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Myopia, PathologicalPhase 3MyrrorNCT01249664

VEGF Trap-Eye in Choroidal Neovascularization Secondary to Pathologic Myopia (mCNV)

A Phase 3 study testing VEGF Trap-Eye (BAY86-5321) and No Drug in people with Myopia, Pathological, run by Bayer at 20 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

VEGF Trap-Eye will be tested for safety and efficacy in patients with vision loss due to choroidal neovascularization secondary to pathologic myopia. This will be a placebo-controlled trial. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myopia, Pathological
What is being tested?
VEGF Trap-Eye (BAY86-5321) and No Drug
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
122 participants
Where
20 sitesin 5 countries
Study dates
Dec 2010to Aug 2013
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Able to read (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent form or a family member) and understand the informed consent form and willing to sign the informed consent form
  • Signed informed consent form. In Japan only, the informed consent form for a subject under the age of 20 years will require the co-signature of the subject's legally authorized representative.
  • Men and women ≥ 18 years of age
  • Myopia of greater than or equal to -6 D OR axial length of greater than or equal to 26.5 mm
  • Active subfoveal or juxtafoveal (within 1 to 199 μm of the center of the fovea) CNV secondary to pathologic myopia as defined by leakage on FA
  • Best-corrected visual acuity of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye at 4 meters
  • Decrease in vision in the study eye is determined by the investigator, using his/her medical judgment, to be primarily the result of the current active mCNV
  • Willing, committed, and able to return for all clinic visits and complete all study-related procedures

Who cannot join

  • Only one functional eye
  • Ocular media of insufficient quality to obtain fundus and OCT images in the study eye
  • Greatest linear dimension (GLD) of the lesion in the study eye is greater than 12 disc areas
  • Recurrent mCNV in the study eye
  • Aphakia in the study eye
  • History or presence of CNV with an origin other than pathologic myopia in the study eye
Show all 35Show fewer
  • Ocular inflammation or external ocular inflammation in the study eye
  • Concurrent disease in the study eye that would compromise BCVA or require medical or surgical intervention during the study period
  • Any ocular disorder in the study eye that, in the opinion of the investigator, may confound interpretation of the study results
  • Significant scarring or atrophy in the fovea that indicates substantial irreversible vision loss in the study eye
  • History of idiopathic or autoimmune-associated uveitis in either eye
  • Evidence at examination of infectious blepharitis, keratitis, scleritis, or conjunctivitis in either eye or current treatment for serious systemic infection
  • Vitreomacular traction or traction retinal detachment, epiretinal membrane in either eye
  • Any iris neovascularization and/or vitreous hemorrhage in either eye
  • Uncontrolled glaucoma, or previous filtration surgery in either eye
  • Prior and concomitant treatments
  • In the study eye:
  • Any prior or concomitant treatment with another investigational agent for mCNV
  • Any previous panretinal photocoagulation or subfoveal thermal laser therapy
  • Any prior treatment with photodynamic therapy
  • Cataract surgery within 3 months prior to Day 1
  • Yttrium-aluminum-garnet laser capsulotomy within 2 months prior to Day 1
  • Any other intraocular surgery within 3 months prior to Day 1
  • History of vitreoretinal surgery and/or scleral buckle surgery
  • Any prior treatment with anti-VEGF agents
  • Previous use of intraocular or periocular corticosteroids in either eye within 3 months prior to Day 1
  • Previous assignment to treatment during this study
  • Uncontrolled hypertension
  • History of cerebrovascular disease or myocardial infarction within 6 months prior to Baseline/Day 1
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, may affect interpretation of the results of the study, or renders the subject at high risk from treatment complications
  • Women of childbearing potential without contraception, women who intend to breastfeed during the study. All subjects (both men and women) of childbearing potential who are unwilling to use adequate birth control measures during the course of the study.
  • Renal failure requiring dialysis or renal transplant
  • Participation in an investigational study within 30 days prior to Screening/Visit 1 that involved treatment with any drug (excluding vitamins and minerals) or device
  • Known serious allergy to the fluorescein sodium for injection in angiography or Verteporfin
  • Inability to obtain fundus photographs or fluorescein angiograms of sufficient quality

Trial locations and contacts

20 sites in 5 countries.

20 sites in 5 countries

Japan15 sites
  • Study site

    Bunkyo-ku, Tokyo, 113-8519

  • Study site

    Chiyoda-ku, Tokyo, 101-8309

  • Study site

    Fukuoka, Fukuoka, 812-8582

  • Study site

    Fukushima, Fukushima, 960-1295

  • Study site

    Kyoto, Kyoto, 606-8507

  • Study site

    Matsuyama, Ehime, 790-8524

  • Study site

    Nagoya, Aichi-ken, 466-8560

  • Study site

    Nagoya, Aichi-ken, 467-8602

  • Study site

    Osaka, Osaka, 545-8586

  • Study site

    Osaka, Osaka, 558-8558

  • Study site

    Ōtsu, Shiga, 520-2192

  • Study site

    Sendai, Miyagi, 984-8560

  • Study site

    Shinjuku-ku, Tokyo, 160-8582

  • Study site

    Suita, Osaka, 565-0871

  • Study site

    Urayasu, Chiba, 279-0021

Other trials in Japan

Taiwan2 sites
  • Study site

    Taipei, 11217

  • Study site

    Taoyuan, 333

Other trials in Taiwan

Hong Kong1 site
  • Study site

    Kowloon

Other trials in Hong Kong

Singapore1 site
  • Study site

    Singapore, 168751

Other trials in Singapore

South Korea1 site
  • Study site

    Seoul, 137 701

Other trials in South Korea

About this study

Official title: A Phase-3, Multi-center, Randomized, Double-masked, Sham-controlled Study of the Efficacy, Safety, and Tolerability of Intravitreal VEGF Trap-Eye in Subjects With Choroidal Neovascularization Secondary to Pathologic Myopia

VEGF Trap-Eye will be tested for safety and efficacy in patients with vision loss due to choroidal neovascularization secondary to pathologic myopia. This will be a placebo-controlled trial. 3 out of 4 patients will receive an injection of VEGF Trap-Eye into the affected eye (and repeated injections if required), and 1 out of 4 patients will receive a sham injection requiring no needle stick, but making the patient unaware of whether or not he received active treatment.

Outcome of the two treatment groups will be compared after 24 weeks. From week 24, sham patients may receive active treatment.

Total duration of the study will be 48 weeks.

Being tested
VEGF Trap-Eye (BAY86-5321), No Drug
Keywords
sham-controlled, pathologic myopia, mCNV, choroidal neovascularization, intravitreal injection, vision loss, macular damage
Medical subject headings
Myopia, Degenerative, Choroidal Neovascularization, Vision Disorders

What participants receive

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

  • VEGF Trap-Eye (BAY86-5321)Biological

    1 intravitreal injection of the experimental drug, followed by monthly re-injections if needed

  • No DrugProcedure or surgery

    Sham procedure NOT involving injection of any substance; patient´s eye is anesthetized and a syringe without needle gently pressed on the cornea

Study groups in NCT01249664
Study groupRoleWhat they receive
Arm 1ExperimentalNot described
Receives: Biological: VEGF Trap-Eye (BAY86-5321)
Arm 2Sham comparatorNot described
Receives: Procedure: No Drug

What is being measured

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

  1. Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) From Baseline to Week 24 - Last Observation Carried Forward (LOCF)

    Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning.

    Measured: Baseline, Week 24

Secondary outcomes (21)
  1. Percentage of Participants Who Gained at Least 15 Letters in BCVA as Measured by ETDRS at Week 24 Using the LOCF Approach

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  2. Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS From Baseline to Week 24 - Observed Cases

    Data as observed at visit, no carrying forward from latest observation if missing data at later time points. Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning.

    Measured: Baseline, Week 24

  3. Percentage of Participants Who Gained at Least 10 Letters in BCVA at Week 24 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  4. Percentage of Participants Who Gained at Least 5 Letters in BCVA at Week 24 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  5. Percentage of Participants Who Gained at Least 15 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  6. Percentage of Participants Who Gained at Least 10 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  7. Percentage of Participants Who Gained at Least 5 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  8. Percentage of Participants Who Lost at Least 15 Letters in BCVA at Week 24 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  9. Percentage of Participants Who Lost at Least 10 Letters in BCVA at Week 24 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  10. Percentage of Participants Who Lost at Least 5 Letters in BCVA at Week 24 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 24

  11. Percentage of Participants Who Lost at Least 15 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  12. Percentage of Participants Who Lost at Least 10 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  13. Percentage of Participants Who Lost at Least 5 Letters in BCVA at Week 48 - LOCF

    Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 35 letters (ETDRS equivalent of 20/40 to 20/200) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.

    Measured: Baseline, Week 48

  14. Mean Change in Central Retinal Thickness (CRT) as Assessed by Optical Coherence Tomography (OCT) From Baseline to Week 24 - LOCF

    A negative number indicates improvement (reduced thickness).

    Measured: Baseline, Week 24

  15. Mean Change in Central Retinal Thickness (CRT) as Assessed by Optical Coherence Tomography (OCT) From Baseline to Week 48 - LOCF

    A negative number indicates improvement (reduced thickness).

    Measured: Baseline, Week 48

  16. Mean Change in Choroidal Neovascularization (CNV) Lesion Size as Assessed by Fluorescein Angiography (FA) From Baseline to Week 24 - LOCF

    CNV area values measured in square millimeters, each disc area is equivalent to 2.54 mm^2 on the retina; lower values represent better outcomes

    Measured: Baseline, Week 24

  17. Mean Change in Choroidal Neovascularization (CNV) Lesion Size as Assessed by Fluorescein Angiography (FA) From Baseline to Week 48 - LOCF

    CNV area values measured in square millimeters, each disc area is equivalent to 2.54 mm^2 on the retina; lower values represent better outcomes

    Measured: Baseline, Week 48

  18. Mean Change in European Five-dimensional Health Scale (EQ-5D) Score From Baseline to Week 24 - LOCF

    EQ-5D is a quality of life questionnaire based on a scale from -0.594 (worst) to 1.00 (best).

    Measured: Baseline, Week 24

  19. Mean Change in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score From Baseline to Week 24 - LOCF

    The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100. To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight.

    Measured: Baseline, Week 24

  20. Percentage of Participants Who Were Withdrawn From Study Drug During the First 24 Weeks

    Measured: Baseline, Week 24

  21. Mean Change in Area of Leakage From Baseline at Week 24 - LOCF

    A negative change from baseline indicates improvement, ie, less leakage.

    Measured: Baseline, Week 24

Timeline

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

  1. First posted30 Nov 2010 (estimated)
  2. Study startDec 2010
  3. Primary completionFeb 2013
  4. Study completionAug 2013

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
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
122 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01249664
Sponsor's protocol ID
15170
Acronym
Myrror
Status last verified
Apr 2014
First submitted
26 Nov 2010
Last updated
5 May 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing VEGF Trap-Eye (BAY86-5321) and No Drug in people with Myopia, Pathological, run by Bayer at 20 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 8 inclusion and 35 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 5 May 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Japan, Taiwan, Hong Kong, Singapore, South Korea. 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. Some participants in this study may receive a placebo. 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 1 Apr 2014). 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?

Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) From Baseline to Week 24 - Last Observation Carried Forward (LOCF) (time frame: Baseline, Week 24). 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 5 May 2014.

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