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Age-related Macular Degeneration (AMD)NCT05111743

Real-world Evaluation of Brolucizumab for the Treatment of Neovascular (Wet) Age-related Macular Degeneration (AMD) (Komodo Health)

An observational study of Age-related Macular Degeneration (AMD), run by Novartis Pharmaceuticals at 1 site in United States.

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

This study was a retrospective cohort study of patients to assess the early insights into real-world safety among wet AMD patients initiating brolucizumab. Evidence was generated to describe their patient characteristics and clinical outcomes. The study was conducted using the Komodo Healthcare Map. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Age-related Macular Degeneration (AMD)
What is being tested?
Brolucizumab
Type of treatment
Injection or infusion
How many people
9,261 participants
Where
1 siteUnited States
Study dates
17 Jun 2020to 18 Dec 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 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with wet AMD who initiated brolucizumab were analyzed in this study.

Who may be able to join

  • ≥1 Healthcare Common Procedure Coding System (HCPCS) code (J code) or National Drug Code (NDC) for treatment with brolucizumab during the index period (date of earliest code = index date)
  • ≥18 years old on the index date
  • ≥1 International Classification of Diseases, Clinical Modification-9/10 (ICD-9/10) code for wet AMD in the 36 months prior to or on the index date
  • Note: Off-label use of brolucizumab is not expected given payer access restrictions in the US
  • ≥24 months of continuous enrollment prior to the index date
  • ≥1 follow-up visit related to their wet AMD after the index date

Who cannot join

  • Use of brolucizumab prior to 08-Oct-2019 (e.g. clinical trials)
  • Unknown laterality of the index eye on the index date
  • Patients with no data throughout the 12 months immediately prior to the index date

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Novartis Investigative Site

    East Hanover, New Jersey, 79361080

Other trials in United States

About this study

This study was a retrospective cohort study of patients to assess the early insights into real-world safety among wet AMD patients initiating brolucizumab. Evidence was generated to describe their patient characteristics and clinical outcomes. The study was conducted using the Komodo Healthcare Map.

Read the detailed description

Komodo Healthcare Map claims data from 08-Oct-2016 to the date of most recent data from patients with wet AMD who initiated brolucizumab were analyzed in this study.

  • Identification period of the index date (index period): The patients fulfilling the selection criteria were identified during the period from 08-Oct-2019 to 30-Apr-2020.
  • Index date: Defined as the date of the earliest brolucizumab injection during the index period.
  • Study Period: The period from 08-Oct-2016 to the most recent data extraction date (05-Jun-2020).
  • Note since 05-Jun-2020 was the date data was pulled, claims data from recent months (e.g. May) may be incomplete (relative to the final DB state) as well.
  • Pre-index period: The period 36 months prior to the index date
  • Note: Data within 36 months prior to the index date will be used to assess baseline characteristics.
  • Post-index period: The period of 180 days after the index date
Being tested
Brolucizumab
Keywords
Brolucizumab,, intravitreal injection,, neovascular age-related macular degeneration
Medical subject headings
Macular Degeneration

What participants receive

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

  • BrolucizumabDrug

    Also called BEOVU®

    Participants received brolucizumab injection during the index period

Study groups in NCT05111743
Study groupRoleWhat they receive
BrolucizumabParticipants received brolucizumab injection during the index period
Receives: Drug: Brolucizumab

What is being measured

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

  1. Number of patient eyes with an Intraocular Inflammation (IOI) event during the first 6 months

    To assess IOI events observed after starting treatment with brolucizumab

    Measured: Up to 6 months post brolucizumab injection

Secondary outcomes (30)
  1. Age

    Age information was reported

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  2. Gender information

    Gender information was reported

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  3. Number of patients at various Patient Region

    Patient regions: Northeast, Midwest, South, West, Unknown

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  4. Number of patients with Insurance type

    Insurance type: Private, Medicare, Medicare Advantage, Medicaid, Other

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  5. Number of patients with Laterality of wet Age-related macular degeneration (AMD)

    Laterality of wet AMD: Unilateral, Bilateral

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  6. Number of patients with Laterality of any Age-related macular degeneration (AMD)

    Laterality of wet AMD: Unilateral, Bilateral

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  7. Number of eyes with the concurrent eye disease

    Types of concurrent eye diseases:

    • Cataracts
    • Posterior vitreous detachment
    • Puckering of macula
    • Macular hole
    • Vitreomacular traction
    • Glaucoma
    • Amblyopia
    • Papillitis
    • Ischemic optic atrophy
    • Diabetic retinopathy
    • Diabetic macular edema
    • Hypertensive retinopathy
    • Pathologic myopia
    • RAO
    • RO
    • RV
    • Vitritis
    • Endophthalmitis
    • Uveitis
    • Choroidal neovascularization (due to causes other than AMD, if possible, to determine)
    • IOI

    Measured: Within 180 days prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  8. Number of patient eyes with previous ocular surgeries or procedures

    Types:

    • Laser photocoagulation (or laser therapy)
    • Photodynamic therapy (PDT)
    • Glaucoma surgery (trabeculectomy, MIGS)
    • Cataract surgery
    • Iridotomy
    • Ocular radiation
    • Panretinal photocoagulation
    • Submacular surgery, other surgical intervention or laser treatment for AMD
    • Vitrectomy
    • Scleral buckle
    • Pneumatic retinopexy
    • Cryopexy

    Measured: Within 180 days prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  9. Number of patient eyes with systemic comorbidities

    Types:

    • Obesity
    • Cerebrovascular disease
    • Peripheral vascular disease
    • Diabetes
    • Renal disease
    • Chronic pulmonary disease
    • Congestive heart failure
    • Any malignancy, including lymphoma and leukemia
    • Myocardial infarction
    • Dementia
    • Arteriothrombotic event
    • Thromboembolytic event
    • Atherosclerosis
    • Arterial hypertension
    • Ischemic heart disease
    • Atrial fibrillation
    • Lipid disorders
    • Cardiac septal defect
    • Valvular cardiac defect
    • Hyperlipidemia
    • Hypercholesterolemia
    • Atherosclerotic disease
    • Thrombosis
    • Carotid artery disease

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  10. Number of Concomitant systemic medications (chronic use)

    Types:

    • Corticosteroids
    • Systemic anti-VEGFs
    • Lipid lowering agents
    • Antihypertensives
    • Biologics
    • Antimetabolites/cancer therapy
    • Anticoagulants

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  11. Number of patient eyes with the Cataract status

    Types: phakic, pseudophakic, aphakic

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  12. Number of patient eyes with Intraocular inflammation

    The following categories were reported:

    • No history of IOI and endophthalmitis related to safety evaluation and panuveitis
    • History of IOI and endophthalmitis related to safety evaluation and panuveitis
    • History of IOI including panuveitis (excluding endophthalmitis related to safety evaluation)
    • History of endophthalmitis related to safety evaluation
    • History of panuveitis

    Measured: 12 and 6 months prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  13. Number of patient eyes with the history of ocular inflammation (includes IOIs or panuveitis or endophthalmitis relevant to safety evaluation)

    The following categories were reported:

    • History of anterior inflammation
    • History of posterior inflammation
    • No history of IOI or endophthalmitis related to safety evaluation or panuveitis
    • History of IOI and/or endophthalmitis related to safety evaluation and/or panuveitis
    • History of IOI including panuveitis (excluding endophthalmitis related to safety evaluation)
    • History of endophthalmitis related to safety evaluation
    • History of Panuveitis

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  14. History of other IOI and endophthalmitis due to infections or other underlying disease

    The following categories were reported:

    • No history of inflammation
    • History of any ocular inflammation
    • History of severe ocular inflammation
    • History of anterior inflammation
    • History of posterior inflammation
    • History of IOI or endophthalmitis due to infections and other underlying disease (separate category)

    Measured: 36, 12 and 6 months prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  15. Number of patient eyes with prior Intraocular Inflammation (IOI) and/or prior Retinal vascular occlusion (RO)

    Included history of ocular inflammation or occlusion

    Measured: 12 months prior to the index date ( index date defined as the date of first brolucizumab injection)

  16. Number of patient eyes with Systemic inflammation / auto-immune history (in total and at the event level)

    The following categories were reported:

    • Systemic vasculitis
    • Rheumatoid arthritis
    • SLE
    • Multiple sclerosis
    • Sarcoidosis
    • Giant cell arteritis / Temporal arteritis
    • HLA-B27 diseases
    • Behcet/Behcet's disease
    • Ankylosing Spondylitis
    • Crohn Disease
    • Drug Hypersensitivity
    • Vogt-Koyanagi-Harada (VKH)

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  17. Number of patient eyes with the Provider specialty

    The following types were included:

    Retina specialist, General ophthalmologist, Non-retina specialist, unknown

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  18. Number of patient eyes with Concomitant ocular medications

    The following types were included: any corticosteroids [prednisone, prednisolone acetate, difluprednate, Kenalog, ozurdex, yutiq], biologics [adalimumab], cyclosporine, azathioprine, methotrexate, ganciclovir, acyclovir, valacyclovir, foscavir, trifluridine, mycophenolate, rituxan, vancomycin, prostaglandins

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  19. Type of exam performed

    OCT, FA, CP - color photo or color fundus photo

    Measured: 30 days before or on first brolucizumab injection (index date)

  20. Number of eyes treated with brolucizumab

    The following types were included:

    OD [eye, right], OS [eye, left], Unspecified, Unilateral, Bilateral)

    Measured: Index date defined as the date of the earliest brolucizumab injection during the index period (from 08-Oct-2019 to 30-Apr-2020)

  21. Number of patient eyes with Anti-VEGF treatment-naive vs prior-treated

    Anti-VEGF treatment-naive vs prior-treated were measured at the eye-level

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  22. Number of patient eyes with prior treatment status

    The following types were included: off-label bevacizumab, ranibizumab, aflibercept, unknown, treatment-naive

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  23. Number of patient eyes with different prior anti-VEGF agents

    Following categories will be included : 0, 1, 2, ≥3

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  24. Number of patient eyes with prior anti-VEGF agents (total, per anti-VEGF agent)

    Following categories will be included :

    • Continuous
    • Categorical: <6, 6 to <12, 12 to <24, ≥24

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  25. Number of patient eyes with the Last injection inetrval

    Following categories will be included :

    • Continuous (weeks)
    • Categorical: <4, 4 to <6, 6 to <8, ≥8, <12, ≥12 weeks

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  26. Duration of last anti-VEGF treatment (total, per anti-VEGF agent)

    Following categories will be included :

    • All anti-VEGFs i. Continuous ii. Categorical: <6, 6 to <12, 12 to <24, ≥24 months
    • Specific anti-VEGF iii. Continuous (days)

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  27. Time since wet Age-related macular degeneration (AMD) diagnosis

    Patients were measured at the eye level

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  28. Time since any Age-related macular degeneration (AMD) diagnosis

    Patients were measured at the eye level

    Measured: 36-month period prior to the index date (inclusive of the index date) ( index date defined as the date of first brolucizumab injection)

  29. Time from last anti-VEGF injection to index date

    The following categories were measured:

    • Continuous (days)
    • Categorical (0-30, 31-60, 61-90, 91+ days)

    Measured: 60 months prior to index ( index date defined as the date of first brolucizumab injection)

  30. Number of ocular adverse events (AEs)

    To assess the incidence of ocular AEs among patients treated with brolucizumab

    Measured: Post-index period defined as the 180 days following therapy initiation, excluding index date

Timeline

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

  1. First posted8 Nov 2021
  2. Study start17 Jun 2020
  3. Primary completion18 Dec 2020
  4. Study completion18 Dec 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
Retrospective
Enrolment
9,261 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05111743
Sponsor's protocol ID
CRTH258AUS21
Status last verified
Dec 2021
First submitted
22 Oct 2021
Last updated
21 Dec 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Age-related Macular Degeneration (AMD), run by Novartis Pharmaceuticals at 1 site 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 6 inclusion and 3 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 21 Dec 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 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.

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?

Number of patient eyes with an Intraocular Inflammation (IOI) event during the first 6 months (time frame: Up to 6 months post brolucizumab injection). 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 21 Dec 2021; AzTrials last refreshed its copy on 8 Nov 2026.

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