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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04047472
Other study ID # CRTH258A2307
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date November 29, 2019
Est. completion date February 28, 2024

Study information

Verified date May 2024
Source Novartis
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To compare brolucizumab to aflibercept in Chinese patients with untreated active choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD)


Recruitment information / eligibility

Status Completed
Enrollment 397
Est. completion date February 28, 2024
Est. primary completion date February 28, 2024
Accepts healthy volunteers No
Gender All
Age group 50 Years and older
Eligibility Inclusion Criteria: - Written informed consent must be obtained before any assessment is performed. - Active choroidal neovascularization (CNV) lesions secondary to AMD that affect the central subfield in the study eye - Total area of CNV>50% of the total lesion area in the study eye at screening Exclusion Criteria: - Any active intraocular or periocular infection or active intraocular inflammation (e.g. infectious conjunctivitis, keratitis, scleritis, endophthalmitis, infectious blepharitis, uveitis) in study eye at Baseline. - Central subfield of the study eye affected by fibrosis or geographic atrophy - Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) >25 mmHg - Previous treatment with any anti-VEGF drugs in the study eye. - Previous treatment with any approved or investigational drugs for neovascular AMD in the study eye. Other protocol-specified inclusion or exclusion criteria may apply.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Brolucizumab 6mg
Subjects will receive Brolucizumab 3 x q4w up to Week 8 followed by q12w / q8w up to Week 40 or Week 44, depending on disease activity status.
Aflibercept 2 mg
Subjects will receive Aflibercept 3 x q4w up to Week 8 followed by q8w up to Week 40.

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 Beijing
China Novartis Investigative Site Changchun City Jilin
China Novartis Investigative Site Chongqing
China Novartis Investigative Site Chongqing
China Novartis Investigative Site Guangzhou Guangdong
China Novartis Investigative Site Guangzhou Guangdong
China Novartis Investigative Site Hangzhou Zhejiang
China Novartis Investigative Site Hangzhou Zhejiang
China Novartis Investigative Site Harbin Heilongjiang
China Novartis Investigative Site Jinan
China Novartis Investigative Site Jinan Shandong
China Novartis Investigative Site Nanjing
China Novartis Investigative Site Nanjing City Jiangsu
China Novartis Investigative Site Nantong Jiangsu
China Novartis Investigative Site Shanghai
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 Shenyang City Liaoning
China Novartis Investigative Site Taiyuan Shanxi
China Novartis Investigative Site Tianjin Tianjin
China Novartis Investigative Site Tianjin Tianjin
China Novartis Investigative Site Wuhan Hubei
China Novartis Investigative Site Wuhan Hubei
China Novartis Investigative Site Xian Shaanxi
China Novartis Investigative Site Yixing 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 To demonstrate that brolucizumab 6 mg is not inferior to aflibercept 2 mg with respect to the change in BCVA Baseline to Week 48
Secondary Average change in Best-Corrected Visual Acuity To demonstrate that brolucizumab 6 mg is not inferior to aflibercept 2 mg with respect to the change in BCVA Baseline, over the period Week 36 to Week 48
Secondary Proportion of subjects with treatment regimen of every 12 weeks in brolucizumab arm To estimate the proportion of q12w subjects (1 injection every 12 weeks) up to Week 48 in the brolucizumab 6 mg treatment arm" Baseline up to Week 48
Secondary Proportion of patients with treatment regimen of every 12 weeks (q12w) interval at Week 48 of those who do not need every 8 weeks treatment interval in brolucizumab arm To estimate the predictive value of the first regimen of every 12 weeks (q12w) cycle (at Week 16 and Week 20) for maintenance of q12w treatment regimen Week 16, Week 20 and Week 48
Secondary Change in Best Corrected Visual Acuity (BCVA) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline up to Week 48
Secondary Average change in Best-Corrected Visual Acuity To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline, over the period of Week 4 to Week 48
Secondary Average change in Best-Corrected Visual Acuity To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline, over the period of Week 12 to Week 48
Secondary Proportion of patients who gain in best-correct visual acuity of 15/10/5 letters or more To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline up to Week 48
Secondary Percentage of subjects with Best-Corrected Visual Acuity of 73 letters or more at each visit To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline up to Week 48
Secondary Proportion of subjects who loss in best-corrected visual acuity of 15/10/5 letters or more To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period Baseline up to Week 48
Secondary Change in Central Subfield Thickness Total To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline up to Week 48
Secondary Average change in Central Subfield Thickness Total To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline, over the period of Week 36 to Week 48
Secondary Average Change in Central Subfield Thickness Total To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline, over the period of Week 4 to Week 48
Secondary Change in Central Subfield Thickness-neurosensory retina To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters From Baseline up to Week 48
Secondary Change in in area of choroidal neovascularization lesion To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline, Weeks 12 and Week 48
Secondary Proportion of subjects who have presence of subretinal and/or intraretinal fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline up to Week 48, specifically at Week 16 and Week 48
Secondary Number of visits with simultaneous absence of subretinal and intraretinal fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Over the period of Week 36 to Week 48
Secondary Proportion of subjects who have presence of subretinal fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline up to Week 48
Secondary Proportion of subjects who have presence of intraretinal fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline up to Week 48
Secondary Proportion of subjects who presence of sub retinal pigment epithelium fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters Baseline up to Week 48
Secondary Change in Central Subfield Thickness Total To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg at the end of the matched treatment phase Baseline up to week 16
Secondary Proportion of subjects who presence of subretinal and /or intraretinal fluid (central subfield) To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg at the end of the matched treatment phase At Week 16
Secondary Proportion of subjects who need every 8 weeks injection To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg over the time period by assessing changes in anatomical parameters To evaluate the efficacy of brolucizumab 6 mg relative to aflibercept 2 mg at the end of the matched treatment phase At Week 16
Secondary Change in subject reported outcomes (Visual Function Questionnaire-25) total and subscale scores To assess visual function-related subject reported outcomes following treatment with brolucizumab 6 mg relative to aflibercept 2 mg. 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 Weeks 24 and Week 48
Secondary Proportion of subjects who have positive anti-drug antibodies status To assess immunogenicity of brolucizumab 6 mg At Baseline (enrollment), Weeks 4, 12, 24, 36, and 48 (End of Study)
Secondary Pharmacokinetic parameters: Cmax after first brolucizumab 6 mg dose in a subset of subjects PK draw 6 hours post-injection on Day 1, after first brolucizumab 6 mg dose in a subset of subjects to assess Cmax (maximum concentration) of brolucizumab at 6 mg following a single intravitreal injection Day 1, Day 2, Day 8, Day 15, Day 22, and Day 29
Secondary Pharmacokinetic parameters: Tmax after first brolucizumab 6 mg dose in a subset of subjects PK draw 6 hours post-injection on Day 1, after first brolucizumab 6 mg dose in a subset of subjects to assess Tmax (time to maximum concenration) of brolucizumab at 6 mg following a single intravitreal injection Day 1, Day 2, Day 8, Day 15, Day 22, and Day 29
Secondary Pharmacokinetic parameters: AUClast after first brolucizumab 6 mg dose in a subset of subjects PK draw 6 hours post-injection on Day 1, after first brolucizumab 6 mg dose in a subset of subjects to assess AUClast (Area under the curve up to the last validated measurable plasma concentration) of brolucizumab at 6 mg following a single intravitreal injection Day 1, Day 2, Day 8, Day 15, Day 22, and Day 29
Secondary Pharmacokinetic parameters: AUCinf after first brolucizumab 6 mg dose in a subset of subjects PK draw 6 hours post-injection on Day 1, after first brolucizumab 6 mg dose in a subset of subjects to assess AUCinf (area under the curve total exposure) of brolucizumab at 6 mg following a single intravitreal injection Day 1, Day 2, Day 8, Day 15, Day 22, and Day 29
Secondary Pharmacokinetic parameters: Thalf after first brolucizumab 6 mg dose in a subset of subjects PK draw 6 hours post-injection on Day 1, after first brolucizumab 6 mg dose in a subset of subjects to assess Thalf (time to elimination of half-life) of brolucizumab at 6 mg following a single intravitreal injection Day 1, Day 2, Day 8, Day 15, Day 22, and Day 29
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