A Study to Evaluate the Efficacy and Safety of Faricimab in Participants With Neovascular Age-Related Macular Degeneration (LUCERNE)
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ClinicalTrials.gov Identifier: NCT03823300 |
Recruitment Status :
Completed
First Posted : January 30, 2019
Results First Posted : May 4, 2022
Last Update Posted : January 13, 2023
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Sponsor:
Hoffmann-La Roche
Information provided by (Responsible Party):
Hoffmann-La Roche
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Triple (Participant, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Wet Macular Degeneration |
Interventions |
Drug: Faricimab Drug: Aflibercept Procedure: Sham Procedure |
Enrollment | 658 |
Participant Flow
Recruitment Details | |
Pre-assignment Details | A total of 1012 patients were screened, 354 of whom failed screening, most commonly due to not meeting inclusion criteria. A total of 658 treatment-naive patients with nAMD were randomized 1:1 into the study: 331 to the faricimab arm and 327 to the aflibercept arm. |
Arm/Group Title | Arm A: Faricimab | Arm B: Aflibercept |
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Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W). | Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104). |
Period Title: Overall Study | ||
Started [1] | 331 | 327 |
Received at Least One Dose of Study Drug [2] | 331 | 326 |
Completed up to Week 48 [3] | 321 | 309 |
Completed | 297 | 273 |
Not Completed | 34 | 54 |
Reason Not Completed | ||
Withdrawal by Subject | 16 | 22 |
Death | 10 | 14 |
Adverse Event | 3 | 5 |
Physician Decision | 1 | 7 |
Lost to Follow-up | 1 | 3 |
Protocol Violation | 1 | 1 |
Lack of Efficacy | 1 | 1 |
Not Eligible | 0 | 1 |
Other | 1 | 0 |
[1]
Intent-to-Treat (ITT) Population
[2]
Safety Population
[3]
Primary Completion Date Cutoff
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Baseline Characteristics
Arm/Group Title | Arm A: Faricimab | Arm B: Aflibercept | Total | |
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Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W). | Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104). | Total of all reporting groups | |
Overall Number of Baseline Participants | 331 | 327 | 658 | |
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Intent-to-Treat (ITT) Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
74.8 (8.4) | 76.1 (8.6) | 75.5 (8.5) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
Female |
203 61.3%
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188 57.5%
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391 59.4%
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Male |
128 38.7%
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139 42.5%
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267 40.6%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
Hispanic or Latino |
35 10.6%
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46 14.1%
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81 12.3%
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Not Hispanic or Latino |
287 86.7%
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274 83.8%
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561 85.3%
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Unknown or Not Reported |
9 2.7%
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7 2.1%
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16 2.4%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
White |
278 84.0%
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270 82.6%
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548 83.3%
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Asian |
38 11.5%
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34 10.4%
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72 10.9%
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Unknown |
12 3.6%
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17 5.2%
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29 4.4%
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Black or African American |
2 0.6%
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5 1.5%
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7 1.1%
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American Indian or Alaska Native |
1 0.3%
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0 0.0%
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1 0.2%
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Multiple |
0 0.0%
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1 0.3%
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1 0.2%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
United States and Canada |
135 40.8%
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132 40.4%
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267 40.6%
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Asia |
35 10.6%
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33 10.1%
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68 10.3%
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Rest of the World |
161 48.6%
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162 49.5%
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323 49.1%
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Number of Participants by the Eye (Right or Left) Chosen as the Study Eye
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
Right Eye |
168 50.8%
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170 52.0%
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338 51.4%
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Left Eye |
163 49.2%
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157 48.0%
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320 48.6%
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Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye
[1] Mean (Standard Deviation) Unit of measure: ETDRS Letters |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
58.7 (14.0) | 58.9 (13.3) | 58.8 (13.6) | ||
[1]
Measure Description: Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R). The BCVA letter score ranges from 0 to 100 (best score attainable), with a higher score indicating better visual acuity.
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Number of Participants by the BCVA Letter Score Categories in the Study Eye
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
≥74 Letters |
45 13.6%
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39 11.9%
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84 12.8%
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73 to 55 Letters |
181 54.7%
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183 56.0%
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364 55.3%
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≤54 Letters |
105 31.7%
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105 32.1%
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210 31.9%
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Number of Participants by the Low Luminance Deficit (LLD) Letter Score Categories in the Study Eye
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
<33 Letters |
238 71.9%
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234 71.6%
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472 71.7%
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≥33 Letters |
89 26.9%
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93 28.4%
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182 27.7%
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Missing/Invalid |
4 1.2%
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0 0.0%
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4 0.6%
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Choroidal Neovascularization (CNV) Lesion Type in the Study Eye by Fundus Fluorescein Angiography
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 331 participants | 327 participants | 658 participants | |
Occult |
171 51.7%
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140 42.8%
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311 47.3%
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Classic |
98 29.6%
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109 33.3%
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207 31.5%
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Minimally Classic |
30 9.1%
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31 9.5%
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61 9.3%
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Retinal Angiomatous Proliferation (RAP) |
14 4.2%
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15 4.6%
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29 4.4%
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Predominantly Classic |
6 1.8%
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16 4.9%
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22 3.3%
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Polypoidal Choroidal Vasculopathy (PCV) |
5 1.5%
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8 2.4%
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13 2.0%
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Missing |
7 2.1%
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8 2.4%
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15 2.3%
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Outcome Measures
Adverse Events