Neovascular Age-Related Macular DegenerationPhase 2ALTISSIMONCT03953079
A Depot Formulation of Sunitinib Malate (GB-102) Compared to Aflibercept in Subjects With Wet AMD
A Phase 2 study testing Drug: GB-102 and Aflibercept in people with Neovascular Age-Related Macular Degeneration, run by Graybug Vision at 33 sites in United States.
Trial summary
Phase 2b, multicenter, visual examiner-masked, randomized active-controlled, parallel-arm design study to evaluate the safety and duration of repeated IVT injections of 3 dose levels of GB-102 compared with aflibercept. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Neovascular Age-Related Macular Degeneration
- What is being tested?
- Drug: GB-102 and Aflibercept
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 56 participants
- Where
- 33 sitesUnited States
- Study dates
- 26 Sep 2019to 3 Jun 2021
- 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
- Males or females ≥ 50 years of age
- Presence of a choroidal neovascularization (CNV) lesion secondary to AMD treated with at least 3 prior intravitreal (IVT) injections of an anti-vascular endothelial growth factor (VEGF) agent (aflibercept, bevacizumab, or ranibizumab).
- Demonstrated response to prior anti-VEGF treatment since diagnosis
- Best-corrected visual acuity (BCVA) of 35 letters or better
Who cannot join
- History, within 6 months prior to screening, of any of the following: myocardial infarction, any cardiac event requiring hospitalization, treatment for acute congestive heart failure, transient ischemic attack, or stroke
- Uncontrolled hypertension, diabetes mellitus or intraocular pressure (IOP)
- Chronic renal disease
- Abnormal liver function
- Women who are pregnant or lactating
Trial locations and contacts
33 sites in 1 country.
33 sites in 1 country
United States33 sites
Retina Consultants of Hawaii
‘Aiea, Hawaii, 96701
Retina Research Institute of Texas
Abilene, Texas, 79606
Southeast Retina Center
Augusta, Georgia, 30909
Austin Retina Associates
Austin, Texas, 78705
Retina Research Center, PLLC
Austin, Texas, 78705
California Retina Research Consultants
Bakersfield, California, 93309
Retinal Diagnostic Center of Northern California
Campbell, California, 95008
Sterling Research
Cincinnati, Ohio, 45219
Specialty Retina Center
Coral Springs, Florida, 32503
Wolfe Eye Clinic - West Des Moines
Des Moines, Iowa, 50266
The Retina Partners
Encino, California, 91436
Retina Consultants of Orange County
Fullerton, California, 92835
Retinal Consultants AZ
Gilbert, Arizona, 85296
Cumberland Valley Retina Consultants
Hagerstown, Maryland, 21740
Mid Atlantic Retina Specialists
Hagerstown, Maryland, 21740
University Retina and Macula
Lemont, Illinois, 60439
Piedmont Eye Center
Lynchburg, Virginia, 24502
Northern California Retina Vitreous Associates Medical Group, Inc.
Mountain View, California, 94040
Ophthalmic Consultants of Long Island
Oceanside, New York, 11572
Florida Retina Institute
Orlando, Florida, 32806-1101
Retina Specialty Institute
Pensacola, Florida, 32503
Retinal Research Institute
Phoenix, Arizona, 85017
Eye Associates of Pinellas
Pinellas Park, Florida, 33782
Retina Specialists
Plano, Texas, 75093
Black Hills Regional Eye Institute
Rapid City, South Dakota, 57701
Sierra Eye Associates
Reno, Nevada, 89502
West Coast Retina Medical Group, Inc.
San Francisco, California, 94109
California Retina Consultants - CRC
Santa Barbara, California, 93103
Retina Center NW PLLC
Silverdale, Washington, 98383
Retina Consultants of Houston
The Woodlands, Texas, 77384
Bay Area Retina Associates
Walnut Creek, California, 94598
Eye Associates of Northeast Louisiana
West Monroe, Louisiana, 71291
Strategic Clinical Research Group LLC
Willow Park, Texas, 76087
About this study
Official title: A Phase 2b Multicenter Dose-Ranging Study Evaluating the Safety and Efficacy of Sunitinib Malate Depot Formulation (GB-102) Compared to Aflibercept in Subjects With Neovascular (Wet) Age-related Macular Degeneration (ALTISSIMO Study)
Phase 2b, multicenter, visual examiner-masked, randomized active-controlled, parallel-arm design study to evaluate the safety and duration of repeated IVT injections of 3 dose levels of GB-102 compared with aflibercept.
Read the detailed description
Phase 2b, multicenter, visual examiner-masked, randomized active-controlled, parallel-arm design study to evaluate the safety and duration of the effect of GB-102, as measured by time to first rescue treatment across multiple dose levels of GB-102 administered every 6 months as compared to intravitreal (IVT) aflibercept administered every 2 months in subjects with neovascular (wet) age-related macular degeneration who have received prior induction with anti-vascular endothelial growth factor (VEGF)
Extension Study:
To monitor the safety and duration of effect of IVT GB-102 administered every 6 months compared to IVT aflibercept administered every 2 months in subjects in ALTISSIMO (Core Study) who complete all study visits through Month 12 (Day 360) and who do not require/receive rescue treatment at the Month 12 (Day 360) final study visit
- Being tested
- Drug: GB-102, Aflibercept
- Keywords
- Age-related macular degeneration (AMD), Choroidal neovascularization
- Medical subject headings
- Macular Degeneration, Choroidal Neovascularization
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Drug: GB-102Drug
Also called Sunitinib malate
Intravitreal injection of GB-102
AfliberceptDrug
Also called Eylea
Intravitreal injection of aflibercept (2 mg dose)
| Study group | Role | What they receive |
|---|---|---|
| GB-102 1 mg/1 mg | Experimental | Participants will receive intravitreal (IVT) GB-102 1 mg in the study eye at Baseline and Month 6 and sham at Months 2, 4, 8 and 10. Receives: Drug: Drug: GB-102 |
| GB-102 2 mg/1 mg | Experimental | Participants will receive intravitreal (IVT) GB-102 2 mg in the study eye at Baseline, intravitreal (IVT) GB-102 1 mg at Month 6 and sham at Months 2, 4, 8 and 10. Receives: Drug: Drug: GB-102 |
| Aflibercept 2 mg | Active comparator | Participants will receive intravitreal (IVT) aflibercept 2 mg in the study eye at Baseline, Months 2, 4, 6, 8 and 10. Receives: Drug: Aflibercept |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Rescue Treatment
Kaplan-Meier estimate of the median time to first rescue treatment.
Measured: Baseline through 12 months
Secondary outcomes (8)
Time to Fulfillment of at Least One Rescue Criterion
Assessment of time to fulfillment of at least one rescue criterion starting at the Month 6 visit through to the Month 12 visit
Measured: 6 months through 12 months
Number of Times That at Least One Rescue Criterion is Met
Assessment of the number of monthly intervals that at least one rescue criterion is met
Measured: Baseline through 12 months
Number of Treatments, Including Both Rescue and Scheduled Study Treatments, During the Study
Assessment of the number of treatments, including both rescue and scheduled study treatments, that occurred during the study
Measured: Baseline through 12 months
Change From Baseline in Best-corrected Visual Acuity (BCVA) (ETDRS Letter Score) at All Visits
BCVA = best corrected visual acuity; ETDRS = early treatment of diabetic retinopathy
BCVA ETDRS range = 0 (worst) to 100 (best)
Assessment of change in BCVA (ETDRS letter score) from baseline at all visits
Measured: Baseline through 12 months
Categorical Change From Baseline in BCVA (ETDRS Letter Score) at All Visits
BCVA = best corrected visual acuity; ETDRS = early treatment of diabetic retinopathy
BCVA ETDRS range = 0 (worst) to 100 (best)
Assessment of categorical change in BCVA (ETDRS letter score) from baseline at all visits
Measured: Baseline through 12 months
Frequency of Subjects With BCVA Worse Than 20/200 (Snellen Equivalent) at All Visits
Assessment of the frequency of subjects with BCVA worse than 20/200 (Snellen equivalent) at all visits
A vision score of 20/20 is considered normal. A vision score of 20/200 is considered legally blind.
Measured: Baseline through 12 months
Change From Baseline in Central Subfield Thickness (CST) (μm) at All Visits
CST = central subfield thickness
Assessment of change in CST (μm) measurement from baseline at all visits
Measured: Baseline through 12 months
Frequency of Subjects With Absence of Exudation (Intra-/Sub-retinal Fluid/Cystoid Edema) at at All Visits
Assessment of the frequency of subjects with absence of exudation (intra-/sub-retinal fluid/cystoid edema) at all visits
Measured: Baseline through 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 May 2019
- Study start26 Sep 2019
- Primary completion15 Dec 2020
- Study completion3 Jun 2021
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.
- Other trials for Neovascular Age-Related Macular DegenerationStudies of the same condition, open and under way.
- 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
- Model description
- Parallel-arm design
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 56 participants (actual)
Sponsor and investigators
- Lead sponsor
- Graybug Vision
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Chief Medical Officer, Study director, Graybug Vision, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03953079
- Sponsor's protocol ID
- GBV-102-002
- Acronym
- ALTISSIMO
- Status last verified
- Jan 2022
- First submitted
- 13 May 2019
- Last updated
- 19 Jan 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b Multicenter Dose-Ranging Study Evaluating the Safety and Efficacy of Sunitinib Malate Depot Formulation (GB-102) Compared to Aflibercept in Subjects With Neovascular (Wet) Age-related Macular Degeneration (ALTISSIMO Study)
- ClinicalTrials.gov ID
- NCT03953079
- Acronym / sponsor ID
- ALTISSIMO / GBV-102-002
- Keywords
- Age-related macular degeneration (AMD), Choroidal neovascularization
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- Graybug VisionIndustry (pharma, biotech, devices)
- Study start
- 26 Sep 2019 (actual)
- Primary completion
- 15 Dec 2020 (actual)
- Study completion
- 3 Jun 2021 (actual)
- First posted
- 16 May 2019 (actual)
- Results
- Posted 11 Jan 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Phase 2b, multicenter, visual examiner-masked, randomized active-controlled, parallel-arm design study to evaluate the safety and duration of repeated IVT injections of 3 dose levels of GB-102 compared with aflibercept.
Detailed description
Phase 2b, multicenter, visual examiner-masked, randomized active-controlled, parallel-arm design study to evaluate the safety and duration of the effect of GB-102, as measured by time to first rescue treatment across multiple dose levels of GB-102 administered every 6 months as compared to intravitreal (IVT) aflibercept administered every 2 months in subjects with neovascular (wet) age-related macular degeneration who have received prior induction with anti-vascular endothelial growth factor (VEGF)
Extension Study:
To monitor the safety and duration of effect of IVT GB-102 administered every 6 months compared to IVT aflibercept administered every 2 months in subjects in ALTISSIMO (Core Study) who complete all study visits through Month 12 (Day 360) and who do not require/receive rescue treatment at the Month 12 (Day 360) final study visit
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
- Model description
- Parallel-arm design
| Arm | Type | Receives |
|---|---|---|
| GB-102 1 mg/1 mg | Experimental | Drug: Drug: GB-102Participants will receive intravitreal (IVT) GB-102 1 mg in the study eye at Baseline and Month 6 and sham at Months 2, 4, 8 and 10. |
| GB-102 2 mg/1 mg | Experimental | Drug: Drug: GB-102Participants will receive intravitreal (IVT) GB-102 2 mg in the study eye at Baseline, intravitreal (IVT) GB-102 1 mg at Month 6 and sham at Months 2, 4, 8 and 10. |
| Aflibercept 2 mg | Active comparator | Drug: AfliberceptParticipants will receive intravitreal (IVT) aflibercept 2 mg in the study eye at Baseline, Months 2, 4, 6, 8 and 10. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Males or females ≥ 50 years of age
- Presence of a choroidal neovascularization (CNV) lesion secondary to AMD treated with at least 3 prior intravitreal (IVT) injections of an anti-vascular endothelial growth factor (VEGF) agent (aflibercept, bevacizumab, or ranibizumab).
- Demonstrated response to prior anti-VEGF treatment since diagnosis
- Best-corrected visual acuity (BCVA) of 35 letters or better
Key exclusion criteria (5 listed)
- History, within 6 months prior to screening, of any of the following: myocardial infarction, any cardiac event requiring hospitalization, treatment for acute congestive heart failure, transient ischemic attack, or stroke
- Uncontrolled hypertension, diabetes mellitus or intraocular pressure (IOP)
- Chronic renal disease
- Abnormal liver function
- Women who are pregnant or lactating
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 |
|---|---|---|
| Drug: GB-102Also: Sunitinib malateIntravitreal injection of GB-102 | Drug | GB-102 1 mg/1 mg, GB-102 2 mg/1 mg |
| AfliberceptAlso: EyleaIntravitreal injection of aflibercept (2 mg dose) | Drug | Aflibercept 2 mg |
Primary outcome
Time to First Rescue Treatment
Time frame: Baseline through 12 months
Kaplan-Meier estimate of the median time to first rescue treatment.
8 secondary outcomes
Time to Fulfillment of at Least One Rescue Criterion
Time frame: 6 months through 12 months
Number of Times That at Least One Rescue Criterion is Met
Time frame: Baseline through 12 months
Number of Treatments, Including Both Rescue and Scheduled Study Treatments, During the Study
Time frame: Baseline through 12 months
Change From Baseline in Best-corrected Visual Acuity (BCVA) (ETDRS Letter Score) at All Visits
Time frame: Baseline through 12 months
Categorical Change From Baseline in BCVA (ETDRS Letter Score) at All Visits
Time frame: Baseline through 12 months
Frequency of Subjects With BCVA Worse Than 20/200 (Snellen Equivalent) at All Visits
Time frame: Baseline through 12 months
Change From Baseline in Central Subfield Thickness (CST) (μm) at All Visits
Time frame: Baseline through 12 months
Frequency of Subjects With Absence of Exudation (Intra-/Sub-retinal Fluid/Cystoid Edema) at at All Visits
Time frame: Baseline through 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jan 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Chief Medical Officer study director
Graybug Vision, Inc.
33 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Drug: GB-102 and Aflibercept in people with Neovascular Age-Related Macular Degeneration, run by Graybug Vision at 33 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 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 19 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 33 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 11 Jan 2022). 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?
Time to First Rescue Treatment (time frame: Baseline through 12 months). 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 19 Jan 2022.