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Macular DegenerationPhase 4ARIESNCT02581891

Managing Neovascular (Known as "Wet") Age-related Macular Degeneration Over 2 Years Using Different Treatment Schedules of 2 mg Intravitreal Aflibercept Injected in the Eye

A Phase 4 study testing Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321) in people with Macular Degeneration, run by Bayer at 39 sites in 8 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 aims to evaluate the optimal use, efficacy, and safety of a Treat-and-Extend regimen with aflibercept in subjects with nAMD. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Macular Degeneration
What is being tested?
Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
287 participants
Where
39 sitesin 8 countries
Study dates
19 Nov 2015to 26 Apr 2019
Phase
Phase 4
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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥ 50 years of age.
  • Active primary subfoveal CNV lesions secondary to nAMD, including juxtafoveal lesions that affect the fovea as evidenced by FA in the study eye. Patients with polypoidal choroidal vasculopathy or retinal angiomatous proliferation are eligible to participate in the study, and their condition should be captured in the eCRF.
  • ETDRS BCVA of 73 to 25 letters (20/40 to 20/320 Snellen equivalent) in the study eye.
  • The area of CNV must occupy at least 50% of the total lesion.

Who cannot join

  • Any prior ocular (in the study eye) or systemic treatment or surgery for nAMD, except dietary supplements or vitamins.
  • Any prior or concomitant therapy with another investigational agent to treat nAMD in the study eye.
  • Prior treatment with anti-VEGF agents as follows:
  • Prior treatment with anti-VEGF therapy in the study eye is not allowed
  • Prior treatment with anti-VEGF therapy in the fellow eye with an investigational agent (not approved, e.g. bevacizumab) within the last 3 months before the first dose in the study. Such treatment will also not be allowed during the study. Prior treatment with an approved anti-VEGF therapy in the fellow eye is allowed.
  • Prior systemic anti-VEGF therapy, investigational or approved, within the last 3 months before the first dose in the study, and such treatment will not be allowed during the study.
Show all 11Show fewer
  • Total lesion size >12 disc areas (30.5 mm2, including blood, scars and neovascularization) as assessed by FA in the study eye.
  • Subretinal hemorrhages that are either 50% or more of the total lesion area, or if the blood is under the fovea and is 1 or more disc areas in size in the study eye. (If the blood is under the fovea, then the fovea must be surrounded by 270 degrees by visible CNV).
  • Scar or fibrosis making up >50% of the total lesion in the study eye.
  • Scar, fibrosis, or atrophy involving the center of the fovea in the study eye.
  • Presence of retinal pigment epithelial tears or rips involving the macula in the study eye.

Trial locations and contacts

39 sites in 8 countries.

39 sites in 8 countries

Hungary9 sites
  • Study site

    Budapest, 1062

  • Study site

    Budapest, 1085

  • Study site

    Budapest, 1106

  • Study site

    Budapest, 1115

  • Study site

    Budapest, 1125

  • Study site

    Budapest, 1133

  • Study site

    Debrecen, 4032

  • Study site

    Pécs, 7621

  • Study site

    Szombathely, 9700

Other trials in Hungary

Germany8 sites
  • Study site

    Berlin, 10713

  • Study site

    Bonn, North Rhine-Westphalia, 53105

  • Study site

    Chemnitz, Saxony, 09116

  • Study site

    Cologne, North Rhine-Westphalia, 50924

  • Study site

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • Study site

    Hanover, Lower Saxony, 30625

  • Study site

    Sulzbach, Saarland, 66280

  • Study site

    Tübingen, Baden-Wurttemberg, 72076

Other trials in Germany

Australia5 sites
  • Study site

    East Melbourne, Victoria, 3002

  • Study site

    Launceston, 7249

  • Study site

    Strathfield, New South Wales, 2135

  • Study site

    Sydney, New South Wales, 2000

  • Study site

    Westmead, New South Wales, 2145

Other trials in Australia

United Kingdom5 sites
  • Study site

    Bristol, BS12LX

  • Study site

    Canterbury, Kent, CT1 3NG

  • Study site

    Liverpool, L7 8XP

  • Study site

    London, EC1V2PD

  • Study site

    Oxford, OX3 9DU

Other trials in United Kingdom

Italy4 sites
  • Study site

    Milan, Lombardy, 20132

  • Study site

    Milan, Lombardy, 20157

  • Study site

    Padova, Veneto, 35128

  • Study site

    Rome, Lazio, 00198

Other trials in Italy

Canada3 sites
  • Study site

    Boisbriand, Quebec, J7H1S6

  • Study site

    Hamilton, Ontario, L8G 5E4

  • Study site

    Ottawa, Ontario, K2B7E9

Other trials in Canada

Spain3 sites
  • Study site

    Madrid

  • Study site

    Oviedo, Principality of Asturias, 33012

  • Study site

    Zaragoza, 50009

Other trials in Spain

France2 sites
  • Study site

    Créteil, 94010

  • Study site

    Nice, 06006

Other trials in France

About this study

Official title: Managing Neovascular Age-related Macular Degeneration (nAMD) Over 2 Years With a Treat and Extend (T&E) Regimen of 2 mg Intravitreal Aflibercept - a Randomized, Open-label, Active-controlled, Parallel-group Phase IV/IIIb Study (ARIES)

This study aims to evaluate the optimal use, efficacy, and safety of a Treat-and-Extend regimen with aflibercept in subjects with nAMD.

Read the detailed description

The T\&E dosing regimen for nAMD has emerged as a preferred regimen for many treating physicians aiming at maximizing outcomes by proactively treating the subject at each visit and by extending the treatment interval (if extension criteria are met), thus limiting visits, monitoring, and injections.

To this day, there is limited evidence available addressing the question of what are useful intervals for treating and monitoring, how do they differ among subjects, and how are retreatment criteria applied to achieve long-term desirable outcomes in real-life practice. This study is designed to evaluate the optimal use, efficacy, and safety of the T\&E regimen with intravitreal aflibercept in subjects with nAMD.

Being tested
Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)
Keywords
Neovascular age-related macular degeneration, nAMD)
Medical subject headings
Macular Degeneration

What participants receive

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

  • Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)Drug

    3 monthly doses followed by individualized treatment intervals of between 8 to16 weeks based on protocol-defined anatomical criteria

  • Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)Drug

    3 monthly doses followed by five 8-weekly doses (5 x 2Q8), then by individualized treatment intervals of between 8 to 16 weeks based on protocol-defined anatomical criteria

Study groups in NCT02581891
Study groupRoleWhat they receive
Early-start T&E / Arm 1ExperimentalEarly-start T\&E arm: test group, early treatment individualization
Receives: Drug: Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)
Late-start T&E / Arm 2Active comparatorLate-start T\&E arm; per label, control group, treatment individualization after Year 1
Receives: Drug: Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321)

What is being measured

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

  1. Change in BCVA as Measured by the ETDRS Letter Score

    BCVA (best corrected visual acuity) was measured by the ETDRS (Early Treatment Diabetic Retinopathy Study) letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye at 4 meters; a higher score represents better functioning.

    Measured: From Week 16 to Week 104

Secondary outcomes (8)
  1. Percentage of Participants Maintaining Vision (<3 Lines Loss) at Week 104 Compared With Baseline

    Participants maintained 3 lines (15 letters) vision loss in BCVA (Best-corrected visual acuity) as measured by the ETDRS (Early Treatment Diabetic Retinopathy Study) letter.

    Measured: at Week 104

  2. Change in BCVA From Baseline to Week 52, Baseline to Week 104, and Week 16 to Week 52

    BCVA (best corrected visual acuity) was measured by the ETDRS (Early Treatment Diabetic Retinopathy Study) letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye at 4 meters; a higher score represents better functioning.

    Measured: from baseline to Week 52, baseline to Week 104, and Week 16 to Week 52

  3. Percentage of Participants Maintaining Vision (<3 Lines Loss) at Week 52 Compared With Baseline

    Participants maintained 3 lines (15 letters) vision loss in BCVA (Best-corrected visual acuity) as measured by the ETDRS (Early Treatment Diabetic Retinopathy Study) letter.

    Measured: At week 52

  4. Percentage of Participants Gained 3-line at Week 52 and Week 104 Compared With Baseline

    Participants gained 3 lines (15 letters) in BCVA (Best-corrected visual acuity) as measured by the ETDRS (Early Treatment Diabetic Retinopathy Study) letter.

    Measured: At Week 52 and Week 104

  5. Change in Central Retinal Thickness (CRT)

    CRT were evaluated using spectral domain Optical coherence tomograph (OCT).

    Measured: From baseline to Week 52, baseline to Week 104, Week 16 to Week 52, and Week 16 to Week 104

  6. Number of Study Drug Injections From Baseline to Week 52 and Baseline to Week 104

    Measured: At Week 52 and Week 104

  7. Duration of Last Treatment Interval

    Measured: Early-Start T&E: from week 16 up to Week 104 or early termination; Late-Start T&E: From end of Year 1 up to Week 104 or early termination

  8. Percentage of Participants Requiring Retreatment at 8 Weeks, 10 Weeks, 12 Weeks, 14 Weeks, and 16 Weeks as the Last Treatment Interval

    Measured: at 8 weeks, 10 weeks, 12 weeks, 14 weeks, and 16 weeks

Timeline

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

  1. First posted21 Oct 2015 (estimated)
  2. Study start19 Nov 2015
  3. Primary completion26 Apr 2019
  4. Study completion26 Apr 2019

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
287 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02581891
Sponsor's protocol ID
17508
Other IDs
2014-003132-39, 2014
Acronym
ARIES
Status last verified
Nov 2023
First submitted
20 Oct 2015
Last updated
8 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Wolf S, Holz FG, Midena E, Souied EH, Lambrou G, Machewitz T, Allmeier H, Mitchell P; ARIES Study Investigators. Patients with Neovascular Age-Related Macular Degeneration Requiring Intensive Intravitreal Aflibercept Treatment: An ARIES Post Hoc Analysis. Ophthalmol Ther. 2022 Oct;11(5):1793-1803. doi: 10.1007/s40123-022-00541-8. Epub 2022 Jul 12.

    PubMed 35821380
  • Chaudhary V, Holz FG, Wolf S, Midena E, Souied EH, Allmeier H, Lambrou G, Machewitz T, Mitchell P; ARIES study investigators. Association Between Visual Acuity and Fluid Compartments with Treat-and-Extend Intravitreal Aflibercept in Neovascular Age-Related Macular Degeneration: An ARIES Post Hoc Analysis. Ophthalmol Ther. 2022 Jun;11(3):1119-1130. doi: 10.1007/s40123-022-00491-1. Epub 2022 Mar 18.

    PubMed 35303285
  • Tuerksever C, Somfai GM, Oesch S, Machewitz T, Hasler PW, Zweifel S. Hypothetical Switch of Anti-Vascular Endothelial Growth Factor in Neovascular Age-Related Macular Degeneration: An ARIES Post Hoc Analysis. Ophthalmol Ther. 2022 Apr;11(2):613-627. doi: 10.1007/s40123-021-00448-w. Epub 2022 Jan 23.

    PubMed 35066801
  • Krieger N, Chen JT, Testa C, Diez Roux A, Tilling K, Watkins S, Simpkin AJ, Suderman M, Davey Smith G, De Vivo I, Waterman PD, Relton C. Use of Correct and Incorrect Methods of Accounting for Age in Studies of Epigenetic Accelerated Aging: Implications and Recommendations for Best Practices. Am J Epidemiol. 2023 May 5;192(5):800-811. doi: 10.1093/aje/kwad025.

    PubMed 36721372
  • Mitchell P, Holz FG, Hykin P, Midena E, Souied E, Allmeier H, Lambrou G, Schmelter T, Wolf S; ARIES study investigators. EFFICACY AND SAFETY OF INTRAVITREAL AFLIBERCEPT USING A TREAT-AND-EXTEND REGIMEN FOR NEOVASCULAR AGE-RELATED MACULAR DEGENERATION: The ARIES Study: A Randomized Clinical Trial. Retina. 2021 Sep 1;41(9):1911-1920. doi: 10.1097/IAE.0000000000003128.

    PubMed 33782365

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Eylea (Intravitreal Aflibercept, VEGF Trap-Eye, BAY86-5321) in people with Macular Degeneration, run by Bayer at 39 sites in 8 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 4 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 8 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in Hungary, Germany, Australia, United Kingdom, Italy and 3 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 21 May 2020). 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 as Measured by the ETDRS Letter Score (time frame: From Week 16 to Week 104). 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 NCT02581891, which also lists 5 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 8 Nov 2023.

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