A Study to Evaluate the Efficacy and Safety of KSI-301, an Anti-VEGF Antibody Biopolymer Conjugate, Versus Aflibercept in Patients With Neovascular (Wet) Age-Related Macular Degeneration.

NCT ID: NCT04049266

Last Updated: 2024-07-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

559 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-08

Study Completion Date

2022-04-26

Brief Summary

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This study will evaluate the efficacy, safety, durability, and pharmacokinetics of KSI-301 administered at 12, 16 and 20 weeks intervals as specified in the protocol, compared with aflibercept once every 8 weeks (Q8W), in participants with treatment-naïve neovascular (wet) age-related macular degeneration (nAMD).

Detailed Description

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This study is divided into a 3-week screening period, a 92-week treatment period, and a final 4-week follow-up period. At baseline patients will be randomized 1:1 into two treatment arms: KSI-301 5 mg and aflibercept 2 mg.

Conditions

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Wet Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
A masked evaluating investigator will be responsible for subject care except the injections and the safety assessment following the injections. An unmasked treating investigator will perform the injections and assess patient safety following the injections.

Study Groups

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KSI-301 5 mg

Drug: KSI-301 5 mg. KSI-301 5 mg will be administered by intravitreal injection into the study eye at 12, 16, and 20 weeks intervals as specified in the study protocol.

Drug: Sham Procedure. The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.

Group Type EXPERIMENTAL

KSI-301

Intervention Type DRUG

Intravitreal Injection

Sham Procedure

Intervention Type OTHER

The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.

Aflibercept 2 mg

Drug: Aflibercept 2 mg. Aflibercept 2 mg will be administered by intravitreal injection into the study eye once every 4 weeks for 3 consecutive months, followed by once every 8 weeks.

Drug: Sham Procedure. The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.

Group Type ACTIVE_COMPARATOR

Aflibercept

Intervention Type DRUG

Intravitreal Injection

Sham Procedure

Intervention Type OTHER

The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.

Interventions

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KSI-301

Intravitreal Injection

Intervention Type DRUG

Aflibercept

Intravitreal Injection

Intervention Type DRUG

Sham Procedure

The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.

Intervention Type OTHER

Other Intervention Names

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Eylea

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent prior to participation in the study.
* Active, treatment-naïve choroidal neovascularization (CNV) secondary to AMD.
* BCVA ETDRS score between 80 and 25 letters (Snellen equivalent of 20/25 to 20/320), inclusive.

Exclusion Criteria

* CNV secondary to other causes in the Study Eye.
* Any history of macular pathology unrelated to AMD but affecting vision or contributing to subretinal or intraretinal fluid.
* Any history or evidence of a concurrent intraocular condition in the Study Eye that, in the judgment of the Investigator, could require either medical or surgical intervention during the study to prevent or treat visual loss.
* Active ocular or periocular infection or inflammation.
* Prior administration of any approved or investigational treatment for neovascular AMD in the Study Eye.
* Uncontrolled glaucoma in the Study Eye.
* Women who are pregnant or lactating or intending to become pregnant during the study.
* Stroke or myocardial infarction in the 6-month period prior to Day 1.
* Uncontrolled blood pressure defined as a systolic value \> 180 mmHg or diastolic value ≥100 mmHg while at rest.
* History of a medical condition that, in the judgment of the Investigator, would preclude scheduled study visits, completion of the study, or a safe administration of investigational product.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kodiak Sciences Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pablo Velazquez-Martin, MD

Role: STUDY_DIRECTOR

Kodiak Sciences Inc

Locations

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Retinal Research Institute, LLC

Phoenix, Arizona, United States

Site Status

Northwest Arkansas Retina Associates

Springdale, Arkansas, United States

Site Status

California Retina Consultants

Bakersfield, California, United States

Site Status

Retina Vitreous Associates

Beverly Hills, California, United States

Site Status

Eye Medical Center of Fresno

Fresno, California, United States

Site Status

Retina Consultants of Orange County

Fullerton, California, United States

Site Status

UCSD Jacobs Retina Center

La Jolla, California, United States

Site Status

Retina Associates of Orange County

Laguna Hills, California, United States

Site Status

Northern California Retina Vitreous Associates

Mountain View, California, United States

Site Status

Retina Consultants of San Diego

Poway, California, United States

Site Status

Retinal Consultants Medical Group Inc

Sacramento, California, United States

Site Status

Orange County Retina Medical Group

Santa Ana, California, United States

Site Status

California Retina Consultants

Santa Maria, California, United States

Site Status

Colorado Retina Associates PC

Lakewood, Colorado, United States

Site Status

Florida Eye Microsurgical Institute

Boynton Beach, Florida, United States

Site Status

Rand Eye Institute

Deerfield Beach, Florida, 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

Retina Specialty Institute

Pensacola, Florida, United States

Site Status

Retina Vitreous Associates of Florida

St. Petersburg, Florida, United States

Site Status

Retina Associates of Florida

Tampa, Florida, United States

Site Status

Southeast Retina Center

Augusta, Georgia, United States

Site Status

Wolfe Eye Clinic

West Des Moines, Iowa, United States

Site Status

Retina Associates PA

Lenexa, Kansas, United States

Site Status

Vitreo Retinal Consultants and Surgeons

Wichita, Kansas, United States

Site Status

Retina Associates of Kentucky

Lexington, Kentucky, United States

Site Status

Cumberland Valley Retina Consultants PC

Hagerstown, Maryland, United States

Site Status

New England Retina Consultants

Springfield, Massachusetts, United States

Site Status

Vitreo Retinal Associates PC

Worcester, Massachusetts, United States

Site Status

Foundation for Vision Research

Grand Rapids, Michigan, United States

Site Status

Associated Retinal Consultants PC

Royal Oak, Michigan, United States

Site Status

Vitreoretinal Surgery PA

Edina, Minnesota, United States

Site Status

Springfield Clinic LLP

Springfield, Missouri, United States

Site Status

Sierra Eye Associates

Reno, Nevada, United States

Site Status

The Retina Center of New Jersey

Bloomfield, New Jersey, United States

Site Status

NJ Retina

Teaneck, New Jersey, United States

Site Status

Retina Associates of Cleveland

Beachwood, Ohio, United States

Site Status

Retina Associates of Cleveland

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Foundation, Cole Eye Institute

Cleveland, Ohio, United States

Site Status

Retina and Vitreous Center of Southern Oregon PC

Ashland, Oregon, United States

Site Status

Cascade Medical Research Institute

Eugene, Oregon, United States

Site Status

Retina Northwest

Portland, Oregon, United States

Site Status

Wills Eye Hospital

Philadelphia, Pennsylvania, United States

Site Status

Palmetto Retina Center

Florence, South Carolina, United States

Site Status

Charleston Neuroscience Institute

Ladson, South Carolina, United States

Site Status

Black Hills Regional Eye Institute

Rapid City, South Dakota, United States

Site Status

Southeastern Retina Associates PC

Knoxville, Tennessee, United States

Site Status

Tennessee Retina PC

Nashville, Tennessee, United States

Site Status

Retina Research Institute of Texas

Abilene, Texas, United States

Site Status

Austin Clinical Research, LLC

Austin, Texas, United States

Site Status

Austin Retina Associates

Austin, Texas, United States

Site Status

Retina Consultants of Texas

Bellaire, Texas, United States

Site Status

Retina Consultants of Texas (Katy)

Katy, Texas, United States

Site Status

Texas Retina Associates

Plano, Texas, United States

Site Status

Austin Retina Associates (Round Rock)

Round Rock, Texas, United States

Site Status

Medical Center Ophthalmology Associates

San Antonio, Texas, United States

Site Status

Retina Consultants of Texas (Woodlands)

The Woodlands, Texas, United States

Site Status

Strategic Clinical Research Group, LLC

Willow Park, Texas, United States

Site Status

Axon Clinical, s.r.o.

Prague, , Czechia

Site Status

Universitätsklinikum Bonn

Bonn, , Germany

Site Status

Uniklinik Köln

Cologne, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Universitatsklinikum Leipzig

Leipzig, , Germany

Site Status

Pauls Stradins Clinical University Hospital

Riga, , Latvia

Site Status

Riga Eastern Clinical University Hospital Clinic Bikernieki

Riga, , Latvia

Site Status

Oftalmika Sp. z o.o.

Bydgoszcz, , Poland

Site Status

Gabinet Okulistyczny prof. E. Wylegala

Katowice, , Poland

Site Status

Retina Okulistyka Sp. z o.o. Sp. km.

Warsaw, , Poland

Site Status

Univerzitna nemocnica Bratislava

Bratislava, , Slovakia

Site Status

Nemocnica Trebisov - SVET ZDRAVIA - PPDS

Trebišov, , Slovakia

Site Status

Fakultna nemocnica Trencin

Trenčín, , Slovakia

Site Status

Fakultna nemocnica s poliklinikou Zilina

Žilina, , Slovakia

Site Status

Institut de La Macula i La Retina

Barcelona, , Spain

Site Status

Hospital dos de Maig

Barcelona, , Spain

Site Status

Countries

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United States Czechia Germany Latvia Poland Slovakia Spain

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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KSI-CL-102

Identifier Type: -

Identifier Source: org_study_id

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