UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000033786
Receipt number R000038544
Scientific Title Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye
Date of disclosure of the study information 2020/03/31
Last modified on 2018/08/16 22:33:17

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Basic information

Public title

Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye

Acronym

Fixed-Interval Versus As-Needed Dosing of Anti-Vascular Endothelial Growth Factor for Bilateral Neovascular Age-Related Macular Degeneration

Scientific Title

Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye

Scientific Title:Acronym

Fixed-Interval Versus As-Needed Dosing of Anti-Vascular Endothelial Growth Factor for Bilateral Neovascular Age-Related Macular Degeneration

Region

Asia(except Japan)


Condition

Condition

Neovascular age-related macular degeneration

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare the efficacy of fixed-interval (proactive) and as-needed (reactive) dosing of anti-vascular endothelial growth factor (VEGF) treatment in patients with bilateral neovascular age-related macular degeneration (nAMD).

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome measures were the changes in BCVA, CMT, and retinal morphology, including the presence of SRF, IRF, and PED between the baseline and month 12.

Key secondary outcomes

The secondary outcome included the proportion that met the criteria of poor response after the 12-month treatment and the frequency distribution of the changes in retinal morphology. The outcome measures were evaluated in the first and second eye groups, respectively, and compared between the groups.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The second eyes were treated with the 12-month fixed-interval dosing of aflibercept (3-monthly loading injections followed by bimonthly injections)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients who showed poor response to the 12-month as-needed dosing anti-VEGF treatment (3-monthly loadings followed by further injections as required) in their first eyes were prospectively recruited. Poor response was defined as follows: reduction of central macular thickness (CMT) < 25%, with persistence or new subretinal fluid (SRF) or intraretinal fluid (IRF), or change in best-corrected visual acuity (BCVA) < 5 letters.

Key exclusion criteria

1) patients with neovascularized maculopathies other than AMD, 2) patients with a history of prior photocoagulation, intravitreal anti-VEGF injection, photodynamic therapy, intravitreal or sub-tenon steroid injection, vitrectomy surgery, or intravitreal gas injection, 3) patients with diabetic retinopathy or retinal vein occlusion, and 4) patients with coexisting epiretinal membranes or vitreomacular traction syndrome.

Target sample size

21


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hyeong Gon Yu

Organization

Seoul National University Hospital

Division name

Department of Ophthalmology

Zip code


Address

101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

TEL

82-2072-2053

Email

82959@snuh.org


Public contact

Name of contact person

1st name
Middle name
Last name DAE JOONG MA

Organization

Seoul National University Hospital

Division name

Department of Ophthalmology

Zip code


Address

101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

TEL

82-10-5092-9659

Homepage URL


Email

daejoongma@gmail.com


Sponsor or person

Institute

Seoul National University Hospital

Institute

Department

Personal name



Funding Source

Organization

Bayer Korea.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Republic of Korea


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Seoul National University Hospital


Other administrative information

Date of disclosure of the study information

2020 Year 03 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 07 Month 28 Day

Date of IRB


Anticipated trial start date

2013 Year 07 Month 28 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 08 Month 16 Day

Last modified on

2018 Year 08 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038544


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name