Intravitreal Aflibercept for Neovascular Polypoidal Choroidal Vasculopathy (RIVAL Trial)
RIVAL
Open-label, Non-randomized, Unmasked, Study of IAI in Patients Which Choroidal Neovascularization Secondary to Polypoidal Choroidal Vasculopathy (PCV)
1 other identifier
interventional
20
1 country
1
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of intravitreal aflibercept injection (IAI) in patients with neovascular polypoidal choroidal vasculopathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Mar 2014
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
March 1, 2014
CompletedFirst Submitted
Initial submission to the registry
March 13, 2014
CompletedFirst Posted
Study publicly available on registry
March 20, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2016
CompletedOctober 15, 2014
October 1, 2014
1 year
March 13, 2014
October 14, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
Incidence and Severity
The primary objective of the study is the incidence and severity of ocular and systemic adverse events at Month 6.
Month 6
Incidence and Severity
The primary objective of the study is the incidence and severity of ocular and systemic adverse events at Month 12.
Month 12
Secondary Outcomes (10)
Change in Best Corrected Visual Acuity (BCVA)
Months 6 and 12
Change in Best Corrected Visual Acuity (BCVA)
Months 6 and 12
Change in Best Corrected Visual Acuity (BCVA)
Months 6 and 12
Photography Assessments
Months 6 and 12
Photography Assessments
Months 6 and 12
- +5 more secondary outcomes
Other Outcomes (3)
Rescue Therapy
Month 12
Rescue Therapy
Month 12
Rescue Therapy
Month 12
Study Arms (1)
Intravitreal Aflibercept Injection
OTHERAll patients will receive monthly IAI 2.0 mg intravitreally for 3 months (Baseline, Months 1 and 2), followed by mandatory IAI 2.0 mg every 2 months (Months 4, 6, 8 and 10) for 12 months.
Interventions
Patients can receive additional IAI treatment (Months 3, 5, 7, 9, and 11) if the re-treatment criteria are met.
Starting at Month 3, patients can receive non-anti VEGF rescue therapy (ie: PDT, laser, intravitreal steroids) if the pre-defined criteria are met.
Eligibility Criteria
You may qualify if:
- Males and females ≥ 18 years of age. Females of child bearing potential will undergo urine pregnancy testing and be required to use appropriate methods of birth control
- ICG and fluorescein angiographic characteristics consistent with active, leaking PCV with subfoveal lesions and/or subfoveal hemorrhage, lipid exudates, PED or fluid
- Best corrected early treatment of diabetic retinopathy study (ETDRS) visual acuity at 4 meters between 20/20 - 20/400 (BCVA ETDRS letter score 85 - 20 letters in the study eye)
- Lesion Characteristics - leaking lesions consistent with PCV. (No limitations on hemorrhage, fibrosis or atrophy)
- Clear ocular media to allow for photography/angiography
- Willing and able to comply with clinic visits and study-related procedures
- Patients with bilateral disease will only be able to enroll one eye
- Provide signed informed consent
You may not qualify if:
- Any history of systemic Anti-VEGF therapy
- Current ocular or periocular infection
- Active intraocular inflammation
- Any comorbid condition that may decrease visual acuity
- Any patients who have had intraocular surgery within the past 30 days for any condition
- For treatment naïve patients: No prior anti-VEGF, PDT, intravitreal steroids or laser (subfoveal or non foveal)
- For previously-treated patients :
- Prior anti-VEGF (ranibizumab, bevacizumab, pegaptanib) within 30 days
- Prior IAI
- Prior PDT , transpupillary thermal therapy (TTT) or radiation within 90 days (a maximum of 3 PDTs allowed)
- Prior intravitreal steroids within 90 days
- Prior non-foveal laser within 90 days
- Prior subfoveal laser
- Patients with features of dry age-related macular degeneration such as abundant drusen and symptoms/demographic features inconsistent with the diagnosis of PCV
- Allergy to fluorescein, ICG, iodine, shellfish
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Southeast Retina Center, Georgialead
- Regeneron Pharmaceuticalscollaborator
Study Sites (1)
Southeast Retina Center, PC
Augusta, Georgia, 30909, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dennis M Marcus, MD
Part-Owner of Southeast Retina Center, PC
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 13, 2014
First Posted
March 20, 2014
Study Start
March 1, 2014
Primary Completion
March 1, 2015
Study Completion
March 1, 2016
Last Updated
October 15, 2014
Record last verified: 2014-10