Neovascular Age-Related Macular DegenerationPhase 2ONYXNCT02713204
Anti-angiOpoeitin 2 Plus Anti-vascular eNdothelial Growth Factor as a therapY for Neovascular Age Related Macular Degeneration: Evaluation of a fiXed Combination Intravitreal Injection
A Phase 2 study testing REGN910-3 and Intravitreal Aflibercept Injection (IAI) in people with Neovascular Age-Related Macular Degeneration, run by Regeneron Pharmaceuticals at 87 sites in United States.
Trial summary
The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI). Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Neovascular Age-Related Macular Degeneration
- What is being tested?
- REGN910-3 and Intravitreal Aflibercept Injection (IAI)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 365 participants
- Where
- 87 sitesUnited States
- Study dates
- 31 Mar 2016to 3 Oct 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 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men or women ≥50 years of age with active subfoveal CNV secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by FA in the study eye as assessed by a central reading center
- BCVA ETDRS letter score of 73 to 24 (Snellen equivalent of 20/40 to 20/320) in the study eye.
- Willing and able to comply with clinic visits and study-related procedures.
- Provide signed informed consent.
Who cannot join
- Evidence of CNV due to any cause other than AMD in either eye
- Prior IVT anti-VEGF in the study eye
- Evidence of DME or diabetic retinopathy (defined as more than 1 microaneurysm) in either eye in diabetic patients
- Any history of macular hole of stage 2 and above in the study eye
Trial locations and contacts
87 sites in 1 country.
87 sites in 1 country
United States87 sites
Regeneron Investigational Site
‘Aiea, Hawaii
Regeneron Investigational Site
Abilene, Texas
Regeneron Investigational Site
Albany, New York
Regeneron Investigational Site
Albuquerque, New Mexico
Regeneron Investigational Site
Altamonte Springs, Florida
Regeneron Investigational Site
Arcadia, California
Regeneron Investigational Site
Asheville, North Carolina
Regeneron Investigational Site
Augusta, Georgia
Regeneron Investigational Site 1
Austin, Texas
Regeneron Investigational Site 2
Austin, Texas
Regeneron Investigational Site
Bakersfield, California
Regeneron Investigational Site 1
Baltimore, Maryland
Regeneron Investigational Site 2
Baltimore, Maryland
Regeneron Investigational Site
Beverly Hills, California
Regeneron Investigational Site
Bloomfield, New York
Regeneron Investigational Site 1
Boston, Massachusetts
Regeneron Investigational Site 2
Boston, Massachusetts
Regeneron Investigational Site
Camp Hill, Pennsylvania
Regeneron Investigational Site
Charlotte, North Carolina
Regeneron Investigational Site
Chevy Chase, Maryland
Regeneron Investigational Site 1
Chicago, Illinois
Regeneron Investigational Site 2
Chicago, Illinois
Regeneron Investigational Site
Cleveland, Ohio
Regeneron Investigational Site
Dallas, Texas
Regeneron Investigational Site
Decatur, Georgia
Regeneron Investigational Site
Des Moines, Iowa
Regeneron Investigational Site
Dublin, Ohio
Regeneron Investigational Site
Durham, North Carolina
Regeneron Investigational Site
Edison, New Jersey
Regeneron Investigational Site
Encino, California
Regeneron Investigational Site
Fort Lauderdale, Florida
Regeneron Investigational Site 1
Fort Worth, Texas
Regeneron Investigational Site 2
Fort Worth, Texas
Regeneron Investigational Site
Germantown, Tennessee
Regeneron Investigational Site
Great Neck, New York
Regeneron Investigational Site
Harlingen, Texas
Regeneron Investigational Site
Hauppauge, New York
Regeneron Investigational Site
Houston, Texas
Regeneron Investigational Site
Huntingdon, Pennsylvania
Regeneron Investigational Site
Jackson, Michigan
Regeneron Investigational Site
Knoxville, Tennessee
Regeneron Investigational Site
Ladson, South Carolina
Regeneron Investigational Site
Lakeland, Florida
Regeneron Investigational Site
Largo, Florida
Regeneron Investigational Site
Las Vegas, Nevada
Regeneron Investigational Site
Lemont, Illinois
Regeneron Investigational Site 1
Los Angeles, California
Regeneron Investigational Site 2
Los Angeles, California
Regeneron Investigational Site
Madison, Wisconsin
Regeneron Investigational Site
Metairie, Louisiana
Regeneron Investigational Site
Miami, Florida
Regeneron Investigational Site
Minneapolis, Minnesota
Regeneron Investigational Site
Mobile, Alabama
Regeneron Investigational Site
Mountain View, California
Regeneron Investigational Site
Naples, Florida
Regeneron Investigational Site
Nashville, Tennessee
Regeneron Investigational Site
New Albany, Indiana
Regeneron Investigational Site
New London, Connecticut
Regeneron Investigational Site
Oak Forest, Illinois
Regeneron Investigational Site
Oak Park, Illinois
Regeneron Investigational Site
Oceanside, California
Regeneron Investigational Site
Palm Beach, Florida
Regeneron Investigational Site 1
Palm Desert, California
Regeneron Investigational Site 2
Palm Desert, California
Regeneron Investigational Site
Palo Alto, California
Regeneron Investigational Site 1
Phoenix, Arizona
Regeneron Investigational Site 2
Phoenix, Arizona
Regeneron Investigational Site 3
Phoenix, Arizona
Regeneron Investigational Site
Portland, Oregon
Regeneron Investigational Site
Portsmouth, New Hampshire
Regeneron Investigational Site
Poway, California
Regeneron Investigational Site
Rapid City, South Dakota
Regeneron Investigational Site
Redlands, California
Regeneron Investigational Site
Rochester, New York
Regeneron Investigational Site
Sacramento, California
Regeneron Investigational Site
Salt Lake City, Utah
Regeneron Investigational Site
Santa Maria, California
Regeneron Investigational Site
St Louis, Missouri
Regeneron Investigational Site
Syracuse, New York
Regeneron Investigational Site
Tallahassee, Florida
Regeneron Investigational Site
Teaneck, New Jersey
Regeneron Investigational Site
The Woodlands, Texas
Regeneron Investigational Site 1
Tucson, Arizona
Regeneron Investigational Site 2
Tucson, Arizona
Regeneron Investigational Site
Urbana, Illinois
Regeneron Investigational Site
Willow Park, Texas
Regeneron Investigational Site
Winter Haven, Florida
About this study
Official title: A Randomized, Double-Masked, Active-Controlled Phase 2 Study of the Efficacy, Safety, and Tolerability of Repeated Doses of Intravitreal REGN910-3 in Patients With Neovascular Age-Related Macular Degeneration
The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI).
- Being tested
- REGN910-3, Intravitreal Aflibercept Injection (IAI)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
REGN910-3Drug
Intravitreal Aflibercept Injection (IAI)Drug
Also called EYLEA® (aflibercept) Injection, BAY86-5321
| Study group | Role | What they receive |
|---|---|---|
| REGN910-3 (3 mg: 2 mg) | Experimental | Participants were administered intravitreal injection of REGN910-3 (3 milligram [mg]:2 mg) every 4 weeks (Q4) on Day 1, Week 4, and Week 8 for 3 initial doses followed by every Week 8 (Q8) dosing beginning at Week 16 up to Week 32. Receives: Drug: REGN910-3 |
| REGN910-3 (6 mg:2 mg) | Experimental | Participants were administered intravitreal injection of REGN910-3 (6 mg:2 mg) Q4 on Day 1, Week 4 and Week 8 for 3 initial doses. At Week 12, participants were re-randomized to receive REGN910-3 (6 mg:2 mg) Q8 or Q12 (beginning at Week 16 or Week 20) through Week 32. Receives: Drug: REGN910-3 |
| Aflibercept (IAI) 2 mg | Experimental | Participants were administered intravitreal injection of Aflibercept (IAI) 2 mg Q4 on Day 1, Week 4 and Week 8 for 3 initial doses up to Week 12. At Week 12, participants were re-randomized to receive IAI Q8 or Q12 (beginning at Week 16 or 20) or REGN910-3 (6 mg:2 mg) Q8 beginning at Week 16 through Week 32. Receives: Drug: REGN910-3; Drug: Intravitreal Aflibercept Injection (IAI) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. Best Corrected Visual Acuity (BCVA) score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 12.
Measured: At Week 12
Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 36
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 36.
Measured: At Week 36
Secondary outcomes (6)
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 12
Central Sub-field Retinal Thickness (CST) was assessed using Spectral Domain Optical Coherence Tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from last observation carried forward (LOCF) post-baseline value at Week 12.
Measured: At Week 12
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 36
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 36.
Measured: At Week 36
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12
Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm^2); lower values represent better outcomes.
Measured: At Week 12
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 36
Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm^2); lower values represent better outcomes.
Measured: At Week 36
Change From Baseline in Total Lesion Area at Week 12
Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm^2); lower values represent better outcomes.
Measured: At Week 12
Change From Baseline in Total Lesion Area at Week 36
Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm^2); lower values represent better outcomes.
Measured: At Week 36
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2016 (estimated)
- Study start31 Mar 2016
- Primary completion3 Oct 2017
- Study completion3 Oct 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 Neovascular Age-Related Macular DegenerationStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 365 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02713204
- Sponsor's protocol ID
- R910-3-AMD-1517
- Acronym
- ONYX
- Status last verified
- Apr 2019
- First submitted
- 14 Mar 2016
- Last updated
- 7 May 2019
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Masked, Active-Controlled Phase 2 Study of the Efficacy, Safety, and Tolerability of Repeated Doses of Intravitreal REGN910-3 in Patients With Neovascular Age-Related Macular Degeneration
- ClinicalTrials.gov ID
- NCT02713204
- Acronym / sponsor ID
- ONYX / R910-3-AMD-1517
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 365 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 31 Mar 2016 (actual)
- Primary completion
- 3 Oct 2017 (actual)
- Study completion
- 3 Oct 2017 (actual)
- First posted
- 18 Mar 2016 (estimated)
- Results
- Posted 7 May 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| REGN910-3 (3 mg: 2 mg) | Experimental | Drug: REGN910-3Participants were administered intravitreal injection of REGN910-3 (3 milligram [mg]:2 mg) every 4 weeks (Q4) on Day 1, Week 4, and Week 8 for 3 initial doses followed by every Week 8 (Q8) dosing beginning at Week 16 up to Week 32. |
| REGN910-3 (6 mg:2 mg) | Experimental | Drug: REGN910-3Participants were administered intravitreal injection of REGN910-3 (6 mg:2 mg) Q4 on Day 1, Week 4 and Week 8 for 3 initial doses. At Week 12, participants were re-randomized to receive REGN910-3 (6 mg:2 mg) Q8 or Q12 (beginning at Week 16 or Week 20) through Week 32. |
| Aflibercept (IAI) 2 mg | Experimental | Drug: REGN910-3, Drug: Intravitreal Aflibercept Injection (IAI)Participants were administered intravitreal injection of Aflibercept (IAI) 2 mg Q4 on Day 1, Week 4 and Week 8 for 3 initial doses up to Week 12. At Week 12, participants were re-randomized to receive IAI Q8 or Q12 (beginning at Week 16 or 20) or REGN910-3 (6 mg:2 mg) Q8 beginning at Week 16 through Week 32. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Men or women ≥50 years of age with active subfoveal CNV secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by FA in the study eye as assessed by a central reading center
- BCVA ETDRS letter score of 73 to 24 (Snellen equivalent of 20/40 to 20/320) in the study eye.
- Willing and able to comply with clinic visits and study-related procedures.
- Provide signed informed consent.
Key exclusion criteria (4 listed)
- Evidence of CNV due to any cause other than AMD in either eye
- Prior IVT anti-VEGF in the study eye
- Evidence of DME or diabetic retinopathy (defined as more than 1 microaneurysm) in either eye in diabetic patients
- Any history of macular hole of stage 2 and above in the study eye
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 |
|---|---|---|
| REGN910-3 | Drug | Aflibercept (IAI) 2 mg, REGN910-3 (3 mg: 2 mg), REGN910-3 (6 mg:2 mg) |
| Intravitreal Aflibercept Injection (IAI)Also: EYLEA® (aflibercept) Injection, BAY86-5321 | Drug | Aflibercept (IAI) 2 mg |
Primary outcome
Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12
Time frame: At Week 12
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. Best Corrected Visual Acuity (BCVA) score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 12.
Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 36
Time frame: At Week 36
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 36.
6 secondary outcomes
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 12
Time frame: At Week 12
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 36
Time frame: At Week 36
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12
Time frame: At Week 12
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 36
Time frame: At Week 36
Change From Baseline in Total Lesion Area at Week 12
Time frame: At Week 12
Change From Baseline in Total Lesion Area at Week 36
Time frame: At Week 36
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2019.
- 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.
Clinical Trial Management study director
Regeneron Pharmaceuticals
87 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 REGN910-3 and Intravitreal Aflibercept Injection (IAI) in people with Neovascular Age-Related Macular Degeneration, run by Regeneron Pharmaceuticals at 87 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 4 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 May 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 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 May 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 Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12 (time frame: At Week 12). The study lists 2 primary outcomes in all. 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 May 2019.