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Neovascular Age-related Macular DegenerationPhase 3OCTAVENCT01780935

Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration

A Phase 3 study testing Ranibizumab in people with Neovascular Age-related Macular Degeneration, run by Novartis Pharmaceuticals at 92 sites in 24 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will evaluate and compare two individualized ranibizumab treatment regimens in patients with neovascular (wet) AMD aiming to achieve and to maintain a maximum visual function benefit, while aiming to avoid unnecessary intravitreal injections. Read more about this study

Who is it for?
Ages 50 years and older
What is being tested?
Ranibizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
671 participants
Where
92 sitesin 24 countries
Study dates
3 Jun 2013to 9 Jul 2015
Phase
Phase 3
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

  • Visual impairment predominantly due to neovascular age-related macular degeneration AMD
  • Active, newly diagnosed, untreated CNV due to AMD
  • CNV involving the center of the retina
  • A qualifying vision score at study entry

Who cannot join

  • Stroke or myocardial infarction less than 3 Months prior to study entry
  • Active injection or inflammation of either eye at the time of study entry

Trial locations and contacts

92 sites in 24 countries.

92 sites in 24 countries

United Kingdom16 sites
  • Novartis Investigative Site

    Belfast, BT12 6BA

  • Novartis Investigative Site

    Bristol, BS1 2LX

  • Novartis Investigative Site

    Cheshire, CW14QJ

  • Novartis Investigative Site

    Derby, DE22 3NE

  • Novartis Investigative Site

    Frimley, Surrey, GU16 7UJ

  • Novartis Investigative Site

    Gloucester, GL1 3NN

  • Novartis Investigative Site

    Great Yarmouth, NR31 6LA

  • Novartis Investigative Site

    Guildford, Surrey, GU2 5XX

  • Novartis Investigative Site

    Hull, HU3 2JZ

  • Novartis Investigative Site

    London, EC1V 2PD

  • Novartis Investigative Site

    London, SE5 9RS

  • Novartis Investigative Site

    Middlesbrough, TS4 3BW

  • Novartis Investigative Site

    Rugby, CV22 5PX

  • Novartis Investigative Site

    Southampton, SO16 6YD

  • Novartis Investigative Site

    Wolverhampton, WV10 0QP

  • Novartis Investigative Site

    York, YO31 8HE

Other trials in United Kingdom

Germany9 sites
  • Novartis Investigative Site

    Bonn, 53127

  • Novartis Investigative Site

    Chemnitz, 09113

  • Novartis Investigative Site

    Cologne, 50924

  • Novartis Investigative Site

    Darmstadt, 64297

  • Novartis Investigative Site

    Freiburg im Breisgau, 79106

  • Novartis Investigative Site

    München, 80336

  • Novartis Investigative Site

    Münster, 48145

  • Novartis Investigative Site

    Münster, 48149

  • Novartis Investigative Site

    Regensburg, 93053

Other trials in Germany

Hungary9 sites
  • Novartis Investigative Site

    Budapest, 1076

  • Novartis Investigative Site

    Budapest, 1083

  • Novartis Investigative Site

    Budapest, 1106

  • Novartis Investigative Site

    Budapest, 1133

  • Novartis Investigative Site

    Budapest, 1145

  • Novartis Investigative Site

    Debrecen, 4012

  • Novartis Investigative Site

    Szeged, H-6725

  • Novartis Investigative Site

    Veszprém, H-8200

  • Novartis Investigative Site

    Zalaegerszeg, 8900

Other trials in Hungary

Canada6 sites
  • Novartis Investigative Site

    Boisbriand, Quebec, J7H 1S6

  • Novartis Investigative Site

    Halifax, Nova Scotia, B3H 2E1

  • Novartis Investigative Site

    London, Ontario, N6A 4G5

  • Novartis Investigative Site

    Ottawa, Ontario, K1H 8L6

  • Novartis Investigative Site

    Sherbrooke, Quebec, J1J 2B8

  • Novartis Investigative Site

    Vancouver, British Columbia, V5Z 3N9

Other trials in Canada

Slovakia6 sites
  • Novartis Investigative Site

    Bratislava, 82606

  • Novartis Investigative Site

    Bratislava, 85107

  • Novartis Investigative Site

    Nitra, 94901

  • Novartis Investigative Site

    Trenčín, 91171

  • Novartis Investigative Site

    Žilina, 01207

  • Novartis Investigative Site

    Zvolen, 960 01

Other trials in Slovakia

Spain5 sites
  • Novartis Investigative Site

    Barcelona, 08025

  • Novartis Investigative Site

    Bilbao, Basque Country, 48006

  • Novartis Investigative Site

    Madrid, 28040

  • Novartis Investigative Site

    Oviedo, Principality of Asturias, 33012

  • Novartis Investigative Site

    Santiago de Compostela, Galicia, 15706

Other trials in Spain

Czechia4 sites
  • Novartis Investigative Site

    Brno, 625 00

  • Novartis Investigative Site

    Hradec Králové, 505 05

  • Novartis Investigative Site

    Olomouc, CZE, 775 20

  • Novartis Investigative Site

    Prague, 100 34

Other trials in Czechia

Greece4 sites
  • Novartis Investigative Site

    Ampelokipoi, Athens, 11 526

  • Novartis Investigative Site

    Athens, GR, 156 69

  • Novartis Investigative Site

    Glyfada, Athens, 16675

  • Novartis Investigative Site

    Ioannina, 45500

Other trials in Greece

Italy4 sites
  • Novartis Investigative Site

    Florence, FI, 50134

  • Novartis Investigative Site

    Milan, MI, 20100

  • Novartis Investigative Site

    Milan, MI, 20132

  • Novartis Investigative Site

    Udine, UD, 33100

Other trials in Italy

Switzerland4 sites
  • Novartis Investigative Site

    Bern, 3012

  • Novartis Investigative Site

    Geneva, 1204

  • Novartis Investigative Site

    Lausanne, 1007

  • Novartis Investigative Site

    Zurich, 8063

Other trials in Switzerland

Netherlands3 sites
  • Novartis Investigative Site

    's-Hertogenbosch, 5223 GZ

  • Novartis Investigative Site

    Nijmegen, 6525 EX

  • Novartis Investigative Site

    Rotterdam, 3011 BH

Other trials in Netherlands

Portugal3 sites
  • Novartis Investigative Site

    Coimbra, 3000-354

  • Novartis Investigative Site

    Lisbon, 1050-085

  • Novartis Investigative Site

    Porto, 4200-319

Other trials in Portugal

Argentina2 sites
  • Novartis Investigative Site

    Buenos Aires, C1122AAI

  • Novartis Investigative Site

    Ciudad Autonoma de Bs As, C1015ABO

Other trials in Argentina

Colombia2 sites
  • Novartis Investigative Site

    Bogotá, Cundinamarca, 7550000

  • Novartis Investigative Site

    Medellín, Antioquia, 001

Other trials in Colombia

Finland2 sites
  • Novartis Investigative Site

    HUS, 00029

  • Novartis Investigative Site

    Kuopio, 70211

Other trials in Finland

Guatemala2 sites
  • Novartis Investigative Site

    Guatemala City, 01009

  • Novartis Investigative Site

    Guatemala City, 01010

Other trials in Guatemala

Ireland2 sites
  • Novartis Investigative Site

    Dublin

  • Novartis Investigative Site

    Waterford

Other trials in Ireland

Lithuania2 sites
  • Novartis Investigative Site

    Kaunas, LTU, 50009

  • Novartis Investigative Site

    Vilnius, LT-08661

Other trials in Lithuania

Turkey (Türkiye)2 sites
  • Novartis Investigative Site

    Ankara, 06100

  • Novartis Investigative Site

    Ankara, 06490

Other trials in Turkey (Türkiye)

Austria1 site
  • Novartis Investigative Site

    Vienna, 1090

Other trials in Austria

France1 site
  • Novartis Investigative Site

    Paris, 75015

Other trials in France

Mexico1 site
  • Novartis Investigative Site

    Mexico City, Mexico City, 06800

Other trials in Mexico

Panama1 site
  • Novartis Investigative Site

    Panama City, 0819-12316

Other trials in Panama

Sweden1 site
  • Novartis Investigative Site

    Linköping, SE-581 85

Other trials in Sweden

About this study

Official title: A 24-month, Phase IIIb, Randomized, Double-masked, Multicenter Study Assessing the Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration

This study will evaluate and compare two individualized ranibizumab treatment regimens in patients with neovascular (wet) AMD aiming to achieve and to maintain a maximum visual function benefit, while aiming to avoid unnecessary intravitreal injections.

The results will be used to generate further recommendations on functional and anatomical monitoring of the disease and timing of treatment administration for patients with neovascular AMD. In this context, the study will investigate the utility of optical coherence tomography (OCT) to aid retreatment decisions with ranibizumab.

Read the detailed description

During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

Being tested
Ranibizumab

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RanibizumabDrug

    Intravitreal injections of 0.5 mg Ranibizumab

Study groups in NCT01780935
Study groupRoleWhat they receive
RBZ 0.5 mg: VA only (Group I)ExperimentalRBZ 0.5 mg: Visual Acuity (VA) only (Group I) 0.5 mg intravitreal injections of ranibizumab with retreatment based on best-corrected visual acuity (BCVA) loss due to neovascular (wet) age-related macular degeneration (nAMD)
Receives: Drug: Ranibizumab
RBZ 0.5 mg: VA and/or OCT (Group II)ExperimentalRBZ 0.5 mg: VA and/or OCT (Group II) 0.5 mg intravitreal injections of ranibizumab with retreatment based on best-corrected visual acuity (BCVA)loss due to neovascular (wet) age-related macular degeneration (nAMD) and/or signs of wet AMD disease activity on optical coherence tomography (OCT).
Receives: Drug: Ranibizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Average Best-corrected Visual Acuity (BCVA) (Letters) Change up to Month 12

    Visual acuity (VA) was assessed during every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like VA testing charts at a testing distance of 4 meters. This outcome measure describes the difference between the Visual Acuity averaged up to Month 12 Level of VA (Letters) of the Study Eye.

    Measured: up to Month 12

Secondary outcomes (12)
  1. Change From Baseline in Visual Acuity (Letters) of the Study Eye up to Month 12

    Visual acuity (VA) was assessed using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like VA testing charts at a testing distance of 4 meters. This outcome measure describes the difference between the Visual Acuity averaged from Baseline to Month 12 Level of VA (Letters) of the Study Eye.

    Measured: up to Month 12

  2. Gain of Equal or More Than 1, 5, 10, or 15 Letters in Visual Acuity of the Study Eye From Baseline, at Month 12 and 24

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  3. Loss of Less Than 5, 10, and 15 Letters in Visual Acuity in the Study Eye From Baseline, at Month 12 and 24

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  4. Visual Acuity of 73 Letters or More in the Study Eye at Month 12 and 24

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Month 12 and 24

  5. Average Visual Acuity Change From Month 3 to Month 4 Through Month 24 in the Study Eye

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Month 3 to Month 24

  6. Average Visual Acuity Change From Baseline to Month 1 Through Month 12 and 24 in the Study Eye

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  7. Change From Baseline in Central Sub-Field Thickness (CSFT) and Central Sub-Field Volume (CSFV) of the Study Eye Over Time

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  8. Dry Retina in the Study Eye on OCT at Month 12 and 24

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Month 12 and 24

  9. Change From Baseline in Lesion Size and Morphology Based on Fluorescein Angiography at Month 12 and 24

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  10. Treatment Patterns Over Time in Both Treatment Arms

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  11. Change From Baseline in the National Eye Institute Visual Functioning Questionnaire (NEI-VFQ-25) Scores Over Time

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Baseline to Month 12 and 24

  12. Frequency and Severity of Ocular and Non-ocular Adverse Events Over Time

    During the course of the study, the use of optical coherence tomography (OCT)-guided therapy became a standard of care accepted by health authorities and the ophthalmology community in the treatment of neovascular (wet) age-related macular degeneration (nAMD), Novartis decided on 08-Oct-2014 the early termination of the study. Therefore the 12-month cutoff date was not reached and the related analyses were not performed.

    Measured: Screening to Month 12 and 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jan 2013 (estimated)
  2. Study start3 Jun 2013
  3. Primary completion9 Jul 2015
  4. Study completion9 Jul 2015

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
671 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01780935
Sponsor's protocol ID
CRFB002A2405
Other IDs
2011-004959-39
Acronym
OCTAVE
Status last verified
Jul 2017
First submitted
29 Jan 2013
Last updated
14 Aug 2017
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Staurenghi G, Garweg JG, Gerendas BS, Macfadden W, Gekkiev B, Margaron P, Dunger-Baldauf C, Kolar P. Functional versus functional and anatomical criteria-guided ranibizumab treatment in patients with neovascular age-related macular degeneration - results from the randomized, phase IIIb OCTAVE study. BMC Ophthalmol. 2020 Jan 9;20(1):18. doi: 10.1186/s12886-019-1251-6.

    PubMed 31918685

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ranibizumab in people with Neovascular Age-related Macular Degeneration, run by Novartis Pharmaceuticals at 92 sites in 24 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 4 inclusion and 2 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 14 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United Kingdom, Germany, Hungary, Canada, Slovakia and 19 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 2 Jan 2017). 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?

Average Best-corrected Visual Acuity (BCVA) (Letters) Change up to Month 12 (time frame: up to Month 12). 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 NCT01780935, 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 14 Aug 2017.

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