Neovascular (Wet) Age-related Macular Degeneration (AMD)Phase 3NCT04270747
A Study to Understand Effectiveness and Safety of ABP 938 Compared to Aflibercept (Eylea®) in Patients Suffering With Neovascular Age-related Macular Degeneration [Neovascular (Wet) AMD]
A Phase 3 study testing ABP 938 and Aflibercept in people with Neovascular (Wet) Age-related Macular Degeneration (AMD), run by Amgen at 118 sites in 18 countries.
Trial summary
The purpose of this study is to compare the efficacy and safety of ABP 938 versus Aflibercept (Eylea®) in the treatment of neovascular age-related macular degeneration. Subjects will be randomized in a masked 1:1 ratio to receive 2 mg (0.05 mL) of either ABP 938 (Treatment Group A) or aflibercept (Treatment Group B)… Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Neovascular (Wet) Age-related Macular Degeneration (AMD)
- What is being tested?
- ABP 938 and Aflibercept
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 576 participants
- Where
- 118 sitesin 18 countries
- Study dates
- 22 Jun 2020to 30 Jan 2023
- Phase
- Phase 3
- 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
- Subjects or their legally authorized representative must sign an Institutional Review Board/Independent Ethics Committee approved informed consent form before any study-specific procedures
- Men or women ≥ 50 years old
- Subjects must be diagnosed with neovascular (wet) AMD in the study eye
- Active treatment naïve subfoveal CNV lesions secondary to neovascular (wet) AMD including juxtafoveal lesions that affect the fovea as confirmed with SD OCT, FA and/or Fundus Photography (FP) in the study eye
- BCVA between 73 and 34 letters, inclusive, in the study eye using ETDRS testing
- Presence of intra and/or subretinal fluid as identified by SD-OCT attributable to active CNV in the study eye
- Central retinal thickness of > 270µm in the study eye as measured by the machine, calculated average thickness in the central 1 mm subfield (CST) by SD-OCT at screening
Who cannot join
- Subjects are excluded if they meet any of the following criteria in the study eye:
- Total lesion size > 12 disc areas (30.5 mm^2, including blood, scars, and neovascularization) in the study eye
- Active CNV area (classic plus occult components) that is < 50% of the total lesion area in the study eye
- Scar, fibrosis, or atrophy involving the center of the fovea in the study eye
- Presence of retinal pigment epithelium tears or rips involving the macula in the study eye
- History of any vitreous hemorrhage within 4 weeks before randomization in the study eye
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- Presence of other causes of CNV, including pathologic myopia (spherical equivalent of 8 diopters or more negative or axial length of 25 mm or more), ocular histoplasmosis syndrome, angioid streaks, choroidal rupture, or multifocal choroiditis in the study eye
- Prior vitrectomy or laser surgery of the macula (including photodynamic therapy or focal laser photocoagulation) in the study eye
- History of retinal detachment in the study eye
- Any history of macular hole of stage 2 and above in the study eye
- Any macular pathology that might limit vision i.e., Vitreomacular traction or significant epiretinal membrane in the study eye
- Any intraocular or periocular surgery within 3 months before randomization on the study eye, except lid surgery, which may not have taken place within 4 weeks before randomization, as long as it is unlikely to interfere with the injection
- Prior trabeculectomy or other filtration surgery in the study eye
- Uncontrolled glaucoma (defined as intraocular pressure ≥ 25 mmHg despite treatment with antiglaucoma medication) in the study eye
- Aphakia or pseudophakia with complete absence of posterior capsule (unless it occurred as a result of a yttrium aluminum garnet [YAG] posterior capsulotomy) in the study eye
- Previous therapeutic radiation in the region of the study eye
- History of corneal transplant or corneal dystrophy in the study eye
- Significant media opacities, including cataract, which might interfere with visual acuity or assessment of safety, in the study eye
- Any concurrent intraocular condition other than neovascular (wet) AMD in the study eye that, in the opinion of the investigator, requires planned medical or surgical intervention during the study or increases the risk to the subject beyond what is expected from standard procedures of intraocular injection, or which otherwise may interfere with the injection procedure or with evaluation of efficacy or safety
- Subjects are excluded if they meet any of the following criteria in either eye:
- History or clinical evidence of uveitis, diabetic retinopathy, diabetic macular edema, or any other vascular disease affecting the retina, other than neovascular (wet) AMD
- Active intraocular inflammation or active or suspected ocular or periocular infection, within 2 weeks before randomization
- Active scleritis or episcleritis or presence of scleromalacia
- Other Medical Conditions
- Active extraocular infection or history of extraocular infections as follows: A. any active infection for which systemic anti-infectives were used within 4 weeks before randomization B. recurrent or chronic infections or other active infection that, in the opinion of the investigator, might cause this study to be detrimental to the subject
- Acute coronary event or stroke within 3 months before randomization
- Uncontrolled, clinically significant systemic disease such as diabetes mellitus, hypertension, cardiovascular disease including moderate to severe heart failure (New York Heart Association class III/IV), renal disease, or liver disease
- Malignancy within 5 years EXCEPT treated and considered cured cutaneous squamous or basal cell carcinoma, in situ cervical cancer, OR in situ breast ductal carcinoma
- Washouts and Nonpermitted Treatments
- Any prior ocular or systemic treatment, including another investigational product or surgery for neovascular (wet) AMD (including anti vascular endothelial growth factor [VEGF] therapy) in the study eye, except dietary supplements or vitamins
- Any ocular or systemic treatment including another investigational product or surgery for neovascular (wet) AMD (including anti VEGF therapy) in the fellow eye, within 30 days before randomization, except dietary supplements or vitamins
- Prior systemic anti-VEGF treatment as follows:
- Investigational or approved anti-VEGF therapy systemically within 3 months before randomization
- Aflibercept, ziv-aflibercept, or a biosimilar of aflibercept/ziv-aflibercept systemically at any time
- Any IVT therapy, including adrenocorticotropic hormone, in the study or fellow eye, or intramuscular or intravenous corticosteroids within 4 weeks before randomization. The use of long-acting steroids, either systemically or intraocularly, in the 3 months before randomization
- Currently receiving treatment with another investigational device or study drug, or less than 30 days or 5 half-lives (whichever is longer) since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded
- General
- For women: pregnant or breast feeding, or planning to become pregnant while enrolled in the study and for 3 months after the last dose of investigational product
- Sexually active subjects and their partners who are of childbearing potential (ie, neither surgically sterile nor postmenopausal) and not agreeing to use adequate contraception (eg, true abstinence, sterilization, birth control pills, Depo Provera injections, contraceptive implants, or other effective methods) while on study and for 3 months after the last dose of study drug. Male subjects must agree not to donate sperm during study and for 3 months following treatment with test article or until the scheduled end of the study (whichever is longer)
- Allergy or hypersensitivity to investigational product, to any of the excipients of ABP 938 or aflibercept, or to other study-related procedures/medications (eg, anesthesia, antiseptic, fluorescein dye)
- History or evidence of any other clinically significant disorder, condition, or disease (with the exception of those outlined above) that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion
- Subject likely to not be available to complete all protocol-required study visits or procedures, and/or to comply with all required study procedures (eg, Clinical Outcome Assessments) to the best of the subject and investigator's knowledge
Trial locations and contacts
118 sites in 18 countries.
118 sites in 18 countries
United States41 sites
Retina Research Institute of Texas
Abilene, Texas, 79606
Southeast Retina Center
Augusta, Georgia, 30909
The Retina Care Center
Baltimore, Maryland, 21209
Retina Consultants of Texas Research Centers
Bellaire, Texas, 77401
Charlotte Eye Ear Nose & Throat Associates, P.A.
Charlotte, North Carolina, 28210
Sterling Research Group
Cincinnati, Ohio, 45219
Texas Retina Associates
Dallas, Texas, 75231
Retina Associates IL
Elmhurst, Illinois, 60126
Texas Retina Associates
Fort Worth, Texas, 76012
Texas Retina Associates
Fort Worth, Texas, 76014
Ophthalmology Associates
Fort Worth, Texas, 76102
Retina Consultants of Orange County
Fullerton, California, 92835
Specialty Eye Institute
Jackson, Michigan, 49202
Eye Care Specialists
Kingston, Pennsylvania, 18704
UCSD Shiley Eye Institute, Jacobs Retina Center
La Jolla, California, 92093
Charleston Neuroscience Institute
Ladson, South Carolina, 29456
Florida Retina Consultants
Lakeland, Florida, 33805
Colorado Retina Associates
Lakewood, Colorado, 80228
Sabates Eye Center
Leawood, Kansas, 66211
Retina Vitreous Surgeons of Central NY, PC
Liverpool, New York, 13088
Jules Stein Eye Institute, UCLA
Los Angeles, California, 90095-7000
Georgia Retina, P.C.
Marietta, Georgia, 30060
Retina Associates New Orleans
Metairie, Louisiana, 70006
Medeye Associates
Miami, Florida, 33143
Premiere Retina Specialists
Midland, Texas, 79706
Macula Care
New York, New York, 10021
Southern California Desert Retina Consultants
Palm Desert, California, 92211
Associated Retina Consultants, Ltd. - Research
Phoenix, Arizona, 85020
Retina Consultants San Diego
Poway, California, 92064
Black Hills Regional Eye Institute - Ophthalmology
Rapid City, South Dakota, 57701
Retina Consultants of Southern California
Redlands, California, 92374
Retinal Consultants Medical Group, Inc.
Sacramento, California, 95825
Retina Center
Saint Louis Park, Minnesota, 55416
Retina Associates of South Texas, P.A.
San Antonio, Texas, 78240-1375
Orange County Retina Medical Group
Santa Ana, California, 92705
Retina Consultants of Houston
The Woodlands, Texas, 77384
Ophthalmic Consultants of the Capital Region - Ophthalmology
Troy, New York, 12180
Miramar Eye Specialists
Ventura, California, 93003
Retina Group of New England
Waterford, Connecticut, 06385
Strategic Clinical Research
Willow Park, Texas, 76087
Center for Retina and Macular Disease
Winter Haven, Florida, 33880
Japan12 sites
Akita University Hospital - Ophthalmology
Akita, 010-8543
Asahikawa Medical University Hospital
Asahikawa, Hokkaidô, 078-8510
University of Yamanashi Hospital
Chūō, Yamanashi, 409-3898
Fukushima Medical University Hospital - Ophthalmology
Fukushima, Hukusima, 960-1295
Kansai Medical University Hospital - Ophthalmology
Hirakata, Ôsaka, 573-1191
Kagoshima University Hospital - Ophthalmology
Kagoshima, Kagoshima-ken, 890-8520
Nagasaki University Hospital - Ophthalmology
Nagasaki, 852-8501
Nagoya University Hospital
Nagoya, Aiti, 466-8560
Nagoya City University Hospital - Ophthalmology
Nagoya, Aiti, 467-8602
Nagoya University Hospital
Nagoya, Aiti
Nihon University Hospital - Ophthalmology
Tokyo, Tôkyô, 101-8309
Mie University Hospital
Tsu, Mie-ken, 514-8507
Hungary8 sites
Péterfy Kórház-Rendelintézet és Manninger Jen Országos Traumatológiai Intézet - Szemészeti Osztály
Budapest, 1076
Bajcsy-Zsilinszky Kórház és Rendelintézet
Budapest, 1106
Budapest Retina Intezet
Budapest, 1133
MH Egészségügyi Központ
Budapest, H-1062
Semmelweis Egyetem
Budapest, H-1083
Debreceni Egyetem Klinikai Központ
Debrecen, Hajdú-Bihar, 4032
Ganglion Orvosi Központ
Pécs, Baranya, 7621
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpo
Szeged, Csongrád megye, 6720
Germany7 sites
Charité Universitätsmedizin Berlin KöR
Berlin, 12203
Klinikum Darmstadt
Darmstadt, Hesse, 64283
University Medical Center Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Universitätsmedizin Göttingen
Göttingen, Lower Saxony, 37075
University Hospital Of Leipzig
Leipzig, 04103
Universitätsmedizin Mainz
Mainz, Rhineland-Palatinate, 55131
St. Franziskus Hospital Münster
Münster, North Rhine-Westphalia, 48145
Poland6 sites
Profesorskie Centrum Okulistyki OKULISTYKA OPTIMUM
Gdansk, Pomeranian Voivodeship, 80-809
Centrum Medyczne PROMED
Krakow, 31-411
Klinika Okulistyczna "Jasne Blonia"
Lodz, Ódzkie, 91-134
Centrum Diagnostyki i Mikrochirurgii Oka-Lens Sp. z o.o.
Olsztyn, 10-424
Szpital Sw. Wojciecha
Poznan, Greater Poland Voivodeship, 61-144
Centrum Medyczne UNO-MED
Tarnów, 33-100
Czechia5 sites
Ocni klinika Pardubice
Pardubice, 530 02
FN Kralovske Vinohrady
Prague, 100 34
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Axon Clinical, s.r.o.
Prague, 150 00
Krajska zdravotni, a.s. Masarykova nemocnice v Usti n/ Labem
Ústí nad Labem, Ústí Nad Labem, 401 13
Israel5 sites
Soroka University Medical Center
Beersheba, Southern District, 8410101
Bnai Zion Medical Center
Haifa, Southern District, 3104802
Meir Medical Center
Kfar Saba, Central District, 4428164
Kaplan Medical Center
Rehovot, 7610001
Assaf Harofeh Medical Center
Tsrifin, 7030000
Italy5 sites
UO Oftalmologia Ciardella Pol. S.Orsola Malpighi AOU di Bologna
Bologna, 40138
"Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, UO Oculistica Dipartimento di Chirurgia"
Milan, 20122
Università degli Studi di Perugia, Ospedale Santa Maria della Misericordia, Clinica Oculistica
Perugia, Umbria, 06129
Fondazione PTV Policlinico Tor Vergata, UNIT Patologie Retiniche
Rome, Lazio, 00133
UOC Oculistica Fondazione PU A.Gemelli IRCCS Un.Cattolica del Sacro Cuore
Rome, Lazio, 00168
South Korea5 sites
Asan Medical Center
Seoul, Seoul Teugbyeolsi, 05505
Samsung Medical Center - Ophthalmology
Seoul, Seoul Teugbyeolsi, 06351
The Catholic University of Korea, Seoul St. Mary's Hospital - Neurology
Seoul, Seoul Teugbyeolsi, 06591
Seoul National University Hospital - Department of Ophthalmology
Seoul, Seoul Teugbyeolsi, 3080
Korea University Anam Hospital - Ophthalmology
Seoul, 02841
Spain5 sites
Hospital Universitario Reina Sofía
Córdoba, 14004
Hospital Universitario de Bellvitge
LHospitalet de Llobregat, Barcelona, 8097
Hospital Clínico San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
FISABIO - Oftalmología Médica
Valencia, 46015
Estonia4 sites
East Tallinn Central Hospital - Eye Clinic
Tallinn, Harju, 10138
Eye Clinic of Dr. Krista Turman
Tallinn, Harju, 11314
Silmalaser OÜ
Tallinn, Harju, 11412
Eye Clinic of Tartu University Hospital
Tartu, Tartu, 50406
Mexico3 sites
Asociación para Evitar la Ceguera en México I.A.P.
México DF, Mexico City, 04030
Centro Medico Zambrano Hellion
Monterrey, Nuevo León, 64710
Centro de Retina Medica y Quirurgica S.C.
Zapopan, 45116
Slovakia3 sites
Univerzitna nemocnica Bratislava
Bratislava, Bratislava Region, 851 07
Fakultna nemocnica Trencin
Trenčín, Treniansky Kraj, 911 71
Fakultna nemocnica s poliklinikou Zilina
Žilina, Ilinský Kraj, 012 07
Canada2 sites
Clinique d'ophtalmologie des laurentides
Boisbriand, Quebec, J7H 0E8
University of Ottawa Eye Institute
Ottawa, Ontario, K1H 8L6
Hong Kong2 sites
The University of Hong Kong - Department of Ophthalmology
Aberdeen, 000000
Prince of Wales Hospital - Department of Ophthalmology and Visual Sciences
Shatin, New Territories, 000000
Latvia2 sites
Signes Ozolinas Doctor Praxis in Ophthalmology
Jelgava, LV- 3001
P.Stradina Clinical University Hospital
Riga, Rga, 1002
Lithuania2 sites
Klaipedos Universitetine ligoniene
Klaipėda, Klaipdos Apskritis, LT-92288
Vilniaus Universiteto Ligonines Santariskiu Klinikos (VULSK)
Vilnius, Vilnius County, 8661
About this study
Official title: A Randomized, Double-masked, Phase 3 Study of ABP 938 Efficacy and Safety Compared to Aflibercept (Eylea®) in Subjects With Neovascular Age-related Macular Degeneration
The purpose of this study is to compare the efficacy and safety of ABP 938 versus Aflibercept (Eylea®) in the treatment of neovascular age-related macular degeneration. Subjects will be randomized in a masked 1:1 ratio to receive 2 mg (0.05 mL) of either ABP 938 (Treatment Group A) or aflibercept (Treatment Group B) administered by intravitreal (IVT) injection.
Read the detailed description
Approximately 566 subjects will be randomized in approximately 126 global sites.
This study consists of a screening period of up to 4 weeks, after which subjects will receive investigational product for 48 weeks, followed by a safety follow-up period to week 52, for a total study duration of up to 56 weeks.
Subjects will be randomized in a masked 1:1 ratio to receive 2 mg (0.05 mL) of either ABP 938 (Treatment Group A) or aflibercept (Treatment Group B) administered by IVT injection.
At week 8, subjects will be assessed for the primary endpoint. The primary endpoint is the change in Best Corrected Visual Acuity (BCVA) as measured by Early Treatment Diabetic Retinopathy Study (ETDRS) letter score from baseline to week 8, in order to assess the efficacy of ABP 938 compared to aflibercept.
Subjects will then be re-randomized at week 16 in a masked fashion such that:
- Subjects initially randomized to ABP 938 (Treatment Group A) will continue to receive ABP 938 by IVT injection every 8 weeks from week 16 until week 48
- Subjects initially randomized to aflibercept (Treatment Group B) will be re-randomized in a 1:1 ratio to either continue on aflibercept (Treatment Group B1) or transition to ABP 938 (Treatment Group B2) by IVT injection every 8 weeks from week 16 until week 48
- Being tested
- ABP 938, Aflibercept
- Medical subject headings
- Macular Degeneration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ABP 938Drug
Subject will receive ABP 938 2 mg (0.05 mL) IVT injection every 4 weeks for the first 3 doses, followed by once every 8 weeks
AfliberceptDrug
Also called Eylea®
Subject will receive aflibercept 2 mg (0.05 mL) IVT injection every 4 weeks for the first 3 doses, followed by once every 8 weeks
| Study group | Role | What they receive |
|---|---|---|
| ABP 938-Treatment Group A | Experimental | Subjects will receive 2 mg (0.05 mL) of ABP 938 by intravitreal (IVT) injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8) and every 8 weeks from week 16 until week 48. Receives: Drug: ABP 938 |
| Aflibercept-Treatment Group B1 | Active comparator | Subjects will receive 2 mg (0.05 mL) of aflibercept (Treatment Group B) by IVT injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8). Subjects will be re-randomized to receive aflibercept by IVT injection every 8 weeks from week 16 until week 48. Receives: Drug: Aflibercept |
| ABP 938-Treatment group B2 | Active comparator | Subjects will receive 2 mg (0.05 mL) of aflibercept (Treatment Group B) by IVT injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8). Subjects will be re-randomized to receive ABP 938 by IVT injection every 8 weeks from week 16 until week 48 Receives: Drug: ABP 938; Drug: Aflibercept |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change From Baseline in BCVA at Week 8
BCVA score was assessed based on the number of letters read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart by the study eye at 4 meters. ETDRS letters score could range from 0 to 100 letters at each assessment.
A positive change from Baseline in ETDRS letter score indicated an improvement in visual acuity in the study eye. Change from Baseline calculated as observed post-baseline value - Baseline value.
Measured: Baseline and Week 8
Secondary outcomes (8)
Percentage of Participants Who Maintained Vision at Week 52
A participant was classified as maintaining vision if he/she lost fewer than 15 letters in ETDRS letter score, assessed in the study eye, compared to Baseline.
Measured: Week 52
Mean Change From Baseline in BCVA
BCVA score was assessed based on the number of letters read correctly on the ETDRS chart by the study eye at 4 meters. ETDRS letters score could range from 0 to 100 letters at each assessment.
A positive change from Baseline in ETDRS letter score indicated an improvement in visual acuity in the study eye. Change from Baseline calculated as observed post-baseline value - Baseline value.
Measured: Baseline and Weeks 4, 8, 16, 24, 32, 40, 48, and 52
Percentage of Participants Who Gained at Least 10 Letters of Vision at Week 8
Percentage of participants who gained at least 10 letters of vision was assessed based on the number of letters read correctly on the ETDRS chart by the study eye at 4 meters. ETDRS letters score could range from 0 to 100 letters at each assessment.
Measured: Week 8
Percentage of Participants Who Gained at Least 15 Letters of Vision at Week 52
Percentage of participants who gained at least 15 letters of vision was assessed based on the number of letters read correctly on the ETDRS chart by the study eye at 4 meters. ETDRS letters score could range from 0 to 100 letters at each assessment.
Measured: Week 52
Mean Change From Baseline in Choroidal Neovascularization (CNV) Area Size
CNV area size was measured by fluorescein angiography.
Change from Baseline calculated as observed post-baseline value - Baseline value.
Measured: Baseline and Weeks 8, 16, 24, and 52
Mean Change From Baseline in Central Subfield Thickness (CST)
CST was defined as the average thickness in the ETDRS central 1 mm diameter subfield (the central subfield) and was measured by spectral domain optical coherence tomography.
Change from Baseline calculated as observed post-baseline value - Baseline value.
Measured: Baseline and Weeks 4, 8, 16, 24, 32, 40, 48, and 52
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical trial participant. TEAEs were defined as those AEs that begin or increase in severity or frequency at or after the time of first treatment to the End of Study visit. Events of interest (EOIs) pre-specified for this study included endophthalmitis, retinal detachment, increase in intraocular pressure, and thromboembolic events. Serious AEs were defined as any untoward medical occurrence that meets at least 1 of the following serious criteria:
- Results in death
- Life-threatening
- Requires inpatient hospitalization or prolongation of existing hospitalization
- Results in persistent or significant disability/incapacity
- Congenital anomaly/birth defect
- Other medically important serious event.
Measured: Up to Week 52
Number of Participants Developing Binding Antidrug Antibodies (ADAs)
Number of participants with positive post-baseline ADA result through Week 16 and post Week 16 with negative or no result at Baseline is reported.
Measured: Baseline up to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2020
- Study start22 Jun 2020
- Primary completion18 Jul 2022
- Study completion30 Jan 2023
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Neovascular (Wet) Age-related Macular Degeneration (AMD)Studies of the same condition, open and under way.
- More trials run by AmgenThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 576 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Parexel
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04270747
- Sponsor's protocol ID
- 20170542
- Other IDs
- 2019-002503-17, 2019
- Status last verified
- Sep 2025
- First submitted
- 13 Feb 2020
- Last updated
- 10 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Chow V, Zhou M, Mytych DT, Colbert A, Miller MJ, Wala I, Sabet A, Radziszewski W. Pharmacokinetic, Safety, and Immunogenicity Similarity of High- and Low-Concentration Formulations of Adalimumab Biosimilar ABP 501, Adalimumab-Atto. Pharmacol Res Perspect. 2026 Apr;14(2):e70236. doi: 10.1002/prp2.70236.
PubMed 41857488
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-masked, Phase 3 Study of ABP 938 Efficacy and Safety Compared to Aflibercept (Eylea®) in Subjects With Neovascular Age-related Macular Degeneration
- ClinicalTrials.gov ID
- NCT04270747
- Acronym / sponsor ID
- 20170542
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 576 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Collaborators
- Parexel
- Study start
- 22 Jun 2020 (actual)
- Primary completion
- 18 Jul 2022 (actual)
- Study completion
- 30 Jan 2023 (actual)
- First posted
- 17 Feb 2020 (actual)
- Results
- Posted 5 Jan 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the efficacy and safety of ABP 938 versus Aflibercept (Eylea®) in the treatment of neovascular age-related macular degeneration. Subjects will be randomized in a masked 1:1 ratio to receive 2 mg (0.05 mL) of either ABP 938 (Treatment Group A) or aflibercept (Treatment Group B) administered by intravitreal (IVT) injection.
Detailed description
Approximately 566 subjects will be randomized in approximately 126 global sites.
This study consists of a screening period of up to 4 weeks, after which subjects will receive investigational product for 48 weeks, followed by a safety follow-up period to week 52, for a total study duration of up to 56 weeks.
Subjects will be randomized in a masked 1:1 ratio to receive 2 mg (0.05 mL) of either ABP 938 (Treatment Group A) or aflibercept (Treatment Group B) administered by IVT injection.
At week 8, subjects will be assessed for the primary endpoint. The primary endpoint is the change in Best Corrected Visual Acuity (BCVA) as measured by Early Treatment Diabetic Retinopathy Study (ETDRS) letter score from baseline to week 8, in order to assess the efficacy of ABP 938 compared to aflibercept.
Subjects will then be re-randomized at week 16 in a masked fashion such that:
- Subjects initially randomized to ABP 938 (Treatment Group A) will continue to receive ABP 938 by IVT injection every 8 weeks from week 16 until week 48
- Subjects initially randomized to aflibercept (Treatment Group B) will be re-randomized in a 1:1 ratio to either continue on aflibercept (Treatment Group B1) or transition to ABP 938 (Treatment Group B2) by IVT injection every 8 weeks from week 16 until week 48
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| ABP 938-Treatment Group A | Experimental | Drug: ABP 938Subjects will receive 2 mg (0.05 mL) of ABP 938 by intravitreal (IVT) injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8) and every 8 weeks from week 16 until week 48. |
| Aflibercept-Treatment Group B1 | Active comparator | Drug: AfliberceptSubjects will receive 2 mg (0.05 mL) of aflibercept (Treatment Group B) by IVT injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8). Subjects will be re-randomized to receive aflibercept by IVT injection every 8 weeks from week 16 until week 48. |
| ABP 938-Treatment group B2 | Active comparator | Drug: ABP 938, Drug: AfliberceptSubjects will receive 2 mg (0.05 mL) of aflibercept (Treatment Group B) by IVT injection every 4 weeks for the first 3 doses (ie, baseline/day 1, week 4, and week 8). Subjects will be re-randomized to receive ABP 938 by IVT injection every 8 weeks from week 16 until week 48 |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Subjects or their legally authorized representative must sign an Institutional Review Board/Independent Ethics Committee approved informed consent form before any study-specific procedures
- Men or women ≥ 50 years old
- Subjects must be diagnosed with neovascular (wet) AMD in the study eye
- Active treatment naïve subfoveal CNV lesions secondary to neovascular (wet) AMD including juxtafoveal lesions that affect the fovea as confirmed with SD OCT, FA and/or Fundus Photography (FP) in the study eye
- BCVA between 73 and 34 letters, inclusive, in the study eye using ETDRS testing
Key exclusion criteria (42 listed)
- Total lesion size > 12 disc areas (30.5 mm^2, including blood, scars, and neovascularization) in the study eye
- Active CNV area (classic plus occult components) that is < 50% of the total lesion area in the study eye
- Scar, fibrosis, or atrophy involving the center of the fovea in the study eye
- Presence of retinal pigment epithelium tears or rips involving the macula in the study eye
- History of any vitreous hemorrhage within 4 weeks before randomization 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 |
|---|---|---|
| ABP 938Subject will receive ABP 938 2 mg (0.05 mL) IVT injection every 4 weeks for the first 3 doses, followed by once every 8 weeks | Drug | ABP 938-Treatment Group A, ABP 938-Treatment group B2 |
| AfliberceptAlso: Eylea®Subject will receive aflibercept 2 mg (0.05 mL) IVT injection every 4 weeks for the first 3 doses, followed by once every 8 weeks | Drug | ABP 938-Treatment group B2, Aflibercept-Treatment Group B1 |
Primary outcome
Mean Change From Baseline in BCVA at Week 8
Time frame: Baseline and Week 8
BCVA score was assessed based on the number of letters read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart by the study eye at 4 meters. ETDRS letters score could range from 0 to 100 letters at each assessment. A positive change from Baseline in ETDRS letter score indicated an improvement in visual acuity in the study eye. Change from Baseline calculated as observed post-baseline value - Baseline value.
8 secondary outcomes
Percentage of Participants Who Maintained Vision at Week 52
Time frame: Week 52
Mean Change From Baseline in BCVA
Time frame: Baseline and Weeks 4, 8, 16, 24, 32, 40, 48, and 52
Percentage of Participants Who Gained at Least 10 Letters of Vision at Week 8
Time frame: Week 8
Percentage of Participants Who Gained at Least 15 Letters of Vision at Week 52
Time frame: Week 52
Mean Change From Baseline in Choroidal Neovascularization (CNV) Area Size
Time frame: Baseline and Weeks 8, 16, 24, and 52
Mean Change From Baseline in Central Subfield Thickness (CST)
Time frame: Baseline and Weeks 4, 8, 16, 24, 32, 40, 48, and 52
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Up to Week 52
Number of Participants Developing Binding Antidrug Antibodies (ADAs)
Time frame: Baseline up to Week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41857488Chow V, Zhou M, Mytych DT, Colbert A, Miller MJ, Wala I, Sabet A, Radziszewski W. Pharmacokinetic, Safety, and Immunogenicity Similarity of High- and Low-Concentration Formulations of Adalimumab Biosimilar ABP 501, Adalimumab-Atto. Pharmacol Res Perspect. 2026 Apr;14(2):e70236. doi: 10.1002/prp2.70236.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
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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.
MD study director
Amgen
118 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ABP 938 and Aflibercept in people with Neovascular (Wet) Age-related Macular Degeneration (AMD), run by Amgen at 118 sites in 18 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 7 inclusion and 42 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 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in United States, Japan, Hungary, Germany, Poland and 13 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 5 Jan 2024). 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?
Mean Change From Baseline in BCVA at Week 8 (time frame: Baseline and Week 8). 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 NCT04270747, which also lists 1 linked publication.
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 10 Sep 2025.