Zimura in Participants With Geographic Atrophy Secondary to Dry Age-Related Macular Degeneration

NCT ID: NCT02686658

Last Updated: 2025-06-10

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

286 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-15

Study Completion Date

2020-04-23

Brief Summary

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The objectives of this study were to evaluate the safety and efficacy of Zimura intravitreal (IVT) administration when administered in participants with geographic atrophy (GA) secondary to dry age-related macular degeneration (AMD).

Detailed Description

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Participants will receive monthly intravitreal injections of Zimura or Sham for 18 months.

Conditions

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Geographic Atrophy Dry Age-Related Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
The Reading Center team and Sponsor were also masked.

Study Groups

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Avacincaptad Pegol 1 mg [Part 1]

Participants received 1 mg of Avacincaptad Pegol in the study eye administered via IVT injection (50 µL) on Day 1 and monthly up to 18 months.

Group Type EXPERIMENTAL

Avacincaptad Pegol

Intervention Type DRUG

Avacincaptad Pegol 20 mg/mL solution for intravitreal (IVT) injection

Avacincaptad Pegol 2 mg [Part 1]

Participants received 2 mg of Avacincaptad Pegol in the study eye administered via IVT injection (100 µL) on Day 1 and monthly up to 18 months.

Group Type EXPERIMENTAL

Avacincaptad Pegol

Intervention Type DRUG

Avacincaptad Pegol 20 mg/mL solution for intravitreal (IVT) injection

Sham [Part 1]

Participants received a Sham injection of an empty, needleless syringe administered in the study eye on Day 1 and monthly up to 18 months.

Group Type SHAM_COMPARATOR

Sham

Intervention Type OTHER

The Sham procedure included the blunt opening of an empty, needleless syringe barrel placed on the conjunctiva in the inferotemporal quadrant of the eyeball to simulate the pressure of an injection.

Avacincaptad Pegol 2 mg (Avacincaptad Pegol 2mg+Sham) [Part 2]

Participants received 2 mg of Avacincaptad Pegol in the study eye administered via IVT injection (100 µL) and a subsequent Sham administration on Day 1 and monthly up to 18 months.

Group Type EXPERIMENTAL

Avacincaptad Pegol

Intervention Type DRUG

Avacincaptad Pegol 20 mg/mL solution for intravitreal (IVT) injection

Sham

Intervention Type OTHER

The Sham procedure included the blunt opening of an empty, needleless syringe barrel placed on the conjunctiva in the inferotemporal quadrant of the eyeball to simulate the pressure of an injection.

Avacincaptad Pegol 4 mg (Avacincaptad Pegol 2mg+Avacincaptad Pegol 2mg) [Part 2]

Participants received 4 mg of Avacincaptad Pegol in the study eye administered via two consecutive IVT injections (2 x 100 µL) on Day 1 and monthly up to 18 months.

Group Type EXPERIMENTAL

Avacincaptad Pegol

Intervention Type DRUG

Avacincaptad Pegol 20 mg/mL solution for intravitreal (IVT) injection

Sham (Sham+Sham) [Part 2]

Participants received two consecutive Sham injections of empty, needleless syringes administered in the study eye on Day 1 and monthly up to 18 months.

Group Type SHAM_COMPARATOR

Sham

Intervention Type OTHER

The Sham procedure included the blunt opening of an empty, needleless syringe barrel placed on the conjunctiva in the inferotemporal quadrant of the eyeball to simulate the pressure of an injection.

Interventions

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Avacincaptad Pegol

Avacincaptad Pegol 20 mg/mL solution for intravitreal (IVT) injection

Intervention Type DRUG

Sham

The Sham procedure included the blunt opening of an empty, needleless syringe barrel placed on the conjunctiva in the inferotemporal quadrant of the eyeball to simulate the pressure of an injection.

Intervention Type OTHER

Other Intervention Names

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Zimura (previous name) IZERVAY ARC1905

Eligibility Criteria

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Inclusion Criteria

* Participants of either gender aged ≥ 50 years
* Diagnosis of Non-foveal GA secondary to dry AMD

Exclusion Criteria

* Evidence of Choroidal Neovascularization (CNV)
* GA secondary to any condition other than AMD
* Any prior treatment for AMD or any prior intravitreal treatment for any indication in either eye, except oral supplements of vitamins and minerals
* Any intraocular surgery or thermal laser within three (3) months of trial entry
* Any prior thermal laser in the macular region, regardless of indication
* Any ocular or periocular infection in the twelve (12) weeks
* Previous therapeutic radiation in the region of the study eye
* Any sign of diabetic retinopathy in either eye
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IVERIC bio, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Phoenix, Arizona, United States

Site Status

Tucson, Arizona, United States

Site Status

Tucson, Arizona, United States

Site Status

Campbell, California, United States

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Fresno, California, United States

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Fullerton, California, United States

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La Jolla, California, United States

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Mountain View, California, United States

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Redlands, California, United States

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Sacramento, California, United States

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Sacramento, California, United States

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Santa Ana, California, United States

Site Status

Denver, Colorado, United States

Site Status

Altamonte Springs, Florida, United States

Site Status

Boynton Beach, Florida, United States

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Melbourne, Florida, United States

Site Status

St. Petersburg, Florida, United States

Site Status

Stuart, Florida, United States

Site Status

Winter Haven, Florida, United States

Site Status

Augusta, Georgia, United States

Site Status

Marietta, Georgia, United States

Site Status

Retina Consultants of Hawaii

‘Aiea, Hawaii, United States

Site Status

West Des Moines, Iowa, United States

Site Status

Shawnee Mission, Kansas, United States

Site Status

Wichita, Kansas, United States

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Baltimore, Maryland, United States

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Chevy Chase, Maryland, United States

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Boston, Massachusetts, United States

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Springfield, Massachusetts, United States

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Grand Rapids, Michigan, United States

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Henderson, Nevada, United States

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Reno, Nevada, United States

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Rochester, New York, United States

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Syracuse, New York, United States

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Asheville, North Carolina, United States

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Charlotte, North Carolina, United States

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Hickory, North Carolina, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Cleveland, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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West Mifflin, Pennsylvania, United States

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Ladson, South Carolina, United States

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West Columbia, South Carolina, United States

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Abilene, Texas, United States

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Amarillo, Texas, United States

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Austin, Texas, United States

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Grapevine, Texas, United States

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Houston, Texas, United States

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The Woodlands, Texas, United States

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Willow Park, Texas, United States

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Salt Lake City, Utah, United States

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Salt Lake City, Utah, United States

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Richmond, Virginia, United States

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Clinical hospital center Osijek

Osijek, , Croatia

Site Status

Fakultni Nemocnice Brno

Brno, , Czechia

Site Status

Faculty Hospital Hradec Kralove

Hradec Králové, , Czechia

Site Status

Fakultni nemocnice Olomouc

Olomouc, , Czechia

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Axon Clinical SRO

Prague, , Czechia

Site Status

East Tallinn Central Hospital

Tallinn, , Estonia

Site Status

Dr.Kai Noor Eye Clinic

Tallinn, , Estonia

Site Status

Peterfy Korhaz-Rendelointezet Orszagos Traumatologiai Intezet

Budapest, , Hungary

Site Status

Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Pécs, , Hungary

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Szeged, , Hungary

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Veszprém, , Hungary

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Rambam Medical Center

Haifa, , Israel

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Hadassah University Hospital

Jerusalem, , Israel

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Meir Medical Center

Kfar Saba, , Israel

Site Status

Rabin Medical Center

Petah Tikva, , Israel

Site Status

Kaplan Medical Center

Rehovot, , Israel

Site Status

Tel-Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

Pauls Stradins Clinical University Hospital

Riga, , Latvia

Site Status

Countries

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United States Croatia Czechia Estonia Hungary Israel Latvia

References

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Jaffe GJ, Westby K, Csaky KG, Mones J, Pearlman JA, Patel SS, Joondeph BC, Randolph J, Masonson H, Rezaei KA. C5 Inhibitor Avacincaptad Pegol for Geographic Atrophy Due to Age-Related Macular Degeneration: A Randomized Pivotal Phase 2/3 Trial. Ophthalmology. 2021 Apr;128(4):576-586. doi: 10.1016/j.ophtha.2020.08.027. Epub 2020 Sep 1.

Reference Type RESULT
PMID: 32882310 (View on PubMed)

Corradetti G, Karamat A, Srinivas S, Lindenberg S, Velaga SB, Corvi F, Attiku Y, Nittala MG, Desai D, Zhu L, Abulon D, Sadda SR. Progression to complete retinal pigment epithelium and outer retinal atrophy (cRORA): post hoc analysis of the GATHER1 trial. Graefes Arch Clin Exp Ophthalmol. 2025 Mar;263(3):669-677. doi: 10.1007/s00417-024-06676-7. Epub 2024 Nov 14.

Reference Type DERIVED
PMID: 39538001 (View on PubMed)

Tzoumas N, Riding G, Williams MA, Steel DH. Complement inhibitors for age-related macular degeneration. Cochrane Database Syst Rev. 2023 Jun 14;6(6):CD009300. doi: 10.1002/14651858.CD009300.pub3.

Reference Type DERIVED
PMID: 37314061 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://www.trialsummaries.com/Study/StudyDetails?id=26398&tenant=MT_AST_9011

Link to plain language summary of the study on the Trial Results Summaries website

Other Identifiers

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2015-003991-56

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

OPH2003

Identifier Type: -

Identifier Source: org_study_id

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