Regorafenib Eye Drops: Investigation of Efficacy and Safety in Neovascular Age Related Macular Degeneration
DREAM
A Combined Phase IIa / IIb Study of the Efficacy, Safety, and Tolerability of Repeated Topical Doses of Regorafenib Eye Drops, in Treatment-naïve Subjects With Neovascular Age Related Macular Degeneration
2 other identifiers
interventional
52
17 countries
144
Brief Summary
Part A (Phase IIa): Primary objectives: The study part A is designed to investigate whether the use of regorafenib eye drops can help patients with neovascular (wet) Age-Related Macular Degeneration (wAMD) to see better after 4 weeks and 12 weeks after inclusion into this study. Secondary objectives: The study will also evaluate the safety and tolerability of the regorafenib eye drops. Part B (Phase IIb): Primary objectives: The study part B is designed to investigate:
- how often the regorafenib eye drops need to be given per day
- whether the use of regorafenib eye drops can help patients with neovascular (wet) Age-Related Macular Degeneration (wAMD) to see better after 4 weeks and 12 weeks after inclusion into this study. Secondary objectives: The study will also evaluate how the different dosings of regorafenib eye drops affect patients vision, the safety and the tolerability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Oct 2014
Shorter than P25 for phase_2
144 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
August 20, 2014
CompletedFirst Posted
Study publicly available on registry
August 21, 2014
CompletedStudy Start
First participant enrolled
October 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedResults Posted
Study results publicly available
September 8, 2016
CompletedSeptember 8, 2016
July 1, 2016
7 months
August 20, 2014
June 11, 2016
July 25, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Study Week 4 for Study Part A
Participants will be assessed at each clinic visit for best corrected visual acuity using the early treatment diabetic retinopathy study chart. Visual function of the study eye and the fellow eye was assessed using the ETDRS. The participant's ETDRS testing score was recorded in the appropriate eCRF page at each study visit. For participants that dropped out or received rescue treatment the last observation before drop-out or administration of rescue treatment was carried forward. A higher score represents better functioning.
Baseline, Week 4
Change From Baseline in BCVA as Measured by ETDRS Letter Score at Study Week 12 for Study Part A
Participants were assessed at each clinic visit for best corrected visual acuity using the early treatment diabetic retinopathy study chart. Visual function of the study eye and the fellow eye was assessed using the ETDRS protocol. ETDRS testing score was recorded in the appropriate eCRF page at each study visit. For participants that dropped out or received rescue treatment the last observation before drop-out or administration of rescue treatment was carried forward. A higher score represents better functioning.
Baseline, Week 12
Secondary Outcomes (2)
Percentage of Participants With Individual Changes in BCVA of Greater Than Equal to (>=) 0 Letters of Vision From Study Week 4 to Week 12 for Study Part A
Week 4, Week 12
Percentage of Participants With a Loss in BCVA of >= 10 Letters From Baseline to Study Week 12 for Study Part A
Baseline, Week 12
Study Arms (8)
Regorafenib [A]
EXPERIMENTALPart A: Patients will receive Regorafenib eye drops
Regorafenib [B1]
EXPERIMENTALPart B: Regorafenib eye drops dose 1; plus sham IVT (Intravitreal therapy) once every 4 weeks
Regorafenib [B2]
EXPERIMENTALPart B: Regorafenib eye drops dose 2; plus sham IVT (Intravitreal therapy) once every 4 weeks
Regorafenib [B3]
EXPERIMENTALPart B: Regorafenib eye drops dose 3; plus sham IVT (Intravitreal therapy) once every 4 weeks
Regorafenib [B4]
EXPERIMENTALPart B: Regorafenib eye drops dose 4; plus sham IVT (Intravitreal therapy) once every 4 weeks
Regorafenib [B5]
EXPERIMENTALPart B: Regorafenib eye drops dose 5; plus sham IVT (Intravitreal therapy) once every 4 weeks
Regorafenib [B6]
EXPERIMENTALPart B: Regorafenib eye drops dose 6; plus sham IVT (Intravitreal therapy) once every 4 weeks
Ranibizumab
ACTIVE COMPARATORRanibizumab IVT once every 4 weeks; plus placebo eye drops to match the regorafenib eye drop regimens
Interventions
Subjects receive Regorafenib as eye drops
Sham injections
Eligibility Criteria
You may qualify if:
- Able to read (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent or a family member) and able to understand the informed consent form (ICF)
- Men and women ≥ 50 years of age
- Active primary subfoveal CNV (Choroidal neovascularization) lesions secondary to AMD (Age-related macular degeneration), including juxtafoveal lesions that affect the fovea as evidenced by FA (Fluorescein angiography) in the study eye and reviewed by the central reading center
- The area of CNV must occupy at least 50% of total lesion in the study eye, as determined by FA review at the central reading center
- Evidence of intraretinal and/or subretinal fluid on OCT (Optical coherence tomography)
- Early Treatment Diabetic Retinopathy Study BCVA of 73 to 25 letters (20/40 to 20/320 Snellen equivalent) in the study eye
- Willing, committed, and able to return for all clinic visits and complete all study related procedures
- Women of childbearing potential and men must agree to use adequate contraception when sexually active. This applies since signing of the ICF until one month after the EOS (end of study) visit. The definition of adequate contraception will be based on the judgment of the investigator.
You may not qualify if:
- Concurrent disease in the study eye, other than AMD (e.g., corneal diseases and dystrophies, conjunctival diseases, eye lid abnormalities, or any other diseases of the cornea and macula, or optic nerve abnormality) that could compromise visual acuity, likely require medical or surgical intervention during the study period, would limit the potential to gain or lose vision during study treatment, or could otherwise confound interpretation of the results
- Total lesion size (including neovascularization, scar, blood) \> 12 disc areas (30.5 mm2) as assessed by FA
- Only one functional eye, even if that eye is otherwise eligible for the study
- Prior ocular or systemic treatment or surgery for neovascular AMD in the study eye except dietary supplements or vitamins
- Prior treatment with any systemic anti-VEGF (Vascular endothelial growth factor) agent
- Use of systemic or ocular treatment with an investigational drug within 12 weeks prior to start of study treatment
- Any other condition that would require frequent chronic co-administration of other topical eye medications that would interfere with study drug administration (e.g. contact lens)
- Symptoms or conditions consistent with contraindications listed in the current local label for ranibizumab
- Participation in an investigational study within 30 days prior to start of study treatment that involved treatment with any drug (excluding vitamins and minerals) or device
- Lactating women and women of child-bearing potential with either a positive pregnancy test result or no pregnancy test at screening are excluded. Postmenopausal women must be amenorrheic for at least 12 months in order not to be considered of child bearing potential.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayerlead
Study Sites (149)
Unknown Facility
Tucson, Arizona, 85704, United States
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Arcadia, California, 91007, United States
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Beverly Hills, California, 90211, United States
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Campbell, California, 95008, United States
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Costa Mesa, California, 92626, United States
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Laguna Hills, California, 92653, United States
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Mountain View, California, 94040, United States
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Santa Ana, California, 92705, United States
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Golden, Colorado, 80401, United States
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Boynton Beach, Florida, 33426, United States
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Fort Myers, Florida, 33912, United States
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Miami, Florida, 33143, United States
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Plantation, Florida, 33324, United States
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Sarasota, Florida, 34239, United States
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Stuart, Florida, 34994, United States
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Winter Haven, Florida, 33880, United States
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Decatur, Georgia, 30030, United States
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New Albany, Indiana, 47150, United States
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Leawood, Kansas, 66211, United States
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Wichita, Kansas, 67226, United States
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Louisville, Kentucky, 40207, United States
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Eunice, Louisiana, 70535, United States
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Boston, Massachusetts, 02114, United States
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Grand Rapids, Michigan, 49525, United States
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Florissant, Missouri, 63031, United States
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Teaneck, New Jersey, 07666, United States
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Asheville, North Carolina, 28803, United States
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West Mifflin, Pennsylvania, 15122, United States
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Greenville, South Carolina, 29605, United States
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Rapid City, South Dakota, 57701, United States
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Austin, Texas, 78705, United States
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Houston, Texas, 77030, United States
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McAllen, Texas, 78503, United States
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San Antonio, Texas, 78240, United States
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Temple, Texas, 76508, United States
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The Woodlands, Texas, 77384, United States
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Charlottesville, Virginia, 22908, United States
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Strathfield, New South Wales, 2135, Australia
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Sydney, New South Wales, 2000, Australia
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Westmead, New South Wales, 2145, Australia
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Nedlands, Western Australia, 6009, Australia
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Parramatta, 2150, Australia
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Vienna, Vienna, 1130, Austria
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Vienna, 1090, Austria
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Calgary, Alberta, T2H 0C8, Canada
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Edmonton, Alberta, T5H 0X5, Canada
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Vancouver, British Columbia, V5Z 3N9, Canada
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Halifax, Nova Scotia, B3H 2Y9, Canada
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London, Ontario, N6A 4V2, Canada
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Mississauga, Ontario, L4W 1W9, Canada
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Montreal, Quebec, H1T 2M4, Canada
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Montreal, Quebec, H4P 2S4, Canada
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Sherbrooke, Quebec, J1J 2B8, Canada
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Osorno, Los Lagos Region, 5311138, Chile
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Metropolitana, Santiago Metropolitan, 7510168, Chile
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Santiago, Santiago Metropolitan, 8380456, Chile
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Vitacura, Santiago Metropolitan, 7650710, Chile
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Bogotá, Bogota D.C., 0, Colombia
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Hradec Králové, 500 05, Czechia
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Prague, 128 08, Czechia
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Prague, 140 00, Czechia
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Prague, 170 00, Czechia
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Paris, Cedex 12, 75557, France
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Boredaux, 33076, France
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Lyon, 69003, France
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Tübingen, Baden-Wurttemberg, 72076, Germany
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München, Bavaria, 81377, Germany
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München, Bavaria, 81675, Germany
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Hamburg, Hamburg, 20251, Germany
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Bonn, North Rhine-Westphalia, 53105, Germany
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Cologne, North Rhine-Westphalia, 50937, Germany
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Münster, North Rhine-Westphalia, 48145, Germany
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Mainz, Rhineland-Palatinate, 55131, Germany
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Dresden, Saxony, 01067, Germany
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Dresden, Saxony, 01307, Germany
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Leipzig, Saxony, 04103, Germany
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Berlin, State of Berlin, 12203, Germany
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Hong Kong, Hong Kong
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Kowloon, Hong Kong
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Budapest, 1082, Hungary
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Budapest, 1106, Hungary
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Budapest, 1133, Hungary
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Debrecen, 4032, Hungary
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Pécs, 7621, Hungary
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Afula, 1834111, Israel
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Beersheba, 8410101, Israel
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Haifa, 3109601, Israel
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Haifa, 3436212, Israel
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Jerusalem, 9112001, Israel
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Kfar Saba, 4428164, Israel
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Petah Tikva, 4941492, Israel
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Ramat Gan, 5262000, Israel
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Rehovot, 7610001, Israel
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Tel Aviv, 6423906, Israel
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Ẕerifin, 6093000, Israel
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Udine, Friuli Venezia Giulia, 33100, Italy
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Rome, Lazio, 00133, Italy
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Rome, Lazio, 00198, Italy
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Milan, Lombardy, 20122, Italy
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Milan, Lombardy, 20157, Italy
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Florence, Tuscany, 50134, Italy
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Padua, Veneto, 35128, Italy
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Ancona, 60126, Italy
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Bologna, 40138, Italy
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Milan, 20132, Italy
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Sassari, 07100, Italy
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Inba-gun, Chiba, 285-0922, Japan
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Fukuoka, Fukuoka, 812-0011, Japan
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Miyako-gun, Fukuoka, 800-0344, Japan
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Sapporo, Hokkaido, 004-0041, Japan
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Sapporo, Hokkaido, 060-8604, Japan
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Himeji, Hyōgo, 671-1227, Japan
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Yamato, Kanagawa, 242-0001, Japan
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Yokohama, Kanagawa, 222-0011, Japan
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Kumamoto, Kumamoto, 860-0027, Japan
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Iga, Mie-ken, 518-0842, Japan
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Nagasaki, Nagasaki, 852-8511, Japan
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Nara, Nara, 630-8305, Japan
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Osaka, Osaka, 530-0001, Japan
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Osaka, Osaka, 533-0024, Japan
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Chōfu, Tokyo, 182-0024, Japan
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Itabashi-ku, Tokyo, 173-0015, Japan
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Ōta-ku, Tokyo, 143-0013, Japan
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Taito-ku, Tokyo, 111-0051, Japan
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Bratislava, 85107, Slovakia
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Ružomberok, 03426, Slovakia
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Trenčín, 91171, Slovakia
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Žilina, 01008, Slovakia
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Žilina, 01207, Slovakia
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Seongnam-si, Gyeonggido, 463-707, South Korea
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Busan, 49241, South Korea
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Incheon, 405-760, South Korea
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Seoul, 03080, South Korea
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Seoul, 05505, South Korea
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Seoul, 135-710, South Korea
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Seoul, 137-701, South Korea
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Albacete, Albacete, 02006, Spain
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Barcelona, Barcelona, 08035, Spain
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L'Hospitalet de Llobregat, Barcelona, 08907, Spain
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San Cugat Del Vallès, Barcelona, 08190, Spain
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Seville, Sevilla, 41013, Spain
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Seville, Sevilla, 41071, Spain
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Valencia, Valencia, 46014, Spain
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Valladolid, Valladolid, 47012, Spain
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Barakaldo, Vizcaya, 48903, Spain
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Valencia, 46015, Spain
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Bern, Canton of Bern, 3010, Switzerland
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Zurich, Canton of Zurich, 8063, Switzerland
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Lausanne, 1004, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
As the study was prematurely terminated since pre-defined proof of concept (PoC) criteria were not met in Part A, hence part B was not initiated. Part B related end points and data were not reported since it is not conducted.
Results Point of Contact
- Title
- Therapeutic Area Head
- Organization
- BAYER
Study Officials
- STUDY DIRECTOR
Bayer Study Director
Bayer
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2014
First Posted
August 21, 2014
Study Start
October 1, 2014
Primary Completion
May 1, 2015
Study Completion
June 1, 2015
Last Updated
September 8, 2016
Results First Posted
September 8, 2016
Record last verified: 2016-07