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Diabetic Macular EdemaPhase 2NCT02348918

Phase 2 Randomized Clinical Trial of Luminate® as Compared to Avastin® in the Treatment of Diabetic Macular Edema

A Phase 2 study testing Luminate 1.0mg, Luminate 2.0mg and Luminate 3.0mg in people with Diabetic Macular Edema, run by Allegro Ophthalmics, LLC at 17 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A Phase 2 Multi center, Randomized, Controlled, Double-Masked Clinical Trial Designed To Evaluate The Safety And Exploratory Efficacy Of Luminate® (Alg-1001) As Compared To Avastin® In The Treatment Of Diabetic Macular Edema Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Macular Edema
What is being tested?
Luminate 1.0mg, Luminate 2.0mg and Luminate 3.0mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
218 participants
Where
17 sitesUnited States
Study dates
13 Oct 2014to 13 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, 18 years of age or older.
  • Study eye with clinically significant diabetic macular edema (DME) with central subfield thickness ≥ 350µm on spectral domain OCT
  • Best corrected visual acuity (BCVA) of 20/50 to 20/320 ETDRS equivalent (65 letters to 23 letters) in the study eye, with BCVA decrement primarily attributable to DME.
  • Treatment naïve, i.e., no previous anti-VEGF treatment in the study eye or no anti-VEGF treatment in the 45 days prior to study enrollment.
  • In the investigator's opinion, the subject still has significant intraretinal fluid with room for improvement in both macular edema and BCVA.
  • Intra-Ocular Pressure (IOP) is under control (i.e., IOP
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  • ≤ 25 mm in the study eye) and study eye is not receiving any IOP lowering drops.
  • Willing and able to return for all study visits.
  • Able to meet the extensive post-op evaluation regimen.
  • Understands and signs the informed consent form.

Who cannot join

  • Active proliferative diabetic retinopathy (PDR) in the study eye such as NVE, NVD, vitreous hemorrhage, or neovascular glaucoma.
  • Uncontrolled hypertension defined as systolic >180 mmHg or > 160 mmHg on 2 consecutive measurements or diastolic > 100 mmHg on optimal medical regimen
  • Screening HgA1c blood test > 10.0
  • Focal laser photocoagulation or intravitreal/periocular steroids of any type in the study eye within the last 90 days prior to study enrollment.
  • A history of intravitreal anti-VEGF injection of any type in the study eye within the last 45 days prior to study enrollment.
  • History of rhegmatogenous retinal detachment, retinal tear(s), or traction retinal detachments in the study eye.
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  • Epiretinal membrane and/or vitreomacular traction in the study eye as determined by the central reading center.
  • Previous pars plana vitrectomy in the study eye
  • Any intraocular surgery in the study eye within the last 90 days prior to study enrollment.
  • YAG laser treatment in the study eye in last 30 days prior to study enrollment.
  • High myopia in the study eye, with a spherical equivalent of >8.00D at screening
  • Other ocular pathologies that in the investigator's opinion would interfere with the subject's vision in the study eye.
  • Chronic or recurrent uveitis.
  • Ongoing ocular infection or inflammation in either eye.
  • A history of cataract surgery complications/vitreous loss in the study eye.
  • Congenital eye malformations in the study eye.
  • A history of penetrating ocular trauma in the study eye.
  • Mentally handicapped.
  • Pregnant female, as determined for women less than 60 years old by a positive urine pregnancy test during the screening window.
  • Nursing female.
  • Currently participating in any other clinical research study.
  • Contraindication to the study medication.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • Florida Eye Clinic

    Altamonte Springs, Florida, 32701

  • Austin Retina Associates

    Austin, Texas, 78705

  • Wilmer Eye Institute at John Hopkins University

    Baltimore, Maryland, 21205

  • Retina Vitreous Associates Medical Group

    Beverly Hills, California, 90211

  • Charlotte EENT Associates

    Charlotte, North Carolina, 28210

  • Retina Consultant of Houston

    Houston, Texas, 77098

  • TLC Eye Group

    Jackson, Michigan, 49202

  • Northern California Retina Vitreous Associates

    Mountain View, California, 94040

  • New England Retina Associates

    New London, Connecticut, 06320

  • Retina Specialty Institute

    Pensacola, Florida, 32503

  • Associated Retina Consultants

    Phoenix, Arizona, 85020

  • Black Hills Regional Eye Institute

    Rapid City, South Dakota, 57701

  • West Coast Retina

    San Francisco, California, 94109

  • Orange County Retina Medical Group

    Santa Ana, California, 92705

  • Island Retina

    Shirley, New York, 11967

  • Spokane Eye Clinical Research

    Spokane, Washington, 99204

  • Center for Retina and Macular Disease

    Winter Haven, Florida, 33880

Other trials in United States

About this study

Official title: A Phase 2 Randomized, Controlled, Double-Masked, Multicenter Clinical Trial Designed to Evaluate the Safety and Exploratory Efficacy of Luminate® (ALG-1001) as Compared to Avastin® in the Treatment of Diabetic Macular Edema (DME)

A Phase 2 Multi center, Randomized, Controlled, Double-Masked Clinical Trial Designed To Evaluate The Safety And Exploratory Efficacy Of Luminate® (Alg-1001) As Compared To Avastin® In The Treatment Of Diabetic Macular Edema

Read the detailed description

To evaluate the safety and efficacy of Luminate® (ALG-1001) as compared to Avastin® in patients with diabetic macular edema

  • Stage 1: 120 eligible subjects with DME will be enrolled and randomized to one of 4 treatment groups at an allocation ratio of 1:1:1:1, i.e., one of three doses (1.0 mg, 2.0 mg and 3.0 mg) of Luminate intravitreal injection or Avastin intravitreal injection. Subjects will be followed monthly for 24 weeks (6 months).

Stage 2 (select sites): 75 eligible subjects with DME will be enrolled and randomized to one of 5 treatment groups at an allocation ratio of 1:1:1:1:1; i.e., one of 2 doses of Luminate intravitreal injection or Avastin intravitreal injection (0.5 mg and 1.0 mg). Subjects will be followed monthly for 20 weeks (5 months).

Being tested
Luminate 1.0mg, Luminate 2.0mg, Luminate 3.0mg, Avastin, Luminate 0.5mg

What participants receive

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

  • Luminate 1.0mgDrug

    Also called ALG-1001

  • Luminate 2.0mgDrug

    Also called ALG-1001

  • Luminate 3.0mgDrug

    Also called ALG-1001

  • AvastinDrug

    Also called bevacizumab

  • Luminate 0.5mgDrug

    Also called ALG-1001

Study groups in NCT02348918
Study groupRoleWhat they receive
Luminate 1.0mg groupActive comparatorStage 1- Luminate 1.0 mg intravitreal injection administered at baseline (Day 0), 4 weeks and 8 weeks with prn Luminate injection at week 20 for a total of at least 3 and no more than 4 Luminate injections. Sham injections will be performed at weeks 12 and 16 and may also be performed at week 20 if prn Luminate is not required; sham laser treatment will be administered at baseline and at 16 weeks.
Receives: Drug: Luminate 1.0mg
Luminate 2.0mg groupActive comparatorStage 1 -Luminate 2.0 mg intravitreal injection administered at baseline (Day 0), 4 weeks and 8 weeks with prn Luminate injection at week 20 for a total of at least 3 and no more than 4 Luminate injections. Sham injections will be performed at weeks 12 and 16 and may also be performed at week 20 if prn Luminate is not required; sham laser treatment will be administered at baseline and at 16 weeks.
Receives: Drug: Luminate 2.0mg
Luminate 3.0mg groupActive comparatorStage 1- Luminate 3.0 mg intravitreal injection administered at baseline (Day 0), 4 weeks and 8 weeks with prn Luminate injection at week20 for a total of at least 3 and no more than 4 Luminate injections. Sham injections will be performed at weeks 12 and 16 and may also be performed at week 20 if prn Luminate is not required; sham laser treatment will be administered at baseline and at 16 weeks.
Receives: Drug: Luminate 3.0mg
Avastin® groupActive comparatorStage 1- Avastin 1.25 mg intravitreal injection administered at baseline (Day 0), 4 weeks and 8 weeks with prn Avastin injection at weeks 12, 16, or 20 for a total of at least 3 and up to 6 Avastin injections. Sham injections may be performed at weeks 12, 16, and 20 if prn Avastin is not required.
Receives: Drug: Avastin
Avastin then Luminate 1.0 mg IVT + sham injectionActive comparatorStage 2 - Week 0 (Baseline): Avastin 1.25 mg IVT Weeks 1, 4 and 8: Luminate 1.0 mg IVT + sham injection Weeks 12 and 16: Sham IVT
Receives: Drug: Luminate 1.0mg; Drug: Avastin
Avastin then Luminate 0.5 mg IVT + sham injectionActive comparatorStage 2- Week 0 (Baseline); Avastin 1.25 mg IVT Weeks 1, 4 and 8: Luminate 0.5 mg IVT + sham injection Weeks 12 and 16: Sham IVT
Receives: Drug: Avastin; Drug: Luminate 0.5mg
Sham then Luminate 1.0 mg + Avastin 1.25 mg IVTActive comparatorStage 2 : Week 0 (Baseline): Sham IVT Weeks 1, 4 and 8: Luminate 1.0 mg + Avastin 1.25 mg IVT Weeks 12 and 16: Sham IVT
Receives: Drug: Luminate 1.0mg; Drug: Avastin
Sham then Luminate 0.5 mg IVT + Avastin 1.25 mg IVTActive comparatorStage 2 : Week 0: Sham IVT Weeks 1, 4 and 8: Luminate 0.5 mg IVT + Avastin 1.25 mg IVT Weeks 12 and 16: Sham IVT
Receives: Drug: Avastin; Drug: Luminate 0.5mg
Avastin 1.25 mg + Sham IVTActive comparatorStage 2 : Week 0 (Baseline): Sham IVT Weeks 1, 4 and 8: Avastin 1.25 mg + Sham IVT Weeks 12 and 16: Avastin PRN
Receives: Drug: Luminate 0.5mg

What is being measured

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

  1. Change in BCVA at Week 24

    Primary efficacy outcome is BCVA changes at Week 24 as compared to baseline

    Measured: Value of 24 Weeks minus baseline value

Timeline

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

  1. First posted28 Jan 2015 (estimated)
  2. Study start13 Oct 2014
  3. Primary completion16 May 2017
  4. Study completion13 Jun 2017

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
218 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02348918
Sponsor's protocol ID
DME 202B
Status last verified
Dec 2018
First submitted
12 Jan 2015
Last updated
7 Dec 2018
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Luminate 1.0mg, Luminate 2.0mg and Luminate 3.0mg in people with Diabetic Macular Edema, run by Allegro Ophthalmics, LLC at 17 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 10 inclusion and 22 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 7 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 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?

Yes. Results are posted in the registry (first posted 7 Dec 2018). 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 in BCVA at Week 24 (time frame: Value of 24 Weeks minus baseline value). 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 7 Dec 2018.

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