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ESBA1008 Safety, Tolerability and Effects in Wet Age-Related Macular Degeneration (AMD) Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT01304693
Recruitment Status : Completed
First Posted : February 25, 2011
Results First Posted : May 7, 2014
Last Update Posted : July 17, 2014
Information provided by (Responsible Party):
Alcon Research

Brief Summary:
The purpose of this study was to assess the safety, tolerability, and the effects of treatment on ocular outcomes following a single intravitreal administration of ESBA1008 compared with LUCENTIS® in patients with exudative age-related macular degeneration (AMD).

Condition or disease Intervention/treatment Phase
Exudative Age-Related Macular Degeneration Biological: ESBA1008 solution Biological: Ranibizumab 0.5 mg Phase 1 Phase 2

Detailed Description:
This study was conducted in two parts. In Part 1, patients were initially randomized (5:2) to receive either ESBA1008 at the lowest dose (Dose A) or LUCENTIS. After Safety Committee review, a second cohort was enrolled and randomized (5:2) to the next higher dose of ESBA1008 (Dose B). Safety review and enrollment of patients into the third cohort (Dose C) and fourth cohort (Dose D) was conducted in the same manner. Part 2, the expansion period, consisted of 2 arms. In the first arm patients were randomized to receive ESBA1008 Dose C or LUCENTIS (43:44) . In the second arm, patients were randomized to ESBA1008 Doses A:B:D:Lucentis (5:30:35:9). All enrolled patients (Part 1 and Part 2) were evaluated for safety and efficacy across 13 study visits, including Screening, Randomization, and 11 post- treatment follow-up visits (Day 1 through Month 6).

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 376 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Safety and Efficacy Study of ESBA1008 Versus LUCENTIS® for the Treatment of Exudative Age-Related Macular Degeneration
Study Start Date : October 2010
Actual Primary Completion Date : March 2013
Actual Study Completion Date : March 2013

Resource links provided by the National Library of Medicine

Drug Information available for: Ranibizumab

Arm Intervention/treatment
Experimental: ESBA1008
ESBA1008 solution, single intravitreal injection
Biological: ESBA1008 solution
Administered as a single intravitreal injection (Dose A, Dose B, Dose C, Dose D)

Active Comparator: LUCENTIS
Ranibizumab 0.5 mg, single intravitreal injection
Biological: Ranibizumab 0.5 mg
Administered as a single intravitreal injection
Other Name: LUCENTIS®

Primary Outcome Measures :
  1. Change From Baseline at Month 1 in Central Subfield Thickness (CSFT) as Measured by Spectral Domain Ocular Coherence Tomography (SD-OCT) [ Time Frame: Baseline, Month 1 ]
    CSFT is a retinal thickness measurement and was measured with SD-OCT. A thickening of the retina is characteristic of wet AMD, and a reduction in CSFT may indicate an improvement in ocular health. One eye (ie, study eye) contributed to the mean.

Secondary Outcome Measures :
  1. Duration of Effect Measured by the Time From Randomization to Receipt of Standard of Care as Determined by the Investigator Based on Protocol Criteria [ Time Frame: Time to event, up to Month 6 ]
    Standard of care (SOC) therapy for exudative AMD was implemented if any protocol-specified criteria relating to CSFT, best-corrected visual acuity, or clinically significant intraocular hemorrhages in the study eye were met, in the opinion of the Investigator.

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Provide written informed consent.
  • Primary subfoveal choroidal neovascularization (CNV) secondary to AMD, including predominantly classic, minimally classic or occult lesions, in the study eye.
  • New diagnosis of wet AMD or evidence of recent disease progression within the last 3 months in study eye.
  • Evidence of subretinal fluid or retinal cystic changes with a CSFT of > 340 μm using a Spectralis SD-OCT (Heidelberg Engineering) imaging system.
  • Best-corrected visual acuity (BCVA) of Snellen equivalent 20/200 or better in the non-study eye.
  • Other protocol-defined inclusion criteria may apply.

Exclusion Criteria:

  • Previously administered therapy, approved or investigational, for wet AMD in the study eye.
  • Any current or history of macular or retinal disease in the stuy eye other than wet AMD.
  • Lasik or cataract surgery within the last 3 months in the study eye or expected to have cataract removal surgery during the study.
  • Uncontrolled or advanced glaucoma in the study eye.
  • Use of systemic or topical ocular corticosteroids.
  • History of a medical condition that, in the opinion of the Investigator, would preclude scheduled visits, completion of the study, or safe administration of study medication.
  • Abnormal or unsuitable laboratory results at Screening visit.
  • Lactating or pregnant. Women of childbearing potential must use adequate birth control for the duration of the study.
  • Other protocol-defined exclusion criteria may apply.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01304693

Sponsors and Collaborators
Alcon Research
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Study Director: Georges Weissgerber, MD Alcon Research
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Responsible Party: Alcon Research
ClinicalTrials.gov Identifier: NCT01304693    
Other Study ID Numbers: C-10-083
First Posted: February 25, 2011    Key Record Dates
Results First Posted: May 7, 2014
Last Update Posted: July 17, 2014
Last Verified: July 2014
Keywords provided by Alcon Research:
Additional relevant MeSH terms:
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Macular Degeneration
Wet Macular Degeneration
Retinal Degeneration
Retinal Diseases
Eye Diseases
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Antineoplastic Agents