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Glaucoma, NeovascularPhase 3VENERANCT03639675

Study to Learn How the Drug Aflibercept Works in in Japanese Patients With Increased Eye Pressure That is Caused by New Blood Vessels Growing in the Eye (Neovascular Glaucoma or NVG). Safety of the Drug and Patients' Tolerability of the Drug Injection is Also Studied

A Phase 3 study testing Aflibercept (EYLEA, BAY86-5321) and Topical IOP-lowering drugs in people with Glaucoma, Neovascular, run by Bayer at 7 sites in Japan.

Completed

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

Official record
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Trial summary

The researchers in this trial want to learn how the drug aflibercept works in in Japanese patients with increased eye pressure that is caused by new blood vessels growing in the eye (neovascular glaucoma or NVG). Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Glaucoma, Neovascular
What is being tested?
Aflibercept (EYLEA, BAY86-5321) and Topical IOP-lowering drugs
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
7 sitesJapan
Study dates
3 Oct 2018to 14 Mar 2019
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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Japanese men and women aged 20 years or older
  • Patients diagnosed as having NVG (neovascular glaucoma) with neovascularization in the anterior segment (both iris and anterior chamber angle)
  • Patients with IOP (intraocular pressure) higher than 25 mmHg in the study eye due to anterior segment (both iris and anterior chamber angle) neovascularization

Who cannot join

  • Patients with angle-closure due to conditions other than NVG or complete angle-closure due to NVG
  • Patients with a known or suspected ocular or peri-ocular infection
  • Patients with severe intraocular inflammation in the study eye
  • Women who are pregnant, suspected of being pregnant or lactating
  • Patients with known allergy to aflibercept

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

Japan7 sites
  • Tsukazaki Hospital

    Himeji, Hyōgo, 671-1227

  • Shimane University Hospital

    Izumo, Shimane, 693-8501

  • Kanazawa University Hospital

    Kanazawa, Ishikawa-ken, 920-8641

  • St. Marianna University School of Medicine Hospital

    Kawasaki, Kanagawa, 216-8511

  • Osaka University Hospital

    Suita, Osaka, 565-0871

  • Takatsuki Red Cross Hospital

    Takatsuki, Osaka, 569-1096

  • University of Fukui Hospital

    Yoshida, Fukui, 910-1193

Other trials in Japan

About this study

Official title: A Single-arm, Non-randomized and Open-label Phase 3 Study Evaluating the Efficacy, Safety and Tolerability of Intravitreal Aflibercept in Japanese Patients With Neovascular Glaucoma (NVG)

The researchers in this trial want to learn how the drug aflibercept works in in Japanese patients with increased eye pressure that is caused by new blood vessels growing in the eye (neovascular glaucoma or NVG). They also want to find out how patient tolerate the application of the drug that is injected in the vitreous humor of the eye and if this will cause any medical problems during the trial (vitreous humor, also called vitreous body is the clear gel that fills the space between the lens and the retina of the eyeball).

Being tested
Aflibercept (EYLEA, BAY86-5321), Topical IOP-lowering drugs
Medical subject headings
Glaucoma, Neovascular

What participants receive

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

  • Aflibercept (EYLEA, BAY86-5321)Drug

    2 mg (0.05 mL), Intravitreal injection (IVT), single dose.

  • Topical IOP-lowering drugsDrug

    A combination of at least 3 topical IOP-lowering drugs will be administered during a run-in phase before treatment and should be kept unchanged until IOP evaluation at Week 1, after which they may be reduced according to the investigator's opinion

Study groups in NCT03639675
Study groupRoleWhat they receive
NVG patientsExperimentalJapanese patients with neovascular glaucoma
Receives: Drug: Aflibercept (EYLEA, BAY86-5321); Drug: Topical IOP-lowering drugs

What is being measured

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

  1. Change in Intraocular Pressure (IOP) From Baseline to Week 1

    The primary efficacy analysis was on the changes in IOP from baseline to Week 1 (LOCF).

    Measured: Baseline and week 1

Secondary outcomes (1)
  1. Percentage of Participants Who Had Improved Neovascularization of the Iris (NVI) Grade From Baseline to Week 1

    NVI Grade: 0=No iris neovascularization; 1=Fine surface neovascularization of the pupillary zone of the iris involving less than two quadrants; 2=Surface neovascularization of the pupillary zone of the iris involving more than two quadrants; 3=In addition to neovascularization of the pupillary zone, neovascularization of the ciliary zone of the iris and/or ectropion uveae involving one to three quadrants; 4=In addition to neovascularization of the pupillary zone, neovascularization of the ciliary zone of the iris and/or ectropion uveae involving more than three quadrants. The change in NVI grades categorized to "Improved" means improvement by at least one grade from baseline.

    Measured: Baseline and week 1

Timeline

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

  1. First posted21 Aug 2018
  2. Study start3 Oct 2018
  3. Primary completion14 Feb 2019
  4. Study completion14 Mar 2019

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03639675
Sponsor's protocol ID
19652
Acronym
VENERA
Status last verified
Feb 2020
First submitted
17 Aug 2018
Last updated
3 Mar 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Inatani M, Higashide T, Matsushita K, Nagasato D, Takagi H, Ueki M, Takai Y, Miyazaki K, Iwamoto Y, Kobayashi M, Leal S. Efficacy and Safety of Intravitreal Aflibercept Injection in Japanese Patients with Neovascular Glaucoma: Outcomes from the VENERA Study. Adv Ther. 2021 Feb;38(2):1106-1115. doi: 10.1007/s12325-020-01580-y. Epub 2020 Dec 16.

    PubMed 33330959

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Aflibercept (EYLEA, BAY86-5321) and Topical IOP-lowering drugs in people with Glaucoma, Neovascular, run by Bayer at 7 sites in Japan.

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 5 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 3 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Feb 2020). 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 in Intraocular Pressure (IOP) From Baseline to Week 1 (time frame: Baseline and week 1). 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 NCT03639675, 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 3 Mar 2020.

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