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
- Contact Person Email
- ceticohuc.scs@gobiernodecanarias.org
- 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
- Contact Person Email
- alba.parrado.carrillo@psmar.cat
- 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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