Clinical trial • Phase III • Ophthalmology

BEVACIZUMAB for Neovascular age-related macular degeneration | Age-related macular degeneration

Phase III trial of BEVACIZUMAB for Neovascular age-related macular degeneration | Age-related macular degeneration.

Overview

Trial Therapeutic Area
Ophthalmology
Trial Disease
Neovascular age-related macular degeneration | Age-related macular degeneration
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
14-10-2024
First CTIS Authorization Date
25-10-2024

Trial design

Randomised, comparator arm: ranibizumab (intravitreal injection) — max daily dose amount 0.05 ml (product listed as ranibizumab, route: intravitreal use). test arm: bevacizumab (avastin 25 mg/ml concentrate for solution for infusion) used intravitreally — max daily dose amount 1.25 mg (route: intravitreal use). schedule/frequency not specified in ctis record.-controlled Phase III trial across 5 sites in Spain.

Randomised
Yes
Comparator
Comparator arm: Ranibizumab (intravitreal injection) — max daily dose amount 0.05 ml (product listed as RANIBIZUMAB, route: intravitreal use). Test arm: Bevacizumab (Avastin 25 mg/ml concentrate for solution for infusion) used intravitreally — max daily dose amount 1.25 mg (route: intravitreal use). Schedule/frequency not specified in CTIS record.
Target Sample Size
574
Trial Duration For Participant
365

Eligibility

Recruits 574 Vulnerable populations not selected; no specific vulnerable-population consent or assent procedures described in the record. Standard informed consent for adult participants is implied..

Pregnancy Exclusion
Pregnant or nursing (lactating) women.
Vulnerable Population
Vulnerable populations not selected; no specific vulnerable-population consent or assent procedures described in the record. Standard informed consent for adult participants is implied.

Inclusion criteria

  • {"criterion_text":"- Patients diagnosed with neovascular Age-related Macular Degeneration and:  Age of 50 years or older.  That at the discretion of the ophthalmologist has an indication of receiving treatmentwith an anti VEGF agent as usual in clinical practice.  Without previous treatment in the eye under study (no previous antiVEGF treatment for AMD)."}

Exclusion criteria

  • {"criterion_text":"- Participate or have participated in another clinical trial with an experimental drug in the last 6 months.\n- Patients with other eye diseases, p.eg, advanced glaucoma or visually significant cataracts, which are likely to require surgery during the follow-up period in the eye under study\n- Concomitant administration of antiVEGF for other non-ocular diseases\n- High cardiovascular risk within last 3 months (poorly controlled arterial hypertension, history or risk of arterial thromboembolic events, history of stroke or acute myocardial infarction, anticoagulant treatment, proteinuria or major elective surgery) or if patient is unstable at the time of planned Intravitreal injection, except for stable patients with favorable consultation with additional relevant physicians prior to the administration (p.e. cardiologist)Ophthalmological risk with the intraocular injection (all intravitreal treatments): active or suspected ocular or periocular infection, severe blepharitis, history of endophthalmitis, history of retinal detachment, myopathy, glaucoma\n- Hypersensitivity to the active substance or to the excipients\n- Diabetic retinopathy documented\n- Pregnant or nursing (lactating) women."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Visual acuity score measured on ETDRS at 4 meters of initial distance or Snellen with conversion to ETDRS if necessary, using the method proposed by Rosenfeld et al, between the baseline and final evaluations. Main outcome will be assessed at 1 year.Genetic polymorphism: Saliva samples will be collected using oral swabs suitable for obtaining DNA. The genomic DNA will be obtained from a first digestion of the sample wit","definition_or_measurement_approach":"Visual acuity measured on ETDRS at 4 meters or Snellen converted to ETDRS using Rosenfeld et al method, comparing baseline and final evaluations; main outcome assessed at 1 year. Genetic polymorphism assessment by saliva samples collected with oral swabs and genomic DNA extraction (text truncated in source)."}

Recruitment

Planned Sample Size
574
Recruitment Window Months
37
Consent Approach
Informed consent obtained from adult participants themselves. Subject information and informed consent form documents are listed in the CTIS documents, but the record does not specify age-specific consent/assent procedures or languages; no assent/minor consent arrangements are described.

Geography

Total Number Of Sites
5
Total Number Of Participants
574

Spain

Earliest CTIS Part Ii Submission Date
21-10-2024
Latest Decision Or Authorization Date
26-06-2025
Processing Time Days
248
Number Of Sites
5
Number Of Participants
574

Sites

Site Name
Hospital Universitario De Canarias
Department Name
Oftalmologia
Principal Investigator Name
Hugo Tapia
Principal Investigator Email
ceticohuc.scs@gobiernodecanarias.org
Contact Person Name
Hugo Tapia
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Oftalmologia
Principal Investigator Name
Jose Ignacio Vela
Principal Investigator Email
ivela@santpau.cat
Contact Person Name
Jose Ignacio Vela
Contact Person Email
ivela@santpau.cat
Site Name
Hospital Del Mar
Department Name
Oftalmologia
Principal Investigator Name
Alba Parrado
Principal Investigator Email
alba.parrado.carrillo@psmar.cat
Contact Person Name
Alba Parrado
Site Name
LA PAZ UNIVERITY HOSPITAL
Department Name
Farmacología clínica
Principal Investigator Name
Alicia Marín Candón
Principal Investigator Email
alicia.marin.amc@gmail.com
Contact Person Name
Alicia Marín Candón
Contact Person Email
alicia.marin.amc@gmail.com
Site Name
Hospital Del Mar
Department Name
Research Institute
Principal Investigator Name
ana Aldea
Principal Investigator Email
aaldea@researchmar.net
Contact Person Name
ana Aldea
Contact Person Email
aaldea@researchmar.net

Sponsor

Primary sponsor

Full Name
Consorci Mar Parc De Salut De Barcelona
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Avastin 25 mg/ml concentrate for solution for infusion.
Active Substance
BEVACIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVITREAL USE
Route
Intravitreal
Authorisation Status
Authorised (marketing authorisation present for product PRD2153901)
Starting Dose
1.25 mg
Maximum Dose
15 mg (max total dose amount as listed)
Investigational Product Name
RANIBIZUMAB
Active Substance
RANIBIZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVITREAL USE
Route
Intravitreal
Authorisation Status
Authorised
Starting Dose
0.05 ml
Maximum Dose
0.05 ml (max total dose amount as listed)

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