Neovascular Age-related Macular Degeneration (nAMD)SPECTRUM-USNCT06398080
An Observational Study to Investigate the Use of Aflibercept 8 mg to Treat Adult Patients With Neovascular Age-Related Macular Degeneration (nAMD) and Diabetic Macular Edema (DME) in a Real-World Setting
An observational study of Neovascular Age-related Macular Degeneration (nAMD) and Wet Age-related Macular Degeneration (AMD), run by Regeneron Pharmaceuticals.
Trial summary
The purpose of this research study is to observe the patient's clinical care and how EYLEA® HD is used as a treatment in real-world settings. Patients are asked to join the study because they have either neovascular age-related macular degeneration (nAMD/wet age-related macular degeneration [AMD]) or diabetic macular… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neovascular Age-related Macular Degeneration (nAMD), Wet Age-related Macular Degeneration (AMD), Diabetic Macular Edema (DME)
- What is being tested?
- aflibercept 8 mg
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 12 Dec 2024to 3 Jan 2029
- 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: Previously treated and treatment-naïve patients that have a diagnosis of nAMD or DME will be enrolled into this study. Patients who are treated with aflibercept 8 mg for other indications besides nAMD or DME will not be included.
Who may be able to join
- Any patient aged at least 50 years at the time of enrollment
- Diagnosis of nAMD (per physician)
- Previously treated patient cohort, patients that had treatment with any ocular intervention for nAMD in the study eye at any time before starting aflibercept 8 mg, as defined in the protocol
- For treatment-naïve patient cohort, patients never receiving previous treatment in the study eye for nAMD, as defined in the protocol
- Initiating treatment with aflibercept 8 mg for nAMD
- Any patient aged at least 18 years at the time of enrollment
Show all 11Show fewer
- Macular edema associated with DME (per physician)
- Diagnosis of diabetes mellitus type 1 or type 2
- For previously treated patient cohort, treatment with another intravitreal (IVT) anti-VEGF agent(s) or IVT steroids, or surgery/laser for DME in the study eye at any time before starting aflibercept 8 mg, as described in the protocol
- For treatment-naïve patient cohort, patients never previously treated with IVT agents or surgery/laser in the study eye for DME
- Initiating treatment with aflibercept 8 mg for DME
Who cannot join
- Macular edema/hemorrhage/choroidal neovascularization due to any other cause besides nAMD
- Any systemic or ocular condition that would prevent any improvement of VA in the study eye (eg, permanent visual impairment or blindness from any cause)
- Any patients that have been treated with photodynamic therapy
- Treatment with aflibercept 8 mg prior to baseline
- Macular edema due to any other cause besides DME
- Any systemic or ocular condition that would prevent any improvement of visual acuity in the study eye (eg, permanent visual impairment or blindness from any cause)
- Treatment with aflibercept 8 mg prior to baseline
- NOTE: Other Protocol-Defined Inclusion / Exclusion Criteria Apply
About this study
Official title: Real-World Patient Characteristics, Treatment Patterns, and Outcomes Among Patients With Neovascular Age-Related Macular Degeneration (nAMD) and Diabetic Macular Edema (DME) Treated With Aflibercept 8 mg in the United States
The purpose of this research study is to observe the patient's clinical care and how EYLEA® HD is used as a treatment in real-world settings. Patients are asked to join the study because they have either neovascular age-related macular degeneration (nAMD/wet age-related macular degeneration [AMD]) or diabetic macular edema (DME). Patients cannot have used EYLEA® HD in the past and the doctor must be planning to treat nAMD or DME with a new prescription of EYLEA® HD (aflibercept 8 mg).
- Conditions
- Neovascular Age-related Macular Degeneration (nAMD), Wet Age-related Macular Degeneration (AMD), Diabetic Macular Edema (DME), Visual Impairment
- Being tested
- aflibercept 8 mg
- Keywords
- Treatment-Naïve, Previously treated, Degenerative disease, Vascular endothelial growth factor (VEGF), Diabetic retinopathy (DR)
- Medical subject headings
- Vision Disorders, Diabetic Retinopathy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
aflibercept 8 mgDrug
Also called EYLEA® HD
No intervention will be provided to study patients. Any treatment decision, including the decision for aflibercept 8 mg treatment, is at the discretion of the attending physician, made in accordance with his/her experience and following approved clinical guidelines.
| Study group | Role | What they receive |
|---|---|---|
| Naïve nAMD | Treatment-naive patients with nAMD Receives: Drug: aflibercept 8 mg | |
| Pretreated nAMD | Patients with nAMD who have been previously treated with anti-VEGF and/or laser Receives: Drug: aflibercept 8 mg | |
| Naïve DME | Treatment-naive patients with DME Receives: Drug: aflibercept 8 mg | |
| Pretreated DME | Patients with DME who have been previously treated with anti-VEGF, laser treatment, and/or intravitreal steroids Receives: Drug: aflibercept 8 mg |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean prior treatment interval during the one-year period before study enrollment compared to the last assigned treatment interval during the study
Previously Treated Patient Cohorts:
Reported among the subsets of patients (nAMD and DME) treated at dosing intervals of ≤ 8 weeks for ≥ 6 months prior to enrollment
Measured: Up to 12 Months
Change in visual acuity (VA) (Early Treatment Diabetic Retinopathy study [ETDRS]) letters)
Treatment-Naïve Patient Cohorts
Measured: Baseline up to 12 Months
Secondary outcomes (15)
Change in VA (ETDRS letters)
Measured: Baseline up to 24 Months
Categorical gains of ≥5 ETDRS letters
Measured: Up to 24 Months
Categorical gains of ≥10 ETDRS letters
Measured: Up to 24 Months
Categorical gains of ≥15 ETDRS letters
Measured: Up to 24 Months
Categorical losses of ≥5 ETDRS letters
Measured: Up to 24 Months
Categorical losses of ≥10 ETDRS letters
Measured: Up to 24 Months
Categorical losses of ≥15 ETDRS letters
Measured: Up to 24 Months
Proportion of patients achieving 20/40 Snellen equivalent or better
Measured: Up to 24 Months
Change in Central subfield thickness (CST)
Measured: Baseline up to 24 Months
Description of demographics
Standard and clinical characteristics such as age, sex and race/ethnicity
Measured: At Baseline
Descriptions of study eye characteristics
Study eye characteristics include ocular history, medical history (duration of nAMD or DME), prior and concomitant medication history, prior and concomitant ocular surgeries
Measured: At Baseline
Treatment interval
Measured: Up to 24 Months
Missed and unscheduled visits
Measured: Up to 24 Months
Frequency of ocular adverse events (AEs)
Measured: Up to 24 Months
Frequency of non-ocular adverse events (AEs)
Measured: Up to 24 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2024
- Study start12 Dec 2024 (estimated)
- Primary completion3 Jan 2028 (estimated)
- Study completion3 Jan 2029 (estimated)
Why it stopped: Sponsor Decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neovascular Age-related Macular Degeneration (nAMD)Studies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 0 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
- NCT06398080
- Sponsor's protocol ID
- VGFTe-HD-OD-2331
- Acronym
- SPECTRUM-US
- Status last verified
- Nov 2024
- First submitted
- 17 Apr 2024
- Last updated
- 25 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Real-World Patient Characteristics, Treatment Patterns, and Outcomes Among Patients With Neovascular Age-Related Macular Degeneration (nAMD) and Diabetic Macular Edema (DME) Treated With Aflibercept 8 mg in the United States
- ClinicalTrials.gov ID
- NCT06398080
- Acronym / sponsor ID
- SPECTRUM-US / VGFTe-HD-OD-2331
- Conditions
- Neovascular Age-related Macular Degeneration (nAMD), Wet Age-related Macular Degeneration (AMD), Diabetic Macular Edema (DME), Visual Impairment
- Keywords
- Treatment-Naïve, Previously treated, Degenerative disease, Vascular endothelial growth factor (VEGF), Diabetic retinopathy (DR)
- Study type
- Observational
- Recruitment status
- WithdrawnReason stopped: Sponsor Decision
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 12 Dec 2024 (estimated)
- Primary completion
- 3 Jan 2028 (estimated)
- Study completion
- 3 Jan 2029 (estimated)
- First posted
- 3 May 2024 (actual)
- Results
- Not posted in the source record
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 research study is to observe the patient's clinical care and how EYLEA® HD is used as a treatment in real-world settings. Patients are asked to join the study because they have either neovascular age-related macular degeneration (nAMD/wet age-related macular degeneration [AMD]) or diabetic macular edema (DME). Patients cannot have used EYLEA® HD in the past and the doctor must be planning to treat nAMD or DME with a new prescription of EYLEA® HD (aflibercept 8 mg).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Naïve nAMD | – | Drug: aflibercept 8 mgTreatment-naive patients with nAMD |
| Pretreated nAMD | – | Drug: aflibercept 8 mgPatients with nAMD who have been previously treated with anti-VEGF and/or laser |
| Naïve DME | – | Drug: aflibercept 8 mgTreatment-naive patients with DME |
| Pretreated DME | – | Drug: aflibercept 8 mgPatients with DME who have been previously treated with anti-VEGF, laser treatment, and/or intravitreal steroids |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Previously treated and treatment-naïve patients that have a diagnosis of nAMD or DME will be enrolled into this study. Patients who are treated with aflibercept 8 mg for other indications besides nAMD or DME will not be included.
Key inclusion criteria (11 listed)
- Any patient aged at least 50 years at the time of enrollment
- Diagnosis of nAMD (per physician)
- Previously treated patient cohort, patients that had treatment with any ocular intervention for nAMD in the study eye at any time before starting aflibercept 8 mg, as defined in the protocol
- For treatment-naïve patient cohort, patients never receiving previous treatment in the study eye for nAMD, as defined in the protocol
- Initiating treatment with aflibercept 8 mg for nAMD
Key exclusion criteria (8 listed)
- Macular edema/hemorrhage/choroidal neovascularization due to any other cause besides nAMD
- Any systemic or ocular condition that would prevent any improvement of VA in the study eye (eg, permanent visual impairment or blindness from any cause)
- Any patients that have been treated with photodynamic therapy
- Treatment with aflibercept 8 mg prior to baseline
- Macular edema due to any other cause besides DME
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 |
|---|---|---|
| aflibercept 8 mgAlso: EYLEA® HDNo intervention will be provided to study patients. Any treatment decision, including the decision for aflibercept 8 mg treatment, is at the discretion of the attending physician, made in accordance with his/her experience and following approved clinical guidelines. | Drug | Naïve DME, Naïve nAMD, Pretreated DME, Pretreated nAMD |
Primary outcome
Mean prior treatment interval during the one-year period before study enrollment compared to the last assigned treatment interval during the study
Time frame: Up to 12 Months
Previously Treated Patient Cohorts: Reported among the subsets of patients (nAMD and DME) treated at dosing intervals of ≤ 8 weeks for ≥ 6 months prior to enrollment
Change in visual acuity (VA) (Early Treatment Diabetic Retinopathy study [ETDRS]) letters)
Time frame: Baseline up to 12 Months
Treatment-Naïve Patient Cohorts
15 secondary outcomes
Change in VA (ETDRS letters)
Time frame: Baseline up to 24 Months
Categorical gains of ≥5 ETDRS letters
Time frame: Up to 24 Months
Categorical gains of ≥10 ETDRS letters
Time frame: Up to 24 Months
Categorical gains of ≥15 ETDRS letters
Time frame: Up to 24 Months
Categorical losses of ≥5 ETDRS letters
Time frame: Up to 24 Months
Categorical losses of ≥10 ETDRS letters
Time frame: Up to 24 Months
Categorical losses of ≥15 ETDRS letters
Time frame: Up to 24 Months
Proportion of patients achieving 20/40 Snellen equivalent or better
Time frame: Up to 24 Months
Change in Central subfield thickness (CST)
Time frame: Baseline up to 24 Months
Description of demographics
Time frame: At Baseline
Descriptions of study eye characteristics
Time frame: At Baseline
Treatment interval
Time frame: Up to 24 Months
Missed and unscheduled visits
Time frame: Up to 24 Months
Frequency of ocular adverse events (AEs)
Time frame: Up to 24 Months
Frequency of non-ocular adverse events (AEs)
Time frame: Up to 24 Months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2024.
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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
Questions about this trial
What is this clinical trial studying?
An observational study of Neovascular Age-related Macular Degeneration (nAMD) and Wet Age-related Macular Degeneration (AMD), run by Regeneron Pharmaceuticals.
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 11 inclusion and 8 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: withdrawn, as of the sponsor's last update on 25 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
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 was withdrawn before enrolling participants, so there are no results.
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 prior treatment interval during the one-year period before study enrollment compared to the last assigned treatment interval during the study (time frame: Up to 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?
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 25 Nov 2024.