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.
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
Show all 10Show fewer
- ≤ 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.
Show all 22Show fewer
- 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
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).
- Conditions
- Diabetic Macular Edema
- 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 group | Role | What they receive |
|---|---|---|
| Luminate 1.0mg group | Active comparator | Stage 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 group | Active comparator | Stage 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 group | Active comparator | Stage 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® group | Active comparator | Stage 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 injection | Active comparator | Stage 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 injection | Active comparator | Stage 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 IVT | Active comparator | Stage 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 IVT | Active comparator | Stage 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 IVT | Active comparator | Stage 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.
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.
- First posted28 Jan 2015 (estimated)
- Study start13 Oct 2014
- Primary completion16 May 2017
- Study completion13 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 Diabetic Macular EdemaStudies 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
- 218 participants (actual)
Sponsor and investigators
- Lead sponsor
- Allegro Ophthalmics, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Trial Runners, LLC, Duke University
- Responsible party
- Sponsor
- Investigators
- Vicken Karageozian, Study director, Cheif Medical Officer
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 7 Dec 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT02348918
- Acronym / sponsor ID
- DME 202B
- Conditions
- Diabetic Macular Edema
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 218 participants (actual)
- Lead sponsor
- Allegro Ophthalmics, LLCIndustry (pharma, biotech, devices)
- Collaborators
- Trial Runners, LLC, Duke University
- Study start
- 13 Oct 2014 (actual)
- Primary completion
- 16 May 2017 (actual)
- Study completion
- 13 Jun 2017 (actual)
- First posted
- 28 Jan 2015 (estimated)
- Results
- Posted 7 Dec 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| Luminate 1.0mg group | Active comparator | Drug: Luminate 1.0mgStage 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. |
| Luminate 2.0mg group | Active comparator | Drug: Luminate 2.0mgStage 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. |
| Luminate 3.0mg group | Active comparator | Drug: Luminate 3.0mgStage 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. |
| Avastin® group | Active comparator | Drug: AvastinStage 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. |
| Avastin then Luminate 1.0 mg IVT + sham injection | Active comparator | Drug: Luminate 1.0mg, Drug: AvastinStage 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 |
| Avastin then Luminate 0.5 mg IVT + sham injection | Active comparator | Drug: Avastin, Drug: Luminate 0.5mgStage 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 |
| Sham then Luminate 1.0 mg + Avastin 1.25 mg IVT | Active comparator | Drug: Luminate 1.0mg, Drug: AvastinStage 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 |
| Sham then Luminate 0.5 mg IVT + Avastin 1.25 mg IVT | Active comparator | Drug: Avastin, Drug: Luminate 0.5mgStage 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 |
| Avastin 1.25 mg + Sham IVT | Active comparator | Drug: Luminate 0.5mgStage 2 : Week 0 (Baseline): Sham IVT Weeks 1, 4 and 8: Avastin 1.25 mg + Sham IVT Weeks 12 and 16: Avastin PRN |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- 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.
Key exclusion criteria (22 listed)
- 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.
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 |
|---|---|---|
| Luminate 1.0mgAlso: ALG-1001 | Drug | Avastin then Luminate 1.0 mg IVT + sham injection, Luminate 1.0mg group, Sham then Luminate 1.0 mg + Avastin 1.25 mg IVT |
| Luminate 2.0mgAlso: ALG-1001 | Drug | Luminate 2.0mg group |
| Luminate 3.0mgAlso: ALG-1001 | Drug | Luminate 3.0mg group |
| AvastinAlso: bevacizumab | Drug | Avastin then Luminate 0.5 mg IVT + sham injection, Avastin then Luminate 1.0 mg IVT + sham injection, Avastin® group, Sham then Luminate 0.5 mg IVT + Avastin 1.25 mg IVT, Sham then Luminate 1.0 mg + Avastin 1.25 mg IVT |
| Luminate 0.5mgAlso: ALG-1001 | Drug | Avastin 1.25 mg + Sham IVT, Avastin then Luminate 0.5 mg IVT + sham injection, Sham then Luminate 0.5 mg IVT + Avastin 1.25 mg IVT |
Primary outcome
Change in BCVA at Week 24
Time frame: Value of 24 Weeks minus baseline value
Primary efficacy outcome is BCVA changes at Week 24 as compared to baseline
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Dec 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Vicken Karageozian study director
Cheif Medical Officer
17 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 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.