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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02246829
Other study ID # CHUBX 2013/18
Secondary ID
Status Completed
Phase Phase 4
First received September 11, 2014
Last updated November 18, 2016
Start date September 2014
Est. completion date June 2015

Study information

Verified date November 2016
Source University Hospital, Bordeaux
Contact n/a
Is FDA regulated No
Health authority France: Agence Nationale de Sécurité du Médicament et des produits de santé
Study type Interventional

Clinical Trial Summary

Aflibercept (EYLEA®) induces a rapid reduction in central retinal thickness (CRT) for patients suffering from neovascular age-related-macular degeneration.1 This early dramatic reduction in CRT is already observed through week 4. Therefore it might be not necessary to consistently perform each of the three monthly consecutive intravitreal injections of the so-called loading phase.


Description:

The aim of this study is to assess whether the retina of some patients has dried up after the first or second intravitreal injection of Aflibercept (EYLEA®) 2mg and in that event, to determine the proportion of these patients The analysis of the characteristics could help identify a morphotype that would predict whether and when the retina will dry up within the first 3 months of treatment. For some patients having an early drying-up, the third monthly injection might be not necessary 50 naïve patients will be included and will receive a monthly injection over 12 weeks with a biweekly follow-up. Morphological and functional characteristics will be recorded at each visit and will be analyzed. The rate of patients with dry SD-OCT will be assessed.

The study includes 7 visits. The visits are scheduled on an every 2-week basis from baseline to Week 12. V1 (baseline), V3 and V5, the patient will be injected with Aflibercept (EYLEA®) 2mg. In the other visits, the visual acuity test, Fundus photography, SD-OCT, and/or Fluorescein Angiography are performed


Recruitment information / eligibility

Status Completed
Enrollment 50
Est. completion date June 2015
Est. primary completion date June 2015
Accepts healthy volunteers No
Gender Both
Age group 50 Years and older
Eligibility Inclusion Criteria:

- Men and women = 50 years of age

- Active primary subfoveal choroidal neovascularization (CNV) lesions secondary to AMD including juxtafoveal lesions that affects the fovea as evidenced by FA in the study eye

- Signed Informed Consent

- Willing, committed, and able to return for ALL clinic visits and complete all study-related procedures.

Exclusion Criteria:

- Prior treatment with anti-VEGF therapy in the study eye

- Active or suspected ocular or periocular infection.

- Active severe intraocular inflammation

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Procedure:
Intravitreal injection
2 mg intravitreal Aflibercept initiated with one injection every 4 weeks for three consecutive doses (loading dose) The duration of the follow-up is 12 weeks. This means 3 injections per patient should be given over the study period

Locations

Country Name City State
France Service d'ophtalmologie Hôpital Henri Mondor 40, avenue de Verdun Creteil
France Service Ophtalmologie CHU DIJON 14 rue Gaffarel BP 77908 Dijon
France Service d'Ophtalmologie Hôpital de la croix rousse Lyon
France Cabinet d'ophtalmologie 1 rue Pougin de la Maisonneuve Montargis
France Sce Ophtalmologie CHU Nantes 1 place Alexis Ricordeau Nantes
France Centre ophtalmique d'imagerie et de laser (CIL) 11 rue Antoine Bourdelle Paris
France Sce du Pr SAHEL Fondation ROTHSCHILD 25 rue Manin Paris
France Sce Ophtalmologie Hôpital Lariboisière 2 rue Ambroise Paré Paris
France Service Opthalmo 2 Clinique Mathilde 4 rue de Lessard Rouen
France Centre Ophtalmologie Transparence 30 Boulevard Heurteloup Tours

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Bordeaux

Country where clinical trial is conducted

France, 

References & Publications (5)

Cohen SY, Souied EH, Weber M, Dupeyron G, de Pouvourville G, Lievre M, Ponthieux A. Patient characteristics and treatment of neovascular age-related macular degeneration in France: the LUEUR1 observational study. Graefes Arch Clin Exp Ophthalmol. 2011 Apr;249(4):521-7. doi: 10.1007/s00417-010-1553-0. — View Citation

Cruess AF, Zlateva G, Xu X, Soubrane G, Pauleikhoff D, Lotery A, Mones J, Buggage R, Schaefer C, Knight T, Goss TF. Economic burden of bilateral neovascular age-related macular degeneration: multi-country observational study. Pharmacoeconomics. 2008;26(1):57-73. — View Citation

Heier JS, Boyer D, Nguyen QD, Marcus D, Roth DB, Yancopoulos G, Stahl N, Ingerman A, Vitti R, Berliner AJ, Yang K, Brown DM; CLEAR-IT 2 Investigators.. The 1-year results of CLEAR-IT 2, a phase 2 study of vascular endothelial growth factor trap-eye dosed as-needed after 12-week fixed dosing. Ophthalmology. 2011 Jun;118(6):1098-106. doi: 10.1016/j.ophtha.2011.03.020. Erratum in: Ophthalmology. 2011 Sep;118(9):1700. — View Citation

Patel KH, Chow CC, Rathod R, Mieler WF, Lim JI, Ulanski LJ 2nd, Leiderman YI, Arun V, Chau FY. Rapid response of retinal pigment epithelial detachments to intravitreal aflibercept in neovascular age-related macular degeneration refractory to bevacizumab and ranibizumab. Eye (Lond). 2013 May;27(5):663-7; quiz 668. doi: 10.1038/eye.2013.31. — View Citation

Rosenfeld PJ, Brown DM, Heier JS, Boyer DS, Kaiser PK, Chung CY, Kim RY; MARINA Study Group.. Ranibizumab for neovascular age-related macular degeneration. N Engl J Med. 2006 Oct 5;355(14):1419-31. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Occurence of a Dry SD-OCT 12-week after initiation of a treatment by Aflibercept (EYLEA®) 2mg 12-week after initiation of a treatment by Aflibercept (EYLEA®) 2mg No
Secondary Time to get a dry SD-OCT after initiation of a treatment by Aflibercept Every 2 weeks from treatment initiation (inclusion) to week 12 No
Secondary Evolution of morphological and visual modification under Aflibercept (EYLEA®) Every 2 weeks from treatment initiation (inclusion) to week 12 No
Secondary Occurence of pigment epithelial detachment Every 2 weeks from treatment initiation (inclusion) to week 12 No
Secondary Evolution of retinal hemorrhage if any Every 2 weeks from treatment initiation (inclusion) to week 12 No
Secondary Evolution in the atrophic lesions Every 2 weeks from treatment initiation (inclusion) to week 12 No
Secondary Occurence the central Retinal Thickness Every 2 weeks from treatment initiation (inclusion) to week 12 No