A Prospective, Two-Staged, Single-Masked Study to Evaluate the Effect of ESBA1008 Applied by Microvolume Injection or Infusion in Subjects With Exudative Age-Related Macular Degeneration
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 107
- 主要终点
- Percentage of Responders Based on CSFT and BCVA Outcomes at Day 14 and Day 28
研究概览
简要总结
The purpose of this study is to demonstrate a treatment effect of ESBA1008 applied as a microvolume injection or infusion on retinal function and morphology in subjects with exudative age-related macular degeneration (AMD).
详细描述
This 4-cohort study was conducted in 2 stages. Stage 1 consisted out of 2 Cohorts. In each cohort subjects were randomized 10:3 to either receive ESBA1008 (Cohort 1 : 2 injections, Cohort 2 : 1 infusion and 1 injection) or 2 Lucentis injections. Stage 2 was conducted similarly with a different dosing level for ESBA1008 (Cohort 3 and 4). Subjects had follow-up visits at Day 7 and Day 14. All cohorts receiving ESBA1008 on Day 0 also received ESBA1008 6mg/50 μL via injection on Day 28. After the Day 28 visit (all cohorts), subjects returned for follow up visits at Day 42 and Day 56.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sign informed consent document;
- •Able to make the required study visits and follow instructions;
- •Age-related macular degeneration in the study eye;
- •Visual acuity within protocol-specified range;
- •340 μm minimal central subfield thickness (CSFT; Spectralis Equivalent)
- •Other protocol-defined inclusion criteria may apply.
排除标准
- •Both eyes: Any active infection or inflammation;
- •Study eye: Any treatment for exudative age-related macular degeneration (AMD) other than vitamin supplements;
- •Study eye: Any current or history of macular or retinal disease;
- •Study eye: Any concurrent intraocular condition such as cataract or diabetic retinopathy that, in the opinion of the Investigator, could either require medical or surgical intervention during the course of the study to prevent or treat visual loss;
- •Study eye: Other ocular conditions or diseases that, in the opinion of the Investigator, could compromise visual acuity;
- •Study Eye: Uncontrolled glaucoma;
- •History of a medical condition that, in the opinion of the Investigator, would preclude scheduled study visits, completion of the study, or a safe administration of investigational product;
- •Women of childbearing potential who are lactating, pregnant, planning to become pregnant, or not using adequate birth control methods for the duration of the study;
- •Intraocular surgery within 3 months of baseline;
- •Study eye: Any history or current evidence of retinal angiomatous proliferation (RAP) lesions based on clinical exam;
- •Other protocol-defined exclusion criteria may apply.
研究组 & 干预措施
ESBA1008 1.2 mg/10 μL
Cohort 1: One intravitreal injection on Day 0, followed by one intravitreal (IVT) injection of ESBA1008 6 mg/50 μL on Day 28
干预措施: ESBA1008 solution (Drug)
ESBA1008 1 mg/8.3 μL
Cohort 2: One intravitreal infusion on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
干预措施: ESBA1008 solution (Drug)
ESBA1008 0.6 mg/10 μL
Cohort 3: One intravitreal injection on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
干预措施: ESBA1008 solution (Drug)
ESBA1008 0.5 mg/8.3 μL
Cohort 4: One intravitreal infusion on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
干预措施: ESBA1008 solution (Drug)
Ranibizumab 0.5 mg in 50 μL
Cohorts 1-4: One intravitreal injection on Day 0, followed by another intravitreal injection on Day 28
干预措施: Ranibizumab (Drug)
结局指标
主要结局
Percentage of Responders Based on CSFT and BCVA Outcomes at Day 14 and Day 28
时间窗: Baseline, Day 14, Day 28
A subject was considered a responder if at least 3 out of the following 4 criteria were fulfilled in comparison to baseline: * Greater than or equal to 4 letter gain in BCVA at Day 14 * Greater than or equal to 4 letter gain in BCVA at Day 28 * Greater than or equal to 80 micron decrease in CSFT at Day 14 * Greater than or equal to 80 micron decrease in CSFT at Day 28. BCVA was measured by the number of letters read out of a possible 70 letters on the ETDRS chart. One eye (study eye) contributed to the analysis.
次要结局
- Change From Baseline in BCVA, Cohort 4(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in CSFT, Cohort 1(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in CSFT, Cohort 2(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in CSFT, Cohort 3(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in CSFT, Cohort 4(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in BCVA, Cohort 1(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in BCVA, Cohort 2(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)
- Change From Baseline in BCVA, Cohort 3(Baseline, Day 7, Day 14, Day 28, Day 42, Day 56)