Safety,Tolerability and Efficacy of Intravitreal LFG316 in Patients With Active Non-infectious Intermediate-, posterior-or Panuveitis ,
A Randomized, Active-controlled, Open-label, Multicenter proof-of Concept Study of Intravitreal LFG316 in Patients With Active Non-infectious Intermediate-, Posterior-, or Panuveitis Requiring Systemic Immunosuppressive Therapy
2 other identifiers
interventional
25
2 countries
8
Brief Summary
This was a multi-center, randomized, active-controlled, open-label study. Approximately 24 patients with active, non-infectious intermediate-, posterior-, or panuveitis requiring systemic immunosuppressive therapy were enrolled. Safety, efficacy, and PK assessments occurred at scheduled visits over a 12-week period. Low-molecular-weight non-steroidal immunosuppressive medications were allowed up to the baseline day as long as the dose had not changed in the 3 weeks prior to baseline, except for corticosteroid doses for which might have changed. Patients responding to treatment were offered up to 6 months of extended treatment. Assessments for safety included laboratory safety tests, ECGs, physical exams, ocular exams, vital signs and the monitoring of adverse events. Study participation varied from a minimum of 3 months to a maximum of 9 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Dec 2012
Longer than P75 for phase_2
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 1, 2012
CompletedFirst Posted
Study publicly available on registry
February 6, 2012
CompletedStudy Start
First participant enrolled
December 20, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 16, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 24, 2017
CompletedResults Posted
Study results publicly available
October 31, 2018
CompletedJanuary 5, 2021
October 1, 2018
4.2 years
February 1, 2012
August 15, 2018
December 9, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of Participants With Response Rate for the Individual Response Criteria - in the Study Eye
Response rate as defined by: 1. An improvement of 2 or more steps in vitreous haze (scale of 0 to 4), relative to baseline OR 2. An improvement of 10 or more letters in visual acuity (VA), relative to baseline OR 3. An improvement of 2 or more steps in anterior chamber cells (ACC) score (scale of 0 to 4), relative to baseline OR 4. Absence of chorioretinal lesions as determined by the investigator
Day 85 (end of study)
Number of Participants With Remission in Study Eye - Treatment Period
Remission (complete response) was defined as any patient who had: * a vitreous haze score of 0 or 0.5 (scale of 0 to 4) in the study eye, AND * an anterior chamber cell score of 0 (scale of 0 to 4), AND * no chorioretinal lesions in the study eye, AND * was off all immune modulatory therapy (systemic, corticosteroids and topical), AND * without any worsening of uveitis during the trial.
Day 85 (end of study)
Secondary Outcomes (7)
Number of Participants With Vitreous Haze Score in Study Eye - Treatment Period
Day 2, 8, 15, 29, 43, 57 and, 85 (end of the study)
Mean Best Corrected Visual Acuity (BCVA) in Study Eye - Treatment Period
Day 2, 8, 15, 29, 43, 57 and, 85 (end of the study)
Number of Patients With Macular Edema in Study Eye - Treatment Period
Day 85 (end of study)
Number of Patients With Chorioretinal Lesions in Study Eye - Treatment Period
Day 2, 8, 15, 29, 43, 57 and, 85 (end of the study)
Number of Participants With Anterior Chamber Cells Score in Study Eye - Treatment Period
Day 2, 8, 15, 29, 43, 57 and, 85 (end of the study)
- +2 more secondary outcomes
Study Arms (2)
LFG316 -Intravitreal Injection
EXPERIMENTALConventional Therapy
ACTIVE COMPARATORInterventions
Conventional Therapy administered in accordance with its prescribing info.
Eligibility Criteria
You may qualify if:
- Male or female patients 18 years or older
- Active NIU, in at least one eye, as defined below, in patients requiring intensification of systemic immunosuppressive therapy;
- Vitreous haze at least 1+ on the scale of Nussenblatt et al 1985,or
- Chorioretinal lesions due to uveitis (chorioretinal lesions due to infectious uveitis excluded)
- Patients with a flare and at the time of the enrollment on systemic corticosteroid or non-steroidal immunosuppressants had their therapy tapered or stopped, respectively, at the time of intravitreal LFG316 administration.
- Visual acuity (ETDRS method) of 20 letters (20/400 Snellen equivalent) or better in the study eye.
- For female patients, must not be pregnant or lactating and must, unless post-menopausal, use effective contraception.
- Ability to provide informed consent and comply with the protocol.
You may not qualify if:
- Uveitis so severe that, in the investigator's judgment, it was too risky to test an experimental drug
- Any biologic immunosuppressive agent given via intravitreal, intravenous or subcutaneous route within 4-12 months depending on the agent.
- History of infectious uveitis or endophthalmitis in either eye.
- History of retinal detachment
- Any intraocular surgery, intravitreal injection, periocular injection, or laser photocoagulation to the study eye within 90 days prior to dosing.
- In the study eye, cataract expected to interfere with study conduct or require surgery during the study.
- Forms of uveitis that may have spontaneously resolved
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
Novartis Investigative Site
Golden, Colorado, 80401, United States
Novartis Investigative Site
Marietta, Georgia, 30060, United States
Novartis Investigative Site
Cambridge, Massachusetts, 02142, United States
Novartis Investigative Site
Omaha, Nebraska, 68198-5540, United States
Novartis Investigative Site
Teaneck, New Jersey, 07666, United States
Novartis Investigative Site
Houston, Texas, 77030, United States
Novartis Investigative Site
Bristol, BS1 2LX, United Kingdom
Novartis Investigative Site
London, EC1V 2PD, United Kingdom
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 1, 2012
First Posted
February 6, 2012
Study Start
December 20, 2012
Primary Completion
February 16, 2017
Study Completion
August 24, 2017
Last Updated
January 5, 2021
Results First Posted
October 31, 2018
Record last verified: 2018-10