A Study of Lampalizumab Intravitreal Injections Administered Every Two Weeks or Every Four Weeks to Participants With Geographic Atrophy
- Registration Number
- NCT02288559
- Lead Sponsor
- Genentech, Inc.
- Brief Summary
This multicenter, randomized, single-masked, sham injection-controlled study will investigate the exposure-response and safety of lampalizumab administered intravitreally every 2 weeks (Q2W) or every 4 weeks (Q4W) for 24 weeks in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). A safety run-in assessment will be conducted prior to initiating enrollment in the randomized study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 96
- Complement Factor I (CFI) profile biomarker-positive result
- Women of child bearing potential and men should remain abstinent or use contraceptive methods
- History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD in study eye
- Previous subfoveal focal laser photocoagulation in study eye
- Laser photocoagulation in the study eye
- Prior treatment with external-beam radiation therapy or transpupillary thermotherapy in study eye
- Previous intravitreal drug administration in study eye. A single intraoperative administration of a corticosteroid during cataract surgery at least 3 months prior to screening is permitted
- Previous cell-based intraocular treatment in study eye
- Intraocular surgery in study eye
- Uncontrolled glaucoma and history of glaucoma-filtering surgery in study eye
- History of corneal transplant in study eye
- GA in either eye due to causes other than AMD
- Proliferative diabetic retinopathy in either eye
- Active or history of neovascular (wet) AMD in either eye
- History of idiopathic or autoimmune-associated uveitis, ocular or intraocular conditions, and infectious or inflammatory ocular disease
- Active uveitis and infectious conjunctivitis, keratitis, scleritis or endophthalmitis
- Previous systemic treatment with complement inhibitor and with inhibitors/modulators of visual cycle
- Previous expression vector mediated intraocular treatments
- Uncontrolled blood pressure and atrial fibrillation
- Medical conditions associated with clinically significant risk for bleeding-
- Predisposition or history of increased risk for infection
- Active malignancy within the previous 12 months except for appropriately treated carcinoma in situ of cervix, resolved non-melanoma skin carcinoma, and prostate cancer with a Gleason score of less than or equal to 6, and a stable prostate-specific antigen for greater than or equal to (>/=) 12 months
- History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of lampalizumab injection
- Women of child bearing potential must have a negative serum pregnancy test within 28 days prior to initiation of study treatment
- Previous participation in other studies of investigational drugs
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Sham: Randomized Treatment Sham Participants randomized to control arms will receive sham injections, that mimics intravitreal injection of lampalizumab. Lampalizumab: Open-label Safety Run-In Lampalizumab Participants will receive 10 milligrams (mg) lampalizumab intravitreally Q2W during the safety run-in period. Q4W Lampalizumab: Randomized Treatment Lampalizumab Participants will receive 10 mg dose of lampalizumab intravitreally Q4W during the 24-week treatment period. Q2W Lampalizumab: Randomized Treatment Lampalizumab Participants will receive 10 mg dose of lampalizumab intravitreally Q2W during the 24-week treatment period.
- Primary Outcome Measures
Name Time Method Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24 Baseline, Week 24 GA or the death of photoreceptors and surrounding cells in the retina, is a common condition in participants with age-related macular degeneration (AMD). The death of these photoreceptors results in lesions that cause vision loss. The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of geographic atrophy lesion area (worsening; disease progression). BCVA=best corrected visual acuity; ETDRS=Early Treatment Diabetic Retinopathy Scale.
- Secondary Outcome Measures
Name Time Method Serum Concentrations of Lampalizumab (Q2W) Baseline (Day 1, predose and postdose), Weeks 2,4,8,16 and 24, early termination, unscheduled predose and postdose Lower than reportable (LTR) results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of lower limit of quantification (LLOQ) (0.5 nanograms per milliliter (ng/mL)).
Serum Concentrations of Lampalizumab (Q4W) Baseline (Day 1, predose and postdose), Weeks 4,8,16 and 24, early termination LTR results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of LLOQ (0.5 ng/mL).
Percentage of Participants With Anti-Lampalizumab Antibodies Baseline up to approximately 30 weeks Having treatment-induced anti-drug antibodies (ADAs) was defined as being ADA-negative at baseline and ADA-positive at any post-baseline timepoint. Having treatment-enhanced ADAs was defined as being ADA-positive at baseline with titer values increased by 0.6 titer units at any post-baseline timepoint.
Percentage of Participants With Ocular Adverse Events (AEs) Baseline up to approximately 30 weeks An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region.
Percentage of Participants With Systemic (Non-ocular) Adverse Events Baseline up to approximately 30 weeks An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Non-ocular AEs were the systemic events.
Trial Locations
- Locations (36)
Retinal Diagnostic Center
🇺🇸Campbell, California, United States
The Retina Partners
🇺🇸Encino, California, United States
Loma Linda University
🇺🇸Loma Linda, California, United States
San Diego Retina Associates
🇺🇸Oceanside, California, United States
Colorado Retina Associates, PC
🇺🇸Golden, Colorado, United States
Wolfe Eye Clinic
🇺🇸West Des Moines, Iowa, United States
The Retina Institute
🇺🇸Saint Louis, Missouri, United States
Western Carolina Retinal Associate PA
🇺🇸Asheville, North Carolina, United States
Char Eye Ear &Throat Assoc
🇺🇸Charlotte, North Carolina, United States
W Texas Retina Consultants PA
🇺🇸Abilene, Texas, United States
Sierra Eye Associates
🇺🇸Reno, Nevada, United States
University of Arizona; Banner University Medical, Department of Opthalmology
🇺🇸Tucson, Arizona, United States
Retina Care Specialists
🇺🇸Palm Beach Gardens, Florida, United States
Northwest Arkansas Retina Associates
🇺🇸Springdale, Arkansas, United States
Florida Eye Microsurgical Inst
🇺🇸Boynton Beach, Florida, United States
National Ophthalmic Research Institute
🇺🇸Fort Myers, Florida, United States
Retina Specialty Institute
🇺🇸Pensacola, Florida, United States
Charles Retina Institution
🇺🇸Germantown, Tennessee, United States
Carolina Retina Center PA
🇺🇸Columbia, South Carolina, United States
Southeastern Retina Associates
🇺🇸Knoxville, Tennessee, United States
Eye Associates of New Mexico
🇺🇸Albuquerque, New Mexico, United States
Retina Specialists
🇺🇸DeSoto, Texas, United States
Wagner Macula & Retina Center
🇺🇸Norfolk, Virginia, United States
Vitreoretinal Surgery
🇺🇸Edina, Minnesota, United States
West Coast Retina Medical Group
🇺🇸San Francisco, California, United States
Barnet Dulaney Perkins Eye Center
🇺🇸Mesa, Arizona, United States
California Retina Consultants
🇺🇸Santa Barbara, California, United States
Florida Eye Associates
🇺🇸Melbourne, Florida, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States
Tennessee Retina PC.
🇺🇸Nashville, Tennessee, United States
Retina Assoc of Cleveland Inc
🇺🇸Cleveland, Ohio, United States
Dean McGee Eye Institute
🇺🇸Oklahoma City, Oklahoma, United States
Texas Retina Associates
🇺🇸Dallas, Texas, United States
Elman Retina Group
🇺🇸Baltimore, Maryland, United States
Cincinnati Eye Institute
🇺🇸Cincinnati, Ohio, United States
Retina Cons of Charleston
🇺🇸Charleston, South Carolina, United States