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Clinical Study to Evaluate Treatment With ORACEA® for Geographic Atrophy (TOGA)

Phase 2
Completed
Conditions
Geographic Atrophy
Interventions
Drug: Placebo
Registration Number
NCT01782989
Lead Sponsor
Paul Yates, MD, PhD
Brief Summary

This is a prospective, randomized study to evaluate the efficacy and safety of ORACEA® in the treatment of geographic atrophy due to dry age-related macular degeneration (AMD).

Detailed Description

Eligible participants will complete a 6-month Observation Phase, followed by a 24-month Treatment Phase, followed by an End of Study Visit. Eligible participants will be randomized at Month 6 in a 1:1 ratio to either ORACEA (40 mg doxycycline) or placebo capsule to be taken once-daily for 24 months. Over the course of the 31-month study, a total of 9 clinic visits and 3 telephone calls are required.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
286
Inclusion Criteria
  • Male or female, age >/=55 years
  • Best corrected visual acuity of 20/20 - 20/400 in the study eye
  • Best corrected visual acuity of hand motion or better in the non-study eye
  • Clinical diagnosis of geographic atrophy secondary to non-exudative age-related macular degeneration in at least one eye (study eye)
  • Geographic atrophy lesions of ≥ 0.5 and ≤ 7.0 MPS disc areas
Exclusion Criteria
  • History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the study eye
  • History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the non-study eye requiring any treatment within 12 months prior to Day 0 or expected to require treatment for the duration of the study
  • Prior treatment for non-exudative age-related macular degeneration
  • Current or previous history of treatment of the study eye with any tetracycline derivative for any ocular condition.
  • History of vitreoretinal surgery, corneal transplant, or laser photocoagulation in the study eye
  • Any intraocular or periocular surgery within 90 days prior to Day 0 in the study eye.
  • History of any hypersensitivity to tetracycline components
  • Use of a tetracycline derivative therapy for a concurrent systemic or ocular disorder within 90 days of Day 0
  • History of sensitivity to the sun

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ORACEA®ORACEA®40mg doxycycline
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Rate of enlargement in area of geographic atrophy in the study eye during the treatment period.Month 6 and Month 30
Secondary Outcome Measures
NameTimeMethod
Change in Best Corrected Visual Acuity (BCVA)Month 6 and Month 30

Trial Locations

Locations (37)

Retina Group of Florida

🇺🇸

Fort Lauderdale, Florida, United States

Eldorado Retina Associates

🇺🇸

Louisville, Colorado, United States

Vitreo-Retinal Associates

🇺🇸

Worcester, Massachusetts, United States

Lifelong Vision Foundation

🇺🇸

Chesterfield, Missouri, United States

Mid Atlantic Retina / Wills Eye Institute

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh Eye Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Cole Eye Institute / Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

New England Eye Center at Tufts Medical Center

🇺🇸

Boston, Massachusetts, United States

Retina Center

🇺🇸

Minneapolis, Minnesota, United States

Retina Associates of South Texas

🇺🇸

San Antonio, Texas, United States

Delaware Valley Retina Associates

🇺🇸

Lawrenceville, New Jersey, United States

George Washington University

🇺🇸

Washington, District of Columbia, United States

New Jersey Retina

🇺🇸

Toms River, New Jersey, United States

Retina Cosultants

🇺🇸

Charleston, West Virginia, United States

New England Retina Associates

🇺🇸

Hamden, Connecticut, United States

University of Virginia

🇺🇸

Charlottesville, Virginia, United States

Macula and Retina Institute

🇺🇸

Glendale, California, United States

Retina Consultants of San Diego

🇺🇸

Poway, California, United States

Colorado Retina Associates, PC

🇺🇸

Golden, Colorado, United States

Medical Center Eye Institute / Gulf Region Clinical Research Institute

🇺🇸

Pensacola, Florida, United States

Retina Vitreous Associates of Florida

🇺🇸

Saint Petersburg, Florida, United States

Harvard Vanguard Medical Associates

🇺🇸

Boston, Massachusetts, United States

Gailey Eye Clinic

🇺🇸

Bloomington, Illinois, United States

Retina Specialists of Michigan

🇺🇸

Grand Rapids, Michigan, United States

Retina Associates of Kentucky

🇺🇸

Lexington, Kentucky, United States

MaculaCare

🇺🇸

New York, New York, United States

Vitreous Retina Macula Consultants of New York

🇺🇸

New York, New York, United States

New York Eye and Ear

🇺🇸

New York, New York, United States

Retina Associates of Western New York

🇺🇸

Rochester, New York, United States

Pennsylvania Retina Specialists, PC

🇺🇸

Camp Hill, Pennsylvania, United States

Oregon Retina

🇺🇸

Eugene, Oregon, United States

Associates in Ophthalmology, Ltd

🇺🇸

West Mifflin, Pennsylvania, United States

Retina Research Institute of Texas

🇺🇸

Abilene, Texas, United States

Brian B. Berger, MD and Associates / Retina Research Center

🇺🇸

Austin, Texas, United States

Wagner Macula & Retina Center

🇺🇸

Virginia Beach, Virginia, United States

Virginia Retina Center

🇺🇸

Warrenton, Virginia, United States

Retinal and Ophthalmic Consultants

🇺🇸

Northfield, New Jersey, United States

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