Geographic AtrophyPhase 2NCT02515942
CLG561 Proof-of-Concept Study as a Monotherapy and in Combination With LFG316 in Subjects With Geographic Atrophy (GA)
A Phase 2 study testing CLG561 and LFG316 in people with Geographic Atrophy, run by Alcon Research.
Trial summary
The purpose of this study is to evaluate the safety and efficacy of 12 (every 28 days) intravitreal (IVT) injections of CLG561 as a monotherapy and in combination with LFG316 as compared to sham in subjects with geographic atrophy. 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?
- CLG561 and LFG316
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 114 participants
- Where
- No sites listed yet
- Study dates
- 25 Sep 2015to 1 Dec 2017
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Sign written informed consent form;
- Geographic atrophy in both eyes;
- Other protocol-specified inclusion criteria may apply.
Who cannot join
- Pregnant or lactating women and women of child-bearing potential;
- Any medical condition (systemic or ophthalmic) that may preclude the safe administration of test article or safe participation in this study;
- Any contraindications or hypersensitivities to any component of the LFG316 or CLG561 solution;
- Any contraindications to IVT injections;
- Ocular surgery in either eye within 90 days of screening;
- Uncontrolled ocular hypertension or glaucoma in the study eye;
- Other protocol-specified exclusion criteria may apply.
About this study
Official title: A Randomized, Multi-Center, Single Masked, Sham Controlled, Proof-of-Concept Study of Intravitreal CLG561 as a Monotherapy and in Combination With LFG316 in Subjects With Geographic Atrophy
The purpose of this study is to evaluate the safety and efficacy of 12 (every 28 days) intravitreal (IVT) injections of CLG561 as a monotherapy and in combination with LFG316 as compared to sham in subjects with geographic atrophy.
Read the detailed description
This study consists of an up-to 30-day screening period, an approximately 336-day treatment period, and a follow-up period consisting of two visits occurring 4 and 16 weeks after the last administered injection.
- Conditions
- Geographic Atrophy
- Being tested
- CLG561, LFG316, Sham injection
- Keywords
- Geographic atrophy (GA), Macular degeneration, Dry age-related macular degeneration (AMD), Intravitreal (IVT), Retinal diseases, Fundus auto fluorescence (FAF)
- Medical subject headings
- Geographic Atrophy, Macular Degeneration, Retinal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CLG561Drug
LFG316Drug
Sham injectionDrug
Empty syringe (without a needle) placed against the eye
| Study group | Role | What they receive |
|---|---|---|
| CLG561 | Experimental | CLG561 10 mg, one IVT injection every 28 days for a total of 12 injections Receives: Drug: CLG561 |
| CLG561+LFG316 | Experimental | CLG561 5mg + LFG316 5 mg, one IVT injection every 28 days for a total of 12 injections Receives: Drug: CLG561; Drug: LFG316 |
| Sham Injection | Sham comparator | One sham injection every 28 days for total of 12 sham injections Receives: Drug: Sham injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Subjects With a Serious Adverse Event That, in the Opinion of the Investigator, is Related to the Study Drug
A serious adverse event (SAE) was defined as any adverse experience that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. All SAEs related to the study drug are reported. No statistical analysis was conducted.
Measured: Up to Day 421
Mean Change From Baseline in Intraocular Pressure (IOP)
IOP (fluid pressure inside the eye) was measured by Goldmann applanation tonometry and reported in millimeters of mercury (mmHg). A higher IOP can be a greater risk for developing glaucoma or glaucoma progression (leading to optic nerve damage). Baseline is defined as the last measurement prior to first dose of treatment. A more negative change indicates a greater amount of improvement. One eye (study eye) contributed to the analysis. No statistical analysis was conducted.
Measured: Baseline (Day 1), Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309
Change in GA Lesion Size From Baseline to Day 337 as Measured by Fundus Autofluorescence (FAF)
Geographic atrophy, also known as atrophic age-related macular degeneration (AMD) or advanced dry AMD, is an advanced form of age-related macular degeneration that can result in the progressive and irreversible loss of retina which can lead to a loss of visual function over time. Geographic atrophy (GA) lesion size was assessed by a Central Reading Center (CRC) using FAF. Baseline is defined as the last measurement prior to first dose of treatment. One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 337
Secondary outcomes (13)
Change in GA Lesion Size From Baseline to Day 85, 169, and 253 as Measured by FAF
Geographic atrophy, also known as atrophic age-related macular degeneration (AMD) or advanced dry AMD, is an advanced form of age-related macular degeneration that can result in the progressive and irreversible loss of retina which can lead to a loss of visual function over time. Geographic atrophy (GA) lesion size was assessed by a Central Reading Center (CRC) using FAF. Baseline is defined as the last measurement prior to first dose of treatment. One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 85, Day 169, Day 253
Mean Change in GA Lesion Size From Baseline to Day 421 as Measured by FAF
Geographic atrophy, also known as atrophic age-related macular degeneration (AMD) or advanced dry AMD, is an advanced form of age-related macular degeneration that can result in the progressive and irreversible loss of retina which can lead to a loss of visual function over time. Geographic atrophy (GA) lesion size was assessed by a Central Reading Center (CRC) using FAF. Baseline is defined as the last measurement prior to first dose of treatment. One eye (study eye) contributed to the analysis. Day 421 measurements were only summarized descriptively and did not include any statistical modeling.
Measured: Baseline (Day 1), Day 421
Change in Best Corrected Visual Acuity (BCVA) From Baseline by Visit up to Day 337 as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS)
BCVA was assessed using ETDRS testing at 4 meters. Baseline is defined as the last measurement prior to first dose of treatment. BCVA change was defined as a change in letters read from the baseline assessment. A positive change value indicates improvement. One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 30, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Change in Low Luminance Visual Acuity (LLVA) From Baseline up to Day 337 as Measured by ETDRS
Low Luminance Visual Acuity (VA) was assessed using ETDRS testing at 4 meters with a neutral density filter to reduce chart luminance to 3 candelas/m2. Baseline is defined as the last measurement prior to first dose of treatment. BCVA change was defined as a change in letters read from the baseline assessment. A positive change value indicates improvement. One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 2, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Change in LLVA Deficit From Baseline up to Day 337 as Measured by ETDRS
Low Luminance Visual Acuity (VA) was assessed using ETDRS testing at 4 meters with a neutral density filter to reduce chart luminance to 3 candelas/m2. A deficit in LLVA is defined as a loss in letters read from baseline. Baseline is defined as the last measurement prior to first dose of treatment. A negative change value indicates improvement (more letters read). One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 2, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Average Change in BCVA From Baseline to the Period Day 281 to Day 337 as Measured by ETDRS
BCVA was assessed using ETDRS testing at 4 meters. Day 281, Day 309, and Day 337 were averaged and compared to baseline. BCVA change was defined as a change in letters read from the baseline assessment. A positive change value indicates improvement. One eye (study eye) contributed to the analysis. No statistical analysis was conducted.
Measured: Baseline (Day 1), Day 281, Day 309, Day 337
Average Change in LLVA From Baseline to the Period Day 281 to Day 337 as Measured by ETDRS
LLVA was assessed at 4 meters using a neutral density filter to reduce chart luminance to 3 candelas/m2. Baseline is defined as the last measurement prior to first dose of treatment. Day 281, Day 309, and Day 337 were averaged and compared to baseline. BCVA change was defined as a change in letters read from the baseline assessment. A positive change value indicates improvement. One eye (study eye) contributed to the analysis. No statistical analysis was conducted.
Measured: Baseline (Day 1), Day 281, Day 309, Day 337
Average LLVA Deficit (Letters) Change From Baseline at Day 281 to Day 337 as Measured by ETDRS
LLVA was assessed at 4 meters using a neutral density filter to reduce chart luminance to 3 candelas/m2. A deficit in LLVA is defined as a loss in letters read from baseline. Baseline is defined as the last measurement prior to first dose of treatment. Day 281, Day 309, and Day 337 were averaged and compared to baseline. A negative change value indicates improvement (more letters read). One eye (study eye) contributed to the analysis.
Measured: Baseline (Day 1), Day 281, Day 309, Day 337
Percentage of Subjects With Letter Change in BCVA From Baseline up to Day 337 as Measured by ETDRS
BCVA was assessed using ETDRS testing at 4 meters. Baseline is defined as the last measurement prior to first dose of treatment. BCVA change was defined as a change in letters read from the baseline assessment and is reported categorically. One eye (study eye) contributed to the analysis. No statistical analysis was conducted.
Measured: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 30, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Total CLG561 Serum Concentrations up to Day 421
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 85, Day 169, Day 253, Day 309, Day 337, Day 421
Total LFG316 Serum Concentration up to Day 421
Serum concentrations at each collection time point were quantitated, where possible, using a validated immunoassay method.
Measured: Baseline (Day 1), Day 337, Day 421
Percentage of Subjects With Anti-CLG561 Antibodies up to Day 421
Samples were collected and assessed for anti-CLG561 antibodies.
Measured: Baseline (Day 1), up to Day 421
Percentage of Subjects With Anti-LFG316 Antibodies up to Day 421
Samples were collected and assessed for anti-LFG316 antibodies.
Measured: Baseline (Day 1), up to Day 421
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2015 (estimated)
- Study start25 Sep 2015
- Primary completion14 Aug 2017
- Study completion1 Dec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Geographic AtrophyStudies of the same condition, open and under way.
- More trials run by Alcon ResearchThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 114 participants (actual)
Sponsor and investigators
- Lead sponsor
- Alcon Research
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Novartis Institutes for BioMedical Research
- Responsible party
- Sponsor
- Investigators
- Sr Clinical Manager, Pharma, GCRA, Study director, Alcon Research
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02515942
- Sponsor's protocol ID
- CLG561-2201
- Other IDs
- CCLG561X2201
- Status last verified
- May 2019
- First submitted
- 3 Aug 2015
- Last updated
- 30 May 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
Publications
Tzoumas 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 37314061
Study at a glance
From the registry record, last updated by the sponsor on 30 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multi-Center, Single Masked, Sham Controlled, Proof-of-Concept Study of Intravitreal CLG561 as a Monotherapy and in Combination With LFG316 in Subjects With Geographic Atrophy
- ClinicalTrials.gov ID
- NCT02515942
- Acronym / sponsor ID
- CLG561-2201
- Conditions
- Geographic Atrophy
- Keywords
- Geographic atrophy (GA), Macular degeneration, Dry age-related macular degeneration (AMD), Intravitreal (IVT), Retinal diseases, Fundus auto fluorescence (FAF)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 114 participants (actual)
- Lead sponsor
- Alcon ResearchIndustry (pharma, biotech, devices)
- Collaborators
- Novartis Institutes for BioMedical Research
- Study start
- 25 Sep 2015 (actual)
- Primary completion
- 14 Aug 2017 (actual)
- Study completion
- 1 Dec 2017 (actual)
- First posted
- 5 Aug 2015 (estimated)
- Results
- Posted 19 Dec 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety and efficacy of 12 (every 28 days) intravitreal (IVT) injections of CLG561 as a monotherapy and in combination with LFG316 as compared to sham in subjects with geographic atrophy.
Detailed description
This study consists of an up-to 30-day screening period, an approximately 336-day treatment period, and a follow-up period consisting of two visits occurring 4 and 16 weeks after the last administered injection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| CLG561 | Experimental | Drug: CLG561CLG561 10 mg, one IVT injection every 28 days for a total of 12 injections |
| CLG561+LFG316 | Experimental | Drug: CLG561, Drug: LFG316CLG561 5mg + LFG316 5 mg, one IVT injection every 28 days for a total of 12 injections |
| Sham Injection | Sham comparator | Drug: Sham injectionOne sham injection every 28 days for total of 12 sham injections |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Sign written informed consent form;
- Geographic atrophy in both eyes;
- Other protocol-specified inclusion criteria may apply.
Key exclusion criteria (7 listed)
- Pregnant or lactating women and women of child-bearing potential;
- Any medical condition (systemic or ophthalmic) that may preclude the safe administration of test article or safe participation in this study;
- Any contraindications or hypersensitivities to any component of the LFG316 or CLG561 solution;
- Any contraindications to IVT injections;
- Ocular surgery in either eye within 90 days of screening;
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 |
|---|---|---|
| CLG561 | Drug | CLG561, CLG561+LFG316 |
| LFG316 | Drug | CLG561+LFG316 |
| Sham injectionEmpty syringe (without a needle) placed against the eye | Drug | Sham Injection |
Primary outcome
Number of Subjects With a Serious Adverse Event That, in the Opinion of the Investigator, is Related to the Study Drug
Time frame: Up to Day 421
A serious adverse event (SAE) was defined as any adverse experience that results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event. All SAEs related to the study drug are reported. No statistical analysis was conducted.
Mean Change From Baseline in Intraocular Pressure (IOP)
Time frame: Baseline (Day 1), Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309
IOP (fluid pressure inside the eye) was measured by Goldmann applanation tonometry and reported in millimeters of mercury (mmHg). A higher IOP can be a greater risk for developing glaucoma or glaucoma progression (leading to optic nerve damage). Baseline is defined as the last measurement prior to first dose of treatment. A more negative change indicates a greater amount of improvement. One eye (study eye) contributed to the analysis. No statistical analysis was conducted.
Change in GA Lesion Size From Baseline to Day 337 as Measured by Fundus Autofluorescence (FAF)
Time frame: Baseline (Day 1), Day 337
Geographic atrophy, also known as atrophic age-related macular degeneration (AMD) or advanced dry AMD, is an advanced form of age-related macular degeneration that can result in the progressive and irreversible loss of retina which can lead to a loss of visual function over time. Geographic atrophy (GA) lesion size was assessed by a Central Reading Center (CRC) using FAF. Baseline is defined as the last measurement prior to first dose of treatment. One eye (study eye) contributed to the analysis.
13 secondary outcomes
Change in GA Lesion Size From Baseline to Day 85, 169, and 253 as Measured by FAF
Time frame: Baseline (Day 1), Day 85, Day 169, Day 253
Mean Change in GA Lesion Size From Baseline to Day 421 as Measured by FAF
Time frame: Baseline (Day 1), Day 421
Change in Best Corrected Visual Acuity (BCVA) From Baseline by Visit up to Day 337 as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS)
Time frame: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 30, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Change in Low Luminance Visual Acuity (LLVA) From Baseline up to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 2, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Change in LLVA Deficit From Baseline up to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 2, Day 29, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Average Change in BCVA From Baseline to the Period Day 281 to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 281, Day 309, Day 337
Average Change in LLVA From Baseline to the Period Day 281 to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 281, Day 309, Day 337
Average LLVA Deficit (Letters) Change From Baseline at Day 281 to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 281, Day 309, Day 337
Percentage of Subjects With Letter Change in BCVA From Baseline up to Day 337 as Measured by ETDRS
Time frame: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 30, Day 57, Day 85, Day 113, Day 141, Day 169, Day 197, Day 225, Day 253, Day 281, Day 309, Day 337
Total CLG561 Serum Concentrations up to Day 421
Time frame: Baseline (Day 1), Day 2, Day 8, Day 15, Day 29, Day 85, Day 169, Day 253, Day 309, Day 337, Day 421
Total LFG316 Serum Concentration up to Day 421
Time frame: Baseline (Day 1), Day 337, Day 421
Percentage of Subjects With Anti-CLG561 Antibodies up to Day 421
Time frame: Baseline (Day 1), up to Day 421
Percentage of Subjects With Anti-LFG316 Antibodies up to Day 421
Time frame: Baseline (Day 1), up to Day 421
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 May 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
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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.
Sr Clinical Manager, Pharma, GCRA study director
Alcon Research
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CLG561 and LFG316 in people with Geographic Atrophy, run by Alcon Research.
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 3 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: finished, as of the sponsor's last update on 30 May 2019. Status can change between updates, so confirm with the study contact before making plans.
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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 19 Dec 2018). 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?
Number of Subjects With a Serious Adverse Event That, in the Opinion of the Investigator, is Related to the Study Drug (time frame: Up to Day 421). The study lists 3 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 NCT02515942, 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 30 May 2019.