Geographic AtrophyPhase 3CHROMANCT02247479
A Study Investigating the Efficacy and Safety of Lampalizumab Intravitreal Injections in Participants With Geographic Atrophy Secondary to Age-Related Macular Degeneration
A Phase 3 study testing Lampalizumab in people with Geographic Atrophy, run by Hoffmann-La Roche at 145 sites in 19 countries.
Trial summary
This study is a Phase III, double-masked, multicenter, randomized, sham injection-controlled study evaluating the efficacy and safety of lampalizumab administered by intravitreal injections in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Geographic Atrophy
- What is being tested?
- Lampalizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 906 participants
- Where
- 145 sitesin 19 countries
- Study dates
- 18 Sep 2014to 29 Jan 2018
- 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
- Well demarcated area(s) of Geographic Atrophy (GA) secondary to Age-Related Macular Degeneration (AMD) with no evidence of prior or active choroidal neovascularization (CNV) in both eyes
Who cannot join
- Ocular Exclusion Criteria: Study Eye
- History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD
- Previous laser photocoagulation for CNV, diabetic macular edema, retinal vein occlusion, and proliferative diabetic retinopathy
- Previous intravitreal drug delivery (intravitreal corticosteroid injection, anti-angiogenic drugs, anti-complement agents, or device implantation) Ocular Exclusion Criteria: Both Eyes
- GA in either eye due to causes other than AMD
- Previous treatment with eculizumab, lampalizumab and/or fenretinide
Trial locations and contacts
145 sites in 19 countries.
145 sites in 19 countries
United States76 sites
Retina Consultants of Hawaii
‘Aiea, Hawaii, 96701
Retina Res Institute of Texas
Abilene, Texas, 79606
Texas Retina Associates
Arlington, Texas, 76012
Western Carolina Retinal Associate PA
Asheville, North Carolina, 28803
Southeast Retina Center
Augusta, Georgia, 30909
Austin Retina Associates
Austin, Texas, 78705
Retina Research Center
Austin, Texas, 78705
California Retina Consultants
Bakersfield, California, 93309
Retina Assoc of Cleveland Inc
Beachwood, Ohio, 44122
Retina-Vitreous Associates Medical Group
Beverly Hills, California, 90211
Uni of Alabama At Birmingham Clinical Research Unit
Birmingham, Alabama, 35233
Retina Center of New Jersey
Bloomfield, New Jersey, 07003
Tufts Medical Center Research
Boston, Massachusetts, 02111
Ophthalmic Consultants of Boston
Boston, Massachusetts, 02114
Florida Eye Microsurgical Inst
Boynton Beach, Florida, 33426
Northwestern Medical Group/Northwestern University
Chicago, Illinois, 60611
Cleveland Clinic Foundation; Cole Eye Institute
Cleveland, Ohio, 44195
UT Southwestern MC at Dallas
Dallas, Texas, 75390
New Jersey Retina Research Foundation
Edison, New Jersey, 08820
National Ophthalmic Research Institute
Fort Myers, Florida, 33912
Vitreo-Retinal Associates
Grand Rapids, Michigan, 49546
Long Is. Vitreoretinal Consult
Hauppauge, New York, 11788
Midwest Eye Institute Northside
Indianapolis, Indiana, 46290
The Gavin Herbert Eye Institute - UC, Irvine
Irvine, California, 92697-4375
Specialty Eye Institute
Jackson, Michigan, 49202
Charleston Neuroscience Inst
Ladson, South Carolina, 29456
Retina Consultants of Nevada
Las Vegas, Nevada, 89123
Delaware Valley Retina Assoc
Lawrenceville, New Jersey, 08648
Lahey Clinic Med Ctr
Lexington, Kentucky, 02421
Retina Associates of Kentucky
Lexington, Kentucky, 40509
Eye Surgical Associates
Lincoln, Nebraska, 68506
Jules Stein Eye Institute/ UCLA
Los Angeles, California, 90095-7000
Opthalmic Consultants of LI
Lynbrook, New York, 11563
University of Wisconsin
Madison, Wisconsin, 53792
Georgia Retina PC
Marietta, Georgia, 30060
Valley Retina Institute P.A.
McAllen, Texas, 78503
Florida Eye Associates
Melbourne, Florida, 32901
Retina Vitreous Consultants
Monroeville, Pennsylvania, 15146
West Virginia University Eye Institute
Morgantown, West Virginia, 26506
Tennessee Retina PC.
Nashville, Tennessee, 37203
Vanderbilt
Nashville, Tennessee, 37232
New York Eye & Ear Infirmary
New York, New York, 10003
University Retina and Macula Associates, PC
Oak Forest, Illinois, 60452
East Bay Retina Consultants
Oakland, California, 94609
Retina Consultants of Western New York
Orchard Park, New York, 14127
Retina Care Specialists
Palm Beach Gardens, Florida, 33410
Bascom Palmer Eye Institute
Palm Beach Gardens, Florida, 33418
Southern CA Desert Retina Cons
Palm Desert, California, 92211
Retina Specialty Institute
Pensacola, Florida, 32503
Retinal Research Institute, LLC
Phoenix, Arizona, 85014
Fort Lauderdale Eye Institute
Plantation, Florida, 33324
Maine Eye Center
Portland, Maine, 04101
Eye Surgeons of Richmond Inc. dba Virginia Eye Institute
Richmond, Virginia, 23226
Retina Institute of Virginia
Richmond, Virginia, 23235
Assoc Retinal Consultants PC
Royal Oak, Michigan, 48073
Retina Associates of Utah
Salt Lake City, Utah, 84107
W Coast Retina Med Group Inc
San Francisco, California, 94107
UCSF; Ophthalmology
San Francisco, California, 94143
Orange County Retina Med Group
Santa Ana, California, 92705
California Retina Consultants
Santa Barbara, California, 93103
Retina Associates
Shawnee Mission, Kansas, 66204
Retina Center Northwest
Silverdale, Washington, 98383
Retina Consultants of Michigan
Southfield, Michigan, 48034
Spokane Eye Clinical Research
Spokane, Washington, 99204
Retina Vitreous Assoc of FL
St. Petersburg, Florida, 33711
Retina Vit Surgeons/Central NY
Syracuse, New York, 13224
Southern Vitreoretinal Assoc
Tallahassee, Florida, 32308
Retina Associates of Florida, LLC
Tampa, Florida, 33609
Retina Specialists
Towson, Maryland, 21204
Retina Centers P.C.
Tucson, Arizona, 85704
Virginia Retina Center
Warrenton, Virginia, 20186
Wolfe Eye Clinic
West Des Moines, Iowa, 50266
Associates in Ophthalmology
West Mifflin, Pennsylvania, 15122
Strategic Clinical Research Group, LLC
Willow Park, Texas, 76087
Wake Forest Baptist Health Eye Centre
Winston-Salem, North Carolina, 27157
Vitreo-Retinal Associates, PC
Worcester, Massachusetts, 01605
Canada8 sites
Institut De L'Oeil Des Laurentides
Boisbriand, Quebec, J7H 1S6
Calgary Retina Consultants
Calgary, Alberta, T2J 0C8
QEII - HSC Department of Ophthalmology
Halifax, Nova Scotia, B3H 2Y9
University of Ottawa Eye Institute
Ottawa, Ontario, K1H 8L6
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
St. Michael'S Hospital
Toronto, Ontario, M5G 2C4
University Health Network Toronto Western Hospital
Toronto, Ontario, M5T 2S8
University of British Columbia
Vancouver, British Columbia, V6T 1Z4
Germany7 sites
Universitäts-Augenklinik Bonn
Bonn, 53127
Universitätsklinikum Köln; Augenklinik
Cologne, 50937
Universitätsmedizin Göttingen Georg-August-Universität; Klinik für Augenheilkunde
Göttingen, 37075
Medizinische Hochschule Hannover, Klinik für Augenheilkunde
Hanover, 30625
Universitätskliniikum Schleswig-Holstein, Campus Lübeck, Klinik für Augenheilkunde
Lübeck, 23538
Augenabteilung am St. Franziskus-Hospital
Münster, 48145
Universitätsklinikum Münster; Augenheilkunde
Münster, 48149
Spain7 sites
VISSUM Instituto Oftalmológico de Alicante
Alicante, 03016
Institut de la Macula i la retina
Barcelona, 08022
Instituto Clinico Quirurgico de Oftalmologia - ICQO
Bilbao, Guipuzcoa, 48006
Hospital Universitari de Bellvitge; Servicio de Oftalmologia
L'Hospitalet de Llobregat, Barcelona, 8907
Hospital General de Catalunya
San Cugat Del Valles, Barcelona, 08195
FISABIO. Fundación Oftalmologica del Mediterraneo
Valencia, 46015
Hospital Universitario Rio Hortega; Servicio de Oftalmologia
Valladolid, 47012
France6 sites
Chi De Creteil; Ophtalmologie
Créteil, 94010
Centre Odeon; Exploration Ophtalmologique
Paris, 75006
Hopital Lariboisiere; Ophtalmologie
Paris, 75010
Centre Ophtalmologique; Imagerie et laser
Paris, 75015
Ch Pitie Salpetriere; Ophtalmologie
Paris, 75651
CHU Poitiers - CHR La Miletrie; Ophtalmologie
Poitiers, 86021
Argentina5 sites
Organizacion Medica de Investigacion
Buenos Aires, C1015ABO
Fundacion Zambrano
CABA, 1023
Oftar
Mendoza, M5500GGK
Microcirugía Ocular S.A
Rosario, S2000CTC
Grupo Laser Vision
Rosario, S2000DLA
Australia4 sites
Eyeclinic Albury Wodonga
Albury, New South Wales, 2640
Marsden Eye Research Centre
Parramatta, New South Wales, 2150
Save Sight Institute
Sydney, New South Wales, 2000
Sydney West Retina
Westmead, New South Wales, 2145
Belgium4 sites
CHU Brugmann (Victor Horta)
Brussels, 1020
UZ Gent
Ghent, 9000
UZ Leuven Sint Rafael
Leuven, 3000
CHU Sart-Tilman
Liège, 4000
Italy4 sites
Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico-Clinica Regina Elena;U.O.C Oculistica
Milan, Lombardy, 20100
Fondazione Ptv Policlinico Tor Vergata Di Roma;U.O.S.D. Patologie Renitiche
Rome, Lazio, 00133
Fondazione G.B. Bietti Per Lo Studio E La Ricerca in Oftalmologia-Presidio Ospedaliero Britannico
Rome, Lazio, 00198
Azienda Ospedaliero Universitaria Di Sassari;U.O. Oculistica
Sassari, Sardinia, 07100
Poland4 sites
OFTALMIKA Sp. z o.o
Bydgoszcz, 85-631
Optimum Profesorskie Centrum Okulistyki
Gdansk, 80-809
Gabinet Okulistyczny Prof Edward Wylegala
Katowice, 40-594
SP ZOZ Szpital Uniwersytecki w Krakowie Oddział Kliniczny Okulistyki i Onkologii Okulistycznej
Krakow, 31-501
United Kingdom4 sites
Ayr Hospital
Ayr, KA6 6DX
The Princess Alexandra Eye Pavilion
Edinburgh, EH3 9HA
Frimley Park Hospital
Frimley, GU16 7UJ
Royal Hallamshire Hospita
Sheffield, S10 2JF
Hungary3 sites
Budapest Retina Associates Kft.
Budapest, 1133
Debreceni Egyetem Klinikai Kozpont; Szemeszeti Klinika
Debrecem, 4032
Ganglion Medial Center
Pécs, 7621
Netherlands3 sites
Academisch Medisch Centrum Universiteit Amsterdam
Amsterdam, 1105 AZ
Leids Universitair Medisch Centrum
Leiden, 2333 ZA0
Radboud University Nijmegen Medical Centre; Ophthalmology
Nijmegen, 6525 EX
Slovakia3 sites
Nemocnica sv. Michala, a.s.
Bratislava, 81108
Fakultna nemocnica Trencin Ocna klinika
Trenčín, 911 71
Fakultna nemocnica s poliklinikou Zilina; Ocne oddelenie
Žilina, 012 07
Mexico2 sites
Macula Retina Consultores
Mexico City, 01120
Hospital de la Ceguera APEC
Mexico City, 04030
Peru2 sites
CLINICA RICARDO PALMA; Oftalmologos Contreras
Lima, 27
Clinica Anglo Americana
Lima, Lima 27
Austria1 site
Kepler Universitätskliniken GmbH - Med Campus III; Abt. für Augenheilkunde
Linz, 4021
Denmark1 site
Sjællands Universitetshospital, Roskilde; Øjenafdelingen
Roskilde, 4000
About this study
Official title: A Phase III, Multicenter, Randomized, Double-Masked, Sham-Controlled Study to Assess the Efficacy and Safety of Lampalizumab Administered Intravitreally to Patients With Geographic Atrophy Secondary to Age-Related Macular Degeneration
This study is a Phase III, double-masked, multicenter, randomized, sham injection-controlled study evaluating the efficacy and safety of lampalizumab administered by intravitreal injections in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD).
- Conditions
- Geographic Atrophy
- Being tested
- Lampalizumab, Sham
- Medical subject headings
- Geographic Atrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LampalizumabDrug
Also called RO5490249
Participants will receive 10 mg dose of lampalizumab administered intravitreally.
ShamOther
A sham injection is a procedure that mimics an intravitreal injection of lampalizumab.
| Study group | Role | What they receive |
|---|---|---|
| Lampalizumab Once in Every 4 Weeks (Q4W) | Experimental | Participants will receive 10 milligrams (mg) dose of lampalizumab administered by intravitreal injections for approximately 96 weeks. Receives: Drug: Lampalizumab |
| Lampalizumab Once in Every 6 Weeks (Q6W) | Experimental | Participants will receive 10 mg dose of lampalizumab administered by intravitreal injections for approximately 96 weeks. Receives: Drug: Lampalizumab |
| Sham Comparator | Sham comparator | Participants will receive sham comparator Q4W or Q6W for 96 weeks. Receives: Other: Sham |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluoresence (FAF) at Week 48
The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of GA lesion area (worsening; disease progression).
Measured: Baseline, Week 48
Change From Baseline in GA Area in Complement Factor I (CFI) Positive and Negative Participants at Week 48
For CFI profile, positive or negative biomarker status refers to the presence (carrier) or absence of the risk allele at CFI and at least one risk allele at complement factor H (CFH) or risk locus containing both complement component 2 and complement factor B (C2/CFB).The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of GA lesion area (worsening; disease progression).
Measured: Baseline, Week 48
Secondary outcomes (12)
Change From Baseline in Number of Absolute Scotomatous Points as Assessed by Mesopic Micrometry at Week 48
Scotomatous points were the testing points on microperimetry examination that were centered on the macula and reported a lack of retinal sensitivity within the range tested, a maximum of 68 points were tested within this range. Higher results indicate expansion of absolute scotoma and higher number of abolute scotomatous points. Mesopic microperimetry assessments were performed post-dilation on the study eye only, and the data was forwarded to the central reading center. The data was collected up to Week 48 instead of Week 96, due to early termination of the study. A positive change from baseline indicates an increase in the number of absolute scotomatous points (more lack of retinal sensitivity); disease worsening.
Measured: Baseline, Week 48
Change From Baseline in Mean Macular Sensitivity as Assessed by Mesopic Microperimetry at Week 48
Mesopic microperimetry was used to assess macular sensitivity and assessments were performed post-dilation on the study eye only, and the data was forwarded to the central reading center. A negative change from baseline indicates a decrease in the mean macular sensitivity; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in Best Corrected Visual Acuity (BCVA) Score as Assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) Chart at Week 48
BCVA score was based on the number of letters read correctly on the ETDRS visual acuity chart assessed at a starting distance of 4 meters (m). BCVA score testing was performed prior to dilating the eyes. BCVA score ranges 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). A negative change from baseline indicates a decrease in the visual acuity; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Percentage of Participants With Less Than 15 Letters Loss From Baseline in BCVA Score at Week 48
Loss of less than 15 letters from baseline was assessed by the ETDRS chart at a starting distance of 4 meters (m). BCVA was measured using an eye chart and was reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Week 48
Change From Baseline in Low Luminance Visual Acuity (LLVA) as Assessed by ETDRS Chart Under Low Luminance Conditions at Week 48
The LLVA was measured by placing a 2.0-log-unit neutral density filter over the best correction for that eye and having the participant read the normally illuminated ETDRS chart. The assessment was performed prior to dilating the eyes. LLVA score ranges 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). The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Percentage of Participants With Less Than 15 Letters Loss From Baseline in LLVA Score at Week 48
Loss of less than 15 letters from baseline was assessed by the ETDRS chart at a starting distance of 4 m. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Week 48
Change From Baseline in Binocular Reading Speed as Assessed by Minnesota Low-Vision Reading Test (MNRead) Charts or Radner Reading Charts at Week 48
MNRead acuity cards were continuous-text reading-acuity cards suitable for measuring the reading acuity and reading speed of normal and low-vision participants. The MNRead acuity cards consisted of single, simple sentences with equal numbers of characters. A stopwatch was used to record time to a tenth of a second. Sentences that could not be read or were not attempted due to vision should be recorded as 0 for time and 10 for errors. The Radner Reading Cards were suitable for measuring reading speed, reading visual acuity, and critical print size. The reading test was stopped when the reading time was longer than 20 seconds or when the participant was making severe errors. A negative change from baseline indicates a decrease in the binocular reading speed; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in Monocular Maximum Reading Speed as Assessed by MNRead Charts or Radner Reading Charts at Week 48
MNRead acuity cards were continuous-text reading-acuity cards suitable for measuring the reading acuity and reading speed of normal and low-vision participants. The MNRead acuity cards consisted of single, simple sentences with equal numbers of characters. A stopwatch was used to record time to a tenth of a second. Sentences that could not be read or were not attempted due to vision should be recorded as 0 for time and 10 for errors. The Radner Reading Cards were suitable for measuring reading speed, reading visual acuity, and critical print size. The reading test was stopped when the reading time was longer than 20 seconds or when the participant was making severe errors. A negative change from baseline indicates a decrease in the monocular reading speed; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in National Eye Institute Visual Functioning Questionnaire 25-item (NEI VFQ-25) Version Composite Score at Week 48
NEI-VFQ-25 questionnaire included 25 items based on which overall composite VFQ score and 12 subscales were derived: near activities, distance activities, general health,general vision, ocular pain, vision-specific social functioning, vision-specific mental health, vision-specific role difficulties, vision-specific dependency, driving, color vision and peripheral vision. Response to each question converted to 0-100 score. Each subscale, total score=average of items contributing to score. For each subscale and total score, score range: 0 to 100, a higher score represents better functioning. A negative change from baseline indicates a decrease in the visual functioning; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in NEI VFQ-25 Near Activity Subscale Score at Week 48
NEI-VFQ-25 questionnaire included 25 items based on which near activities were measured. Near activities are defined as reading ordinary print in newspapers, performing work or hobbies requiring near vision, or finding something on a crowded shelf. Response to each question converted to 0-100 score. Subscale=average of items contributing to score. For this subscale the score range is 0 to 100, a higher score represents better functioning. A negative change from baseline indicates a decrease in the near visual activities; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in NEI VFQ-25 Distance Activity Subscale Score at Week 48
NEI-VFQ-25 questionnaire included 25 items based on which distance activities were measured. Distance activities are defined as reading street signs or names on stores, and going down stairs, steps, or curbs. Response to each question converted to 0-100 score. Subscale=average of items contributing to score. For this subscale the score range is 0 to 100, a higher score represents better functioning. A negative change from baseline indicates a decrease in the distance visual activities; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in Mean Functional Reading Independence (FRI) Index at Week 48
The FRI was an interviewer-administered questionnaire with 7 items on functional reading activities most relevant to GA AMD participants. It has one total index score. For each FRI Index reading activity performed in the past 7 days, participants were asked about the extent to which they required vision aids, adjustments in the activity, or help from another participant. Mean FRI Index scores range from 1 to 4, with higher scores indicating greater independence. A negative change from baseline indicates a decrease in the FRI; disease worsening. The data was collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Sep 2014 (estimated)
- Study start18 Sep 2014
- Primary completion29 Jan 2018
- Study completion29 Jan 2018
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 (9)Papers the sponsor has linked to this study.
- Other trials for Geographic AtrophyStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 906 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02247479
- Sponsor's protocol ID
- GX29176
- Other IDs
- 2014-000107-27, 2014
- Acronym
- CHROMA
- Status last verified
- Jun 2019
- First submitted
- 15 Jul 2014
- Last updated
- 26 Jun 2019
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Yoshida K, Zhang M, Pely A, Steffen V, Gao SS, Chakravarthy U, Rabe C, Fauser S, Ferrara D, Cukras C. Structure-Function Correlations Using Artificial Intelligence-Extracted Retinal Layer Attenuation Measurements in OCT in Eyes with Geographic Atrophy. Ophthalmol Sci. 2026 Jul 10;6(9):101322. doi: 10.1016/j.xops.2026.101322. eCollection 2026 Sep.
PubMed 42668567Salvi A, Cluceru J, Gao SS, Rabe C, Schiffman C, Yang Q, Lee AY, Keane PA, Sadda SR, Holz FG, Ferrara D, Anegondi N. Deep Learning to Predict the Future Growth of Geographic Atrophy from Fundus Autofluorescence. Ophthalmol Sci. 2024 Oct 23;5(2):100635. doi: 10.1016/j.xops.2024.100635. eCollection 2025 Mar-Apr.
PubMed 39758130Cluceru J, Anegondi N, Gao SS, Lee AY, Lad EM, Chakravarthy U, Yang Q, Steffen V, Friesenhahn M, Rabe C, Ferrara D. Topographic Clinical Insights From Deep Learning-Based Geographic Atrophy Progression Prediction. Transl Vis Sci Technol. 2024 Aug 1;13(8):6. doi: 10.1167/tvst.13.8.6.
PubMed 39102242Bressler NM, Freund KB, Bakri SJ, Kim JE, Ferrara D, Brittain C, Pickthorn K, Lin H, Sun C, Martin J. Intraocular Pressure Outcomes After Lampalizumab Injections in Patients With Geographic Atrophy. JAMA Ophthalmol. 2024 Aug 1;142(8):772-776. doi: 10.1001/jamaophthalmol.2024.2061.
PubMed 38900484Chang DS, Callaway NF, Steffen V, Csaky K, Guymer RH, Birch DG, Patel PJ, Ip M, Gao SS, Briggs J, Honigberg L, Lai P, Ferrara D, Sepah YJ. Macular Sensitivity Endpoints in Geographic Atrophy: Exploratory Analysis of Chroma and Spectri Clinical Trials. Ophthalmol Sci. 2023 Jun 12;4(1):100351. doi: 10.1016/j.xops.2023.100351. eCollection 2024 Jan-Feb.
PubMed 37869030Tzoumas N, Riding G, Williams MA, Steel DH. Complement inhibitors for age-related macular degeneration. Cochrane Database Syst Rev. 2023 Jun 14;6(6):CD009300. doi: 10.1002/14651858.CD009300.pub3.
PubMed 37314061Miere A, Capuano V, Kessler A, Zambrowski O, Jung C, Colantuono D, Pallone C, Semoun O, Petit E, Souied E. Deep learning-based classification of retinal atrophy using fundus autofluorescence imaging. Comput Biol Med. 2021 Mar;130:104198. doi: 10.1016/j.compbiomed.2020.104198. Epub 2020 Dec 28.
PubMed 33383315Heier JS, Pieramici D, Chakravarthy U, Patel SS, Gupta S, Lotery A, Lad EM, Silverman D, Henry EC, Anderesi M, Tschosik EA, Gray S, Ferrara D, Guymer R; Chroma and Spectri Study Investigators. Visual Function Decline Resulting from Geographic Atrophy: Results from the Chroma and Spectri Phase 3 Trials. Ophthalmol Retina. 2020 Jul;4(7):673-688. doi: 10.1016/j.oret.2020.01.019. Epub 2020 Jan 31.
PubMed 32199866Holz FG, Sadda SR, Busbee B, Chew EY, Mitchell P, Tufail A, Brittain C, Ferrara D, Gray S, Honigberg L, Martin J, Tong B, Ehrlich JS, Bressler NM; Chroma and Spectri Study Investigators. Efficacy and Safety of Lampalizumab for Geographic Atrophy Due to Age-Related Macular Degeneration: Chroma and Spectri Phase 3 Randomized Clinical Trials. JAMA Ophthalmol. 2018 Jun 1;136(6):666-677. doi: 10.1001/jamaophthalmol.2018.1544.
PubMed 29801123
Study at a glance
From the registry record, last updated by the sponsor on 26 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicenter, Randomized, Double-Masked, Sham-Controlled Study to Assess the Efficacy and Safety of Lampalizumab Administered Intravitreally to Patients With Geographic Atrophy Secondary to Age-Related Macular Degeneration
- ClinicalTrials.gov ID
- NCT02247479
- Acronym / sponsor ID
- CHROMA / GX29176
- Conditions
- Geographic Atrophy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 906 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 18 Sep 2014 (actual)
- Primary completion
- 29 Jan 2018 (actual)
- Study completion
- 29 Jan 2018 (actual)
- First posted
- 25 Sep 2014 (estimated)
- Results
- Posted 23 Apr 2019
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 a Phase III, double-masked, multicenter, randomized, sham injection-controlled study evaluating the efficacy and safety of lampalizumab administered by intravitreal injections in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Lampalizumab Once in Every 4 Weeks (Q4W) | Experimental | Drug: LampalizumabParticipants will receive 10 milligrams (mg) dose of lampalizumab administered by intravitreal injections for approximately 96 weeks. |
| Lampalizumab Once in Every 6 Weeks (Q6W) | Experimental | Drug: LampalizumabParticipants will receive 10 mg dose of lampalizumab administered by intravitreal injections for approximately 96 weeks. |
| Sham Comparator | Sham comparator | Other: ShamParticipants will receive sham comparator Q4W or Q6W for 96 weeks. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Well demarcated area(s) of Geographic Atrophy (GA) secondary to Age-Related Macular Degeneration (AMD) with no evidence of prior or active choroidal neovascularization (CNV) in both eyes
Key exclusion criteria (6 listed)
- Ocular Exclusion Criteria: Study Eye
- History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD
- Previous laser photocoagulation for CNV, diabetic macular edema, retinal vein occlusion, and proliferative diabetic retinopathy
- Previous intravitreal drug delivery (intravitreal corticosteroid injection, anti-angiogenic drugs, anti-complement agents, or device implantation) Ocular Exclusion Criteria: Both Eyes
- GA in either eye due to causes other than AMD
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 |
|---|---|---|
| LampalizumabAlso: RO5490249Participants will receive 10 mg dose of lampalizumab administered intravitreally. | Drug | Lampalizumab Once in Every 4 Weeks (Q4W), Lampalizumab Once in Every 6 Weeks (Q6W) |
| ShamA sham injection is a procedure that mimics an intravitreal injection of lampalizumab. | Other | Sham Comparator |
Primary outcome
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluoresence (FAF) at Week 48
Time frame: Baseline, Week 48
The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of GA lesion area (worsening; disease progression).
Change From Baseline in GA Area in Complement Factor I (CFI) Positive and Negative Participants at Week 48
Time frame: Baseline, Week 48
For CFI profile, positive or negative biomarker status refers to the presence (carrier) or absence of the risk allele at CFI and at least one risk allele at complement factor H (CFH) or risk locus containing both complement component 2 and complement factor B (C2/CFB).The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of GA lesion area (worsening; disease progression).
12 secondary outcomes
Change From Baseline in Number of Absolute Scotomatous Points as Assessed by Mesopic Micrometry at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Mean Macular Sensitivity as Assessed by Mesopic Microperimetry at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Best Corrected Visual Acuity (BCVA) Score as Assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) Chart at Week 48
Time frame: Baseline, Week 48
Percentage of Participants With Less Than 15 Letters Loss From Baseline in BCVA Score at Week 48
Time frame: Week 48
Change From Baseline in Low Luminance Visual Acuity (LLVA) as Assessed by ETDRS Chart Under Low Luminance Conditions at Week 48
Time frame: Baseline, Week 48
Percentage of Participants With Less Than 15 Letters Loss From Baseline in LLVA Score at Week 48
Time frame: Week 48
Change From Baseline in Binocular Reading Speed as Assessed by Minnesota Low-Vision Reading Test (MNRead) Charts or Radner Reading Charts at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Monocular Maximum Reading Speed as Assessed by MNRead Charts or Radner Reading Charts at Week 48
Time frame: Baseline, Week 48
Change From Baseline in National Eye Institute Visual Functioning Questionnaire 25-item (NEI VFQ-25) Version Composite Score at Week 48
Time frame: Baseline, Week 48
Change From Baseline in NEI VFQ-25 Near Activity Subscale Score at Week 48
Time frame: Baseline, Week 48
Change From Baseline in NEI VFQ-25 Distance Activity Subscale Score at Week 48
Time frame: Baseline, Week 48
Change From Baseline in Mean Functional Reading Independence (FRI) Index at Week 48
Time frame: Baseline, Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jun 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42668567Yoshida K, Zhang M, Pely A, Steffen V, Gao SS, Chakravarthy U, Rabe C, Fauser S, Ferrara D, Cukras C. Structure-Function Correlations Using Artificial Intelligence-Extracted Retinal Layer Attenuation Measurements in OCT in Eyes with Geographic Atrophy. Ophthalmol Sci. 2026 Jul 10;6(9):101322. doi: 10.1016/j.xops.2026.101322. eCollection 2026 Sep.
- Derived from this study: PubMed 39758130Salvi A, Cluceru J, Gao SS, Rabe C, Schiffman C, Yang Q, Lee AY, Keane PA, Sadda SR, Holz FG, Ferrara D, Anegondi N. Deep Learning to Predict the Future Growth of Geographic Atrophy from Fundus Autofluorescence. Ophthalmol Sci. 2024 Oct 23;5(2):100635. doi: 10.1016/j.xops.2024.100635. eCollection 2025 Mar-Apr.
- Derived from this study: PubMed 39102242Cluceru J, Anegondi N, Gao SS, Lee AY, Lad EM, Chakravarthy U, Yang Q, Steffen V, Friesenhahn M, Rabe C, Ferrara D. Topographic Clinical Insights From Deep Learning-Based Geographic Atrophy Progression Prediction. Transl Vis Sci Technol. 2024 Aug 1;13(8):6. doi: 10.1167/tvst.13.8.6.
- Derived from this study: PubMed 38900484Bressler NM, Freund KB, Bakri SJ, Kim JE, Ferrara D, Brittain C, Pickthorn K, Lin H, Sun C, Martin J. Intraocular Pressure Outcomes After Lampalizumab Injections in Patients With Geographic Atrophy. JAMA Ophthalmol. 2024 Aug 1;142(8):772-776. doi: 10.1001/jamaophthalmol.2024.2061.
- Derived from this study: PubMed 37869030Chang DS, Callaway NF, Steffen V, Csaky K, Guymer RH, Birch DG, Patel PJ, Ip M, Gao SS, Briggs J, Honigberg L, Lai P, Ferrara D, Sepah YJ. Macular Sensitivity Endpoints in Geographic Atrophy: Exploratory Analysis of Chroma and Spectri Clinical Trials. Ophthalmol Sci. 2023 Jun 12;4(1):100351. doi: 10.1016/j.xops.2023.100351. eCollection 2024 Jan-Feb.
- Derived from this study: PubMed 37314061Tzoumas N, Riding G, Williams MA, Steel DH. Complement inhibitors for age-related macular degeneration. Cochrane Database Syst Rev. 2023 Jun 14;6(6):CD009300. doi: 10.1002/14651858.CD009300.pub3.
- Derived from this study: PubMed 33383315Miere A, Capuano V, Kessler A, Zambrowski O, Jung C, Colantuono D, Pallone C, Semoun O, Petit E, Souied E. Deep learning-based classification of retinal atrophy using fundus autofluorescence imaging. Comput Biol Med. 2021 Mar;130:104198. doi: 10.1016/j.compbiomed.2020.104198. Epub 2020 Dec 28.
- Derived from this study: PubMed 32199866Heier JS, Pieramici D, Chakravarthy U, Patel SS, Gupta S, Lotery A, Lad EM, Silverman D, Henry EC, Anderesi M, Tschosik EA, Gray S, Ferrara D, Guymer R; Chroma and Spectri Study Investigators. Visual Function Decline Resulting from Geographic Atrophy: Results from the Chroma and Spectri Phase 3 Trials. Ophthalmol Retina. 2020 Jul;4(7):673-688. doi: 10.1016/j.oret.2020.01.019. Epub 2020 Jan 31.
- Derived from this study: PubMed 29801123Holz FG, Sadda SR, Busbee B, Chew EY, Mitchell P, Tufail A, Brittain C, Ferrara D, Gray S, Honigberg L, Martin J, Tong B, Ehrlich JS, Bressler NM; Chroma and Spectri Study Investigators. Efficacy and Safety of Lampalizumab for Geographic Atrophy Due to Age-Related Macular Degeneration: Chroma and Spectri Phase 3 Randomized Clinical Trials. JAMA Ophthalmol. 2018 Jun 1;136(6):666-677. doi: 10.1001/jamaophthalmol.2018.1544.
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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.
Clinical Trials study director
Hoffmann-La Roche
145 sites in 19 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lampalizumab in people with Geographic Atrophy, run by Hoffmann-La Roche at 145 sites in 19 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 1 inclusion and 6 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: stopped early, as of the sponsor's last update on 26 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 sites in United States, Canada, Germany, Spain, France and 14 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. Some participants in this study may receive a placebo. 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 23 Apr 2019). 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?
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluoresence (FAF) at Week 48 (time frame: Baseline, Week 48). The study lists 2 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 NCT02247479, which also lists 9 linked publications.
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 26 Jun 2019.