MedPath

Vamikibart in Participants With Uveitic Macular Edema

Phase 3
Active, not recruiting
Conditions
Uveitic Macular Edema
Interventions
Other: Sham
Registration Number
NCT05642325
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study will assess the efficacy and safety of vamikibart in participants with uveitic macular edema.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
256
Inclusion Criteria
  • Female participants: Agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception as defined by the protocol
  • Diagnosis of macular edema associated with non-infectious uveitis (NIU)
  • Diagnosis of active or inactive, acute, or chronic NIU of any etiology and of any anatomical type (anterior, intermediate, posterior, panuveitis)
  • BCVA letter score of 73 to 19 letters (inclusive) on Early Treatment Diabetic Retinopathy Study (EDTRS)-like charts
Exclusion Criteria
  • Evidence of active or latent syphilis infection
  • Evidence of active or latent tuberculosis infection and/or positive tuberculosis assay, or previous or current HIV diagnosis
  • Serious acute or chronic medical or psychiatric illness
  • History of major ocular and non-ocular surgical procedures
  • Uncontrolled IOP or glaucoma or chronic hypotony
  • Any anatomical changes or media opacity in the study eye preventing evaluation of retina, vitreous, and capture of study images
  • Prior use of IVT biologics including anti-VEGFs less than 2-4 months prior to Day 1; received IVT Methotrexate within 4 months prior to Day 1
  • Prior macular laser therapy, cataract surgery within 6 months and laser capsulotomy within 3 months of Day 1
  • Topical corticosteroids and/or topical NSAID > 3 drops per day in the 14 days prior to Day 1 (D1); intraocular or periocular corticosteroid injections in the 2 months prior to D1; subconjunctival corticosteroid injection within 1 month prior to Day 1; an OZURDEX implant in the 4 months prior to D1; YUTIQ, RETISERT or ILUVIEN implant in the 3 years prior to D1
  • Diagnosis of macular edema due to any cause other than NIU
  • Any major ocular conditions that may require medical or surgical intervention during the study period to prevent vision loss

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm AVamikibartParticipants will receive 4 high-dose vamikibart intravitreal (IVT) injections every 4 weeks (Q4W) to Week 12, followed by as-needed (PRN) dosing from Week 20 to Week 48.
Arm BVamikibartParticipants will receive 4 low-dose vamikibart IVT injections Q4W to Week 12, followed by PRN dosing from Week 20 to Week 48.
Arm CShamParticipants will receive 4 sham injections Q4W to Week 12, followed by PRN sham dosing from Week 20 to Week 48.
Primary Outcome Measures
NameTimeMethod
Proportion of participants with ≥ 15 letter improvement from baseline in best-corrected visual acuity (BCVA) at Week 16Week 16
Secondary Outcome Measures
NameTimeMethod
Number of rescue treatments receivedUp to Week 52
Change from baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) at Weeks 16 and 52Weeks 16 and 52
Change from Baseline in BCVA at Weeks 20 and 52Weeks 20 and 52
Proportion of participants without ≥15 letter loss from baseline in BCVA at Week 16 and 52Weeks 16 and 52
Percent change from baseline in corneal endothelial cell density at Week 24Week 24
Percentage of participants with non-ocular AEsUp to Week 52
Aqueous humor (AH) concentration of vamikibartUp to Week 52
Change from baseline in BCVA at Week 16Week 16
Change from baseline in central subfield thickness (CST) at Week 16Week 16
Change from baseline in CST at Weeks 20 and 52Weeks 20 and 52
Time to rescue treatmentUp to Week 52
Type of rescue treatments receivedUp to Week 52
Percentage of participants with adverse events of special interest (AESIs)Up to Week 52
Percent change from baseline in corneal endothelial cell density at Week 52Week 52
Serum concentration of vamikibartUp to Week 52
Proportion of participants with ≥ 15 letter improvement from baseline in BCVA at Week 20Week 20
Proportion of participants with uveitic macular edema secondary to non-infectious uveitis (UME) resolution defined by standardized (by machine) CST threshold <325um on optical coherence tomography (OCT) from baseline at Weeks 16 and 52Weeks 16 and 52
Proportion of participants with ≥15 letter improvement from baseline in BCVA at Week 16 and 52Weeks 16 and 52
Time to first PRN injectionUp to Week 52
Percentage of participants with ocular adverse events (AEs)Up to Week 52
Anti-drug antibody titer to vamikibartBaseline to Week 52

Trial Locations

Locations (93)

Sankara Nethralaya

🇮🇳

Chennai, Tamil NADU, India

L V Prasad Eye Institute

🇮🇳

Hyderabad, Telangana, India

Associated Retina Consultants

🇺🇸

Phoenix, Arizona, United States

Barnet Dulaney Perkins Eye Center

🇺🇸

Sun City, Arizona, United States

Retina Consultants of Orange County

🇺🇸

Fullerton, California, United States

Northern California Retina Vitreous Associates

🇺🇸

Mountain View, California, United States

California Eye Specialists Medical group Inc.

🇺🇸

Pasadena, California, United States

Retina Consultants of Southern California

🇺🇸

Redlands, California, United States

Kaiser Permanente Riverside Medical Center

🇺🇸

Riverside, California, United States

University of California, Davis, Eye Center

🇺🇸

Sacramento, California, United States

Retinal Consultants Med Group

🇺🇸

Sacramento, California, United States

Advanced Research

🇺🇸

Deerfield Beach, Florida, United States

Retina Group of Florida

🇺🇸

Fort Lauderdale, Florida, United States

University Retina and Macula Associates, PC

🇺🇸

Oak Forest, Illinois, United States

Cumberland Valley Retina PC

🇺🇸

Hagerstown, Maryland, United States

University of Michigan, Kellogg Eye Center

🇺🇸

Ann Arbor, Michigan, United States

Duke Eye Center

🇺🇸

Durham, North Carolina, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Erie Retina Research

🇺🇸

Erie, Pennsylvania, United States

Mid Atlantic Retina

🇺🇸

Philadelphia, Pennsylvania, United States

Retina Research Institute of Texas

🇺🇸

Abilene, Texas, United States

Retina Consultants of Texas

🇺🇸

Katy, Texas, United States

Retina Group of Washington

🇺🇸

Fairfax, Virginia, United States

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

Centro Privado de Ojos

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Buenos Aires Mácula

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Consultorios Medicos Oftalmológicos

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Oftalmologia Global

🇦🇷

Rosario, Argentina

Organizacion Medica de Investigacion

🇦🇷

San Nicolás, Argentina

Sydney Eye Hospital

🇦🇺

Sydney, New South Wales, Australia

Centre For Eye Research Australia

🇦🇺

East Melbourne, Victoria, Australia

Eye Surgery Associates

🇦🇺

Malvern, Victoria, Australia

Retina Specialists Victoria

🇦🇺

Rowville, Victoria, Australia

The Lions Eye Institute

🇦🇺

Nedlands, Western Australia, Australia

St. Franziskus Hospital

🇩🇪

Munster, Germany

Peking Union Medical College Hospital

🇨🇳

Beijing City, China

Beijing Tongren Hospital

🇨🇳

Beijing, China

The First Affiliated Hospital, Chongqing Medical University

🇨🇳

Chongqing, China

General Teaching Hospital Prague

🇨🇿

Prague, Czechia

CHU Nantes - Hôtel Dieu

🇫🇷

Nantes, France

Hopital Lariboisiere

🇫🇷

Paris, France

Hôpital COCHIN

🇫🇷

Paris, France

Ch Pitie Salpetriere

🇫🇷

Paris, France

Charité-Universitätsmedizin Berlin, Campus Virchow Klinikum

🇩🇪

Berlin, Germany

Universitätsklinikum Freiburg, Klinik für Augenheilkunde

🇩🇪

Freiburg, Germany

Universitätsmedizin Göttingen Georg-August-Universität

🇩🇪

Göttingen, Germany

Universitätsklinikum Hamburg-Eppendorf

🇩🇪

Hamburg, Germany

Universitätsklinik Heidelberg

🇩🇪

Heidelberg, Germany

Universitätsklinikum Köln

🇩🇪

Köln, Germany

Universitätskliniikum Schleswig-Holstein, Campus Lübeck

🇩🇪

Lübeck, Germany

Knappschaftsklinikum Saar GmbH

🇩🇪

Sulzbach, Germany

Universitäts-Augenklinik Tübingen

🇩🇪

Tübingen, Germany

Narayana Nethralaya Hospital

🇮🇳

Bangalore, Karnataka, India

ICARE Eye Hospital & PG Institute

🇮🇳

Noida, Uttar Pradesh, India

Postgraduate Institute of Medical Education and Research

🇮🇳

Chandigarh, India

AUSL ? IRCCS Santa Maria Nuova

🇮🇹

Reggio Emilia, Emilia-Romagna, Italy

Irccs Ospedale San Raffaele

🇮🇹

Milano, Lombardia, Italy

Asst Fatebenefratelli Sacco

🇮🇹

Milano, Lombardia, Italy

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

Hiroshima University Hospital

🇯🇵

Hiroshima, Japan

Hokkaido University Hospital

🇯🇵

Hokkaido, Japan

Kobe University Hospital

🇯🇵

Hyogo, Japan

Kagoshima University Hospital

🇯🇵

Kagoshima, Japan

Yokohama City University Hospital

🇯🇵

Kanagawa, Japan

Japan Community Health care Organization Osaka Hospital

🇯🇵

Osaka, Japan

Osaka University Hospital

🇯🇵

Osaka, Japan

Jichi Medical University Saitama Medical Center

🇯🇵

Saitama, Japan

National Defense Medical College Hospital

🇯🇵

Saitama, Japan

Tokyo Medical University Hospital

🇯🇵

Tokyo, Japan

Kyorin University Hospital

🇯🇵

Tokyo, Japan

Nippon Medical School Tama Nagayama Hospital

🇯🇵

Tokyo, Japan

Yamaguchi University Hospital

🇯🇵

Yamaguchi, Japan

"Kazakh "Badge of H?nour" Scientific R?s??r?h Institute of ??? diseases" LLP

🇰🇿

Almaty, Kazakhstan

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Kyung Hee University Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

AIBILI - Association for Innovation and Biomedical Research on Light

🇵🇹

Coimbra, Portugal

Hospital de Santa Maria

🇵🇹

Lisboa, Portugal

National University Hospital

🇸🇬

Singapore, Singapore

Hospital Universitari de Bellvitge

🇪🇸

Hospitalet De Llobregat, Barcelona, Spain

Hospital de Cruces

🇪🇸

Barakaldo, Vizcaya, Spain

Hospital Clinic Barcelona

🇪🇸

Barcelona, Spain

Fundacion Jimenez Diaz-UTE

🇪🇸

Madrid, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Inselspital Bern Ophthalmologische Klinik

🇨🇭

Bern, Switzerland

Berner Augenklinik

🇨🇭

Bern, Switzerland

Vista Klinik Ophthalmologische Klinik

🇨🇭

Binningen, Switzerland

Stadtspital Triemli Ophthalmologische Klinik

🇨🇭

Zürich, Switzerland

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Chang Gung Medical Foundation - Linkou

🇨🇳

Taoyuan, Taiwan

Hacettepe University Medical Faculty

🇹🇷

Ankara, Turkey

Ege Üniversitesi Tip Fakültesi

🇹🇷

Lzmir, Turkey

Moorfields Eye Hospital NHS Foundation Trust

🇬🇧

London, United Kingdom

© Copyright 2025. All Rights Reserved by MedPath