AzTrials
AzTrials

Geographic AtrophyGALTOSNCT06499571

Geographic Atrophy Long-Terms Outcomes Study

An observational study of Geographic Atrophy, run by Apellis Pharmaceuticals, Inc. at 5 sites in 5 countries.

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 purpose of this study is to describe functional and long-term clinical outcomes of patients with a diagnosis of Geographic Athrophy secondary to Age related Macular Degenaration in Clinical Practice Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Geographic Atrophy
How many people
255 participants
Where
5 sitesin 5 countries
Study dates
1 Sep 2022to 31 Jul 2023
Phase
Observational
Are there results?
None posted in the registry

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 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who received a diagnosis of GA between 3 and 10 years prior to enrollment across 22 ophthalmology centers in Australia, Canada, France, Germany, Italy, and UK.

Who may be able to join

  • Aged 60 years or over at the time of GA diagnosis
  • Patients providing informed consent to participate in the study; if the patient is physically incapable of completing the electronic consent form, the form can be completed by a legally acceptable representative of the patient (including an impartial witness, where required)
  • Patients first diagnosed with GA in at least 1 eye between 3 and 10 years prior to index date
  • For patients with unilateral GA, the other eye should show signs of AMD (i.e., the non-GA eye should present with at least drusen, reticular pseudodrusen, or wet-AMD)
  • Aged 18 years or over at the time of consent
  • Caregivers who self-identify as the primary caregiver for a patient for whom documented informed consent for inclusion in the study has been obtained

Who cannot join

  • Patients diagnosed with GA due to causes other than AMD (e.g., monogenetic macular dystrophies [Stargardt disease, other], toxic maculopathies) in either eye
  • GA with any concurrent intraocular condition that in the opinion of the treating physician would require surgical or intravitreal intervention (for the prevention or treatment of visual loss) during the study or might impact the interpretation of routine clinical assessments e.g., glaucoma, cataract, proliferative diabetic retinopathy. Patients first diagnosed with GA less than 3 years prior to the date of consent
  • Patients who have not attended a healthcare institution for the management of GA following diagnosis of GA (a minimum of 2 routine clinical visits for monitoring of GA that included assessment of at least BCVA should be documented in the medical records)
  • Patients who have been enrolled in an interventional clinical trial in which they received medication for any retinal condition (note: patients with bilateral GA should be excluded only if both eyes received the pharmacological intervention)
  • Caregivers for whom documented informed consent has not been obtained for participation in the GALTOS survey
  • Caregivers with any significant mental incapacity that would prevent them from participating in the survey
  • Paid caregivers

Trial locations and contacts

5 sites in 5 countries.

5 sites in 5 countries

Australia1 site
  • Sydney West Retina

    Westmead, New South Wales, NSW 2145

Other trials in Australia

France1 site
  • Centre Hospitalier de la Croix Rousse

    Lyon, Rhone, 69004

Other trials in France

Germany1 site
  • Universitaetsklinikum Muenster

    Münster, North Rhine-Westphalia, 48149

Other trials in Germany

Italy1 site
  • Azienda Socio Sanitaria Territoriale Fatebenefratelli (Presidio Ospedale Sacco)

    Milan, 20157

Other trials in Italy

United Kingdom1 site
  • Belfast Health & SC Trust

    Belfast, BT14 6AB

Other trials in United Kingdom

About this study

Official title: G.A.L.T.O.S. Geographic Atrophy Long-Terms Outcomes Study: An Ambispective Noninterventional Study to Describe the Patient Demographics and Outcomes of Patients With Geographic Atrophy (GA) Secondary to AMD in Clinical Practice

The purpose of this study is to describe functional and long-term clinical outcomes of patients with a diagnosis of Geographic Athrophy secondary to Age related Macular Degenaration in Clinical Practice

Keywords
GA Outcomes
Medical subject headings
Geographic Atrophy

What participants receive

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

Study groups in NCT06499571
Study groupRoleWhat they receive
Cohort 1Geographic Atrophy (GA ) : GA (both eyes with GA)
Cohort 2GA : nAMD (1 eye with GA; the other eye with nAMD, including MNV)
Cohort 3GA : early/intermediate AMD (1 eye with GA; the other eye with early/intermediate AMD) o Other subgroups (GA : drusen, GA : reticular pseudodrusen) will be consider if the sample size allows AMD: Age -Related Macular Degeneration MNV: Macular Neovascularization nAMD: Neovascular Age -Related Macular Degeneration

What is being measured

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

  1. Change from baseline in GA total area size

    Mean GA total area size and Mean change in GA total area size

    Measured: Through study completion; between 4 and 11 years

  2. Change from baseline in BCVA

    Mean BCVA and Mean change in BCVA

    Measured: Through study completion; between 4 and 11 years

  3. Percentage of participants with visual impairment/blindness

    Percentage of participants with moderate/severe visual impairment or blindness

    Measured: Through study completion; between 4 and 11 years

  4. Percentage of participants with microperimetry assessment

    Percentage of participants with any microperimetry assessments since GA diagnosis

    Measured: Through study completion; between 4 and 11 years

  5. Mean change in functional parameters in patients with microperimetry assessments

    Mean/Median and Mean change in retinal sensitivity.

    Measured: Through study completion; between 4 and 11 years

  6. Mean change in functional parameters in patients with microperimetry assessments

    Mean/Median and Mean change in fixation stability.

    Measured: Through study completion; between 4 and 11 years

  7. Mean change in functional parameters in patients with microperimetry assessments

    Mean/Median and Mean change in number of scotoma points.

    Measured: Through study completion; between 4 and 11 years

  8. Percentage of eyes with disease progression

    Percentage of eyes that complete any of the protocol-defined disease progression trajectories and Mean time from GA diagnosis to disease progression

    Measured: Through study completion; between 4 and 11 years

Secondary outcomes (15)
  1. Proportion of GA eyes with presence of selected characteristics

    Proportion of GA eyes with presence of any of the following: nAMD, drusen, pseudodrusen, foveal involvement, unifocal/multifocal GA, hypopigmentation

    Measured: Through study completion; between 4 and 11 years

  2. Proportion of non-GA eyes with presence of AMD

    Proportion of non-GA eyes with presence of any of the following: early/intermediate AMD, nAMD, MNV

    Measured: Through study completion; between 4 and 11 years

  3. Mortality rate

    Mortality rate during study follow-up

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  4. GA-related HCRU during the observation period

    Number of medical visits (outpatient, low vision clinic, etc.)

    Measured: Through study completion; between 4 and 11 years

  5. GA-related HCRU during the observation period

    number of imaging tests (F, A, FAF, CFP, OCT, OCTA, etc.)

    Measured: Through study completion; between 4 and 11 years

  6. GA-related HCRU during the observation period

    number of prescribed vision aids, per participant

    Measured: Through study completion; between 4 and 11 years

  7. Patient-reported HRQoL

    Score of the EQ-5D.

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  8. Patient-reported HRQoL

    Score of the HADS

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  9. Patient-reported HRQoL

    Score of the AQoL-7D for Australian sites only.

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  10. Patient-reported performance

    Scores/answers to the NEI-VFQ-25 questionnaire.

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  11. Patient-reported performance

    Scores/answers to the GALTOS survey.

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  12. Assisted-care patient journey

    Proportion of patients requiring support from an informal caregiver, receiving assisted care at home or in assisted living

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  13. Assisted-care patient journey

    mean/median time from GA diagnosis to first type of assistance

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  14. Financial impact of GA on patients and caregivers

    Selected items of the GALTOS survey (including the cost, in the past 12 months, associated to prescriptions, assistive devices, healthcare-related travel, etc.)

    Measured: From enrollment until end of follow-up; 12 (+6) months after the follow-up period.

  15. Associations between patient characteristics and disease progression/functional outcomes and/or clinical/anatomical/functional outcome measures

    Measures of association such as correlation coefficients, chi-square statistic, and potentially coefficients from multivariate analysis methods characterizing the relationships of interest

    Measured: Through study completion; between 4 and 11 years

Timeline

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

  1. First posted12 Jul 2024
  2. Study start1 Sep 2022
  3. Primary completion31 Jul 2023
  4. Study completion31 Jul 2023

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06499571
Sponsor's protocol ID
GAL-21-NIS
Acronym
GALTOS
Status last verified
Jul 2024
First submitted
23 Apr 2024
Last updated
12 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Fleckenstein M, Mitchell P, Freund KB, Sadda S, Holz FG, Brittain C, Henry EC, Ferrara D. The Progression of Geographic Atrophy Secondary to Age-Related Macular Degeneration. Ophthalmology. 2018 Mar;125(3):369-390. doi: 10.1016/j.ophtha.2017.08.038. Epub 2017 Oct 27.

    PubMed 29110945
  • Sacconi R, Corbelli E, Querques L, Bandello F, Querques G. A Review of Current and Future Management of Geographic Atrophy. Ophthalmol Ther. 2017 Jun;6(1):69-77. doi: 10.1007/s40123-017-0086-6. Epub 2017 Apr 8.

    PubMed 28391446
  • Kandasamy R, Wickremasinghe S, Guymer R. New Treatment Modalities for Geographic Atrophy. Asia Pac J Ophthalmol (Phila). 2017 Nov-Dec;6(6):508-513. doi: 10.22608/APO.2017262. Epub 2017 Sep 14.

    PubMed 28905539
  • Nielsen, MK. Geographic Atrophy. Eyewiki. 2021. Available from: https://eyewiki.org/Geographic_Atrophy.

  • Sastre-Ibanez M, Barreiro-Gonzalez A, Gallego-Pinazo R, Dolz-Marco R, Garcia-Armendariz B. Geographic atrophy: Etiopathogenesis and current therapies. Arch Soc Esp Oftalmol (Engl Ed). 2018 Jan;93(1):22-34. doi: 10.1016/j.oftal.2017.07.004. Epub 2017 Sep 5. English, Spanish.

    PubMed 28886928
  • Boyer DS, Schmidt-Erfurth U, van Lookeren Campagne M, Henry EC, Brittain C. THE PATHOPHYSIOLOGY OF GEOGRAPHIC ATROPHY SECONDARY TO AGE-RELATED MACULAR DEGENERATION AND THE COMPLEMENT PATHWAY AS A THERAPEUTIC TARGET. Retina. 2017 May;37(5):819-835. doi: 10.1097/IAE.0000000000001392.

    PubMed 27902638
  • Kim A, Devine B, Campbell J, Shirneshan E, Zhao C, Bansal A. Healthcare Resource Utilization and Costs in Patients with Geographic Atrophy Secondary to Age-Related Macular Degeneration. Clin Ophthalmol. 2021 Jun 23;15:2643-2651. doi: 10.2147/OPTH.S307603. eCollection 2021.

    PubMed 34188442
  • Daien V, Nguyen V, Essex RW, Guymer R, Arnold JJ, Munk M, Ceklic L, Gillies MC, Barthelmes D; Fight Retinal Blindness! investigators. Prevalence and characteristics of macular atrophy in eyes with neovascular age-related macular degeneration. A study from a long-term observational dataset: the Fight Retinal Blindness! project. Br J Ophthalmol. 2020 Aug;104(8):1064-1069. doi: 10.1136/bjophthalmol-2019-315055. Epub 2019 Dec 16.

    PubMed 31843790
  • Sakurada Y, Yoneyama S, Sugiyama A, Tanabe N, Kikushima W, Mabuchi F, Kume A, Kubota T, Iijima H. Prevalence and Genetic Characteristics of Geographic Atrophy among Elderly Japanese with Age-Related Macular Degeneration. PLoS One. 2016 Feb 26;11(2):e0149978. doi: 10.1371/journal.pone.0149978. eCollection 2016.

    PubMed 26918864
  • Patnaik J, Pecen P, Lynch A, Siringo F, Mathias M, Mandava N. The National Eye Institute Visual Function Questionnaire-25 in Patients with Age-Related Macular Degeneration and Controls. Invest Ophthalmol Vis Sci. 2019;60(9):67-.

  • Sivaprasad S, Tschosik E, Kapre A, Varma R, Bressler NM, Kimel M, Dolan C, Silverman D. Reliability and Construct Validity of the NEI VFQ-25 in a Subset of Patients With Geographic Atrophy From the Phase 2 Mahalo Study. Am J Ophthalmol. 2018 Jun;190:1-8. doi: 10.1016/j.ajo.2018.03.006. Epub 2018 Mar 10.

    PubMed 29530781
  • Patel PJ, Ziemssen F, Ng E, Muthutantri A, Silverman D, Tschosik EA, Cantrell RA. Burden of Illness in Geographic Atrophy: A Study of Vision-Related Quality of Life and Health Care Resource Use. Clin Ophthalmol. 2020 Jan 8;14:15-28. doi: 10.2147/OPTH.S226425. eCollection 2020.

    PubMed 32021065
  • Sivaprasad S, Tschosik EA, Guymer RH, Kapre A, Suner IJ, Joussen AM, Lanzetta P, Ferrara D. Living with Geographic Atrophy: An Ethnographic Study. Ophthalmol Ther. 2019 Mar;8(1):115-124. doi: 10.1007/s40123-019-0160-3. Epub 2019 Jan 31.

    PubMed 30706242
  • Higgins BE, Taylor DJ, Bi W, Binns AM, Crabb DP. Novel computer-based assessments of everyday visual function in people with age-related macular degeneration. PLoS One. 2020 Dec 7;15(12):e0243578. doi: 10.1371/journal.pone.0243578. eCollection 2020.

    PubMed 33284855
  • Singh RP, Patel SS, Nielsen JS, Schmier JK, Rajput Y. Patient-, caregiver-, and eye care professional-reported burden of geographic atrophy secondary to age-related macular degeneration. Am J Ophthalmic Clin Trials. 2019;2(1):1-6. Available from: https://doi.org/10.25259/AJOCT-9-2018

Questions about this trial

What is this clinical trial studying?

An observational study of Geographic Atrophy, run by Apellis Pharmaceuticals, Inc. at 5 sites in 5 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 6 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 12 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Australia, France, Germany, Italy, United Kingdom. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 GA total area size (time frame: Through study completion; between 4 and 11 years). The study lists 8 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 NCT06499571, which also lists 19 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 12 Jul 2024.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in