Geographic AtrophyPhase 2NCT02288559
A Study of Lampalizumab Intravitreal Injections Administered Every Two Weeks or Every Four Weeks to Participants With Geographic Atrophy
A Phase 2 study testing Lampalizumab in people with Geographic Atrophy, run by Genentech, Inc. at 36 sites in United States.
Trial summary
This multicenter, randomized, single-masked, sham injection-controlled study will investigate the exposure-response and safety of lampalizumab administered intravitreally every 2 weeks (Q2W) or every 4 weeks (Q4W) for 24 weeks in participants with geographic atrophy (GA) secondary to age-related macular degeneration… Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Geographic Atrophy
- What is being tested?
- Lampalizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 96 participants
- Where
- 36 sitesUnited States
- Study dates
- 30 Mar 2015to 2 Jun 2017
- Phase
- Phase 2
- 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 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Complement Factor I (CFI) profile biomarker-positive result
- Women of child bearing potential and men should remain abstinent or use contraceptive methods
Who cannot join
- History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD in study eye
- Previous subfoveal focal laser photocoagulation in study eye
- Laser photocoagulation in the study eye
- Prior treatment with external-beam radiation therapy or transpupillary thermotherapy in study eye
- Previous intravitreal drug administration in study eye. A single intraoperative administration of a corticosteroid during cataract surgery at least 3 months prior to screening is permitted
- Previous cell-based intraocular treatment in study eye
Show all 23Show fewer
- Intraocular surgery in study eye
- Uncontrolled glaucoma and history of glaucoma-filtering surgery in study eye
- History of corneal transplant in study eye
- GA in either eye due to causes other than AMD
- Proliferative diabetic retinopathy in either eye
- Active or history of neovascular (wet) AMD in either eye
- History of idiopathic or autoimmune-associated uveitis, ocular or intraocular conditions, and infectious or inflammatory ocular disease
- Active uveitis and infectious conjunctivitis, keratitis, scleritis or endophthalmitis
- Previous systemic treatment with complement inhibitor and with inhibitors/modulators of visual cycle
- Previous expression vector mediated intraocular treatments
- Uncontrolled blood pressure and atrial fibrillation
- Medical conditions associated with clinically significant risk for bleeding-
- Predisposition or history of increased risk for infection
- Active malignancy within the previous 12 months except for appropriately treated carcinoma in situ of cervix, resolved non-melanoma skin carcinoma, and prostate cancer with a Gleason score of less than or equal to 6, and a stable prostate-specific antigen for greater than or equal to (>/=) 12 months
- History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of lampalizumab injection
- Women of child bearing potential must have a negative serum pregnancy test within 28 days prior to initiation of study treatment
- Previous participation in other studies of investigational drugs
Trial locations and contacts
36 sites in 1 country.
36 sites in 1 country
United States36 sites
W Texas Retina Consultants PA
Abilene, Texas, 79606
Eye Associates of New Mexico
Albuquerque, New Mexico, 87102
Western Carolina Retinal Associate PA
Asheville, North Carolina, 28803
Elman Retina Group
Baltimore, Maryland, 21237
Florida Eye Microsurgical Inst
Boynton Beach, Florida, 33426
Retinal Diagnostic Center
Campbell, California, 95008
Retina Cons of Charleston
Charleston, South Carolina, 29414
Char Eye Ear &Throat Assoc
Charlotte, North Carolina, 28210
Rush University Medical Center
Chicago, Illinois, 60612
Cincinnati Eye Institute
Cincinnati, Ohio, 45242
Retina Assoc of Cleveland Inc
Cleveland, Ohio, 44122
Carolina Retina Center PA
Columbia, South Carolina, 29223
Texas Retina Associates
Dallas, Texas, 75231
Retina Specialists
DeSoto, Texas, 75115
Vitreoretinal Surgery
Edina, Minnesota, 55435
The Retina Partners
Encino, California, 91436
National Ophthalmic Research Institute
Fort Myers, Florida, 33912
Charles Retina Institution
Germantown, Tennessee, 38138
Colorado Retina Associates, PC
Golden, Colorado, 80401
Southeastern Retina Associates
Knoxville, Tennessee, 37923
Loma Linda University
Loma Linda, California, 92354
Florida Eye Associates
Melbourne, Florida, 32901
Barnet Dulaney Perkins Eye Center
Mesa, Arizona, 85206
Tennessee Retina PC.
Nashville, Tennessee, 37203
Wagner Macula & Retina Center
Norfolk, Virginia, 23451
San Diego Retina Associates
Oceanside, California, 92056
Dean McGee Eye Institute
Oklahoma City, Oklahoma, 73099
Retina Care Specialists
Palm Beach Gardens, Florida, 33410
Retina Specialty Institute
Pensacola, Florida, 32503
Sierra Eye Associates
Reno, Nevada, 89502
West Coast Retina Medical Group
San Francisco, California, 94109
California Retina Consultants
Santa Barbara, California, 93103
Northwest Arkansas Retina Associates
Springdale, Arkansas, 72764
The Retina Institute
St Louis, Missouri, 63128
University of Arizona; Banner University Medical, Department of Opthalmology
Tucson, Arizona, 85711
Wolfe Eye Clinic
West Des Moines, Iowa, 50266
About this study
Official title: A Phase II, Multicenter, Randomized, Single-Masked, Sham Injection-Controlled Exposure-Response Study of Lampalizumab Intravitreal Injections Administered Every Two Weeks or Every Four Weeks to Patients With Geographic Atrophy
This multicenter, randomized, single-masked, sham injection-controlled study will investigate the exposure-response and safety of lampalizumab administered intravitreally every 2 weeks (Q2W) or every 4 weeks (Q4W) for 24 weeks in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). A safety run-in assessment will be conducted prior to initiating enrollment in the randomized study.
- Conditions
- Geographic Atrophy
- Being tested
- Sham, Lampalizumab
- Medical subject headings
- Geographic Atrophy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ShamOther
Sham injection will be administered as a matching intravitreal injection of lampalizumab.
LampalizumabDrug
10 mg dose of lampalizumab administered intravitreally
| Study group | Role | What they receive |
|---|---|---|
| Lampalizumab: Open-label Safety Run-In | Experimental | Participants will receive 10 milligrams (mg) lampalizumab intravitreally Q2W during the safety run-in period. Receives: Drug: Lampalizumab |
| Q2W Lampalizumab: Randomized Treatment | Experimental | Participants will receive 10 mg dose of lampalizumab intravitreally Q2W during the 24-week treatment period. Receives: Drug: Lampalizumab |
| Q4W Lampalizumab: Randomized Treatment | Experimental | Participants will receive 10 mg dose of lampalizumab intravitreally Q4W during the 24-week treatment period. Receives: Drug: Lampalizumab |
| Sham: Randomized Treatment | Sham comparator | Participants randomized to control arms will receive sham injections, that mimics intravitreal injection of lampalizumab. Receives: Other: Sham |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24
GA or the death of photoreceptors and surrounding cells in the retina, is a common condition in participants with age-related macular degeneration (AMD). The death of these photoreceptors results in lesions that cause vision loss. The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of geographic atrophy lesion area (worsening; disease progression). BCVA=best corrected visual acuity; ETDRS=Early Treatment Diabetic Retinopathy Scale.
Measured: Baseline, Week 24
Secondary outcomes (5)
Serum Concentrations of Lampalizumab (Q2W)
Lower than reportable (LTR) results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of lower limit of quantification (LLOQ) (0.5 nanograms per milliliter (ng/mL)).
Measured: Baseline (Day 1, predose and postdose), Weeks 2,4,8,16 and 24, early termination, unscheduled predose and postdose
Serum Concentrations of Lampalizumab (Q4W)
LTR results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of LLOQ (0.5 ng/mL).
Measured: Baseline (Day 1, predose and postdose), Weeks 4,8,16 and 24, early termination
Percentage of Participants With Ocular Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region.
Measured: Baseline up to approximately 30 weeks
Percentage of Participants With Systemic (Non-ocular) Adverse Events
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Non-ocular AEs were the systemic events.
Measured: Baseline up to approximately 30 weeks
Percentage of Participants With Anti-Lampalizumab Antibodies
Having treatment-induced anti-drug antibodies (ADAs) was defined as being ADA-negative at baseline and ADA-positive at any post-baseline timepoint. Having treatment-enhanced ADAs was defined as being ADA-positive at baseline with titer values increased by 0.6 titer units at any post-baseline timepoint.
Measured: Baseline up to approximately 30 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Nov 2014 (estimated)
- Study start30 Mar 2015
- Primary completion2 Jun 2017
- Study completion2 Jun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Geographic AtrophyStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02288559
- Sponsor's protocol ID
- GX29455
- Status last verified
- Sep 2019
- First submitted
- 7 Nov 2014
- Last updated
- 25 Sep 2019
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Multicenter, Randomized, Single-Masked, Sham Injection-Controlled Exposure-Response Study of Lampalizumab Intravitreal Injections Administered Every Two Weeks or Every Four Weeks to Patients With Geographic Atrophy
- ClinicalTrials.gov ID
- NCT02288559
- Acronym / sponsor ID
- GX29455
- Conditions
- Geographic Atrophy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- 30 Mar 2015 (actual)
- Primary completion
- 2 Jun 2017 (actual)
- Study completion
- 2 Jun 2017 (actual)
- First posted
- 11 Nov 2014 (estimated)
- Results
- Posted 19 Feb 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multicenter, randomized, single-masked, sham injection-controlled study will investigate the exposure-response and safety of lampalizumab administered intravitreally every 2 weeks (Q2W) or every 4 weeks (Q4W) for 24 weeks in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). A safety run-in assessment will be conducted prior to initiating enrollment in the randomized study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Lampalizumab: Open-label Safety Run-In | Experimental | Drug: LampalizumabParticipants will receive 10 milligrams (mg) lampalizumab intravitreally Q2W during the safety run-in period. |
| Q2W Lampalizumab: Randomized Treatment | Experimental | Drug: LampalizumabParticipants will receive 10 mg dose of lampalizumab intravitreally Q2W during the 24-week treatment period. |
| Q4W Lampalizumab: Randomized Treatment | Experimental | Drug: LampalizumabParticipants will receive 10 mg dose of lampalizumab intravitreally Q4W during the 24-week treatment period. |
| Sham: Randomized Treatment | Sham comparator | Other: ShamParticipants randomized to control arms will receive sham injections, that mimics intravitreal injection of lampalizumab. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Complement Factor I (CFI) profile biomarker-positive result
- Women of child bearing potential and men should remain abstinent or use contraceptive methods
Key exclusion criteria (23 listed)
- History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD in study eye
- Previous subfoveal focal laser photocoagulation in study eye
- Laser photocoagulation in the study eye
- Prior treatment with external-beam radiation therapy or transpupillary thermotherapy in study eye
- Previous intravitreal drug administration in study eye. A single intraoperative administration of a corticosteroid during cataract surgery at least 3 months prior to screening is permitted
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ShamSham injection will be administered as a matching intravitreal injection of lampalizumab. | Other | Sham: Randomized Treatment |
| Lampalizumab10 mg dose of lampalizumab administered intravitreally | Drug | Lampalizumab: Open-label Safety Run-In, Q2W Lampalizumab: Randomized Treatment, Q4W Lampalizumab: Randomized Treatment |
Primary outcome
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24
Time frame: Baseline, Week 24
GA or the death of photoreceptors and surrounding cells in the retina, is a common condition in participants with age-related macular degeneration (AMD). The death of these photoreceptors results in lesions that cause vision loss. The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of geographic atrophy lesion area (worsening; disease progression). BCVA=best corrected visual acuity; ETDRS=Early Treatment Diabetic Retinopathy Scale.
5 secondary outcomes
Serum Concentrations of Lampalizumab (Q2W)
Time frame: Baseline (Day 1, predose and postdose), Weeks 2,4,8,16 and 24, early termination, unscheduled predose and postdose
Serum Concentrations of Lampalizumab (Q4W)
Time frame: Baseline (Day 1, predose and postdose), Weeks 4,8,16 and 24, early termination
Percentage of Participants With Ocular Adverse Events (AEs)
Time frame: Baseline up to approximately 30 weeks
Percentage of Participants With Systemic (Non-ocular) Adverse Events
Time frame: Baseline up to approximately 30 weeks
Percentage of Participants With Anti-Lampalizumab Antibodies
Time frame: Baseline up to approximately 30 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Geographic Atrophy
Active, not recruitingPhase 1/2
Phase 1/2 Study of VOY-101 in Patients With Advanced Non-Neovascular Age-Related Macular Degeneration
Age-Related Macular Degeneration, Geographic Atrophy
RecruitingPhase 1/2
Autologous Transplantation of Induced Pluripotent Stem Cell-Derived Retinal Pigment Epithelium for Geographic Atrophy Associated With Age-Related Macular Degeneration
Dry Age-Related Macular Degeneration, Geographic Atrophy
RecruitingPhase 3
A Study Investigating Subcutaneously Administered Pozelimab in Combination With Cemdisiran or Cemdisiran Alone in Adult Participants With Geographic Atrophy
Age-related Macular Degeneration (AMD), Geographic Atrophy (GA)
RecruitingPhase 1
Phase 1 Study of C.001 in Retinal Degeneration
Geographic Atrophy, Stargardt Disease
RecruitingPhase 2/3
A Long-term Extension Study of JNJ-81201887 (AAVCAGsCD59) Parent Studies in Participants With Geographic Atrophy (GA) Secondary to Age-related Macular Degeneration (AMD)
Geographic Atrophy, Macular Degeneration
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
36 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Lampalizumab in people with Geographic Atrophy, run by Genentech, Inc. at 36 sites in United States.
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 2 inclusion and 23 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 25 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 19 Feb 2019). 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?
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24 (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 25 Sep 2019.