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Branch Retinal Vein OcclusionPhase 3BRIGHTERNCT01599650

Efficacy and Safety of Ranibizumab With or Without Laser in Comparison to Laser in Branch Retinal Vein Occlusion

A Phase 3 study testing Ranibizumab and Laser in people with Branch Retinal Vein Occlusion, run by Novartis Pharmaceuticals at 82 sites in 17 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

This study will generate comparative data for 0.5-mg ranibizumab using PRN dosing administered with or without adjunctive laser treatment versus laser photocoagulation (the current standard of care) up to Month 6 in patients with visual impairment due to ME secondary to BRVO. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Branch Retinal Vein Occlusion
What is being tested?
Ranibizumab and Laser
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
455 participants
Where
82 sitesin 17 countries
Study dates
May 2012to May 2015
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

  • Written informed consent must be obtained before any study assessment is performed
  • Diagnosis of visual impairment exclusively due to ME secondary to BRVO
  • BCVA score at Screening and Baseline between 73 and 19 letters (ETDRS)

Who cannot join

  • Pregnant or nursing (lactating) women
  • Stroke or myocardial infarction less than 3 months before Screening
  • Uncontrolled blood pressure defined as systolic value of >160 mm Hg or diastolic value of >100 mm Hg at Screening or Baseline.
  • Any active periocular or ocular infection or inflammation at Screening or Baseline in either eye
  • Uncontrolled glaucoma at Screening or Baseline or diagnosed within 6 months before Baseline in either eye
  • Neovascularization of the iris or neovascular glaucoma in the study eye
Show all 11Show fewer
  • Use of any systemic antivascular endothelial growth factor (anti-VEGF) drugs within 6 months before Baseline
  • Panretinal laser photocoagulation within 3 months before Baseline or anticipated or scheduled within the next 3 months following Baseline in the study eye
  • Focal or grid laser photocoagulation within 4 months before Baseline in the study eye
  • Use of intra- or periocular corticosteroids (including sub-Tenon) within 3 months before Screening in the study eye
  • Any use of intraocular corticosteroid implants (eg, dexamethasone [Ozurdex®], fluocinolone acetonide [Iluvien®]) in the study eye

Trial locations and contacts

82 sites in 17 countries.

82 sites in 17 countries

Spain10 sites
  • Novartis Investigative Site

    Alicante, Valencia, 03016

  • Novartis Investigative Site

    Barcelona, Catalonia, 08022

  • Novartis Investigative Site

    Barcelona, Catalonia

  • Novartis Investigative Site

    Bilbao, Basque Country, 48006

  • Novartis Investigative Site

    L'Hospitalet de Llobregat, Catalonia, 08907

  • Novartis Investigative Site

    Madrid, Madrid, 28046

  • Novartis Investigative Site

    Santiago de Compostela, Galicia, 15706

  • Novartis Investigative Site

    Valencia, Valencia, 46014

  • Novartis Investigative Site

    Valencia, Valencia, 46015

  • Novartis Investigative Site

    Valladolid, Castille and León, 47011

Other trials in Spain

United Kingdom9 sites
  • Novartis Investigative Site

    Belfast, BT12 6BA

  • Novartis Investigative Site

    Birmingham, B9 5SS

  • Novartis Investigative Site

    Bristol, BS1 2LX

  • Novartis Investigative Site

    Frimley, Surrey, GU16 7UJ

  • Novartis Investigative Site

    London, United Kingdom, EC1V 2PD

  • Novartis Investigative Site

    London, NW1 5QH

  • Novartis Investigative Site

    Newcastle upon Tyne, NE1 4LP

  • Novartis Investigative Site

    Plymouth, PL4 6PL

  • Novartis Investigative Site

    Southampton, SO16 6YD

Other trials in United Kingdom

Italy8 sites
  • Novartis Investigative Site

    Bari, 70124

  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Florence, FI, 50134

  • Novartis Investigative Site

    Milan, MI, 20100

  • Novartis Investigative Site

    Milan, MI, 20132

  • Novartis Investigative Site

    Roma, RM, 00144

  • Novartis Investigative Site

    Torino, TO, 10122

  • Novartis Investigative Site

    Udine, 33100

Other trials in Italy

Canada7 sites
  • Novartis Investigative Site

    Boisbriand, Quebec, J7H 1S6

  • Novartis Investigative Site

    Calgary, Alberta, T2H0C8

  • Novartis Investigative Site

    Halifax, Nova Scotia, B3H 2Y9

  • Novartis Investigative Site

    London, Ontario, N6A 4G5

  • Novartis Investigative Site

    Montreal, Quebec, H1T 2M4

  • Novartis Investigative Site

    Vancouver, British Columbia, V5Z 1M9

  • Novartis Investigative Site

    Victoria, British Columbia, V8V 4X3

Other trials in Canada

France6 sites
  • Novartis Investigative Site

    Dijon, 21033

  • Novartis Investigative Site

    Lyon, 69003

  • Novartis Investigative Site

    Nice, 06000

  • Novartis Investigative Site

    Paris, 75010

  • Novartis Investigative Site

    Paris, 75940

  • Novartis Investigative Site

    Paris

Other trials in France

Greece6 sites
  • Novartis Investigative Site

    Athens, GR, 124 62

  • Novartis Investigative Site

    Heraklion Crete, GR, 711 10

  • Novartis Investigative Site

    Larissa, GR, 411 10

  • Novartis Investigative Site

    Pátrai, Greece, 26504

  • Novartis Investigative Site

    Thessaloniki, Greece, GR 54636

  • Novartis Investigative Site

    Thessaloniki, GR, 546 29

Other trials in Greece

Poland6 sites
  • Novartis Investigative Site

    Bielsko-Biala, 43-300

  • Novartis Investigative Site

    Gdansk, 80-809

  • Novartis Investigative Site

    Krakow, 31-501

  • Novartis Investigative Site

    Lublin, 20-079

  • Novartis Investigative Site

    Warsaw, 02-005

  • Novartis Investigative Site

    Wroclaw, 50-556

Other trials in Poland

Portugal6 sites
  • Novartis Investigative Site

    Coimbra, Portugal, 3000-354

  • Novartis Investigative Site

    Coimbra, Portugal, 3030-163

  • Novartis Investigative Site

    Lisbon, 1050-085

  • Novartis Investigative Site

    Lisbon, 1349-019

  • Novartis Investigative Site

    Porto, Porto District, 4200-319

  • Novartis Investigative Site

    Porto, Portugal, 4099-001

Other trials in Portugal

Australia4 sites
  • Novartis Investigative Site

    Melbourne, Victoria, 3002

  • Novartis Investigative Site

    Nedlands, Western Australia, 6009

  • Novartis Investigative Site

    Parramatta, New South Wales, 2150

  • Novartis Investigative Site

    Sydney, New South Wales, 2000

Other trials in Australia

Slovakia4 sites
  • Novartis Investigative Site

    Banská Bystrica, 975 17

  • Novartis Investigative Site

    Bratislava, Slovakia, 826 06

  • Novartis Investigative Site

    Bratislava, 851 07

  • Novartis Investigative Site

    Žilina, Slovak Republic, 010 01

Other trials in Slovakia

Switzerland4 sites
  • Novartis Investigative Site

    Bern, 3012

  • Novartis Investigative Site

    Lausanne, 1007

  • Novartis Investigative Site

    Olten, Switzerland, 4600

  • Novartis Investigative Site

    Zurich, Switzerland, 8063

Other trials in Switzerland

Hungary3 sites
  • Novartis Investigative Site

    Budapest, 1133

  • Novartis Investigative Site

    Budapest, H-1083

  • Novartis Investigative Site

    Debrecen, 4032

Other trials in Hungary

Netherlands3 sites
  • Novartis Investigative Site

    Leiden 2333 ZA, Netherlands, 2333

  • Novartis Investigative Site

    Rotterdam, 3011 BH

  • Novartis Investigative Site

    Tilburg, 5022 GC

Other trials in Netherlands

Czechia2 sites
  • Novartis Investigative Site

    Olomouc, 775 20

  • Novartis Investigative Site

    Prague, 100 34

Other trials in Czechia

Ireland2 sites
  • Novartis Investigative Site

    Dublin, Ireland

  • Novartis Investigative Site

    Dublin

Other trials in Ireland

Denmark1 site
  • Novartis Investigative Site

    Glostrup Municipality, DK-2600

Other trials in Denmark

Sweden1 site
  • Novartis Investigative Site

    Örebro, 701 85

Other trials in Sweden

About this study

Official title: A 24-month, Phase IIIb, Open-label, Randomized, Active Controlled, 3-arm, Multicenter Study Assessing the Efficacy and Safety of an Individualized, Stabilization-criteria-driven PRN Dosing Regimen With 0.5-mg Ranibizumab Intravitreal Injections Applied as Monotherapy or With Adjunctive Laser Photocoagulation in Comparison to Laser Photocoagulation in Patients With Visual Impairment Due to Macular Edema Secondary to Branch Retinal Vein Occlusion

This study will generate comparative data for 0.5-mg ranibizumab using PRN dosing administered with or without adjunctive laser treatment versus laser photocoagulation (the current standard of care) up to Month 6 in patients with visual impairment due to ME secondary to BRVO. Additionally the results of this study will provide long-term (24-month) safety and efficacy data for ranibizumab, administered with or without adjunctive laser treatment in this indication.

Being tested
Ranibizumab, Laser
Keywords
Macular Edema, Branch Retinal Vein Occlusion, visual impairment
Medical subject headings
Retinal Vein Occlusion, Macular Edema, Vision Disorders

What participants receive

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

  • RanibizumabDrug

    Also called Lucentis

  • LaserProcedure or surgery

    laser photocoagulation

Study groups in NCT01599650
Study groupRoleWhat they receive
1-ranibizumab monotherapyExperimentalRanibizumab 0.5 mg
Receives: Drug: Ranibizumab
2-ranibizumab with laserExperimentalRanibizumab 0.5 mg + laser
Receives: Drug: Ranibizumab; Procedure: Laser
3-laser monotherapyActive comparatorLaser monotherapy with Ranibizumab 0.5 mg from Month 6
Receives: Procedure: Laser

What is being measured

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

  1. Mean Change in Visual Acuity: BCVA Change at Month 6 Compared to Baseline in Patients With Visual Impairment Due to Branch Retinal Vein Occlusion (BRVO)

    Best-Corrected Visual Acuity (BCVA) letters was measured using Early Treatment Diabetic Retinopathy Study (ETDRS)

    -like chart while participants were in a sitting position at a testing distance of 4 meters. The range of ETDRS is 0 to 100 letters. For the mean change of best corrected visual acuity at Month 6 compare to Baseline, the 95% confidence interval and P value (related to the null hypothesis that this mean change is equal to zero) based on a t distribution/t test were calculated and assessed by an ANOVA model.

    Measured: Baseline, 6 Months

Secondary outcomes (10)
  1. The Mean Average Change in Visual Acuity From Month 1 Through Month 24 Compared to Baseline

    Best-Corrected Visual Acuity (BCVA) letters was measured using Early Treatment Diabetic Retinopathy Study (ETDRS)-like chart while participants were in a sitting position at a testing distance of 4 meters. The range of ETDRS is 0 to 100 letters. (A positive average change from baseline of BCVA indicates improvement): Mean Average Change: for each patient, first average change is calculated as the average of the changes from baseline to Month 1 over Month 24. Then, mean average change is calculated as the average of average changes across all patients.

    Measured: Baseline, 24 Months

  2. Number of Ranibizumab Treatments From Day 1 to Month 23 by Treatment Group

    Number of injections provided to the patients during the 23 month period and conducted within FAS with LOCF and observed data.

    Measured: Day 1 through Month 23

  3. Mean Average Change in Visual Acuity (BCVA Letters) From Month 1 Through Month 6

    Best-Corrected Visual Acuity (BCVA) letters was measured using Early Treatment Diabetic Retinopathy Study (ETDRS) -like chart while participants were in a sitting position at a testing distance of 4 meters. The range of ETDRS is 0 to 100 letters.(A positive average change from baseline of BCVA indicates improvement): Mean Average Change: for each patient, first average change is calculated as the average of the changes from baseline to Month 1 over Month 6. Then, mean average change is calculated as the average of average changes across all patients.

    Measured: From Baseline through Month 6

  4. The Mean Change in Visual Acuity BCVA (Letters) From Baseline at Month 12 and Month 24

    Best-Corrected Visual Acuity (BCVA) letters was measured using Early Treatment Diabetic Retinopathy Study (ETDRS) -like chart while participants were in a sitting position at a testing distance of 4 meters. The range of ETDRS is 0 to 100 letters. For the mean change of best corrected visual acuity at Month 12 and Month 24 compare to Baseline, the 95% confidence interval and P value (related to the null hypothesis that this mean change is equal to zero) based on a t distribution/t test were calculated and were assessed by an ANOVA model.

    Measured: Baseline, Month 12 and Month 24

  5. The Percent of Patients With a Visual Acuity Gain of ≥1, ≥5, ≥10, ≥15, and ≥30 Letters From Baseline up to Month 6 and Month 24, by Visit

    BCVA score was based on the number of letters read correctly on the Early Treatment Diabetic retinopathy Study (ETDRS) visual acuity chart assessed at a starting distance of 4 meters. An increased score indicates improvement in acuity. This outcome assessed the number of participants who had improvement of ≥1, ≥5, ≥10, ≥15, and ≥30 letters of visual acuity at Month 6 \& Month 24 as compared with baseline, was assessed by an ANOVA model. Endpoints related to the proportion of patients with BCVA letter gain or loss from Baseline was analyzed via stratified Cochran-Mantel-Haenszel test with stratification based on baseline BCVA (baseline BCVA less than or equal to 39, 40 to 59, greater than or equal to 60 letters, treatment groups).

    Measured: Baseline, Month 6 and Month 24

  6. Number of Patients With a BCVA Improvement vs Baseline or Achieving Greater Than or Equal to 73 Letters at Month 6 in the Study Eye

    Best Corrected Visual Acuity (BCVA) was measured using Early Treatment Diabetic Retinopathy Study (ETDRS)-like chart at baseline and Month 6 while participants were in a sitting position at a testing distance of 4 meters. The range of EDTRS is 0 to 100 letters. BCVA above 73 letters at Month 6 indicates a positive outcome.

    Measured: Month 6

  7. Number of Patients With a BCVA Improvement vs Baseline or Achieved Greater Than or Equal to 73 Letters at Month 24 in the Study Eye

    Best Corrected Visual Acuity (BCVA) was measured using Early Treatment Diabetic Retinopathy Study (ETDRS)-like chart at baseline and Month 12 while participants were in a sitting position at a testing distance of 4 meters. The range of EDTRS is 0 to 100 letters. BCVA above 73 letters at Month 24 indicates a positive outcome.

    Measured: Month 24

  8. The Mean Change in Central Reading Center-assessed Central Subfield Thickness From Month 12 and Month 24 vs. Baseline by Treatment Arm

    Retinal thickness was measured using Optical Coherence Tomography (OCT). The images were reviewed by a central reading center to ensure a standardized evaluation. Stratification was done based on categories of baseline best corrected visual acuity \& analysis was based on analysis of variance (ANOVA)

    Measured: Month 12 and Month 24

  9. The Mean Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 6 and Month 24 Compared to Baseline

    The survey consists of 25 items representing 11 vision related constructs (general vision, ocular pain, near activities, distance activities, social functioning, mental health, role difficulties, dependency, driving, color vision, peripheral vision) plus a single-item general health rating question. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. In this format scores represent the achieved percentage of the total possible score, e.g. a score of 50 represents 50% of the highest possible score.

    Measured: Months 6 and 24

  10. BCVA (Letters) Mean Average Change From First Ranibizumab Treatment to Month 24 in the Study Eye for Patients Randomized to the Laser Monotherapy Arm

    Best-Corrected Visual Acuity (BCVA) letters was measured using Early Treatment Diabetic Retinopathy Study (ETDRS)

    -like chart while participants were in a sitting position at a testing distance of 4 meters. The range of ETDRS is 0 to 100 letters. For the mean change of best corrected visual acuity at Month 24 compare to Baseline, the 95% confidence interval and P value (related to the null hypothesis that this mean change is equal to zero) based on a t distribution/t test were calculated and assessed by an ANOVA model.

    Measured: Month 24

Timeline

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

  1. First posted16 May 2012 (estimated)
  2. Study startMay 2012
  3. Primary completionMay 2015
  4. Study completionMay 2015

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
None (open label)
Enrolment
455 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01599650
Sponsor's protocol ID
CRFB002E2402
Other IDs
2011-002859-34
Acronym
BRIGHTER
Status last verified
Sep 2016
First submitted
2 May 2012
Last updated
10 Nov 2016
Data monitoring committee
No

Publications

  • Pawloff M, Bogunovic H, Gruber A, Michl M, Riedl S, Schmidt-Erfurth U. SYSTEMATIC CORRELATION OF CENTRAL SUBFIELD THICKNESS WITH RETINAL FLUID VOLUMES QUANTIFIED BY DEEP LEARNING IN THE MAJOR EXUDATIVE MACULAR DISEASES. Retina. 2022 May 1;42(5):831-841. doi: 10.1097/IAE.0000000000003385.

    PubMed 34934034
  • Tadayoni R, Waldstein SM, Boscia F, Gerding H, Gekkieva M, Barnes E, Das Gupta A, Wenzel A, Pearce I; BRIGHTER Study Group. Sustained Benefits of Ranibizumab with or without Laser in Branch Retinal Vein Occlusion: 24-Month Results of the BRIGHTER Study. Ophthalmology. 2017 Dec;124(12):1778-1787. doi: 10.1016/j.ophtha.2017.06.027. Epub 2017 Aug 12.

    PubMed 28807635
  • Tadayoni R, Waldstein SM, Boscia F, Gerding H, Pearce I, Priglinger S, Wenzel A, Barnes E, Gekkieva M, Pilz S, Mones J; BRIGHTER study group. Individualized Stabilization Criteria-Driven Ranibizumab versus Laser in Branch Retinal Vein Occlusion: Six-Month Results of BRIGHTER. Ophthalmology. 2016 Jun;123(6):1332-44. doi: 10.1016/j.ophtha.2016.02.030. Epub 2016 Mar 30.

    PubMed 27039022

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ranibizumab and Laser in people with Branch Retinal Vein Occlusion, run by Novartis Pharmaceuticals at 82 sites in 17 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 3 inclusion and 11 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 10 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in Spain, United Kingdom, Italy, Canada, France and 12 more countries. 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 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 10 Nov 2016). 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 Visual Acuity: BCVA Change at Month 6 Compared to Baseline in Patients With Visual Impairment Due to Branch Retinal Vein Occlusion (BRVO) (time frame: Baseline, 6 Months). 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 NCT01599650, which also lists 3 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 10 Nov 2016.

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