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A PHASE III, MULTICENTER, RANDOMIZED, DOUBLE-MASKED, ACTIVE COMPARATORCONTROLLED STUDY TO EVALUATE THE EFFICACY AND SAFETY OF RO6867461 IN PATIENTS WITH DIABETIC MACULAR EDEMA (YOSEMITE)

Not Applicable
Conditions
-H353 Degeneration of macula and posterior pole
Degeneration of macula and posterior pole
H353
Registration Number
PER-025-18
Lead Sponsor
F. HOFFMANN-LA ROCHE LTD.,
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
13
Inclusion Criteria

Patients must meet the following general inclusion criteria for study entry:
•Willingness and the ability to provide signed informed consent
Additionally, at U.S. sites, patients must provide Health Insurance Portability and Accountability Act authorization, and in other countries, as applicable according to national laws.
•Age 18 years
•Documented diagnosis of diabetes mellitus (Type 1 or Type 2), as defined by the American Diabetes Association or per WHO criteria and
–Current regular use of insulin for the treatment of diabetes
and/or
–Current regular use of oral anti-hyperglycemic agents for the treatment of diabetes
•HbA1c of 10% within 2 months prior to the Day 1 visit date
•Ability and willingness to undertake all scheduled visits and assessments
•For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use acceptable contraceptive methods during the treatment period and for at least 3 months after the final dose of study treatment

Exclusion Criteria

•Currently untreated diabetes mellitus or previously untreated patients who initiated oral anti diabetic medication or insulin within 3 months prior to Day 1
•History of allergy or hypersensitivity to active drug aflibercept and any of its excipients, fluorescein, or any study treatmentrelated mandatory ingredients.
•History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the RO6867461 or to aflibercept injections, study treatment procedure, dilating drops, or any of the anesthetic and antimicrobial drops used by a patient during the study
•Active cancer within the past 12 months except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, and prostate cancer with a Gleason score of  6 and a stable prostate-specific antigen for  12 months
•Systemic treatment for suspected or active systemic infection
•Renal failure requiring renal transplant, hemodialysis, or peritoneal dialysis within 6 months prior to Day 1 or anticipated to require hemodialysis or peritoneal dialysis at any time during the study
•History of other disease, other non-diabetic metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a condition that contraindicates the use of the RO6867461 or aflibercept or that might affect interpretation of the results of the study or renders the patient at high risk for treatment complications in the opinion of the investigator
•Uncontrolled blood pressure (defined as systolic 180 mmHg and/or diastolic 100 mmHg while a patient is at rest)
•Cerebral vascular accident or myocardial infarction within 6 months prior to Day 1
•Pregnancy or breastfeeding, or intention to become pregnant during the study
•Participation in an investigational trial that involves treatment with any drug or device (with the exception of vitamins and minerals) within 3 months prior to Day 1
•Administration of systemic pro-angiogenic treatments, such as VEGF based therapies for the peripheral or coronary ischemia (e.g., limb ischemia or myocardial infarction) within 3 months or 5 half-lives prior to Day 1
•Inability to comply with study or follow-up procedures

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br>Outcome name:Change from baseline in BCVA (as measured on the ETDRS (ETDRS=Early Treatment Diabetic Retinopathy Study; FFA=fundus fluorescein angiography) chart at a starting distance of 4 meters) at 1 year a<br>Measure:BCVA(best-corrected visual acuity)<br>Timepoints:Throughout 100 weeks.<br>
Secondary Outcome Measures
NameTimeMethod
<br>Outcome name:To evaluate the efficacy of RO6867461 on anatomical outcome measures using SD OCT (Spectral-domain optical coherence tomography)<br>Measure:Anatomical outcome measures using SD OCT (Spectral-domain optical coherence tomography)<br>Timepoints:Throughout 100 weeks.<br>;<br>Outcome name:To evaluate the efficacy of RO6867461 on patient-reported vision-related functioning and quality of life using the NEI VFQ-25 (National Eye Institute 25-Item Visual Function Questionnaire)<br>Measure:NEI VFQ-25 (National Eye Institute 25-Item Visual Function Questionnaire)<br>Timepoints:Throughout 100 weeks.<br>
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