Diabetes MellitusPhase 2VIDINCT02302079
A Study to Evaluate ASP8232 in Reducing Central Retinal Thickness in Subjects With Diabetic Macular Edema (DME)
A Phase 2 study testing ASP8232 and ranibizumab in people with Diabetes Mellitus and Diabetic Macular Edema, run by Astellas Pharma Europe B.V. at 21 sites in United States.
Trial summary
The purpose of this study is to evaluate efficacy and safety of ASP8232 in subjects with diabetic macular edema (DME). This study will evaluate the percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence Tomography (SD-OCT) for ASP8232… Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Diabetes Mellitus, Diabetic Macular Edema
- What is being tested?
- ASP8232 and ranibizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 96 participants
- Where
- 21 sitesUnited States
- Study dates
- 12 Jan 2015to 12 Aug 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject must have a documented diagnosis of type 1 or type 2 diabetes mellitus and a glycosylated hemoglobin A1c (HbA1c) of ≤ 12.0% at Screening
- Subject has definite retinal thickening due to diffuse diabetic macular edema (DME) involving the central macula based on evaluating investigator's clinical evaluation and demonstrated by spectral domain-optical coherence tomography (SD-OCT)
- Subject has central subfield thickness (CST) of at least 375 μm by SD-OCT with presence of intraretinal and/or subretinal fluid at screening visit and at the randomization visit
- Subject has early treatment diabetic retinopathy study (ETDRS) best corrected visual acuity (BCVA) letter score ≤ 73 (Snellen 20/40) and ≥ 24 (Snellen 20/320) at screening visit
Who cannot join
- Subject's study eye has macular edema considered to be due to a cause other than DME
- Subject's study eye has a decrease in BCVA due to causes other than DME that is likely to be decreasing BCVA by 3 lines or more
- Subject's study eye has significant macular ischemia as shown on angiography
- Subject's study eye has any other ocular disease that may cause substantial reduction in BCVA
- Subject has active peri-ocular or ocular infection
- Subject's study eye has a history of non-infectious uveitis
Show all 19Show fewer
- Subject's study eye has high myopia (-8 diopter or more correction)
- Subject's study eye has a history of prior pars plana vitrectomy
- Subject's study eye has a history of any ocular surgery within 3 months prior to Day 1
- Subject's study eye has a history of YAG capsulotomy within 3 months prior to Day 1
- Subject's study eye has a history of panretinal scatter photocoagulation (PRP) or focal laser within 3 months prior to Day 1 or anticipated need for PRP during the course of the study through the Week 12 visit
- Subject's study eye has a history of prior IVT, subtenon, or periocular, non-sustained release, steroid therapy within 3 months prior to Day 1
- Subject's study eye has a history of intravitreal sustained release dexamethasone therapy within 6 months prior to Day 1.
- Subject's study eye has a history of intravitreal sustained release fluocinolone within 3 years prior to Day 1.
- Subject's study eye has a history of prior treatment for DME with IVT anti-vascular endothelial growth factor (VEGF) treatment within 8 weeks prior to Day 1
- Subject has a history of prior treatment with any other (than previously listed) approved treatment which is not labeled for DME within 1 year prior to Day 1
- Subject's study eye has high-risk proliferative diabetic retinopathy (PDR)
- Subject has uncontrolled glaucoma
- Subject has media clarity, papillary constriction (i.e., senile miosis), or subject lacks cooperation that would interfere with any study procedures, evaluations or interpretation of data
Trial locations and contacts
21 sites in 1 country.
21 sites in 1 country
United States21 sites
Site US10010
Abilene, Texas, 79606
Site US10006
Arcadia, California, 91007
Site US10036
Augusta, Georgia, 30909
Site US10015
Austin, Texas, 78705
Site US10004
Beverly Hills, California, 90211
Site US10002
Boston, Massachusetts, 02114
Site US10017
Charlottesville, Virginia, 22903
Site US10029
Golden, Colorado, 80401
Site US10013
Houston, Texas, 77030
Site US10030
McAllen, Texas, 78503
Site US10016
Miami, Florida, 33126
Site US10012
Nashville, Tennessee, 37203
Site US10001
Omaha, Nebraska, 985540
Site US10007
Palm Desert, California, 92260
Site US10021
Phoenix, Arizona, 85104
Site US10027
Reno, Nevada, 89511
Site US10011
Sacramento, California, 95819
Site US10009
San Antonio, Texas, 78240-1502
Site US10031
Santa Ana, California, 92705
Site US10025
Tucson, Arizona, 85704
Site US10005
Winter Haven, Florida, 33880
About this study
Official title: A Phase 2, Double-Masked, Randomized, Active Controlled Study to Evaluate the Efficacy and Safety of ASP8232 in Reducing Central Retinal Thickness in Subjects With Diabetic Macular Edema
The purpose of this study is to evaluate efficacy and safety of ASP8232 in subjects with diabetic macular edema (DME). This study will evaluate the percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence Tomography (SD-OCT) for ASP8232 monotherapy at Month 3.
- Conditions
- Diabetes Mellitus, Diabetic Macular Edema
- Being tested
- ASP8232, ranibizumab, Placebo, Sham intravitreal (IVT) injection
- Keywords
- ASP8232, Diabetes Mellitus, ranibizumab, Diabetic Macular Edema
- Medical subject headings
- Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ASP8232Drug
oral capsule
ranibizumabDrug
Also called Lucentis
intravitreal (IVT) injection
PlaceboDrug
oral capsule
Sham intravitreal (IVT) injectionOther
intravitreal (IVT) injection
| Study group | Role | What they receive |
|---|---|---|
| ASP8232 + sham intravitreal (IVT) injections | Experimental | ASP8232 will be given orally once daily and sham injections 3 times with 1 month intervals Receives: Drug: ASP8232; Other: Sham intravitreal (IVT) injection |
| ASP8232 + ranibizumab intravitreal (IVT) injections | Experimental | ASP8232 will be given orally once daily and ranibizumab injections 3 times with 1 month intervals Receives: Drug: ASP8232; Drug: ranibizumab |
| Placebo + ranibizumab intravitreal (IVT) injections | Active comparator | Placebo will be given orally once daily and ranibizumab injections 3 times with 1 month intervals Receives: Drug: ranibizumab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence tomography (SD-OCT) at Month 3
Measured: Baseline and Month 3
Secondary outcomes (3)
Absolute change from baseline in CST in the study eye as assessed by SD-OCT at Month 3
Measured: Baseline and Month 3
Change from baseline in early treatment diabetic retinopathy study (ETDRS) best corrected visual acuity (BCVA) score in the study eye at Month 3
Measured: Baseline and Month 3
Absolute and percent change from baseline in excess CST in the study eye as assessed by SD-OCT at Months 1 and 2
Measured: Baseline and Months 1, 2
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Nov 2014 (estimated)
- Study start12 Jan 2015
- Primary completion12 Aug 2016
- Study completion12 Aug 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- 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
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Europe B.V.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Medical Lead, Study director, Astellas Pharma Europe B.V.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02302079
- Sponsor's protocol ID
- 8232-CL-3001
- Acronym
- VIDI
- Status last verified
- Oct 2024
- First submitted
- 24 Nov 2014
- Last updated
- 31 Oct 2024
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Publications
Nguyen QD, Sepah YJ, Berger B, Brown D, Do DV, Garcia-Hernandez A, Patel S, Rahhal FM, Shildkrot Y, Renfurm RW; VIDI Research Group. Primary outcomes of the VIDI study: phase 2, double-masked, randomized, active-controlled study of ASP8232 for diabetic macular edema. Int J Retina Vitreous. 2019 Aug 1;5:28. doi: 10.1186/s40942-019-0178-7. eCollection 2019.
PubMed 31388454
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Double-Masked, Randomized, Active Controlled Study to Evaluate the Efficacy and Safety of ASP8232 in Reducing Central Retinal Thickness in Subjects With Diabetic Macular Edema
- ClinicalTrials.gov ID
- NCT02302079
- Acronym / sponsor ID
- VIDI / 8232-CL-3001
- Conditions
- Diabetes Mellitus, Diabetic Macular Edema
- Keywords
- ASP8232, Diabetes Mellitus, ranibizumab, Diabetic Macular Edema
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Astellas Pharma Europe B.V.Industry (pharma, biotech, devices)
- Study start
- 12 Jan 2015 (actual)
- Primary completion
- 12 Aug 2016 (actual)
- Study completion
- 12 Aug 2016 (actual)
- First posted
- 26 Nov 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate efficacy and safety of ASP8232 in subjects with diabetic macular edema (DME). This study will evaluate the percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence Tomography (SD-OCT) for ASP8232 monotherapy at Month 3.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ASP8232 + sham intravitreal (IVT) injections | Experimental | Drug: ASP8232, Other: Sham intravitreal (IVT) injectionASP8232 will be given orally once daily and sham injections 3 times with 1 month intervals |
| ASP8232 + ranibizumab intravitreal (IVT) injections | Experimental | Drug: ASP8232, Drug: ranibizumabASP8232 will be given orally once daily and ranibizumab injections 3 times with 1 month intervals |
| Placebo + ranibizumab intravitreal (IVT) injections | Active comparator | Drug: ranibizumab, Drug: PlaceboPlacebo will be given orally once daily and ranibizumab injections 3 times with 1 month intervals |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Subject must have a documented diagnosis of type 1 or type 2 diabetes mellitus and a glycosylated hemoglobin A1c (HbA1c) of ≤ 12.0% at Screening
- Subject has definite retinal thickening due to diffuse diabetic macular edema (DME) involving the central macula based on evaluating investigator's clinical evaluation and demonstrated by spectral domain-optical coherence tomography (SD-OCT)
- Subject has central subfield thickness (CST) of at least 375 μm by SD-OCT with presence of intraretinal and/or subretinal fluid at screening visit and at the randomization visit
- Subject has early treatment diabetic retinopathy study (ETDRS) best corrected visual acuity (BCVA) letter score ≤ 73 (Snellen 20/40) and ≥ 24 (Snellen 20/320) at screening visit
Key exclusion criteria (19 listed)
- Subject's study eye has macular edema considered to be due to a cause other than DME
- Subject's study eye has a decrease in BCVA due to causes other than DME that is likely to be decreasing BCVA by 3 lines or more
- Subject's study eye has significant macular ischemia as shown on angiography
- Subject's study eye has any other ocular disease that may cause substantial reduction in BCVA
- Subject has active peri-ocular or ocular infection
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 |
|---|---|---|
| ASP8232oral capsule | Drug | ASP8232 + ranibizumab intravitreal (IVT) injections, ASP8232 + sham intravitreal (IVT) injections |
| ranibizumabAlso: Lucentisintravitreal (IVT) injection | Drug | ASP8232 + ranibizumab intravitreal (IVT) injections, Placebo + ranibizumab intravitreal (IVT) injections |
| Placebooral capsule | Drug | Placebo + ranibizumab intravitreal (IVT) injections |
| Sham intravitreal (IVT) injectionintravitreal (IVT) injection | Other | ASP8232 + sham intravitreal (IVT) injections |
Primary outcome
Percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence tomography (SD-OCT) at Month 3
Time frame: Baseline and Month 3
3 secondary outcomes
Absolute change from baseline in CST in the study eye as assessed by SD-OCT at Month 3
Time frame: Baseline and Month 3
Change from baseline in early treatment diabetic retinopathy study (ETDRS) best corrected visual acuity (BCVA) score in the study eye at Month 3
Time frame: Baseline and Month 3
Absolute and percent change from baseline in excess CST in the study eye as assessed by SD-OCT at Months 1 and 2
Time frame: Baseline and Months 1, 2
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2024.
- Derived from this study: PubMed 31388454Nguyen QD, Sepah YJ, Berger B, Brown D, Do DV, Garcia-Hernandez A, Patel S, Rahhal FM, Shildkrot Y, Renfurm RW; VIDI Research Group. Primary outcomes of the VIDI study: phase 2, double-masked, randomized, active-controlled study of ASP8232 for diabetic macular edema. Int J Retina Vitreous. 2019 Aug 1;5:28. doi: 10.1186/s40942-019-0178-7. eCollection 2019.
- Individual participant dataSharing planned: Yes. Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
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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.
Global Medical Lead study director
Astellas Pharma Europe B.V.
21 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 ASP8232 and ranibizumab in people with Diabetes Mellitus and Diabetic Macular Edema, run by Astellas Pharma Europe B.V. at 21 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 4 inclusion and 19 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 31 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 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. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Percent change from baseline in excess central subfield thickness (CST) in the study eye as assessed by spectral domain-optical coherence tomography (SD-OCT) at Month 3 (time frame: Baseline and Month 3). 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 NCT02302079, which also lists 1 linked publication.
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 31 Oct 2024.