Age-related Macular DegenerationPhase 2NCT01397409
Evaluation of AGN-150998 in Exudative Age-related Macular Degeneration (AMD)
A Phase 2 study testing AGN-150998 and ranibizumab in people with Age-related Macular Degeneration, run by Allergan at 8 sites in 8 countries.
Trial summary
This study is conducted in 3 stages. Stage 1 is an open-label, dose-escalation assessment of the safety of AGN-150998 administered as a single intravitreal injection to patients with advanced exudative Age-related Macular Degeneration (AMD). Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Age-related Macular Degeneration
- What is being tested?
- AGN-150998 and ranibizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 271 participants
- Where
- 8 sitesin 8 countries
- Study dates
- 1 Sep 2011to 30 Apr 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Exudative age-related macular degeneration
- Best-corrected visual acuity between 20/32 and 20/320 in the study eye
Who cannot join
- Near-sightedness of 8 diopters or more
- Uncontrolled glaucoma in the study eye
- Cataract surgery or Lasik within the last 3 months
- Any active ocular infection or inflammation
Trial locations and contacts
8 sites in 8 countries.
8 sites in 8 countries
About this study
This study is conducted in 3 stages. Stage 1 is an open-label, dose-escalation assessment of the safety of AGN-150998 administered as a single intravitreal injection to patients with advanced exudative Age-related Macular Degeneration (AMD). Stage 2 and Stage 3 are randomized, double-masked, comparisons of the safety and treatment effects on retinal edema and best-corrected visual acuity (BCVA) of AGN-150998 and ranibizumab in treatment-naive patients with exudative AMD. Study medication is administered as needed in Stage 2 and with a fixed-dosing schedule in Stage 3. The study objectives are (1) to identify the highest tolerated dose of AGN-150998, (2) to assess the safety and duration of treatment effects on retinal edema and BCVA, and (3) to characterize the systemic pharmacokinetic profile of AGN-150998.
- Conditions
- Age-related Macular Degeneration
- Being tested
- AGN-150998, ranibizumab, Sham Injection
- Medical subject headings
- Macular Degeneration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AGN-150998Drug
AGN-150998 Intravitreal injection.
ranibizumabDrug
Also called Lucentis®
Ranibizumab 0.5 mg given by intravitreal injection.
Sham InjectionOther
Stage 3: Sham injection at Weeks 12 and 16.
| Study group | Role | What they receive |
|---|---|---|
| Stage 1: AGN-150998 4.2 mg | Experimental | Stage 1: AGN-150998 4.2.mg given as a single intravitreal injection. Receives: Drug: AGN-150998 |
| Stage 1: AGN-150998 3.0 mg | Experimental | Stage 1: AGN-150998 3.0 mg given as a single intravitreal injection. Receives: Drug: AGN-150998 |
| Stage 1: AGN-150998 2.0 mg | Experimental | Stage 1: AGN-150998 2.0 mg given as a single intravitreal injection. Receives: Drug: AGN-150998 |
| Stage 1: AGN-150998 1.0 mg | Experimental | Stage 1: AGN-150998 1.0 mg given as a single intravitreal injection. Receives: Drug: AGN-150998 |
| Stage 2: AGN-150998 4.2 mg | Experimental | Stage 2: AGN-150998 4,2 mg (highest tolerated dose from Stage 1) given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. Receives: Drug: AGN-150998 |
| Stage 2: AGN-150998 3.0 mg | Experimental | Stage 2: AGN-150998 3.0 mg (one dose below highest tolerated dose) from Stage 1 given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. Receives: Drug: AGN-150998 |
| Stage 2: ranibizumab 0.5 mg | Active comparator | Stage 2: ranibizumab 0.5 mg given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. Receives: Drug: ranibizumab |
| Stage 3: AGN-150998 2.0 mg | Experimental | Stage 3: AGN-150998 2.0 mg given as intravitreal injections at Baseline, Weeks 4 and 8, followed by sham injections at Weeks 12 and 16. Receives: Drug: AGN-150998; Other: Sham Injection |
| Stage 3: AGN-150998 1.0 mg | Experimental | Stage 3: AGN-150998 1.0 mg given as intravitreal injections at Baseline, Weeks 4 and 8, followed by sham injections at Weeks 12 and 16. Receives: Drug: AGN-150998; Other: Sham Injection |
| Stage 3: ranibizumab 0.5 mg | Active comparator | Stage 3: ranibizumab 0.5 mg given as intravitreal injections every 4 weeks for 16 weeks. Receives: Drug: ranibizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Highest Tolerated Dose (HTD) of AGN-150998
Stage 1 evaluated the safety of a single intravitreal injection of AGN-150998 with doses ranging from 1.0 to 4.2 mg.
Measured: 24 Weeks
Stage 1: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
CRT was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from Baseline indicated improvement.
Measured: Baseline, Week 4
Stage 2: Time Between Baseline Treatment and Recurrence of Active Disease
Recurrence of Active Disease was based on Best Corrected Visual Acuity (BCVA), Central Retinal Thickness (CRT) values as evaluated by the Central Reading Center (CRC) and the investigator assessments of haemorrhage.
Measured: Baseline, Week 16
Stage 3: Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Measured: Baseline, Week 16
Secondary outcomes (5)
Stage 2: Time Between Second Treatment and Recurrence of Active Disease
Recurrence of active disease is defined as the time in days to escape to standard of care. Time is calculated as (date of Escaping to Standard of Care/Censoring minus the date of the Second Injection) +1.
Measured: 32 Weeks
Stage 2: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
CRT was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from Baseline indicated improvement.
Measured: Baseline, Week 4
Stage 2: Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Measured: Baseline, Week 4
Stage 3: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
CRT was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from Baseline indicated improvement.
Measured: Baseline, Week 4
Stage 3: Change From Baseline in BCVA in the Study Eye
BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Measured: Baseline, Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2011 (estimated)
- Study start1 Sep 2011
- Primary completion31 Mar 2014
- Study completion30 Apr 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Age-related Macular DegenerationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 271 participants (actual)
Sponsor and investigators
- Lead sponsor
- Allergan
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Allergan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01397409
- Sponsor's protocol ID
- 150998-001
- Other IDs
- 2011-002526-43, REACH Study
- Status last verified
- Apr 2019
- First submitted
- 18 Jul 2011
- Last updated
- 16 Apr 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Callanan D, Kunimoto D, Maturi RK, Patel SS, Staurenghi G, Wolf S, Cheetham JK, Hohman TC, Kim K, Lopez FJ, Schneider S. Double-Masked, Randomized, Phase 2 Evaluation of Abicipar Pegol (an Anti-VEGF DARPin Therapeutic) in Neovascular Age-Related Macular Degeneration. J Ocul Pharmacol Ther. 2018 Dec;34(10):700-709. doi: 10.1089/jop.2018.0062. Epub 2018 Nov 9.
PubMed 30412448
Study at a glance
From the registry record, last updated by the sponsor on 16 Apr 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of AGN-150998 in Exudative Age-related Macular Degeneration (AMD)
- ClinicalTrials.gov ID
- NCT01397409
- Acronym / sponsor ID
- 150998-001
- Conditions
- Age-related Macular Degeneration
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 271 participants (actual)
- Lead sponsor
- AllerganIndustry (pharma, biotech, devices)
- Study start
- 1 Sep 2011 (actual)
- Primary completion
- 31 Mar 2014 (actual)
- Study completion
- 30 Apr 2014 (actual)
- First posted
- 19 Jul 2011 (estimated)
- Results
- Posted 18 Jun 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is conducted in 3 stages. Stage 1 is an open-label, dose-escalation assessment of the safety of AGN-150998 administered as a single intravitreal injection to patients with advanced exudative Age-related Macular Degeneration (AMD). Stage 2 and Stage 3 are randomized, double-masked, comparisons of the safety and treatment effects on retinal edema and best-corrected visual acuity (BCVA) of AGN-150998 and ranibizumab in treatment-naive patients with exudative AMD. Study medication is administered as needed in Stage 2 and with a fixed-dosing schedule in Stage 3. The study objectives are (1) to identify the highest tolerated dose of AGN-150998, (2) to assess the safety and duration of treatment effects on retinal edema and BCVA, and (3) to characterize the systemic pharmacokinetic profile of AGN-150998.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 10
| Arm | Type | Receives |
|---|---|---|
| Stage 1: AGN-150998 4.2 mg | Experimental | Drug: AGN-150998Stage 1: AGN-150998 4.2.mg given as a single intravitreal injection. |
| Stage 1: AGN-150998 3.0 mg | Experimental | Drug: AGN-150998Stage 1: AGN-150998 3.0 mg given as a single intravitreal injection. |
| Stage 1: AGN-150998 2.0 mg | Experimental | Drug: AGN-150998Stage 1: AGN-150998 2.0 mg given as a single intravitreal injection. |
| Stage 1: AGN-150998 1.0 mg | Experimental | Drug: AGN-150998Stage 1: AGN-150998 1.0 mg given as a single intravitreal injection. |
| Stage 2: AGN-150998 4.2 mg | Experimental | Drug: AGN-150998Stage 2: AGN-150998 4,2 mg (highest tolerated dose from Stage 1) given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. |
| Stage 2: AGN-150998 3.0 mg | Experimental | Drug: AGN-150998Stage 2: AGN-150998 3.0 mg (one dose below highest tolerated dose) from Stage 1 given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. |
| Stage 2: ranibizumab 0.5 mg | Active comparator | Drug: ranibizumabStage 2: ranibizumab 0.5 mg given as a single intravitreal injection at baseline. A second intravitreal injection will be given by week 16. |
| Stage 3: AGN-150998 2.0 mg | Experimental | Drug: AGN-150998, Other: Sham InjectionStage 3: AGN-150998 2.0 mg given as intravitreal injections at Baseline, Weeks 4 and 8, followed by sham injections at Weeks 12 and 16. |
| Stage 3: AGN-150998 1.0 mg | Experimental | Drug: AGN-150998, Other: Sham InjectionStage 3: AGN-150998 1.0 mg given as intravitreal injections at Baseline, Weeks 4 and 8, followed by sham injections at Weeks 12 and 16. |
| Stage 3: ranibizumab 0.5 mg | Active comparator | Drug: ranibizumabStage 3: ranibizumab 0.5 mg given as intravitreal injections every 4 weeks for 16 weeks. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Exudative age-related macular degeneration
- Best-corrected visual acuity between 20/32 and 20/320 in the study eye
Key exclusion criteria (4 listed)
- Near-sightedness of 8 diopters or more
- Uncontrolled glaucoma in the study eye
- Cataract surgery or Lasik within the last 3 months
- Any active ocular infection or inflammation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AGN-150998AGN-150998 Intravitreal injection. | Drug | Stage 1: AGN-150998 1.0 mg, Stage 1: AGN-150998 2.0 mg, Stage 1: AGN-150998 3.0 mg, Stage 1: AGN-150998 4.2 mg, Stage 2: AGN-150998 3.0 mg, Stage 2: AGN-150998 4.2 mg, Stage 3: AGN-150998 1.0 mg, Stage 3: AGN-150998 2.0 mg |
| ranibizumabAlso: Lucentis®Ranibizumab 0.5 mg given by intravitreal injection. | Drug | Stage 2: ranibizumab 0.5 mg, Stage 3: ranibizumab 0.5 mg |
| Sham InjectionStage 3: Sham injection at Weeks 12 and 16. | Other | Stage 3: AGN-150998 1.0 mg, Stage 3: AGN-150998 2.0 mg |
Primary outcome
Highest Tolerated Dose (HTD) of AGN-150998
Time frame: 24 Weeks
Stage 1 evaluated the safety of a single intravitreal injection of AGN-150998 with doses ranging from 1.0 to 4.2 mg.
Stage 1: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
Time frame: Baseline, Week 4
CRT was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from Baseline indicated improvement.
Stage 2: Time Between Baseline Treatment and Recurrence of Active Disease
Time frame: Baseline, Week 16
Recurrence of Active Disease was based on Best Corrected Visual Acuity (BCVA), Central Retinal Thickness (CRT) values as evaluated by the Central Reading Center (CRC) and the investigator assessments of haemorrhage.
Stage 3: Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
Time frame: Baseline, Week 16
BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
5 secondary outcomes
Stage 2: Time Between Second Treatment and Recurrence of Active Disease
Time frame: 32 Weeks
Stage 2: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
Time frame: Baseline, Week 4
Stage 2: Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
Time frame: Baseline, Week 4
Stage 3: Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye
Time frame: Baseline, Week 4
Stage 3: Change From Baseline in BCVA in the Study Eye
Time frame: Baseline, Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Apr 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 30412448Callanan D, Kunimoto D, Maturi RK, Patel SS, Staurenghi G, Wolf S, Cheetham JK, Hohman TC, Kim K, Lopez FJ, Schneider S. Double-Masked, Randomized, Phase 2 Evaluation of Abicipar Pegol (an Anti-VEGF DARPin Therapeutic) in Neovascular Age-Related Macular Degeneration. J Ocul Pharmacol Ther. 2018 Dec;34(10):700-709. doi: 10.1089/jop.2018.0062. Epub 2018 Nov 9.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Allergan
8 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing AGN-150998 and ranibizumab in people with Age-related Macular Degeneration, run by Allergan at 8 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in United States, Australia, Austria, France, Germany and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Jun 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Highest Tolerated Dose (HTD) of AGN-150998 (time frame: 24 Weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01397409, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Apr 2019.