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SNCTP000003025 | NCT03481660 | BASEC2018-01134

CRTH258B2302 (KITE)– Eine zweijährige, randomisierte, doppelmaskierte, multizentrische, Phase III Studie mit zwei Behandlungsgruppen zur Untersuchung der Wirksamkeit und Sicherheit von Brolucizumab versus Aflibercept in erwachsenen Patienten mit einer Sehstörung infolge eines diabetischen Makulaödems

Data source: BASEC (Imported from 26.04.2024), WHO (Imported from 25.04.2024)
Changed: Mar 13, 2024, 1:00 AM
Disease category: Eye diseases

Brief description of trial (Data source: BASEC)

Die Studie untersucht die Sehstörung infolge eines diabetischen Makulaödem (DME) und dauert 2 Jahre. Wir wollen untersuchen, ob das Medikament Brolucizumab sicher ist und für Personen mit DME einen gesundheitlichen Nutzen hat. Sie erhalten entweder 6 mg Brolucizumab oder 2 mg Aflibercept (EYLEA®). Die Behandlungsgruppe, der Sie zugewiesen werden, wird per Zufallsverfahren bestimmt. Sie und der Prüfarzt, der Ihre Studienbeurteilungen vornimmt, werden nicht wissen, welcher Behandlungsgruppe Sie zugewiesen wurden. Wenn Sie der Brolucizumab 6 mg Gruppe zugewiesen wurden, erhalten Sie 5 Mal alle 6 Wochen eine Brolucizumab-Injektion. Danach erhalten Sie bis zum Ende der Studie alle 12 Wochen eine Brolucizumab-Injektion, die Häufigkeit der Behandlung kann jedoch angepasst werden. Wenn Sie der Aflibercept 2 mg Gruppe zugewiesen wurden, erhalten Sie 5 Mal alle 4 Wochen eine Aflibercept-Injektion. Danach erhalten Sie bis zum Ende der Studie alle 8 Wochen eine Injektion von Aflibercept 2 mg. Beide Medikamente werden durch einen Injektion ins Auge verabreicht. Um sicherzustellen, dass weder Sie noch der Prüfarzt wissen, welches Medikament Sie erhalten, finden bei auch Ihnen Scheininjektionen statt. Bei einer Scheininjektion wird eine Spritze ohne Nadel an das Auge gehalten. Bei der Scheininjektion wird nichts in Ihr Auge injiziert. Die folgenden Untersuchungen oder Verfahren werden im Laufe der Studie mehrfach durchgeführt: Erfassung von Nebenwirkungen und Begleitmedikamenten, Messung von Blutdruck und Puls, Blutentnahme und Urinprobe, Sehtest, vollständige Augenuntersuchung, Nachuntersuchungen nach den Injektionen, verschiedene bildgebende Verfahren, Fragebogen zum Gesundheitszustand.

Health conditions investigated(Data source: BASEC)

In dieser Studie wird die Sehstörung aufgrund eines diabetischen Makulaödem (DME) untersucht. Dabei handelt es sich um eine fortschreitende Erkrankung im Auge, die unbehandelt dazu führen kann, dass die zentrale Sehkraft in einem oder beiden Augen verloren geht, weil die Makula, der zentrale Teil der Netzhaut (der Film im Augenhintergrund), geschwollen ist. Die Schwellung der Makula wird durch abnorme Blutgefässe in der Netzhaut verursacht, und zwar aufgrund eines hohen Blutzuckerspiegels. Diese abnormen Gefässe sind dann geschwächt, weshalb Blut und Flüssigkeit aus ihnen austritt. Diese Flüssigkeitsansammlung (Schwellung) ist für den Verlust der Sehkraft verantwortlich.

Health conditions (Data source: WHO)

Diabetic Macular Edema

Rare disease (Data source: BASEC)

No

Intervention investigated (e.g. drug, therapy or campaign) (Data source: BASEC)

Sie erhalten entweder 6 mg Brolucizumab oder 2 mg Aflibercept.

Aflibercept (EYLEA®) ist die derzeit verfügbare Behandlung für DME.

Brolucizumab ist ein Medikament, das von Swissmedic bisher noch nicht für die Behandlung von Menschen mit Ihrer Erkrankung zugelassen wurde. Das in dieser Studie zu prüfende Medikament ist derzeit weder in Ihrem noch irgendeinem anderen Land «auf dem Markt erhältlich» (für Sie zum Kauf oder auf Rezept erhältlich). Bis heute wurden etwa 1’350 Personen in klinischen Studien mit diesem Medikament behandelt.

Interventions (Data source: WHO)

Drug: Brolucizumab;Drug: Aflibercept

Criteria for participation in trial (Data source: BASEC)

Es können alle Personen teilnehmen, die an einer Sehstörung aufgrund eines DME leiden. Diese Personen müssen 18 Jahre oder älter sein und an Typ 1 oder Typ 2 Diabetes leiden. Das in Frage kommende Auge (Studienauge) muss im Hinblick auf die Erkrankung bestimmte Kriterien erfüllen, die von Ihrem Studienarzt sowie von einer zentralen Stelle anhand von bildgebenden Verfahren und Fotografien des Auges geprüft werden. Ausserdem muss ihre Sehkraft innerhalb eines festgelegten Bereichs liegen.

Exclusion criteria (Data source: BASEC)

Nicht teilnehmen dürfen Personen, bei denen eine Infektion oder Entzündung im Auge oder am Auge vorliegt. Das Studienauge darf bisher keine Behandlung gegen das DME erhalten haben. Bestimmte Vorerkrankungen des Auges dürfen nicht vorliegen, und gewisse Medikamente dürfen vor oder während der Studie nicht angewendet worden sein.

Inclusion/Exclusion Criteria (Data source: WHO)

Gender: All
Maximum age: N/A
Minimum age: 18 Years

Key Inclusion Criteria:

General

- Patients must give written informed consent before any study related assessments are
performed

- Patients with type 1 or type 2 diabetes mellitus and HbA1c of =< 10% at screening

- Medication for the management of diabetes must have been stable within 3 months prior
to randomization and is expected to remain stable during the course of the study

Study Eye

- Visual impairment due to DME with:

1. BCVA score between 78 and 23 letters, inclusive, using Early Treatment Diabetic
Retinopathy Study (ETDRS) visual acuity testing charts at a testing distance of 4
meters (approximate Snellen equivalent of 20/32 to 20/320), at screening and
baseline

2. DME involving the center of the macula, with central subfield retinal thickness
(measured from RPE to ILM inclusively) of >= 320 micrometers (?m) on SD-OCT at
screening If both eyes are eligible, the eye with the worse visual acuity will be
selected for study eye. However, the investigator may select the eye with better
visual acuity, based on medical reasons or local ethical requirements.

Key Exclusion Criteria:

- Previous treatment with any anti-VEGF drugs or investigational drugs in the study eye

- Active proliferative diabetic retinopathy in the study eye as per the investigator

- Concomitant conditions or ocular disorders in the study eye at screening or baseline
which could, in the opinion of the investigator, prevent response to study treatment
or may confound interpretation of study results, compromise visual acuity or require
medical or surgical intervention during the first 12-month study period (e.g.,
cataract, vitreous hemorrhage, retinal vascular occlusion, retinal detachment, macular
hole, or choroidal neovascularization of any cause)

- Any active intraocular or periocular infection or active intraocular inflammation
(e.g., infectious conjunctivitis, keratitis, scleritis, endophthalmitis, infectious
blepharitis, uveitis) in study eye at screening or baseline

- Structural damage of the fovea in the study eye at screening likely to preclude
improvement in visual acuity following the resolution of macular edema, including
atrophy of the retinal pigment epithelium, subretinal fibrosis, laser scar(s),
epiretinal membrane involving fovea or organized hard exudate plaques

- Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) > 25
millimeters mercury (mmHg) on medication or according to investigator's judgment, at
screening or baseline

- Neovascularization of the iris in the study eye at screening or baseline

- Evidence of vitreomacular traction in the study eye at screening or baseline which, in
the opinion of the investigator, affect visual acuity

Further information on the trial in WHO primary registry

https://clinicaltrials.gov/ct2/show/NCT03481660

Further information on the trial from WHO database (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=NCT03481660
Further information on trial

Recruitment status

Completed

Academic title (Data source: WHO)

A Two-Year, Two-Arm, Randomized, Double Masked, Multicenter, Phase III Study Assessing the Efficacy and Safety of Brolucizumab Versus Aflibercept in Adult Patients With Visual Impairment Due to Diabetic Macular Edema

Type of trial (Data source: WHO)

Interventional

Design of the trial (Data source: WHO)

Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Double (Participant, Investigator).

Phase (Data source: WHO)

Phase 3

Primary end point (Data source: WHO)

Mean Change From Baseline in Best-corrected Visual Acuity (BCVA) at Week 52 for the Study Eye

Secundary end point (Data source: WHO)

Percentage of Participants Who Lost >= 10 ETDRS Letters in Best Corrected Visual Acuity (BCVA) From Baseline at Each Post-baseline Visit for the Study Eye;Percentage of Participants Who Lost >= 15 ETDRS Letters in Best Corrected Visual Acuity (BCVA) From Baseline at Each Post-baseline Visit for the Study Eye;Percentage of Participants With an Absolute Best Corrected Visual Acuity (BCVA) >= 73 ETDRS Letters at Each Post-baseline Visit for the Study Eye;Mean Change From Baseline in Central Subfield Thickness (CSFT) at Each Post-baseline Visit for the Study Eye;Percentage of Participants With Normal CSFT Thickness (<280 Micrometers) at Each Post-baseline Visit for the Study Eye;Percentage of Patients With Presence of Subretinal Fluid (SRF) in the Study Eye at Each Post-baseline Visit;Percentage of Patients With Presence of Intraretinal Fluid (IRF) in the Study Eye at Each Post-baseline Visit;Percentage of Patients With Presence of Subretinal Fluid (SRF) and/or Intraretinal Fluid (IRF) in the Study Eye at Each Post-baseline Visit;Average Mean Change From Baseline in BCVA Over the Period Week 40 Through Week 52 for the Study Eye;(Brolucizumab Treatment Arm Only): Percentage of Participants Maintained at q12w up to Week 52 and up to q12w/q16w up to Week 100.;(Brolucizumab Treatment Arm Only): Percentage of Participants Maintained at q12w up to Week 52 Within Those Patients That Qualified for q12w at Week 36;(Brolucizumab Treatment Arm Only): Percentage of Participants Maintained at q12w/q16w up to Week 100, Within Those Patients That Qualified for q12w at Week 36;(Brolucizumab Treatment Arm Only): Percentage of Participants Maintained on q16w up to Week 100 Within the Patients on q12w at Week 68 and on q16w at Week 76;(Brolucizumab Treatment Arm Only): Percentage of Participants Re-assigned and Maintained on q12w up to Week 100 Within the Patients on q8w at Week 68 and on q12w at Week 80;(Brolucizumab Treatment Arm Only): Number of Participants With Injections Per Planned Dosing Regimen (Every 8, 12 or 16 Weeks);Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) at Each Visit up to Week 100 for the Study Eye;Average Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) Over the Period Week 4 to Week 52/100 for the Study Eye;Average Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) Over the Period Week 20 to Week 52/100 and Week 28 to Week 52/100 for the Study Eye;Average Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) Over the Period Week 88 to 100 for the Study Eye;Percentage of Participants Who Gained >= 5 Letters in BCVA From Baseline or Reached BCVA >= 84 Letters at Each Post-baseline Visit for the Study Eye;Percentage of Participants Who Gained >= 10 Letters in BCVA From Baseline or Reached BCVA >= 84 Letters at Each Post-baseline Visit for the Study Eye;Percentage of Participants Who Gained >= 15 Letters in BCVA From Baseline or Reached BCVA >= 84 Letters at Each Post-baseline Visit for the Study Eye;Percentage of Participants Who Lost >= 5 ETDRS Letters in Best Corrected Visual Acuity (BCVA) From Baseline at Each Post-baseline Visit for the Study Eye;Average Mean Change From Baseline in Central Subfield Thickness (CSFT) Over the Period Week 40 Through Week 52 / Week 88 Through Week 100 for the Study Eye;Average Mean Change From Baseline in CSFT Over the Period Week 4 to Week 52 / 100 for the Study Eye;Percentage of Participants With Presence of Leakage on Fluorescein Angiography (FA) at Weeks 52 and 100;Percentage of Participants With With >=2-step Improvement From Baseline in ETDRS Diabetic Retinopathy Severity Scale (ETDRS-DRSS) Score;Percentage of Participants With With >=3-step Improvement From Baseline in ETDRS Diabetic Retinopathy Severity Scale (ETDRS-DRSS) Score;Percentage of Participants With With >=2-step Worsening From Baseline in ETDRS Diabetic Retinopathy Severity Scale (ETDRS-DRSS) Score;Percentage of Participants With With >=3-step Worsening From Baseline in ETDRS Diabetic Retinopathy Severity Scale (ETDRS-DRSS) Score;Percentage of Participants With Progression to Proliferative Diabetic Retinopathy (PDR) as Assessed by ETDRS-DRSS Score of at Least 61 by Week 100;Number of Participants With Ocular and Non-ocular Adverse Events (AEs);Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Composite Score;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - General Vision;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Ocular Pain;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Near Activities;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Distance Activities;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Social Functioning;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Mental Health;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Role Difficulties;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Dependency;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Driving;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Color Vision;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): Subscale Score - Peripheral Vision;Change From Baseline in the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25): General Health Rating;Systemic Brolucizumab Concentration;Distribution of Integrated Anti-Drug Antibody (ADA) Status in the Brolucizumab Arm;Distribution of Integrated Anti-Drug Antibody (ADA) Status in the Brolucizumab Arm - Adjusted for Pre-existing ADA Status;Pre-existing ADA Status and Incidence of Adverse Event of Special Interest (AESI) in the Study Eye;Integrated ADA Status up to Week 100 and Incidence of Adverse Event of Special Interest (AESI) in the Study Eye.

Contact information (Data source: WHO)

Please refer to primary and secondary sponsors

Trial results (Data source: WHO)

Results summary

no information available yet

Link to the results in the primary register

https://clinicaltrials.gov/ct2/show/results/NCT03481660

Information on the availability of individual participant data

no information available yet

Trial sites

Trial sites in Switzerland (Data source: BASEC)

Bern, Zurich

Countries (Data source: WHO)

Belgium, Bulgaria, Czechia, Denmark, Estonia, France, Germany, Hungary, India, Korea, Latvia, Lebanon, Lithuania, Malaysia, Norway, Poland, Republic of, Russian Federation, Singapore, Slovakia, Sweden, Switzerland, Taiwan, Turkey

Contact for further information on the trial

Details of contact in Switzerland (Data source: BASEC)

Amit Tiwari
+41 79 953 02 95
amit.tiwari@novartis.com

Contact for general information (Data source: WHO)

Novartis Pharmaceuticals
Novartis Pharmaceuticals

Contact for scientific information (Data source: WHO)

Novartis Pharmaceuticals
Novartis Pharmaceuticals

Authorisation by the ethics committee (Data source: BASEC)

Name of the authorising ethics committee (for multicentre studies only the lead committee)

Kantonale Ethikkommission Bern

Date of authorisation by the ethics committee

09.10.2018

Further trial identification numbers

Trial identification number of the ethics committee (BASEC-ID) (Data source: BASEC)

2018-01134

Secondary ID (Data source: WHO)

2017-003960-11
CRTH258B2302
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