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Macular EdemaDRAKONCT02850263

A Study to Assess the Effectiveness of Aflibercept in Routine Clinical Practice in Patients With Diabetic Macular Oedema

An observational study of Macular Edema, run by Bayer at 1 site in United Kingdom.

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

Intravitreal aflibercept has been approved for the treatment of visual impairments due to diabetic macular oedema (DMO) in Europe and the US in August 2014 and July 2014 respectively. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Macular Edema
What is being tested?
Eylea (Aflibercept, VEGF Trap-Eye, BAY86-5321) and Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)
How many people
750 participants
Where
1 siteUnited Kingdom
Study dates
5 Jul 2016to 23 Nov 2020
Phase
Observational
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Female and male patients with a diagnosis of diabetic macular oedema with central involvement will be enrolled after the decision for treatment with intravitreal aflibercept has been made.

Who may be able to join

  • Patients aged 18 years or older.
  • Patients diagnosed with type 1 or 2 diabetes mellitus.
  • Patients diagnosed with DMO with central involvement (defined as the area of the centre subfield of OCT) treated with intravitreal aflibercept (in accordance with routine practice).
  • Patients for whom the decision to initiate treatment with intravitreal aflibercept was made as per the investigator's routine treatment practice and prior to study inclusion.
  • Patients must provide written informed consent.

Who cannot join

  • Patients under the age of 18.
  • Patients with contraindications as listed in the SmPC for intravitreal aflibercept.
  • Patients with pre-planned cataract surgery during the observational period.
  • Patients previously treated with intravitreal anti-VEGF within 28 days.
  • Patients currently or previously treated with systemic anti-VEGF.
  • Patients previously treated with intravitreal fluocinolone acetonide steroid.
  • Patients participating in an investigational programme with interventions outside of routine clinical practice.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Study site

    Multiple Locations

Other trials in United Kingdom

About this study

Official title: An Observational Study to Assess the Effectiveness of Intravitreal Aflibercept in Routine Clinical Practice tn Patients With Visual Impairment Due to Diabetic Macular Oedema (DMO)

Intravitreal aflibercept has been approved for the treatment of visual impairments due to diabetic macular oedema (DMO) in Europe and the US in August 2014 and July 2014 respectively.

The main objectives of this observational cohort field study are to evaluate effectiveness of intravitreal aflibercept and to describe follow-up as well as treatment patterns in anti vascular endothelial growth factor (anti-VEGF) treatment naïve patients with DMO in routine clinical practice in the United Kingdom.

Conditions
Macular Edema
Being tested
Eylea (Aflibercept, VEGF Trap-Eye, BAY86-5321), Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)
Keywords
Diabetic Retinopathy, Diabetic Macular Oedema, Diabetic Macular Edema, Aflibercept
Medical subject headings
Macular Edema, Diabetic Retinopathy

What participants receive

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

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

    Anti-VEGF exposure is defined as treatment with intravitreal aflibercept for the treatment of DMO by the patient.according to the prescribing physician.

  • Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)Drug

    Anti-VEGF exposure is defined as treatment with intravitreal aflibercept or another agent [Ophthalmologicals / Antineovascularisation agents (S01LA05)] for the treatment of DMO by the patient.according to the prescribing physician.

  • Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)Drug

    Anti-VEGF exposure is defined as treatment with intravitreal aflibercept or another agent [Ophthalmologicals / Antineovascularisation agents (S01LA05)] for the treatment of DMO by the patient.according to the prescribing physician.

Study groups in NCT02850263
Study groupRoleWhat they receive
Cohort 1 / Anti-VEGF treatment naïve patientsAnti-VEGF treatment of naïve patients (who have not received any previous anti-VEGF treatment) with visual impairment due to diabetic macular oedema (DMO) in routine clinical practice in the United Kingdom.
Receives: Drug: Eylea (Aflibercept, VEGF Trap-Eye, BAY86-5321)
Cohort 2 / Anti-VEGF treatment non-naïve patientsAnti-VEGF treatment of non-naïve patients (who have received previous anti-VEGF treatment) with visual impairment due to diabetic macular oedema (DMO) in routine clinical practice in the UK.
Receives: Drug: Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)
Cohort 3 / Total study populationAnti-VEGF treatment naïve patients and anti-VEGF treatment non-naïve patients with visual impairment due to diabetic macular oedema (DMO) in routine clinical practice in the UK.
Receives: Drug: Anti-VEGF therapies including: Eylea Aflibercept, VEGF Trap-Eye, BAY86-5321) and Ophthalmologicals / Antineovascularisation agents (S01LA05)

What is being measured

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

  1. Change in Best Corrected Visual Acuity (BCVA) in Early Treatment Diabetic Retinopathy Study (ETDRS) letters in patients with DMO treated with intravitreal aflibercept

    BCVA (Best Corrected Visual Acuity): process to measure with the help of a retinoscope, auto-refractor or phoropter how much power is needed to bring the eye to normal, perfectly focused vision) when performed in addition to that at baseline and 12 months. ETDRS Chart: charts imprinted with lines of letters decreasing in size from largest on top to smallest on the bottom to determine visual acuity.

    Measured: Baseline and 12 months

  2. Change in central subfield thickness (CST) as determined by Spectral Domain Optical Coherence Tomography (SD-OCT) in patients with DMO treated with intravitreal aflibercept

    Measured: Baseline and 12 months

Secondary outcomes (21)
  1. Change in Best Corrected Visual Acuity (BCVA) in Early Treatment Diabetic Retinopathy Study (ETDRS) letters in patients with DMO treated with intravitreal aflibercept

    Measured: Baseline and 24 months

  2. Change in central subfield thickness (CST) as determined by Spectral Domain Optical Coherence Tomography (SD-OCT) in patients with DMO treated with intravitreal aflibercept

    Measured: Baseline and 24 months

  3. Change in non-refracted visual acuity in patients with DMO treated with intravitreal aflibercept

    Measured: Baseline, 12 and 24 months

  4. Change in Best Corrected Visual Acuity (BCVA) in Early Treatment Diabetic Retinopathy Study (ETDRS) letters in patients with DMO treated with intravitreal aflibercept differentiated by BCVA baseline characteristics

    Measured: Baseline, 12 and 24 months

  5. Change in central subfield thickness (CST) in patients with DMO treated with intravitreal aflibercept differentiated by CST baseline characteristics

    Measured: Baseline, 12 and 24 months

  6. Proportion (%) of patients discontinuing intravitreal aflibercept treatment

    Measured: Baseline, 12 and 24 months

  7. Time between the decision to treat for patients with DMO who have not received any previous anti-VEGF treatment

    Measured: Baseline

  8. The time between the date of DMO diagnosis for patients with DMO who have received any previous anti-VEGF treatment

    Measured: Baseline

  9. Proportion (%) of treated eyes with 5, 10 and 15 letter gain / loss

    Measured: Baseline, 12 and 24 months

  10. Proportion (%) of sites that adhere to their stated treatment protocol

    Measured: 12 and 24 months

  11. Change in QoL score measured by NEI VFQ-25

    Measured: Baseline, 12 and 24 months

  12. Change in macular volume

    Measured: Baseline, 12 and 24 months

  13. Change in Best Corrected Visual Acuity (BCVA) in Early Treatment Diabetic Retinopathy Study (ETDRS) letters

    Measured: Baseline, 12 and 24 months

  14. Change in non-refracted visual acuity (VA).for the fellow eye

    Measured: Baseline, 12 and 24 months

  15. Number of DMO treatments required for the fellow eye

    Measured: Baseline, 12 and 24 months

  16. Number of visits performed (resources) to assess the fellow eye

    Measured: Baseline, 12 and 24 months

  17. Number of clinical procedures performed (resources) to assess the fellow eye

    Measured: Baseline, 12 and 24 months

  18. Number of adverse events as a measure of safety and tolerability

    Measured: 24 months

  19. Reason for discontinuation of intravitreal aflibercept treatment

    Measured: Baseline, 12 and 24 months

  20. Change in Central Subfield Thickness (CST) of the fellow eye

    Measured: Baseline, 12 and 24 months

  21. Type of DMO treatments required for the fellow eye

    Measured: Baseline, 12 and 24 months

Timeline

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

  1. First posted29 Jul 2016 (estimated)
  2. Study start5 Jul 2016
  3. Primary completion30 May 2019
  4. Study completion23 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
750 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02850263
Sponsor's protocol ID
18058
Acronym
DRAKO
Status last verified
Oct 2021
First submitted
19 May 2016
Last updated
2 Nov 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

Publications

  • Sivaprasad S, Ghanchi F, Kelly SP, Kotagiri A, Talks J, Scanlon P, McGoey H, Nolan A, Saddiq M, Napier J; DRAKO study group. Evaluation of standard of care intravitreal aflibercept treatment of diabetic macular oedema treatment-naive patients in the UK: DRAKO study 12-month outcomes. Eye (Lond). 2022 Jan;36(1):64-71. doi: 10.1038/s41433-021-01624-9. Epub 2021 Jul 9.

    PubMed 34244670
  • Sivaprasad S, Ghanchi F, Kelly SP, Kotagiri A, Talks J, Scanlon P, McGoey H, Nolan A, Saddiq M, Napier J. Evaluation of care with intravitreal aflibercept treatment for UK patients with diabetic macular oedema: DRAKO study 24-month real-world outcomes. Eye (Lond). 2023 Sep;37(13):2753-2760. doi: 10.1038/s41433-023-02409-y. Epub 2023 Mar 20.

    PubMed 36941402

Questions about this trial

What is this clinical trial studying?

An observational study of Macular Edema, run by Bayer at 1 site in United Kingdom.

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 5 inclusion and 7 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 2 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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.

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?

Change in Best Corrected Visual Acuity (BCVA) in Early Treatment Diabetic Retinopathy Study (ETDRS) letters in patients with DMO treated with intravitreal aflibercept (time frame: Baseline and 12 months). 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?

On the ClinicalTrials.gov record for NCT02850263, which also lists 2 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 2 Nov 2021.

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