Study of Safety and Efficacy of Brolucizumab 6 mg Dosed Every 4 Weeks Compared to Aflibercept 2 mg Dosed Every 4 Weeks in Patients With Retinal Fluid Despite Frequent Anti-VEGF Injections

Last updated: January 27, 2023
Sponsor: Novartis Pharmaceuticals
Overall Status: Terminated

Phase

3

Condition

Macular Degeneration

Aging

Myopic Macular Degeneration

Treatment

N/A

Clinical Study ID

NCT03710564
CRTH258AUS04
  • Ages > 50
  • All Genders

Study Summary

This clinical study was designed to compare the safety and efficacy of brolucizumab 6 mg dosed every 4 weeks to aflibercept 2 mg dosed every 4 weeks in those neovascular age-related macular degeneration (nAMD) patients with retinal fluid despite frequent anti-Vascular Endothelial Growth Factor (VEGF) injections.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Signed informed consent
  • Diagnosis of wet age-related macular degeneration (AMD)
  • Currently receiving anti-VEGF injections

Exclusion

Exclusion Criteria:

  • Active infection or inflammation in either eye
  • Significant fibrosis in the study eye
  • Recent ocular surgery
  • Uncontrolled glaucoma
  • Use of medications as specified in the protocol
  • Pregnant, nursing
  • Of child-bearing potential unless using highly effective method of contraception

Study Design

Total Participants: 535
Study Start date:
October 30, 2018
Estimated Completion Date:
July 01, 2021

Study Description

This was a Phase III, multi-center, randomized, double-masked, parallel group study with 2 masked arms in which participants were randomized 2:1 to receive brolucizumab or aflibercept. All participants had study visits every 4 weeks through week 104.

The study consisted of three study periods:

Screening Period: The screening period lasted up to 2 weeks prior to administration of the first dose of study treatment, dependent upon confirmation of the patient meeting eligibility criteria.

Double-Masked Treatment Period: Participants meeting eligibility criteria entered the treatment period and were randomized in a 2:1 ratio into one of the following 2 masked treatment arms at the Baseline visit: Brolucizumab 6 mg injected every 4 weeks or Aflibercept 2 mg injected every 4 weeks. Treatment period lasted up to week 100.

Safety Follow up Period: Participants were followed up for safety during 4 weeks after the last dose of study treatment. Including the Screening Period, the total study duration for a participant was up to 106 weeks.

Some participants were eligible to continue into an extension study in order to receive treatment with brolucizumab (a) after completing the 104 -week double-masked treatment period, (b) upon meeting all inclusion/exclusion criteria for the extension study, and (c) based on Investigator's judgment that the participant was expected to benefit from treatment with brolucizumab.

Connect with a study center

  • Novartis Investigative Site

    Arecibo, 00612
    Puerto Rico

    Site Not Available

  • Novartis Investigative Site

    Phoenix, Arizona 85016
    United States

    Site Not Available

  • Novartis Investigative Site

    Beverly Hills, California 90211
    United States

    Site Not Available

  • Novartis Investigative Site

    Huntington Beach, California 92647
    United States

    Site Not Available

  • Novartis Investigative Site

    Mountain View, California 94040
    United States

    Site Not Available

  • Novartis Investigative Site

    Oakland, California 94609
    United States

    Site Not Available

  • Novartis Investigative Site

    Oxnard, California 93036
    United States

    Site Not Available

  • Novartis Investigative Site

    Palo Alto, California 94303
    United States

    Site Not Available

  • Novartis Investigative Site

    Redlands, California 92374
    United States

    Site Not Available

  • Novartis Investigative Site

    Sacramento, California 95841
    United States

    Site Not Available

  • Novartis Investigative Site

    San Francisco, California 94107
    United States

    Site Not Available

  • Novartis Investigative Site

    Santa Barbara, California 93103
    United States

    Site Not Available

  • Novartis Investigative Site

    Colorado Springs, Colorado 80909
    United States

    Site Not Available

  • Novartis Investigative Site

    Golden, Colorado 80401
    United States

    Site Not Available

  • Novartis Investigative Site

    Deerfield Beach, Florida 33064
    United States

    Site Not Available

  • Novartis Investigative Site

    Fort Lauderdale, Florida 33308
    United States

    Site Not Available

  • Novartis Investigative Site

    Fort Myers, Florida 33912-7125
    United States

    Site Not Available

  • Novartis Investigative Site

    Miami, Florida 33136
    United States

    Site Not Available

  • Novartis Investigative Site

    Mount Dora, Florida 32757
    United States

    Site Not Available

  • Novartis Investigative Site

    Ocala, Florida 34474
    United States

    Site Not Available

  • Novartis Investigative Site

    Pensacola, Florida 32503
    United States

    Site Not Available

  • Novartis Investigative Site

    Saint Petersburg, Florida 33711
    United States

    Site Not Available

  • Novartis Investigative Site

    Stuart, Florida 34994
    United States

    Site Not Available

  • Novartis Investigative Site

    Marietta, Georgia 30060
    United States

    Site Not Available

  • Novartis Investigative Site

    'Aiea, Hawaii 96701
    United States

    Site Not Available

  • Novartis Investigative Site

    Wheaton, Illinois 60187
    United States

    Site Not Available

  • Novartis Investigative Site

    West Des Moines, Iowa 50266
    United States

    Site Not Available

  • Novartis Investigative Site

    Lenexa, Kansas 66215
    United States

    Site Not Available

  • Novartis Investigative Site

    Shawnee Mission, Kansas 66204
    United States

    Site Not Available

  • Novartis Investigative Site

    Paducah, Kentucky 42001
    United States

    Site Not Available

  • Novartis Investigative Site

    New Orleans, Louisiana 70115-8139
    United States

    Site Not Available

  • Novartis Investigative Site

    West Monroe, Louisiana 71291
    United States

    Site Not Available

  • Novartis Investigative Site

    Waldorf, Maryland 20602
    United States

    Site Not Available

  • Novartis Investigative Site

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Novartis Investigative Site

    Springfield, Massachusetts 01107
    United States

    Site Not Available

  • Novartis Investigative Site

    Royal Oak, Michigan 48073
    United States

    Site Not Available

  • Novartis Investigative Site

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Novartis Investigative Site

    Las Vegas, Nevada 89144
    United States

    Site Not Available

  • Novartis Investigative Site

    Reno, Nevada 89502
    United States

    Site Not Available

  • Novartis Investigative Site

    Bloomfield, New Jersey 07003
    United States

    Site Not Available

  • Novartis Investigative Site

    Toms River, New Jersey 08755
    United States

    Site Not Available

  • Novartis Investigative Site

    Syracuse, New York 13224
    United States

    Site Not Available

  • Novartis Investigative Site

    Charlotte, North Carolina 28210
    United States

    Site Not Available

  • Novartis Investigative Site

    Cleveland, Ohio 44122
    United States

    Site Not Available

  • Novartis Investigative Site

    Fairfield, Ohio 45014
    United States

    Site Not Available

  • Novartis Investigative Site

    Eugene, Oregon 97401
    United States

    Site Not Available

  • Novartis Investigative Site

    Kingston, Pennsylvania 95403
    United States

    Site Not Available

  • Novartis Investigative Site

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Novartis Investigative Site

    Germantown, Tennessee 38138
    United States

    Site Not Available

  • Novartis Investigative Site

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Novartis Investigative Site

    Abilene, Texas 79606
    United States

    Site Not Available

  • Novartis Investigative Site

    Austin, Texas 78793
    United States

    Site Not Available

  • Novartis Investigative Site

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • Novartis Investigative Site

    Harlingen, Texas 78550
    United States

    Site Not Available

  • Novartis Investigative Site

    Houston, Texas 77030
    United States

    Site Not Available

  • Novartis Investigative Site

    San Antonio, Texas 78240
    United States

    Site Not Available

  • Novartis Investigative Site

    Tyler, Texas 75701
    United States

    Site Not Available

  • Novartis Investigative Site

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Novartis Investigative Site

    Spokane, Washington 99204
    United States

    Site Not Available

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