The purpose of this study is to investigate how safe and effective the new drug conbercept given as intravitreal injections (*study drug*) is when compared with Eylea® injections in patients with neovascular *wet* age-related macular degeneration (…
ID
Source
Brief title
Condition
- Eye disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary objective is to determine if 0.5 mg or 1.0 mg conbercept is
non-inferior to aflibercept 2.0 mg as measured by the change from baseline in
best corrected visual acuity (BCVA) by Early Treatment of Diabetic Retinopathy
Study (ETDRS) method at the Week 36 visit.
The primary endpoint is the mean change from baseline in ETDRS BCVA letter
score at Week 36 in the study eye.
Secondary outcome
The secondary objectives of this study are:
1. To evaluate the difference in efficacy between conbercept doses and
aflibercept, with respect to the following:
* Proportion of subjects maintaining vision (i.e., losing <15 ETDRS BCVA
letters) from baseline to Week 36;
* Proportion of subjects gaining *15 ETDRS BCVA letters from baseline to Week
36;
* Mean change from baseline in central retinal thickness (µm) by SD-OCT at Week
36;
* Proportion of subjects maintaining vision (i.e. losing <15 ETDRS BCVA
letters) from baseline to Week 48;
* Mean change from baseline in ETDRS BCVA letter score at Week 96
2. To compare the safety and tolerability of conbercept doses and aflibercept,
and to evaluate the pharmacokinetics and immunogenicity of conbercept doses,
when feasible
Background summary
AMD is the leading cause of severe and irreversible vision loss in people over
the age of 65. Available therapies are not singularly effective. The main
feature of wet AMD is an increased blood vessel growth that leads to macular
bleeding and accumulation of fluid in the retina (retinal edema), as well as
damage to the retinal tissue, and can finally lead to scarring and loss of
vision. An important factor in this increased blood vessel formation is the
protein called vascular endothelial growth factor (VEGF). An anti-VEGF study
medication (such as Eylea® and the study drug) works by stopping this protein
from being made in the eye.
Study objective
The purpose of this study is to investigate how safe and effective the new drug
conbercept given as intravitreal injections (*study drug*) is when compared
with Eylea® injections in patients with neovascular *wet* age-related macular
degeneration (AMD) who have not received treatment before.
The study drug is *Investigational*, which means that it has not been approved
by the European Union (EU) authorities or U.S. FDA. The study drug has
obtained approval for the use in patients with wet AMD in China.
Eylea® is currently one of the standard care treatment options for wet AMD and
will be provided to assigned study subjects to be injected into the study eye
for study purposes as the active comparator (or control).
Study design
Multicenter, Multinational, Double-masked, Parallel-group, Dose ranging,
Active-controlled, Randomized trial
Duration:
A screening period of less than or equal to 14 days, followed by a treatment
period of 92 weeks (last assessment at 96 weeks) with primary efficacy analysis
at 36 weeks
Intervention
The study will randomize approximately 1140 subjects in a ratio of 1:1:1 to
receive IVT injections of 0.5 mg conbercept, 1.0 mg conbercept, or 2.0 mg
aflibercept.
Subjects randomized to the conbercept treatment arms will receive an IVT
injection of either 0.5 mg or 1.0 mg conbercept at 4-week intervals on Day 1,
Week 4 and Week 8 (loading phase).
Subjects in the conbercept treatment 0.5 mg arm will begin dosing every 8 weeks
(q8w) after the first three injections.
Subjects in the conbercept treatment 1.0 mg arm will begin dosing every 12
weeks (q12w) after the first three injections.
Aflibercept will be dosed as an IVT injection on Day 1, Week 4 and Week 8 and
every 8 weeks (q8w) thereafter.
All subjects will receive sham procedure at visit intervals between each
scheduled IVT injection to mask any differences in dosing frequency.
Control:
Aflibercept 2.0 mg/eye monthly IVT (at 4-week intervals) for the first 12 weeks
(loading phase) followed by dosing every 8 weeks (q8w) to Week 96
Study burden and risks
Clinical data and use in patients in China show efficacy of the study drug and
a well described safety profile in humans. The burden/inconvenience of the use
of the study drug compared to current treatment standards are considered equal.
108 Shuxi Road, Jinniu District n/a
Chengdu 610036
CN
108 Shuxi Road, Jinniu District n/a
Chengdu 610036
CN
Listed location countries
Age
Inclusion criteria
1. Men and women * 50 years of age at the Screening visit;, 2. Females must be
at least 1 year postmenopausal, or surgically sterilized, or, if of
childbearing potential, must have a negative pregnancy test at the Screening
visit;, o Women of childbearing potential must agree to use a highly effective
method of contraception throughout the study (See complete list in the Study
Procedures Manual);, 3. Have received no previous treatment for neovascular
AMD, including laser photocoagulation and/or photodynamic therapy (PDT) and/or
IVT VEGF antagonists (treatment naïve) and;, 4. Have active subfoveal CNV
lesions secondary to AMD (including polypoidal choroidal vasculopathy (PCV))
evidenced by subfoveal FA leakage, or definite subfoveal fluid by SD-OCT in the
study eye at Screening;, 5. Have CNV that is at least 50% of total lesion size
in the study eye at Screening;, 6. Have a ETDRS BCVA letter score of 78 to 25
(approximately 20/32 to 20/320 equivalent) in the study eye at Screening;, 7.
Have ocular media (lens, cornea, vitreous) of adequate clarity to permit high
quality fundus imaging;, 8. Are willing and able to sign the study written
informed consent form (ICF).
Exclusion criteria
1. Have had any prior ocular or systemic treatment (investigational or
approved) or surgery for the treatment of neovascular AMD in the study eye
except dietary supplements or vitamins;
2. Have participated as a subject in any interventional clinical trial within
one month (30 days) prior to Baseline visit;
3. Have a total lesion size greater than twelve disc areas (30.5 mm2),
including blood, fibrosis and neovascularization, as assessed by FA in the
study eye at Screening;
4. Have a subretinal hemorrhage that is either 50% or more of the total lesion
area, or blood is under the fovea and is one or more disc areas in size
(greater than 2.5 mm2) in the study eye at Screening;
5. Have scarring or fibrosis making up greater than 50% of total lesion in the
study eye at Screening; and/or scarring, fibrosis or atrophy involving the
center of the fovea in the study eye at Screening;
6. Have any retinal pigment epithelial tears or rips in the study eye at
Screening or upon examination at Baseline;
7. Have any vitreous hemorrhage in the study eye upon examination at Baseline
or history of vitreous hemorrhage within eight weeks prior to Screening;
8. Have any other cause of CNV, including pathologic myopia (defined per
protocol as spherical equivalent of -8 diopters or more), ocular histoplasmosis
syndrome, angioid streaks, inherited macular dystrophies, choroidal rupture,
uveitis, punctate inner choroidopathy, or multifocal choroiditis in the study
eye at Screening;
9. Have a history of or clinical evidence of significant diabetic retinopathy
that could impact assessment of vision or affect central vision, diabetic
macular edema, or any other vascular disease other than AMD including history
or clinical evidence of retinal vein occlusion affecting the study eye at
Screening;
10. Have had prior pars plana vitrectomy in the study eye;
11. Have presence of a full thickness macular hole at Screening or upon
examination at Baseline or a history of a full thickness macular hole in the
study eye;
12. Have a history of intraocular or periocular surgery within three months of
Baseline in the study eye, except in the case of lid surgery, which may not
have taken place within one month of Baseline as long as it is unlikely to
interfere with IVT injection;
13. Have prior trabeculectomy or other filtration surgery in the study eye;
14. Have uncontrolled glaucoma (defined as intraocular pressure (IOP) greater
than or equal to 22 mmHg at Baseline despite treatment with more than two
anti-glaucoma medications) in the study eye;
15. Have active intraocular inflammation in either eye at Screening or upon
examination at Baseline or a history of uveitis in either eye;
16. Have active ocular or periocular infection in either eye, or a history of
any ocular or periocular infection within the two weeks prior to Screening in
either eye;
17. Have presence or history of scleromalacia in either eye;
18. Have aphakia or pseudophakia with absence of posterior capsule (unless it
occurred as a result of yttrium aluminum garnet (YAG) posterior capsulotomy) in
the study eye;
19. Have had previous therapeutic radiation in the region of the study eye;
20. Have history of corneal transplant or presence of a corneal dystrophy that
interferes with IOP measurements or imaging in the study eye;
21. Significant media opacities, including cataract, in the study eye that, in
the opinion of the Investigator, could require either medical or surgical
intervention during the study period;
22. Have any concurrent ocular condition in the study eye that, in the opinion
of the Investigator, could either increase the risk to the subject beyond what
is to be expected from standard procedures of intraocular injection, or that
otherwise may interfere with the injection procedure or with evaluation of
efficacy or safety during the study;
23. Have any evidence by medical history, physical examination or clinical
laboratory testing at Screening or Baseline that shows reasonable suspicion of
a disease or condition that contraindicates the use of study medication
(conbercept or aflibercept) or that might affect interpretation of the results
of the study or render the subject at high risk for treatment complications;
24. Have any use of long acting intraocular steroids, including implants,
within six months prior to Day 1, Baseline;
25. Have any known allergy to povidone iodine or known serious allergy to the
fluorescein sodium for injection in angiography;
26. Any history of known contraindications indicated in the Food and Drug
Administration (FDA)-approved label for the active control;
27. If female, be pregnant (positive urine pregnancy test at Screening) or
breastfeeding
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2017-004825-34-NL |
CCMO | NL66004.028.18 |
Other | pending/ nog niet bekend |