Ziv-aflibercept in Eyes With Retinal Diseases and Poor Vision-phase I (ZIV)
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|ClinicalTrials.gov Identifier: NCT02173873|
Recruitment Status : Unknown
Verified June 2014 by Ahmad Mansour, MD, Clinical Professor, AUB, Rafic Hariri University Hospital.
Recruitment status was: Recruiting
First Posted : June 25, 2014
Last Update Posted : June 25, 2014
|Condition or disease||Intervention/treatment||Phase|
|Age Related Macular Degeneration Central Retinal Vein Occlusion||Drug: ziv-aflibercept drug||Phase 1|
Protocol Inject 0.05 ml of zaltrap coumpounded in a sterile way into the vitreous of blind eyes (vision less than 20/100) with various diseases of the retina that require antiVEGF therapy after patient consent. Vision will be monitored 15 minutes, 1 day and 1 week after injection. SD-OCT will be performed before and after 1 week to look for possible side effects.
The safety and efficacy of Eylea in the treatment of macular edema following CRVO3,4 were assessed in 2 randomized, multicenter, double-masked, sham-controlled studies: COPERNICUS and GALILEO. A total of 358 patients were treated and evaluable for efficacy (217 with Eylea) in the two studies. In both, patients were randomly assigned in a 3:2 ratio to either 2 mg Eylea administered every 4 weeks, or sham injections (control group) administered every 4 weeks for a total of 6 injections. After 6 monthly injections, patients continued to receive Eylea treatment during weeks 24 to 52 only if they met pre-specified retreatment criteria (PRN), except for patients in the sham control group in the GALILEO study who continued to receive sham injections through week 52. In the COPERNICUS study, after 6 months, 56% of patients receiving Eylea 2 mg monthly gained at least 15 letters of BCVA from baseline, as measured by ETDRS, compared to 12% of patients receiving sham injections (p<0.01), the primary endpoint of the study. Patients receiving Eylea 2 mg monthly gained, on average, 17.3 letters of vision compared to a mean loss of 4.0 letters with sham control injections (p<0.01), a secondary endpoint.
Ziv-aflibercept or zaltrap6 (Sanofi-Aventis US, LLC, Bridgewater, NJ/Regeneron Pharmaceuticals, Inc, Tarrytown, NY) is FDA approved for the treatment of metastatic colorectal cancer. During Bascom Palmer Eye Institute's Angiogenesis, Exudation, and Degeneration February 2014 conference, Michel Eid Farah, João R. Dias, Fernando M. Penha, and Eduardo B. Rodrigues investigated the safety of ziv-aflibercept in vitro and in vivo. In vitro toxicity was verified using ARPE-19 cultured cells exposed to anti-angiogenic vs balanced salt solution (BSS) for 10 minutes. Viability was assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, which evaluates cell viability by mitochondrial activity. No signs of cell toxicity were observed, and cell viability was similar for ziv-aflibercept, aflibercept, and BSS. For the in vivo study, they tested 1 injection of 0.05 mL ziv-aflibercept vs aflibercept in the right eyes of 18 rabbits, 9 eyes in each group. BSS was injected in the fellow eyes and served as control. After the injections, all animals were examined by funduscopy, SD-OCT), and ERG at baseline, 24 hours, and 7 days. Aqueous, vitreous, and serum samples were collected at baseline, 24 hours, and 7 days for pH and osmolarity analysis. The animals were sacrificed and the eyes were enucleated for morphologic study by light and electron microscopy. No abnormalities were found at 24 hours or 7 days after intravitreal injection of either drug when assessed by fundus exam and SD-OCT, ERG, and histology as well as transmission microscopy. There were also no changes in osmolarity in the aqueous humor or vitreous samples in any group after 24 hours and 1 week.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||100 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Ziv-aflibercept in Eyes With Eyes With Retinal Diseases and Poor Vision-phase I|
|Study Start Date :||June 2014|
|Estimated Primary Completion Date :||September 2016|
|Estimated Study Completion Date :||December 2016|
Experimental: one injection of ziv aflibercept intravitreal route
Intervention: Inject 0.05 ml of zaltrap into the vitreous of blind eyes with various diseases (AMD, CRVO) and monitor vision and OCT 1 day and 1 week after injection
Drug: ziv-aflibercept drug
intravitreal injection of ziv-ablicerpt in one eye of each patient with retinal disease and poor vision
Other Name: Zaltrap
- Ziv-aflibercept in retinal diseases with poor vision: Safety monitoring by OCT and visual acuity [ Time Frame: 2 years ]anterior chamber, vitreous, lens, retina exam PLUS OCT and visual acuity
- OCT retinal structure [ Time Frame: 2 years ]OCT, visual acuity measure, inflammation measure
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): NCT02173873
|Contact: Ahmad Mansour, MDemail@example.com|
|Contact: Muhammad Yunis, MDfirstname.lastname@example.org|
|Rafic Hariri University Hospital||Recruiting|
|Contact: Ahmad Mansour, MD 9613377633 email@example.com|
|Sub-Investigator: Muhammad Younis, MD|
|Principal Investigator: Ahmad Mansour, MD|
|Study Chair:||Ahmad Mansour, MD||RHUH|