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Neovascular Age-Related Macular DegenerationPhase 2ONYXNCT02713204

Anti-angiOpoeitin 2 Plus Anti-vascular eNdothelial Growth Factor as a therapY for Neovascular Age Related Macular Degeneration: Evaluation of a fiXed Combination Intravitreal Injection

A Phase 2 study testing REGN910-3 and Intravitreal Aflibercept Injection (IAI) in people with Neovascular Age-Related Macular Degeneration, run by Regeneron Pharmaceuticals at 87 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI). Read more about this study

Who is it for?
Ages 50 years and older
What is being tested?
REGN910-3 and Intravitreal Aflibercept Injection (IAI)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
365 participants
Where
87 sitesUnited States
Study dates
31 Mar 2016to 3 Oct 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

  • Men or women ≥50 years of age with active subfoveal CNV secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by FA in the study eye as assessed by a central reading center
  • BCVA ETDRS letter score of 73 to 24 (Snellen equivalent of 20/40 to 20/320) in the study eye.
  • Willing and able to comply with clinic visits and study-related procedures.
  • Provide signed informed consent.

Who cannot join

  • Evidence of CNV due to any cause other than AMD in either eye
  • Prior IVT anti-VEGF in the study eye
  • Evidence of DME or diabetic retinopathy (defined as more than 1 microaneurysm) in either eye in diabetic patients
  • Any history of macular hole of stage 2 and above in the study eye

Trial locations and contacts

87 sites in 1 country.

87 sites in 1 country

United States87 sites
  • Regeneron Investigational Site

    ‘Aiea, Hawaii

  • Regeneron Investigational Site

    Abilene, Texas

  • Regeneron Investigational Site

    Albany, New York

  • Regeneron Investigational Site

    Albuquerque, New Mexico

  • Regeneron Investigational Site

    Altamonte Springs, Florida

  • Regeneron Investigational Site

    Arcadia, California

  • Regeneron Investigational Site

    Asheville, North Carolina

  • Regeneron Investigational Site

    Augusta, Georgia

  • Regeneron Investigational Site 1

    Austin, Texas

  • Regeneron Investigational Site 2

    Austin, Texas

  • Regeneron Investigational Site

    Bakersfield, California

  • Regeneron Investigational Site 1

    Baltimore, Maryland

  • Regeneron Investigational Site 2

    Baltimore, Maryland

  • Regeneron Investigational Site

    Beverly Hills, California

  • Regeneron Investigational Site

    Bloomfield, New York

  • Regeneron Investigational Site 1

    Boston, Massachusetts

  • Regeneron Investigational Site 2

    Boston, Massachusetts

  • Regeneron Investigational Site

    Camp Hill, Pennsylvania

  • Regeneron Investigational Site

    Charlotte, North Carolina

  • Regeneron Investigational Site

    Chevy Chase, Maryland

  • Regeneron Investigational Site 1

    Chicago, Illinois

  • Regeneron Investigational Site 2

    Chicago, Illinois

  • Regeneron Investigational Site

    Cleveland, Ohio

  • Regeneron Investigational Site

    Dallas, Texas

  • Regeneron Investigational Site

    Decatur, Georgia

  • Regeneron Investigational Site

    Des Moines, Iowa

  • Regeneron Investigational Site

    Dublin, Ohio

  • Regeneron Investigational Site

    Durham, North Carolina

  • Regeneron Investigational Site

    Edison, New Jersey

  • Regeneron Investigational Site

    Encino, California

  • Regeneron Investigational Site

    Fort Lauderdale, Florida

  • Regeneron Investigational Site 1

    Fort Worth, Texas

  • Regeneron Investigational Site 2

    Fort Worth, Texas

  • Regeneron Investigational Site

    Germantown, Tennessee

  • Regeneron Investigational Site

    Great Neck, New York

  • Regeneron Investigational Site

    Harlingen, Texas

  • Regeneron Investigational Site

    Hauppauge, New York

  • Regeneron Investigational Site

    Houston, Texas

  • Regeneron Investigational Site

    Huntingdon, Pennsylvania

  • Regeneron Investigational Site

    Jackson, Michigan

  • Regeneron Investigational Site

    Knoxville, Tennessee

  • Regeneron Investigational Site

    Ladson, South Carolina

  • Regeneron Investigational Site

    Lakeland, Florida

  • Regeneron Investigational Site

    Largo, Florida

  • Regeneron Investigational Site

    Las Vegas, Nevada

  • Regeneron Investigational Site

    Lemont, Illinois

  • Regeneron Investigational Site 1

    Los Angeles, California

  • Regeneron Investigational Site 2

    Los Angeles, California

  • Regeneron Investigational Site

    Madison, Wisconsin

  • Regeneron Investigational Site

    Metairie, Louisiana

  • Regeneron Investigational Site

    Miami, Florida

  • Regeneron Investigational Site

    Minneapolis, Minnesota

  • Regeneron Investigational Site

    Mobile, Alabama

  • Regeneron Investigational Site

    Mountain View, California

  • Regeneron Investigational Site

    Naples, Florida

  • Regeneron Investigational Site

    Nashville, Tennessee

  • Regeneron Investigational Site

    New Albany, Indiana

  • Regeneron Investigational Site

    New London, Connecticut

  • Regeneron Investigational Site

    Oak Forest, Illinois

  • Regeneron Investigational Site

    Oak Park, Illinois

  • Regeneron Investigational Site

    Oceanside, California

  • Regeneron Investigational Site

    Palm Beach, Florida

  • Regeneron Investigational Site 1

    Palm Desert, California

  • Regeneron Investigational Site 2

    Palm Desert, California

  • Regeneron Investigational Site

    Palo Alto, California

  • Regeneron Investigational Site 1

    Phoenix, Arizona

  • Regeneron Investigational Site 2

    Phoenix, Arizona

  • Regeneron Investigational Site 3

    Phoenix, Arizona

  • Regeneron Investigational Site

    Portland, Oregon

  • Regeneron Investigational Site

    Portsmouth, New Hampshire

  • Regeneron Investigational Site

    Poway, California

  • Regeneron Investigational Site

    Rapid City, South Dakota

  • Regeneron Investigational Site

    Redlands, California

  • Regeneron Investigational Site

    Rochester, New York

  • Regeneron Investigational Site

    Sacramento, California

  • Regeneron Investigational Site

    Salt Lake City, Utah

  • Regeneron Investigational Site

    Santa Maria, California

  • Regeneron Investigational Site

    St Louis, Missouri

  • Regeneron Investigational Site

    Syracuse, New York

  • Regeneron Investigational Site

    Tallahassee, Florida

  • Regeneron Investigational Site

    Teaneck, New Jersey

  • Regeneron Investigational Site

    The Woodlands, Texas

  • Regeneron Investigational Site 1

    Tucson, Arizona

  • Regeneron Investigational Site 2

    Tucson, Arizona

  • Regeneron Investigational Site

    Urbana, Illinois

  • Regeneron Investigational Site

    Willow Park, Texas

  • Regeneron Investigational Site

    Winter Haven, Florida

Other trials in United States

About this study

Official title: A Randomized, Double-Masked, Active-Controlled Phase 2 Study of the Efficacy, Safety, and Tolerability of Repeated Doses of Intravitreal REGN910-3 in Patients With Neovascular Age-Related Macular Degeneration

The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI).

Being tested
REGN910-3, Intravitreal Aflibercept Injection (IAI)

What participants receive

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

  • REGN910-3Drug

  • Intravitreal Aflibercept Injection (IAI)Drug

    Also called EYLEA® (aflibercept) Injection, BAY86-5321

Study groups in NCT02713204
Study groupRoleWhat they receive
REGN910-3 (3 mg: 2 mg)ExperimentalParticipants were administered intravitreal injection of REGN910-3 (3 milligram [mg]:2 mg) every 4 weeks (Q4) on Day 1, Week 4, and Week 8 for 3 initial doses followed by every Week 8 (Q8) dosing beginning at Week 16 up to Week 32.
Receives: Drug: REGN910-3
REGN910-3 (6 mg:2 mg)ExperimentalParticipants were administered intravitreal injection of REGN910-3 (6 mg:2 mg) Q4 on Day 1, Week 4 and Week 8 for 3 initial doses. At Week 12, participants were re-randomized to receive REGN910-3 (6 mg:2 mg) Q8 or Q12 (beginning at Week 16 or Week 20) through Week 32.
Receives: Drug: REGN910-3
Aflibercept (IAI) 2 mgExperimentalParticipants were administered intravitreal injection of Aflibercept (IAI) 2 mg Q4 on Day 1, Week 4 and Week 8 for 3 initial doses up to Week 12. At Week 12, participants were re-randomized to receive IAI Q8 or Q12 (beginning at Week 16 or 20) or REGN910-3 (6 mg:2 mg) Q8 beginning at Week 16 through Week 32.
Receives: Drug: REGN910-3; Drug: Intravitreal Aflibercept Injection (IAI)

What is being measured

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

  1. Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12

    Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. Best Corrected Visual Acuity (BCVA) score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 12.

    Measured: At Week 12

  2. Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 36

    Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 36.

    Measured: At Week 36

Secondary outcomes (6)
  1. Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 12

    Central Sub-field Retinal Thickness (CST) was assessed using Spectral Domain Optical Coherence Tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from last observation carried forward (LOCF) post-baseline value at Week 12.

    Measured: At Week 12

  2. Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 36

    CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 36.

    Measured: At Week 36

  3. Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12

    Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm^2); lower values represent better outcomes.

    Measured: At Week 12

  4. Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 36

    Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm^2); lower values represent better outcomes.

    Measured: At Week 36

  5. Change From Baseline in Total Lesion Area at Week 12

    Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm^2); lower values represent better outcomes.

    Measured: At Week 12

  6. Change From Baseline in Total Lesion Area at Week 36

    Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm^2); lower values represent better outcomes.

    Measured: At Week 36

Timeline

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

  1. First posted18 Mar 2016 (estimated)
  2. Study start31 Mar 2016
  3. Primary completion3 Oct 2017
  4. Study completion3 Oct 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
365 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02713204
Sponsor's protocol ID
R910-3-AMD-1517
Acronym
ONYX
Status last verified
Apr 2019
First submitted
14 Mar 2016
Last updated
7 May 2019

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing REGN910-3 and Intravitreal Aflibercept Injection (IAI) in people with Neovascular Age-Related Macular Degeneration, run by Regeneron Pharmaceuticals at 87 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 87 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 May 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 Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12 (time frame: At Week 12). 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?
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 7 May 2019.

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