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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04058067
Other study ID # CRTH258B2304
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date August 23, 2019
Est. completion date January 31, 2023

Study information

Verified date June 2023
Source Novartis
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

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.

Study Design


Intervention

Drug:
Brolucizumab
5 x every 6 weeks loading then every 12 weeks or every 8 weeks maintenance
Aflibercept
5 x every 4 weeks loading then every 8 weeks maintenance

Locations

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

Sponsors (1)

Lead Sponsor Collaborator
Novartis Pharmaceuticals

Country where clinical trial is conducted

China, 

Outcome

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)
See also
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