The Efficacy of Oral Everolimus in Patients With Neovascular Age-related Macular Degeneration
This study has been terminated.
Sponsor:
Novartis Pharmaceuticals
Information provided by:
Novartis
ClinicalTrials.gov Identifier:
NCT00857259
First received: March 4, 2009
Last updated: July 22, 2011
Last verified: July 2011
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Purpose
The study will assess the safety and efficacy of Everolimus (RAD001) alone or in combination with Lucentis in patients with neo-vascular age related macular degeneration (AMD)
| Condition | Intervention | Phase |
|---|---|---|
|
Choroidal Neo-Vascular Age-onset Macular Degeneration Age-related Macular Degeneration |
Drug: Everolimus Drug: Ranibizumab |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-masked, Parallel Group Study to Assess the Efficacy of Oral Everolimus, Either Alone or Added to Lucentis, in Patients With Neovascular Age-related Macular Degeneration |
Resource links provided by NLM:
Genetics Home Reference related topics:
age-related macular degeneration
X-linked juvenile retinoschisis
MedlinePlus related topics:
Macular Degeneration
U.S. FDA Resources
Further study details as provided by Novartis:
Primary Outcome Measures:
- Change in Central Retinal Thickness From Baseline to Week 4, as Measured by Optical Coherence Tomography (OCT) [ Time Frame: Baseline and 4 weeks ] [ Designated as safety issue: No ]Central retinal thickness was assessed by Optical coherence tomography (OCT). The primary thickness endpoint was the mean thickness of the foveal field of the macula map produced by the analysis of the sequence of six radial scans. Foveal field thickness was the average thickness of a circular field with a diameter of 1 mm. OCT images were analyzed by a central reading center.
Secondary Outcome Measures:
- Change in Visual Acuity From Baseline to Week 4 in Patients Treated With Everolimus [ Time Frame: Baseline and week 4 ] [ Designated as safety issue: No ]Best corrected visual acuity (BCVA) was assessed on both eyes. BCVA measurements were taken in sitting position using Early Treatment Diabetic Retinopathy Study (ETDRs)-like visual acuity testing charts at an initial testing distance specific to test charts. BCVA is measured from the number of letters the patient can read on the eye chart.
| Enrollment: | 16 |
| Study Start Date: | February 2009 |
| Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Everolimus 5 mg
5 mg orally once daily plus sham ocular injection on Day 1 (Baseline) until Day 28
|
Drug: Everolimus
5 mg oral tablet
|
|
Active Comparator: Ranibizumab 0.5 mg
Ranibizumab intra-vitreal therapy (IVT) 0.5 mg on Day 1 (baseline)
|
Drug: Ranibizumab
0.5 mg administered by intravitreal injection
|
|
Active Comparator: Oral Everolimus (5mg) and Ranibizumab (0.5mg)
Everolimus orally 5 mg once daily plus Ranibizumab Intra-vitreal therapy (IVT) 0.5 mg on day 1 (baseline)
|
Drug: Everolimus
5 mg oral tablet
Drug: Ranibizumab
0.5 mg administered by intravitreal injection
|
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Patients with neovascular Age-Related Macular Degeneration (AMD)
- Best corrected visual acuity ( BCVA) of 20/40 or worse in study eye
- Patients with predominantly classic, minimally classic, or occult choroidal neovascularization in the macula of one eye (the study eye) who have had an inadequate response to VEGF inhibitors in the study eye. Inadequate response is defined as a gain of less than one line of visual acuity and persistent macular edema (central sub-fiel thickness ≥ 300 μm as measured by Optical Coherence Tomography (OCT) despite a minimum of 3 treatments with Lucentis or Avastin
Exclusion Criteria:
- Any concurrent ocular condition in the study eye that may result in substantial change in vision during the study
- Uncontrolled medical conditions such as cancer, angina, diabetes, viral or fungal infections, impaired lung function, history of stroke
- Patients who have macular edema in the study eye that, in the judgment of the investigator, is unlikely to respond to treatment. Examples of features that may guide the investigator's judgment about unresponsiveness are large regions of geographic atrophy, retinal angiomatous proliferation, or large regions of sub-retinal fibrosis. The presence of one of these features excludes a patient only if the investigator judges the study eye to have irreversible macular edema.
- active bacterial, fungal or viral infections at the time of enrollment, e.g. hepatitis B or C infection. Patients with risk factors for hepatitis B should be tested for hepatitis B viral load and serological markers at screening (a positive HBV-DNA, HBsAg). Patients with risk factors for hepatitis C should be tested using HCVRNA-PCR at screening. A clinical history of hepatitis B or hepatitis C will exclude the patient from the study.
Other protocol-defined inclusion/exclusion criteria may apply
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00857259
Locations
| United States, California | |
| Retina-Vitreous Associates Medical Group | |
| Beverley Hills, California, United States, 90211 | |
| Retinal Consultants Medical Group, Inc. | |
| Sacramento, California, United States | |
| United States, Colorado | |
| Porter Adventist Hospital, Diagnostic Eye Laboratory | |
| Denver, Colorado, United States, 80210 | |
| United States, Missouri | |
| Discover Vision Center | |
| Independence, Missouri, United States, 64055 | |
| United Kingdom | |
| Novartis Investigative Site | |
| Bristol, United Kingdom | |
| Novartis Investigative Site | |
| Frimley, United Kingdom | |
| Novartis Investigative Site | |
| Liverpool, United Kingdom | |
| Novartis Investigative Site | |
| London, United Kingdom | |
| Novartis Investigative Site | |
| Oxford, United Kingdom | |
| Novartis Investigative site | |
| Portsmouth, United Kingdom | |
| Novartis Investigative Site | |
| Southampton, United Kingdom | |
| Novartis Investigator Site | |
| Wolverhampton, United Kingdom | |
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
| Study Director: | Novartis Pharmaceuticals | Novartis Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | External Affairs, Novartis Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00857259 History of Changes |
| Other Study ID Numbers: | CRAD001A2203, EudraCT number: 2008-003550-15 |
| Study First Received: | March 4, 2009 |
| Results First Received: | July 22, 2011 |
| Last Updated: | July 22, 2011 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency United States: Food and Drug Administration |
Keywords provided by Novartis:
|
AMD macular degeneration Everolimus Lucentis |
Ranibizumab Choroidal Neo-Vascular (CNV) age-onset macular degeneration Age-related Macular Degeneration (AMD) |
Additional relevant MeSH terms:
|
Macular Degeneration Wet Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases Everolimus Sirolimus Immunosuppressive Agents Immunologic Factors |
Physiological Effects of Drugs Pharmacologic Actions Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Antifungal Agents Anti-Infective Agents Anti-Bacterial Agents |
ClinicalTrials.gov processed this record on June 18, 2013