Study of Efficacy of Ranibizumab in Different Regimens in Patients With Diabetic Macula Edema
DIVERSE
A 12-months, Randomized, VA-assessor Blinded, Multicenter, Controlled Phase IV Trial to Investigate Noninferiority of Two Treatment Algorithms (Discretion of the Investigator vs. Pro re Nata) of 0.5 mg Ranibizumab in Patients With Visual Impairment Due to Diabetic Macula Edema
2 other identifiers
interventional
135
1 country
30
Brief Summary
The purpose of this study was to demonstrate that the change of best corrected visual acuity (BCVA) was comparable in patients treated with ranibizumab at the discretion of the investigator vs. treatment according to a standard of care scheme (pro re nata, as needed).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Feb 2015
Typical duration for phase_4
30 active sites
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
First Submitted
Initial submission to the registry
January 12, 2015
CompletedFirst Posted
Study publicly available on registry
February 19, 2015
CompletedStudy Start
First participant enrolled
February 23, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 8, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 8, 2017
CompletedResults Posted
Study results publicly available
January 4, 2019
CompletedJanuary 4, 2019
January 1, 2019
2.3 years
January 12, 2015
June 5, 2018
January 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean Average Change From Baseline in Best Corrected Visual Acuity (BCVA) of the Study Eye From Month 1 to Study Treatment Completion (Month 12)
BCVA was assessed as letters read using Early Treatment Diabetic Retinopathy Study (ETDRS) charts. The mean average change from baseline was defined as the difference between the average level of BCVA (ETDRS letters) over all post-baseline assessments from Month 1 to Month 12. A positive change represents an improvement in visual acuity
Baseline, Month 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12
Secondary Outcomes (6)
Number of Visits
Baseline to Month 12
Number of Injections
Baseline to Month 12
Number of Treatment Free Intervals
Baseline to Month 12
Mean Change in Central Subfield Retinal Thickness (CSRT)
Baseline to Month 12
Mean Change of Foveal Center Point Thickness
Baseline to Month 12
- +1 more secondary outcomes
Study Arms (2)
Discretion of the investigator (DI)
EXPERIMENTALranibizumab 0.5 mg, after initial monthly treatment until maximum BCVA and no signs or no further change of disease activity, the investigator treated patients at their own discretion. There were no strict recommendations for retreatment or scheduling of upcoming visits.
Pro re nata (PRN)
ACTIVE COMPARATORranibizumab 0.5 mg, after initial monthly therapy until maximum BCVA and no signs or no further improvement of disease activity, patients were monitored every month and retreated if any signs of disease activity occurred
Interventions
intravitreal injection
Eligibility Criteria
You may qualify if:
- Patients with Type 1 or Type 2 diabetes mellitus with glycosylated hemoglobin (HbA1c) ≤ 12.0%
- Patients with visual impairment due to DME in at least one eye
- BCVA ≥ 24 and ≤ 78 letters in the study eye
You may not qualify if:
- Active intraocular inflammation
- Any active infection in either eye at the
- Structural damage within 0.5 disc diameter of the center of the macula in the study eye
- Uncontrolled glaucoma in either eye at screening
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (30)
Novartis Investigative Site
Ahaus, 48683, Germany
Novartis Investigative Site
Bayreuth, 95444, Germany
Novartis Investigative Site
Berlin, 12203, Germany
Novartis Investigative Site
Berlin, 14169, Germany
Novartis Investigative Site
Bonn, 53127, Germany
Novartis Investigative Site
Cologne, 50924, Germany
Novartis Investigative Site
Cologne, 50935, Germany
Novartis Investigative Site
Dresden, 01067, Germany
Novartis Investigative Site
Düsseldorf, 40212, Germany
Novartis Investigative Site
Düsseldorf, 40225, Germany
Novartis Investigative Site
Freiburg I. Br, 79106, Germany
Novartis Investigative Site
Göttingen, 37075, Germany
Novartis Investigative Site
Greifswald, 17475, Germany
Novartis Investigative Site
Halle, 06114, Germany
Novartis Investigative Site
Hamburg, 20246, Germany
Novartis Investigative Site
Hösbach, 63768, Germany
Novartis Investigative Site
Kempten, 87435, Germany
Novartis Investigative Site
Leipzig, 04103, Germany
Novartis Investigative Site
Ludwigshafen, 67063, Germany
Novartis Investigative Site
Lübeck, 23538, Germany
Novartis Investigative Site
Magdeburg, 39108, Germany
Novartis Investigative Site
Marburg, 35043, Germany
Novartis Investigative Site
München, 80333, Germany
Novartis Investigative Site
München, 81675, Germany
Novartis Investigative Site
Münster, 48145, Germany
Novartis Investigative Site
Münster, 48149, Germany
Novartis Investigative Site
Stuttgart, 70174, Germany
Novartis Investigative Site
Tübingen, 72076, Germany
Novartis Investigative Site
Ulm, 89075, Germany
Novartis Investigative Site
Würzburg, 97080, Germany
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention 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 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 12, 2015
First Posted
February 19, 2015
Study Start
February 23, 2015
Primary Completion
June 8, 2017
Study Completion
June 8, 2017
Last Updated
January 4, 2019
Results First Posted
January 4, 2019
Record last verified: 2019-01