Diabetic Macular Edema Clinical Trial
— KINGLETOfficial title:
A One-Year, Randomized, Double-Masked, Multicenter, Phase III, Two-Arm Study Assessing the Efficacy and Safety of Brolucizumab Versus Aflibercept in Adult Chinese Patients With Visual Impairment Due to Diabetic Macular Edema
Verified date | June 2023 |
Source | Novartis |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate the efficacy and safety of brolucizumab in treatment of Chinese patients with visual impairment due to Diabetic Macular Edema.
Status | Completed |
Enrollment | 263 |
Est. completion date | January 31, 2023 |
Est. primary completion date | January 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Patients with type 1 or type 2 diabetes mellitus - Visual impairment due to Diabetic Macular Edema Exclusion Criteria: - Any active intraocular or periocular infection or active intraocular inflammation - Structural damage of the fovea - Uncontrolled glaucoma - Neovascularization of the iris Other protocol-defined inclusion/exclusion criteria may apply. |
Country | Name | City | State |
---|---|---|---|
China | Novartis Investigative Site | Beijing | |
China | Novartis Investigative Site | Beijing | |
China | Novartis Investigative Site | Beijing | |
China | Novartis Investigative Site | Beijing | |
China | Novartis Investigative Site | Changchun City | Jilin |
China | Novartis Investigative Site | Chengdu | Sichuan |
China | Novartis Investigative Site | Chongqing | |
China | Novartis Investigative Site | Chongqing | |
China | Novartis Investigative Site | Guangzhou | Guangdong |
China | Novartis Investigative Site | Hangzhou | Zhejiang |
China | Novartis Investigative Site | Hangzhou | Zhejiang |
China | Novartis Investigative Site | Hangzhou | Zhejiang |
China | Novartis Investigative Site | Harbin | Heilongjiang |
China | Novartis Investigative Site | Nanjing | |
China | Novartis Investigative Site | Qingdao | Shandong |
China | Novartis Investigative Site | Shanghai | |
China | Novartis Investigative Site | Shanghai | |
China | Novartis Investigative Site | Shanghai | |
China | Novartis Investigative Site | Shantou | Guangdong |
China | Novartis Investigative Site | Tianjin | Tianjin |
China | Novartis Investigative Site | Tianjin | Tianjin |
China | Novartis Investigative Site | Wenzhou | Zhejiang |
China | Novartis Investigative Site | Wuhan | Hubei |
China | Novartis Investigative Site | Wuxi | Jiangsu |
Lead Sponsor | Collaborator |
---|---|
Novartis Pharmaceuticals |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in best-corrected visual acuity (BCVA) | To demonstrate that brolucizumab is non-inferior to aflibercept with respect to the visual outcome | Baseline to Week 52 | |
Secondary | Average change in BCVA | To demonstrate that brolucizumab is non-inferior to aflibercept with respect to the visual outcome | Baseline, over period Week 40 to Week 52 | |
Secondary | Proportion of patients maintained treatment regimen of every 12 weeks in brolucizumab arm | To estimate the proportion of patients treated at every 12 weeks (q12w) frequency with brolucizumab | Baseline up to Week 52 | |
Secondary | Proportion of patients maintained dosing regimen of every 12 weeks (q12w) interval up to Week 52, within those patients that qualified for q12w at dosing regimen at Week 36 | To estimate the predictive value of the first q12w cycle for maintenance of q12w treatment with brolucizumab | Up to Week 52 | |
Secondary | Change in BCVA | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52 | |
Secondary | Average change in BCVA | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52, over period Week 20 to Week 52, Period Week 28 to Week 52 | |
Secondary | Proportion of patients who gain in BCVA of =5, =10 and =15 ETDRS letters from baseline to each post-baseline visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52 | |
Secondary | Time to achieve gain of =5, =10 and =15 ETDRS letters from baseline (or reaching a score of 84 or more) | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52 | |
Secondary | Proportion of patients who loss in BCVA of =5, =10 and =15 ETDRS letters from baseline to each post-baseline visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52 | |
Secondary | Proportion of patients who have absolute BCVA =73 ETDRS letters at each post-baseline visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period | Baseline up to Week 52 | |
Secondary | Proportion of patients need q8w treatment | To evaluate the efficacy related to dosing regimen of brolucizumab | Week 32 | |
Secondary | Proportion of patients with per planned dosing regimen (q8w or q12w) | To evaluate the efficacy related to dosing regimen | Week 52 | |
Secondary | Change in Central Subfield Thickness (CSFT) at each assessment visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline up to Week 52 | |
Secondary | Average change in CSFT | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline, over period of Week 4 to Week 52, over period of Week 40 to Week 52 | |
Secondary | Proportion of patient who have normal CSFT (<280 microns) at each assessment visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline up to Week 52 | |
Secondary | Change in Central Subfield Thickness-neurosensory retina (CSFTns) at each assessment visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline up to Week 52 | |
Secondary | Average change in CSFTns | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline, over the period of Week 4 to Week 52, over period of Week 40 to Week 52 | |
Secondary | Proportion of patients with presence of subretinal fluid (SRF), Intraretinal fluid (IRF) and simultaneous absence of SRF and IRF at each assessment visit | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Baseline up to Week 52 | |
Secondary | Proportion of patients with presence of leakage on fluorescein angiography (FA) | To evaluate the efficacy of brolucizumab relative to aflibercept over the time period by assessing changes in anatomical parameters | Week 52 | |
Secondary | Change from baseline in ETDRS Diabetic Retinopathy Severity Scale score at each assessment visit | To evaluate the efficacy of brolucizumab relative to aflibercept on the Diabetic Retinopathy status | Baseline up to Week 52 | |
Secondary | Number of patients with progression to proliferative diabetic retinopathy (PDR) as assessed by ETDRS-DRSS Score of at least 61 by Week 52 | To evaluate the efficacy of brolucizumab relative to aflibercept on the Diabetic Retinopathy status | Week 52 | |
Secondary | Change in patient reported outcomes (Visual Function Questionnaire-25) total and subscale scores | To assess visual function-related patient reported outcomes (VFQ-25) following treatment with brolucizumab relative to aflibercept. The VFQ-25 includes a series of 25 questions pertaining to vision or feelings about a vision condition. Answers are selected among a numbered list of possible responses, the values of which are ultimately recoded and converted to a 0 to 100 scale. Items within each subscale are averaged together to create 12 subscale scores. An overall composite score will be calculated by averaging vision-targeted subscale scores, excluding the general health rating question. | Baseline up to Week 28 and Week 52 | |
Secondary | Systemic brolucizumab concentration | To confirm the systemic brolucizumab exposure in a subset of patients. | Approximately 24 hours post Day 1 treatment and approximately 24 hours post Week 24 treatment | |
Secondary | Proportion of patients who have positive anti-drug antibody status in brolucizumab arm | To assess the immunogenicity of brolucizumab | At Screening, Week 4, 12, 24, 36, and 52 (End of Study) |
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