Clinical Study to Evaluate Treatment With ORACEA® for Geographic Atrophy (TOGA)

This study is currently recruiting participants. (see Contacts and Locations)
Verified October 2014 by University of Virginia
MEDARVA Foundation
Information provided by (Responsible Party):
Paul Yates, MD, PhD, University of Virginia Identifier:
First received: January 31, 2013
Last updated: October 6, 2014
Last verified: October 2014

This is a prospective, randomized study to evaluate the efficacy and safety of ORACEA® in the treatment of geographic atrophy due to dry age-related macular degeneration (AMD).

Condition Intervention Phase
Geographic Atrophy
Drug: Placebo
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double Blind, Placebo Controlled Study Evaluating ORACEA® in Subjects With Geographic Atrophy Secondary to Non-Exudative Age-Related Macular Degeneration

Resource links provided by NLM:

Further study details as provided by University of Virginia:

Primary Outcome Measures:
  • Rate of enlargement in area of geographic atrophy in the study eye during the treatment period. [ Time Frame: Month 6 and Month 30 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change in Best Corrected Visual Acuity (BCVA) [ Time Frame: Month 6 and Month 30 ] [ Designated as safety issue: No ]

Estimated Enrollment: 286
Study Start Date: February 2013
Estimated Study Completion Date: December 2017
Estimated Primary Completion Date: July 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ORACEA®
40mg doxycycline
ORACEA® (40mg doxycycline) capsule daily for 24 months
Placebo Comparator: Placebo Drug: Placebo
Placebo capsule daily for 24 months

Detailed Description:

Eligible participants will complete a 6-month Observation Phase, followed by a 24-month Treatment Phase, followed by an End of Study Visit. Eligible participants will be randomized at Month 6 in a 1:1 ratio to either ORACEA (40 mg doxycycline) or placebo capsule to be taken once-daily for 24 months. Over the course of the 31-month study, a total of 9 clinic visits and 3 telephone calls are required.


Ages Eligible for Study:   55 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Male or female, age 55 - 85.
  • Best corrected visual acuity of 20/20 - 20/400 in the study eye
  • Best corrected visual acuity of hand motion or better in the non-study eye
  • Clinical diagnosis of geographic atrophy secondary to non-exudative age-related macular degeneration in at least one eye (study eye)
  • Geographic atrophy lesions of ≥ 0.5 and ≤ 7.0 MPS disc areas

Exclusion Criteria:

  • History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the study eye
  • History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the non-study eye requiring any treatment within 12 months prior to Day 0 or expected to require treatment for the duration of the study
  • Prior treatment for non-exudative age-related macular degeneration
  • Current or previous history of treatment of the study eye with any tetracycline derivative for any ocular condition.
  • History of vitreoretinal surgery, corneal transplant, or laser photocoagulation in the study eye
  • Any intraocular or periocular surgery within 90 days prior to Day 0 in the study eye.
  • History of any hypersensitivity to tetracycline components
  • Use of a tetracycline derivative therapy for a concurrent systemic or ocular disorder within 90 days of Day 0
  • History of sensitivity to the sun
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01782989

Contact: Paul Yates, MD, PhD 804-513-9119

United States, Colorado
Colorado Retina Associates, PC Recruiting
Golden, Colorado, United States, 80401
Contact: Rin Nelson    303-261-1600   
Principal Investigator: Brian Joondeph, MD         
United States, Connecticut
New England Retina Associates Recruiting
Hamden, Connecticut, United States, 06518
Contact: Laura Fox    203-288-2020   
Principal Investigator: David Tom, MD         
United States, Florida
Retina Group of Florida Recruiting
Fort Lauderdale, Florida, United States, 33308
Contact: Jaclyn Brady    954-776-6880   
Principal Investigator: Darin Goldman, MD         
Retina Vitreous Associates of Florida Recruiting
St. Petersburg, Florida, United States, 33703
Contact: Jessica Abreu    727-323-0077   
Principal Investigator: David Eichenbaum, MD         
United States, Kentucky
Retina Associates of Kentucky Recruiting
Lexington, Kentucky, United States, 40509
Contact: Diana Holcomb    859-264-2905   
Principal Investigator: Rick Isernhagen, MD         
United States, Massachusetts
New England Eye Center at Tufts Medical Center Recruiting
Boston, Massachusetts, United States, 02111
Contact: Melody Velasquez    617-636-4600   
Principal Investigator: Andre Witkin, MD         
Vitreo-Retinal Associates Recruiting
Worcester, Massachusetts, United States, 01605
Contact: Marie Lampson    508-752-1155   
Principal Investigator: Frank McCabe, MD         
United States, Michigan
Retina Specialists of Michigan Recruiting
Grand Rapids, Michigan, United States, 49525
Contact: Holly Vincent    616-954-2020   
Principal Investigator: Thomas Aaberg, MD         
United States, Missouri
Lifelong Vision Foundation Recruiting
Chesterfield, Missouri, United States, 63017
Contact: Farrah Shaikh    636-534-5126   
Principal Investigator: Nancy Holekamp, MD         
United States, New Jersey
Delaware Valley Retina Associates Recruiting
Lawrencville, New Jersey, United States, 08648
Contact: Beverly Sannazzaro    (609) 896-1414   
Principal Investigator: Darma Ie, MD         
New Jersey Retina Recruiting
Toms River, New Jersey, United States, 08755
Contact: Deana Rogers    732-797-3984   
Principal Investigator: Sumit Shah, MD         
United States, New York
Vitreous Retina Macula Consultants of New York Recruiting
New York, New York, United States, 10022
Contact: May Lee    212-452-6965   
Principal Investigator: K. Bailey Freund, MD         
Retina Associates of Western New York Recruiting
Rochester, New York, United States, 14620
Contact: Meg Yagoda    585-442-3411   
Principal Investigator: Edward Hall, MD         
United States, Ohio
Cole Eye Institute / Cleveland Clinic Foundation Recruiting
Cleveland, Ohio, United States, 44195
Contact: Kathleen Dastoli    216-445-5248   
Principal Investigator: Rishi Singh, MD         
United States, Pennsylvania
Pennsylvania Retina Specialists, PC Recruiting
Camp Hill, Pennsylvania, United States, 17011
Contact: Julia Teatsworth    717-761-8688   
Principal Investigator: Jay Prensky, MD         
Mid Atlantic Retina / Wills Eye Institute Recruiting
Philadelphia, Pennsylvania, United States, 19107
Contact: Noga Senderowitsch    215-928-3092   
Principal Investigator: Omesh Gupta, MD         
Associates in Ophthalmology, Ltd Recruiting
West Mifflin, Pennsylvania, United States, 15122
Contact: Kelly Szabo    412-653-3080   
Principal Investigator: Miguel Busquets, MD         
United States, Texas
Brian B. Berger, MD and Associates / Retina Research Center Recruiting
Austin, Texas, United States, 78705
Contact: Ivana Gunderson    512-279-1252   
Principal Investigator: Brian B. Berger, MD         
United States, Virginia
University of Virginia Recruiting
Charlottesville, Virginia, United States, 22903
Contact: Ashton Leone    434-243-5737   
Principal Investigator: Paul Yates, MD, PhD         
Sponsors and Collaborators
Paul Yates, MD, PhD
MEDARVA Foundation
Principal Investigator: Paul A Yates, MD, PhD University of Virginia
  More Information

No publications provided

Responsible Party: Paul Yates, MD, PhD, Associate Professor of Ophthalmology, University of Virginia Identifier: NCT01782989     History of Changes
Other Study ID Numbers: 16586
Study First Received: January 31, 2013
Last Updated: October 6, 2014
Health Authority: United States: Food and Drug Administration

Keywords provided by University of Virginia:
geographic atrophy
non-exudative age-related macular degeneration
macular degeneration
dry macular degeneration
dry AMD

Additional relevant MeSH terms:
Geographic Atrophy
Macular Degeneration
Eye Diseases
Pathological Conditions, Anatomical
Retinal Degeneration
Retinal Diseases
Anti-Bacterial Agents
Anti-Infective Agents
Antiparasitic Agents
Antiprotozoal Agents
Pharmacologic Actions
Therapeutic Uses processed this record on May 26, 2015