Geographic AtrophyPhase 3SPECTRINCT02247531
A Study Investigating the Safety and Efficacy 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 153 sites in 22 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
- 975 participants
- Where
- 153 sitesin 22 countries
- Study dates
- 6 Oct 2014to 23 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
- Participants aged greater than or equal to (>/=) 50 years
- 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 (e.g., 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
153 sites in 22 countries.
153 sites in 22 countries
United States67 sites
Retina Res Institute of Texas
Abilene, Texas, 79606
University of Michigan, Kellogg Eye Center
Ann Arbor, Michigan, 48105
Western Carolina Retinal Associate PA
Asheville, North Carolina, 28803
Retina & Vitreous Center of Southern Oregon
Ashland, Oregon, 97520
Emory University
Atlanta, Georgia, 30329
University of Colorado
Aurora, Colorado, 80045
The Retina Care Center
Baltimore, Maryland, 21209
Wilmer Eye Institute
Baltimore, Maryland, 21287
Vitreoretinal Associates of Washington
Bellevue, Washington, 98004
Mass Eye and Ear Infirmary
Boston, Massachusetts, 02114
MUSC Storm eye institute
Charleston, South Carolina
Char Eye Ear &Throat Assoc
Charlotte, North Carolina, 28210
Univ of Virginia Ophthalmology
Charlottesville, Virginia, 22903
Southeastern Retina Associates Chattanooga
Chattanooga, Tennessee, 37421
Mid Atlantic Retina - Wills Eye Hospital
Cherry Hill, New Jersey, 08034
Midwest Vision Research Foundation
Chesterfield, Missouri, 63017
Retina Group of Washington
Chevy Chase, Maryland, 20815
Cincinnati Eye Institute
Cincinnati, Ohio, 45242
Retina Consultants of Southern
Colorado Springs, Colorado, 80909
OSU Eye Physicians & Surgeons
Columbus, Ohio, 43212
Texas Retina Associates
Dallas, Texas, 75231
Kresge Eye Institute
Detroit, Michigan, 48201-1423
Duke University Eye Center; Vitreoretinal
Durham, North Carolina, 27710
Vitreoretinal Surgery
Edina, Minnesota, 55435
Palmetto Retina Center
Florence, South Carolina, 29501
Retina Group of Florida
Fort Lauderdale, Florida, 33308
Retina Health Center
Fort Myers, Florida, 33907
Retina Consultants of Orange County
Fullerton, California, 92835
Charles Retina Institution
Germantown, Tennessee, 38138
Colorado Retina Associates, PC
Golden, Colorado, 80401
New England Retina Associates
Hamden, Connecticut, 06518
Retina Consultants of Houston
Houston, Texas, 77030
UCSD Shiley Eye Center
La Jolla, California, 92093-0946
Charleston Neuroscience Inst
Ladson, South Carolina, 29456
Jules Stein Eye Institute/ UCLA
Los Angeles, California, 90095-7000
N CA Retina Vitreous Assoc
Mountain View, California, 94040
Bascom Palmer Eye Institute
Naples, Florida, 34103
New York Weil Cornell Med Ctr
New York, New York, 10021
Vitreous-Retina-Macula
New York, New York, 10022
Retinal & Ophthalmic Cons PC
Northfield, New Jersey, 08225
UNMC Truhlsen Eye Institute
Omaha, Nebraska, 68105
Paducah Retinal Center
Paducah, Kentucky, 42001
Byers Eye Insitute at Stanford
Palo Alto, California, 94303
Mid Atlantic Retina
Philadelphia, Pennsylvania, 19107
Associated Retina Consultants
Phoenix, Arizona, 85020
Allegheny Ophthalmic & Orbital
Pittsburgh, Pennsylvania, 15212
Retina Northwest
Portland, Oregon, 97221
Oregon HSU; Casey Eye Institute
Portland, Oregon, 97239
Retina Consultants, San Diego
Poway, California, 92064
Black Hills Eye Institute
Rapid City, South Dakota, 57701
Sierra Eye Associates
Reno, Nevada, 89502
Retina Assoc of Western NY
Rochester, New York, 14620
University of California, Davis, Eye Center
Sacramento, California, 95817
Retinal Consultants Med Group
Sacramento, California, 95841
California Retina Consultants
Santa Barbara, California, 93103
Retina Vitreous Assoc of FL
St. Petersburg, Florida, 33711
Southern Vitreoretinal Assoc
Tallahassee, Florida, 32308
University of South Florida
Tampa, Florida, 33612
Retina Associates of NJ
Teaneck, New Jersey, 07666
Scott and White Hospital
Temple, Texas, 76504
Retina Consultants of Houston
The Woodlands, Texas, 77384
Retina Specialists
Towson, Maryland, 21204
Retina Associates Southwest PC
Tucson, Arizona, 85750
Bay Area Retina Associates
Walnut Creek, California, 94598
Retina Group of New England
Waterford, Connecticut, 06385
Wolfe Eye Clinic
West Des Moines, Iowa, 50266
Vitreo Retinal Consultants
Wichita, Kansas, 67214
United Kingdom14 sites
Royal Victoria Hospital
Belfast, BT12 6BA
Bradford Royal Infirmary
Bradford, BD9 6RJ
Bristol Eye Hospital
Bristol, BS1 2LX
University Hospital of Wales
Cardiff, CF14 4XW
Gloucestershire Hospitals NHS Foundation Trust
Gloucestershire, GL1 3NN
Royal Liverpool University Hospital; St Paul's Clinical Eye Research Centre
Liverpool, L7 8XP
Moorfields Eye Hospital NHS Foundation Trust
London, EC1V 2PD
Kings College Hospital
London, SE5 9RS
Macular Treatment Centre; Royal Eye Hospital
Manchester, M13 9WL
Hillingdon Hospital
Middx, UB8 3NN
Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP
Southampton General Hospital
Southampton, SO16 6YD
The Royal Wolverhampton Hospitals NHS Trust
Wolverhampton, WV10 0QP
The York Hospital
York, YO31 8HE
Germany8 sites
Universitätsklinikum Freiburg, Klinik für Augenheilkunde
Freiburg im Breisgau, 79106
Universitätsklinik Heidelberg; Augenklinik
Heidelberg, 69120
Klinikum der Stadt Ludwigshafen am Rhein gGmbH; Augenklinik
Ludwigshafen, 67063
Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Augenklinik und Poliklinik
Mainz, 55131
LMU Klinikum der Universität, Augenklinik
München, 80336
Klinikum rechts der Isar der TU München; Augenklinik
München, 81675
Universitätsklinikum Regensburg, Klinik & Poliklinik für Augenheilkunde
Regensburg, 93053
Universitätsklinikum Tübingen
Tübingen, 72076
Spain7 sites
Hospital Perpetuo Socorro; Servicio de Oftalmología
Albacete, 02006
Instituto de microcirugia ocular
Barcelona, 08035
VISSUM Madrid Santa Hortensia
Madrid, 28002
Hospital Universitario Clínico San Carlos; Servicio de Oftalmologia
Madrid, 28040
Clinica Universitaria de Navarra; Servicio de Oftalmologia
Pamplona, Navarre, 31008
Instituto Oftalmologico Gomez Ulla
Santiago de Compostela, LA Coruña, 15706
Hospital Universitario la Fe: Servicio de Oftalmologia
Valencia, 46026
France6 sites
Hopital Pellegrin; Ophtalmologie
Bordeaux, 33000
CHU Bocage; Ophtalmologie
Dijon, 21079
Hopital de la croix rousse; Ophtalmologie
Lyon, 69317
Centre Paradis Monticelli; Ophtalmologie
Marseille, 13008
Hopital Hotel Dieu Et Hme; Clinique Ophtalmologique
Nantes, 44093
CHNO des Quinze Vingts; Ophtalmologie
Paris, 75012
Italy6 sites
Azienda Ospedaliero-Universitaria Careggi; S.O.D. Oculistica
Florence, Tuscany, 50134
UNIVERSITA' DEGLI STUDI DI GENOVA - Di.N.O.G.;CLINICA OCULISTICA
Genoa, Liguria, 16132
Irccs Ospedale San Raffaele;U.O. Oculistica
Milan, Lombardy, 20132
ASST FATEBENEFRATELLI SACCO; Oculistica (Sacco)
Milan, Lombardy, 20157
A.S.L. to1 Presidio Ospedaliero Sperino Oftalmico
Turin, Piedmont, 10122
A.O. Universitaria S. Maria Della Misericordia Di Udine; Clinica Oculistica
Udine, Veneto, 33100
Turkey (Türkiye)6 sites
Hacettepe University Medical Faculty; Department of Ophthalmology
Ankara, 06100
Ankara University Medical Faculty; Department of Ophthalmology
Ankara, 06340
Ankara Baskent University Medical Faculty; Department of Ophthalmology
Ankara, 06490
Istanbul University Istanbul Medical Faculty; Department of Ophthalmology
Istanbul, 34093
Ege University Medical Faculty; Department of Ophthalmology
Izmir, 35100
Dokuz Eylul University Medical Faculty; Department of Ophthalmology
Izmir, 35340
Australia5 sites
Adelaide Eye and Retina Centre
Adelaide, South Australia, 5000
Vision Eye Institute Eastern
Box Hill, Victoria, 3128
Queensland Eye Institute
Brisbane, Queensland, 4101
Royal Victorian Eye and Ear Hospital
East Melbourne, Victoria, 3002
The Lions Eye Institute
Nedlands, Western Australia, 6009
Poland4 sites
OFTALMIKA Sp. z o.o
Bydgoszcz, 85-631
Szpital Specjalistyczny nr 1; Oddzial Okulistyki
Bytom, 41-902
Klinika Okulistyczna Jasne Błonia
Lodz, 91-134
Uniwersytecki Szpital Kliniczny; Klinika Okulistyki
Wroclaw, 50-556
Portugal4 sites
AIBILI - Association for Innovation and Biomedical Research on Light
Coimbra, 3000-548
Espaco Medico Coimbra
Coimbra, 3030-163
Hospital de Santa Maria; Servico de Oftalmologia
Lisbon, 1649-035
Hospital de Sao Joao; Servico de Oftalmologia
Porto, 4200-319
Argentina3 sites
Oftalmos
Capital Federal, C1120AAN
Instituto de la Vision
Capital Federal, C1122AAI
Hospital El Cruce
San Juan Bautista, B1888AAE
Hungary3 sites
Peterfy Sandor utcai Korhaz-Rendelointezet es Baleseti Kozpont, Szemeszet KR
Budapest, 1076
Semmelweis Egyetem AOK, Szemeszeti Klinika
Budapest, 1083
Ganglion Medial Center
Pécs, 7621
Mexico3 sites
Hospital Nuestra Señora de La Luz
Mexico City, 06030
Hospital Universitario de Monterrey
Monterrey, 64040
Instituto Mexicano de Oftalmologia I.A.P.
Querétaro, 76090
Peru3 sites
Mácula D&T
Lima, 27
TG Laser Oftalmica
Lima, 27
Centro de Investigacion Oftalmolaser
Lima, 33
Russia3 sites
SAHI "Republic clinical ophthalmological hospial of Ministry of Heal of Tatarstan Republic"
Kazan', 420012
FSBI "Scientific Research Institute of Eye Diseases" of Russian Academy of medical Sciences
Moscow, 119435
St. Educ.Inst. of High Prof.Education "Samara State Medical University"; Chair of ophathalmology
Samara, 443068
Belgium2 sites
CHU Brugmann (Victor Horta)
Brussels, 1020
UZ Leuven Sint Rafael
Leuven, 3000
Netherlands2 sites
Radboud University Nijmegen Medical Centre; Ophthalmology
Nijmegen, 6525 EX
Erasmus Medisch Centrum
Rotterdam, 3015 GD
Slovakia2 sites
FNsP F. D. Roosevelta Banska Bystrica, II.Ocna klinika SZU
Banská Bystrica, 975 17
Univerzitna nemocnica Bratislava, Nemocnica sv. Cyrila a Metoda Ocna klinika SZU a UNB
Bratislava, 851 07
Switzerland2 sites
Inselspital Bern, Universitätsklinik für Augenheilkunde
Bern, 3010
Vista Klinik Binningen
Binningen, 4102
Austria1 site
Medizinische Universität Wien; Universitätsklinik für Augenheilkunde und Optometrie
Vienna, 1090
Denmark1 site
Glostrup Hospital, Øjenafdelingen, Forskningsafsnit Ø37
Glostrup Municipality, 2600
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 Comparator
- 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
10 mg dose of lampalizumab administered intravitreally.
Sham ComparatorOther
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 mg (milligrams) dose of lampalizumab by intravitreal injection, Q4W, starting at the Day 1 visit for approximately 92 weeks. Receives: Drug: Lampalizumab |
| Lampalizumab once in every 6 weeks (Q6W) | Experimental | Participants will receive 10 mg dose of lampalizumab by intravitreal injection, Q6W, starting at the Day 1 visit for approximately 90 weeks. Receives: Drug: Lampalizumab |
| Sham Comparator | Sham comparator | Participants will receive sham comparator, Q4W, starting at the Day 1 visit for approximately 92 weeks or Q6W, starting at the Day 1 visit for approximately 90 weeks. Receives: Other: Sham Comparator |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Geographic Atropy (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 Assessed by Mesopic Microperimetry 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. Mesopic microperimetry assessments were performed post-dilation on the study eye only, and the data was forwarded to the central reading center. A positive change from baseline indicates an increase in the number of absolute scotomatous points (more lack of retinal sensitivity); disease worsening. Data were collected up to Week 48 instead of Week 96, due to early termination of the study.
Measured: Baseline, Week 48
Change From Baseline in 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. Data were 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). A decrease in the VA score indicates a worsening in visual acuity. BCVA score testing was performed prior to dilating the eyes. The data was collected up to Week 48 instead of Week 96, due to early termination of the study. 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.
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). Data were 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 low luminance visual acuity 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. A negative change from baseline indicates a decrease in the visual acuity; disease worsening. Data were 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. Data were 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. Data were 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 reading acuity and reading speed of normal and low-vision participants. 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. Radner Reading Cards were suitable for measuring reading speed, reading visual acuity, and critical print size. Reading test was stopped when reading time was longer than 20 seconds or when 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 or total score is the average of items contributing to the score. For each subscale and total score the score range is 0 to 100 with a higher score representing better functioning. A negative change from baseline indicates a decrease in the visual functioning; disease worsening. Data were 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 start6 Oct 2014
- Primary completion23 Jan 2018
- Study completion23 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 (8)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
- 975 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
- NCT02247531
- Sponsor's protocol ID
- GX29185
- Other IDs
- 2014-000106-35, 2014
- Acronym
- SPECTRI
- Status last verified
- Oct 2019
- First submitted
- 15 Jul 2014
- Last updated
- 15 Oct 2019
- Results posted
- Yes, on ClinicalTrials.gov
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 37314061Heier 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 15 Oct 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
- NCT02247531
- Acronym / sponsor ID
- SPECTRI / GX29185
- Conditions
- Geographic Atrophy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 975 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 6 Oct 2014 (actual)
- Primary completion
- 23 Jan 2018 (actual)
- Study completion
- 23 Jan 2018 (actual)
- First posted
- 25 Sep 2014 (estimated)
- Results
- Posted 14 Mar 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 mg (milligrams) dose of lampalizumab by intravitreal injection, Q4W, starting at the Day 1 visit for approximately 92 weeks. |
| Lampalizumab once in every 6 weeks (Q6W) | Experimental | Drug: LampalizumabParticipants will receive 10 mg dose of lampalizumab by intravitreal injection, Q6W, starting at the Day 1 visit for approximately 90 weeks. |
| Sham Comparator | Sham comparator | Other: Sham ComparatorParticipants will receive sham comparator, Q4W, starting at the Day 1 visit for approximately 92 weeks or Q6W, starting at the Day 1 visit for approximately 90 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)
- Participants aged greater than or equal to (>/=) 50 years
- 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 (7 listed)
- 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 (e.g., intravitreal corticosteroid injection, anti-angiogenic drugs, anti-complement agents, or device implantation)
- GA in either eye due to causes other than AMD
- Previous treatment with eculizumab, lampalizumab, and/or fenretinide
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: RO549024910 mg dose of lampalizumab administered intravitreally. | Drug | Lampalizumab once in every 4 weeks (Q4W), Lampalizumab once in every 6 weeks (Q6W) |
| Sham ComparatorA sham injection is a procedure that mimics an intravitreal injection of lampalizumab. | Other | Sham Comparator |
Primary outcome
Change From Baseline in Geographic Atropy (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 Assessed by Mesopic Microperimetry at Week 48
Time frame: Baseline, Week 48
Change From Baseline in 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 15 Oct 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 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
153 sites in 22 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 153 sites in 22 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 7 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 15 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, United Kingdom, Germany, Spain, France and 17 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 14 Mar 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 Atropy (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 NCT02247531, which also lists 8 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 15 Oct 2019.