United States

Site Status

Georgia Retina PC

Marietta, Georgia, United States

Site Status

Midwest Eye Institute Northside

Indianapolis, Indiana, United States

Site Status

Paducah Retinal Center

Paducah, Kentucky, United States

Site Status

Retina Group of Washington

Chevy Chase, Maryland, United States

Site Status

National Retina Institute

Towson, Maryland, United States

Site Status

Vitreo-Retinal Associates, PC

Worcester, Massachusetts, United States

Site Status

Vitreoretinal Surgery

Edina, Minnesota, United States

Site Status

Retina Associates of NJ

Toms River, New Jersey, United States

Site Status

Eye Associates of New Mexico

Albuquerque, New Mexico, United States

Site Status

Long Is. Vitreoretinal Consult

Great Neck, New York, United States

Site Status

Opthalmic Consultants of LI

Lynbrook, New York, United States

Site Status

Retina Assoc of Western NY

Rochester, New York, United States

Site Status

The Retina Consultants

Slingerlands, New York, United States

Site Status

Western Carolina Retinal Associate PA

Asheville, North Carolina, United States

Site Status

Char Eye Ear &Throat Assoc

Charlotte, North Carolina, United States

Site Status

OSU Eye Physicians & Surgeons

Columbus, Ohio, United States

Site Status

Oregon Retina, LLP

Eugene, Oregon, United States

Site Status

Oregon Retina institute

Medford, Oregon, United States

Site Status

Retina Northwest

Portland, Oregon, United States

Site Status

Mid Atlantic Retina

Philadelphia, Pennsylvania, United States

Site Status

Palmetto Retina Center

West Columbia, South Carolina, United States

Site Status

Southeastern Retina Associates Chattanooga

Chattanooga, Tennessee, United States

Site Status

Charles Retina Institute

Germantown, Tennessee, United States

Site Status

Tennessee Retina PC.

Nashville, Tennessee, United States

Site Status

W Texas Retina Consultants PA

Abilene, Texas, United States

Site Status

Austin Retina Associates

Austin, Texas, United States

Site Status

Retina Research Center

Austin, Texas, United States

Site Status

Retina Consultants of Houston

Houston, Texas, United States

Site Status

Strategic Clinical Research Group, LLC

Willow Park, Texas, United States

Site Status

Retina Associates of Utah

Salt Lake City, Utah, United States

Site Status

Univ of Virginia Ophthalmology

Charlottesville, Virginia, United States

Site Status

Spokane Eye Clinical Research

Spokane, Washington, United States

Site Status

Countries

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United States

References

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Kikuchi Y, Kawczynski MG, Anegondi N, Neubert A, Dai J, Ferrara D, Quezada-Ruiz C. Machine Learning to Predict Faricimab Treatment Outcome in Neovascular Age-Related Macular Degeneration. Ophthalmol Sci. 2023 Aug 18;4(2):100385. doi: 10.1016/j.xops.2023.100385. eCollection 2024 Mar-Apr.

Reference Type DERIVED
PMID: 37868796 (View on PubMed)

Yu S, Bachmeier I, Hernandez-Sanchez J, Garcia Armendariz B, Ebneter A, Pauleikhoff D, Chakravarthy U, Fauser S. Hyperreflective Material Boundary Remodeling in Neovascular Age-Related Macular Degeneration: A Post Hoc Analysis of the AVENUE Trial. Ophthalmol Retina. 2023 Nov;7(11):990-998. doi: 10.1016/j.oret.2023.06.024. Epub 2023 Jul 6.

Reference Type DERIVED
PMID: 37422192 (View on PubMed)

Maunz A, Benmansour F, Li Y, Albrecht T, Zhang YP, Arcadu F, Zheng Y, Madhusudhan S, Sahni J. Accuracy of a Machine-Learning Algorithm for Detecting and Classifying Choroidal Neovascularization on Spectral-Domain Optical Coherence Tomography. J Pers Med. 2021 Jun 8;11(6):524. doi: 10.3390/jpm11060524.

Reference Type DERIVED
PMID: 34201045 (View on PubMed)

Sahni J, Dugel PU, Patel SS, Chittum ME, Berger B, Del Valle Rubido M, Sadikhov S, Szczesny P, Schwab D, Nogoceke E, Weikert R, Fauser S. Safety and Efficacy of Different Doses and Regimens of Faricimab vs Ranibizumab in Neovascular Age-Related Macular Degeneration: The AVENUE Phase 2 Randomized Clinical Trial. JAMA Ophthalmol. 2020 Sep 1;138(9):955-963. doi: 10.1001/jamaophthalmol.2020.2685.

Reference Type DERIVED
PMID: 32729888 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BP29647

Identifier Type: -

Identifier Source: org_study_id