Subretinal Macugen® for Neovascular Age-Related Macular Degeneration
1 other identifier
interventional
10
1 country
1
Brief Summary
The purpose of this study is to assess the efficacy of pegaptanib (Macugen®) for neovascular (exudative) age-related macular degeneration (AMD) when the first dose is administered to the submacular space instead of vitreous body in cases when previous state-of-the-art treatment for the AMD was deemed ineffective.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Nov 2008
Typical duration for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2008
CompletedFirst Submitted
Initial submission to the registry
November 7, 2008
CompletedFirst Posted
Study publicly available on registry
November 10, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedSeptember 27, 2011
July 1, 2009
3.3 years
November 7, 2008
September 26, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Proportion of patients who had lost fewer than 15 letters of visual acuity at 54 weeks
54 weeks
Mean change from baseline in total size of lesion and total size of CNV at 12, 24 and 54 weeks
week 24 and 54
Secondary Outcomes (6)
Changes in best corrected visual acuity (BCVA) from baseline at 54 weeks
54 weeks
Mean change from baseline in at week 12 and 24
week 12 and 24
Proportion of patients who gain ≥ 5, 10, 15 letters of BCVA from baseline at week 24 and 54
week 24 and 54
Proportion of patients who lose less than 15 letters of BCVA from baseline at week 24 and 54
week 24 and 54
Change in area of leakage at 12, 24 and 54 weeks
weeks 12, 24 and 54
- +1 more secondary outcomes
Interventions
Pegaptanib administered to the subretinal space (first dose) and to the vitreous cavity (following doses)
Eligibility Criteria
You may qualify if:
- Adults aged 50 years and older with neovascular AMD proven by FA
- Patients who at baseline
- Have a BCVA letter score in the study eye between 20/40 to 20/320 using an ETDRS chart measured at 4 meters or Snellen equivalent
- Have a CNV lesion of any type in the study eye with the following characteristics as determined by fluorescein angiography:
- Evidence that CNV extends under the geometric center of the foveal avascular zone.
- Previous state-of-the-art therapy for the disease is deemed ineffective with following characteristics are given:
- Loss of visual acuity (2 or more Snellen lines) in the previous 3 months defined as either OR
- ≥10% increase in the lesion diameter as assessed by fluorescein angiography in the previous 3 months
- Ability of subject to understand character and individual consequences of clinical trial.
- Signed and dated informed consent of the subject must be available before start of any specific trial procedures.
- Women with childbearing potential practicing a medically accepted contraception (negative pregnancy test result, serum or urine at trial entry).
You may not qualify if:
- Subjects presenting with any of the following criteria will not be included in the trial:
- Have a relevant ocular disease which may be associated with increased intraocular VEGF levels (namely uveitis, neovascular glaucoma, diabetic retinopathy, diabetic maculopathy, ocular ischemic syndrome, retinal vessel occlusion)
- Had previous vitrectomy surgery for whatsoever reason
- Are not pseudophakic
- Have a \>50% area of scarring of the whole CNV lesion size as seen in FA
- Arterial hypertension refractory to medical treatment
- Pregnancy and lactation.
- History of hypersensitivity to the investigational medicinal product or to any drug with similar chemical structure or to any excipient present in the pharmaceutical form of the investigational medicinal product.
- Participation in other clinical trials during the present clinical trial or within the last 3 months.
- Medical or psychological condition that would not permit completion of the trial or signing of informed consent.
- Suspected or present ocular or periocular infection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Klinikum Ludwigshafenlead
- Pfizercollaborator
Study Sites (1)
Department of Ophthalmology, Ludwigshafen hospital
Ludwigshafen, 67063, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lars-Olof Hattenbach, MD
Department of ophthalmology, Ludwigshafen hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 7, 2008
First Posted
November 10, 2008
Study Start
November 1, 2008
Primary Completion
March 1, 2012
Study Completion
December 1, 2012
Last Updated
September 27, 2011
Record last verified: 2009-07