Study of Intravitreal REGN2176-3 in Participants With Neo... | NCT02418754 | Trialant
NCT02418754
Sponsor
Regeneron Pharmaceuticals
Status
Terminated
Last Update Posted
Oct 26, 2020Actual
Enrollment
505Actual
Phase
Phase 2
Conditions
Neovascular Age-Related Macular Degeneration
Interventions
REGN2176-3
Intravitreal Aflibercept Injection (IAI)
Countries
United States
Japan
Protocol Section
Identification Module
NCT ID
NCT02418754
Obsolete or Duplicate NCT IDs
NCT02603484
Organization Study
R2176-3-AMD-1417
Secondary IDs
Not provided
Brief Title
Study of Intravitreal REGN2176-3 in Participants With Neovascular ("Wet") Age-Related Macular Degeneration (AMD)
Official Title
A Phase 2, Double-Masked, Randomized, Controlled, Multiple-Dose, Regimen-Ranging Study of the Efficacy and Safety of Intravitreal REGN2176-3 in Patients With Neovascular Age-Related Macular Degeneration
Acronym
CAPELLA
Organization
Regeneron PharmaceuticalsINDUSTRY
Status Module
Record Verification Date
Oct 2020
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
No additional efficacy seen with REGN2176-3 over aflibercept alone
Expanded Access Info
No
Start Date
May 5, 2015Actual
Primary Completion Date
Aug 17, 2016Actual
Completion Date
Apr 3, 2017Actual
First Submitted Date
Apr 13, 2015
First Submission Date that Met QC Criteria
Apr 15, 2015
First Posted Date
Apr 16, 2015Estimated
Results Waived
Not provided
Results First Submitted Date
Sep 1, 2020
Results First Submitted that Met QC Criteria
Oct 1, 2020
Results First Posted Date
Oct 26, 2020Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Not provided
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
Not provided
Last Update Submitted Date
Oct 1, 2020
Last Update Posted Date
Oct 26, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Regeneron PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The primary objective of the study was to explore the effect of REGN2176-3 on the Early Treatment Diabetic Retinopathy Scale (ETDRS) best-corrected visual acuity (BCVA) in participants with neovascular age-related macular degeneration (AMD), compared to intravitreal aflibercept injection (IAI) monotherapy.
The secondary objectives of the study were the following:
To explore the effect of 2 dose levels of IVT REGN2176-3 on anatomical changes of CNV in participants with nAMD compared to IAI monotherapy (at week 12)
To evaluate if short-term treatment with REGN2176-3 followed by IAI monotherapy offered the same or additional benefit compared to continuous treatment with REGN2176-3. Also to determine if there was benefit in initiating IAI treatment prior to REGN2176-3 compared to continuous treatment with IAI.
To assess the safety and tolerability of IVT REGN2176-3 in participants with nAMD
Detailed Description
Not provided
Conditions Module
Conditions
Neovascular Age-Related Macular Degeneration
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
505Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
REGN2176-3 (1 mg: 2 mg)
Experimental
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. After Week 12, dosing was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Drug: REGN2176-3
REGN2176-3 (3 mg: 2 mg)
Experimental
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. After Week 12, dosing was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Drug: REGN2176-3
Intravitreal Aflibercept Injection (IAI) 2 mg
Experimental
IAI every 4 weeks for 12 weeks. After Week 12, dosing was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Drug: Intravitreal Aflibercept Injection (IAI)
REGN2176-3 (3 mg: 2 mg) to IAI 2 mg
Experimental
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. After Week 12, dosing was monthly with IAI 2 mg up to Week 28, then criteria based re-dosing from Week 28-52.
Drug: Intravitreal Aflibercept Injection (IAI)
IAI 2 mg to REGN2176-3 (3 mg:2 mg)
Experimental
IAI every 4 weeks for 12 weeks. After Week 12, dosing was monthly with REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) up to Week 28, then criteria based re-dosing from Week 28-52.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
REGN2176-3
Drug
IAI 2 mg to REGN2176-3 (3 mg:2 mg)
REGN2176-3 (1 mg: 2 mg)
REGN2176-3 (3 mg: 2 mg)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change From Baseline in Best Corrected Visual Acuity (BCVA) of the Study Eye at Week 12
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 12.
Baseline, Week 12
Secondary Outcomes
Measure
Description
Time Frame
Change From Baseline in Central Subfield Retinal Thickness (CST) at Week 12, as Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 12.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Key Inclusion Criteria:
Men or women ≥50 years of age
Active subfoveal CNV secondary to AMD as evidenced by FA in the study eye, as determined by the reading center, including juxtafoveal lesions that affect the fovea
BCVA ETDRS letter score of 73 to 24 (20/40 to 20/320) in the study eye at the screening visit
Provide signed informed consent
Key Exclusion Criteria:
Any prior treatment with anti-VEGF treatment in the study eye
Any prior treatment (ie, systemic or ocular treatment) with PDGF or PDGFR inhibitors
Dense fibrotic scar or atrophy in the study eye involving the center of the fovea
Presence of retinal pigment epithelial tears or rips involving the macula in the study eye
Prior vitrectomy in the study eye
Any history of macular hole of stage 2 and above in the study eye
Any intraocular or periocular surgery within 3 months of day 1 in the study eye, except lid surgery
History of corneal transplant in the study eye
Evidence of diabetic retinopathy or diabetic macular edema in either eye
Positive serum human chorionic gonadotropin/urine pregnancy test at the screening or baseline visit
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
50 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Clinical Trial Management
Regeneron Pharmaceuticals
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Phoenix
Arizona
United States
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Participants were initially randomized in a 1:2:2 ratio to receive REGN2176-3 (1 mg:2 mg) (REGN2176 1 mg:REGN3 2 mg) or REGN2176-3 (3 mg:2 mg) (REGN2176 3 mg:REGN3 2 mg) or 2 mg intravitreal aflibercept injection (IAI). One eye was under study (the fellow eye was assessed for safety only).
Recruitment Details
The study was conducted at 82 sites in US and 11 sites in Japan. A total of 804 participants were screened. Out of 804 participants, 505 were randomized and treated.
Type of Units Analyzed
Study Eyes
Arm/Group Information
ID
Title
Description
FG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
FG001
Periods
Title
Milestones
Reasons Not Completed
Period 1 (Day 1 to Week 12)
Type
Comment
Milestone Data
STARTED
Safety Analysis Set (SAF): all initially randomized participants who received any study drug
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
No data available
No data is available for this block.
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantInvestigatorOutcomes Assessor
Drug: REGN2176-3
Intravitreal Aflibercept Injection (IAI)
Drug
Intravitreal Aflibercept Injection (IAI) 2 mg
REGN2176-3 (3 mg: 2 mg) to IAI 2 mg
Eylea®
Baseline, Week 12
Percentage of Participants With Complete Resolution of Intraretinal and Subretinal Fluid From Baseline at Week 12 Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation.
Week 12
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12 Measured by Fluorescein Angiography (FA)
The anatomical state of the retinal vasculature of the study eye and the fellow eye was evaluated by funduscopic examination, fundus photography and FA to evaluate the total lesion area, CNV area, classic CNV area, and fluorescein leakage. CNV area values measured in square millimeters, each disc area was equivalent to 2.54 mm^2 on the retina; lower values represent better outcomes.
Baseline, Week 12
Change From Baseline in Total Lesion Size at Week 12 Measured by Fluorescein Angiography (FA)
Total Lesion Size was assessed by Fluorescein Angiography.
Baseline, Week 12
Percentage of Participants Who Gained At Least 15 Letters in BCVA From Baseline at Week 12, Measured by 4-meter Early Treatment Diabetic Retinopathy Scale (ETDRS)
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. This outcome assessed the percentage of participants who gained 15 or more letters of visual acuity at Week 12 compared with baseline.
Week 12
Percent Change From Baseline in Subretinal Hyperreflectivity Material (SHM) at Week 12 Measured by Optical Coherence Tomography (OCT)
SHM was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement.
Baseline, Week 12
Change From Baseline in Central Retinal/Lesion Thickness at Week 12 Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 12.
Baseline, Week 12
Tucson
Arizona
United States
Arcadia
California
United States
Beverly Hills
California
United States
Irvine
California
United States
Mountain View
California
United States
Oceanside
California
United States
Sacramento
California
United States
Santa Ana
California
United States
Colorado Springs
Colorado
United States
Fort Lauderdale
Florida
United States
Fort Myers
Florida
United States
Jacksonville
Florida
United States
Melbourne
Florida
United States
Miami
Florida
United States
Plantation
Florida
United States
Tampa
Florida
United States
Winter Haven
Florida
United States
Augusta
Georgia
United States
Marietta
Georgia
United States
Chicago
Illinois
United States
Oak Forest
Illinois
United States
Springfield
Illinois
United States
Urbana
Illinois
United States
Iowa City
Iowa
United States
Shawnee Mission
Kansas
United States
Lexington
Kentucky
United States
Paducah
Kentucky
United States
Baltimore
Maryland
United States
Towson
Maryland
United States
Boston
Massachusetts
United States
Jackson
Michigan
United States
Southfield
Michigan
United States
Minneapolis
Minnesota
United States
Florissant
Missouri
United States
Lincoln
Nebraska
United States
Omaha
Nebraska
United States
Las Vegas
Nevada
United States
Bloomfield
New Jersey
United States
New Brunswick
New Jersey
United States
Albuquerque
New Mexico
United States
Albany
New York
United States
East Setauket
New York
United States
Great Neck
New York
United States
New York
New York
United States
Orchard Park
New York
United States
Rochester
New York
United States
Asheville
North Carolina
United States
Charlotte
North Carolina
United States
Cincinnati
Ohio
United States
Oklahoma City
Oklahoma
United States
Portland
Oregon
United States
Kingston
Pennsylvania
United States
Monroeville
Pennsylvania
United States
Philadelphia
Pennsylvania
United States
Florence
South Carolina
United States
Ladson
South Carolina
United States
West Columbia
South Carolina
United States
Rapid City
South Dakota
United States
Knoxville
Tennessee
United States
Memphis
Tennessee
United States
Nashville
Tennessee
United States
Abilene
Texas
United States
Austin
Texas
United States
Dallas
Texas
United States
Fort Worth
Texas
United States
Houston
Texas
United States
McAllen
Texas
United States
San Antonio
Texas
United States
The Woodlands
Texas
United States
Willow Park
Texas
United States
Salt Lake City
Utah
United States
Burlington
Vermont
United States
Fairfax
Virginia
United States
Bellevue
Washington
United States
Akita
Japan
Asahikawa
Japan
Chiyoda-ku
Japan
Fukushima
Japan
Kawasaki
Japan
Matsumoto
Japan
Nagasaki
Japan
Nagoya
Japan
Osaka
Japan
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
FG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
FG003
Group 4: REGN2176-3 (3 mg:2 mg) to IAI 2 mg
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 4 was monthly with IAI 2 mg up to Week 28, then criteria based re-dosing from Week 28-52.
FG004
Group 5: IAI 2 mg to REGN2176-3 (3 mg:2 mg)
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 5 was monthly with REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) up to Week 28, then criteria based re-dosing from Week 28-52.
FG000103 subjects103 units
FG001200 subjects200 units
FG002202 subjects202 units
FG0030 subjects0 units
FG0040 subjects0 units
COMPLETED
Completed week 12 in the SAF
FG000101 subjects101 units
FG001196 subjects196 units
FG002200 subjects200 units
FG0030 subjects0 units
FG0040 subjects0 units
NOT COMPLETED
FG0002 subjects2 units
FG0014 subjects4 units
FG0022 subjects2 units
FG0030 subjects0 units
FG0040 subjects0 units
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
Death
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Physician Decision
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG0000 subjects
FG0012 subjects
FG0021 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Period 2 (Day 1 to Week 52/End of Study)
Type
Comment
Milestone Data
STARTED
SAF (includes all initially randomized participants who received any study drug)
FG000103 subjects103 units
FG001106 subjects106 units
FG002108 subjects108 units
FG00394 subjects94 units
FG00494 subjects94 units
COMPLETED
Completed week 52 in the SAF
FG00070 subjects70 units
FG00164 subjects64 units
FG00271 subjects71 units
FG003
NOT COMPLETED
FG00033 subjects33 units
FG00142 subjects42 units
FG00237 subjects37 units
FG00327 subjects
Type
Comment
Reasons
Adverse Event
FG0003 subjects
FG0017 subjects
FG0026 subjects
FG003
Baseline population included all randomized participants.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
BG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
BG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
BG003
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG000103
BG001200
BG002202
BG003505
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00079.2± 8.01
BG00178.6± 8.77
BG00277.7± 8.61
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00061
BG001121
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0001
BG0017
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Region of Enrollment
Number
Participants
Title
Denominators
Categories
United States
Title
Measurements
BG00098
BG001193
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Change From Baseline in Best Corrected Visual Acuity (BCVA) of the Study Eye at Week 12
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed post-baseline value at Week 12.
Full analysis set (FAS) that included all randomized participants who received any study treatment, had a baseline measurement of BCVA, and at least 1 post-baseline assessment of BCVA. Last observation carried forward (LOCF) method was used to impute missing data.
Posted
Least Squares Mean
Standard Error
Letters
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG000103
OG001200
OG002202
Title
Denominators
Categories
Title
Measurements
OG0005.9± 1.01
OG0015.7± 0.73
OG0027.4± 0.72
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
To control for the family-wise type I error rate of 5%, for each of the 2 REGN2176-3 groups the 2-sided hypothesis comparing REGN2176-3 (1 mg: 2 mg) vs. Intravitreal Aflibercept Injection (IAI) 2 mg was tested at a significance level of α = 2.5%.
ANCOVA
0.2052
Threshold for significance at 0.025 level.
Least Squares (LS) Mean Difference
-1.58
2-Sided
95
-4.37
1.22
Superiority
Analysis was performed using analysis of covariance (ANCOVA) model with baseline measurements as covariate and treatment group, baseline angiographic choroidal neovascularization (CNV) subtype (predominantly or minimally classic versus occult versus occult with no classic lesions) as fixed factors.
Secondary
Change From Baseline in Central Subfield Retinal Thickness (CST) at Week 12, as Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 12.
Analysis was performed on FAS. LOCF method was used to impute missing data.
Posted
Least Squares Mean
Standard Error
Microns
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Secondary
Percentage of Participants With Complete Resolution of Intraretinal and Subretinal Fluid From Baseline at Week 12 Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation.
Analysis was performed on FAS. LOCF method was used to impute missing data.
Posted
Number
Percentage of Participants
Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
Secondary
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12 Measured by Fluorescein Angiography (FA)
The anatomical state of the retinal vasculature of the study eye and the fellow eye was evaluated by funduscopic examination, fundus photography and FA to evaluate the total lesion area, CNV area, classic CNV area, and fluorescein leakage. CNV area values measured in square millimeters, each disc area was equivalent to 2.54 mm^2 on the retina; lower values represent better outcomes.
Analysis was performed on FAS. LOCF was used to impute missing data. Here, number of participants analyzed = participants with available data for this outcome measure.
Posted
Least Squares Mean
Standard Error
Square Millimeter (mm^2)
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Secondary
Change From Baseline in Total Lesion Size at Week 12 Measured by Fluorescein Angiography (FA)
Total Lesion Size was assessed by Fluorescein Angiography.
Analysis was performed on FAS. LOCF was used to impute missing data. Here, number of participants analyzed = participants with available data for this outcome measure.
Posted
Least Squares Mean
Standard Error
mm
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Secondary
Percentage of Participants Who Gained At Least 15 Letters in BCVA From Baseline at Week 12, Measured by 4-meter Early Treatment Diabetic Retinopathy Scale (ETDRS)
Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. This outcome assessed the percentage of participants who gained 15 or more letters of visual acuity at Week 12 compared with baseline.
Analysis was performed on FAS. LOCF was used to impute missing data.
Posted
Number
Percentage of Participants
Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Secondary
Percent Change From Baseline in Subretinal Hyperreflectivity Material (SHM) at Week 12 Measured by Optical Coherence Tomography (OCT)
SHM was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement.
Analysis was performed on FAS. LOCF was used to impute missing data. Here, number of participants analyzed = participants with available data for this outcome measure.
Posted
Least Squares Mean
Standard Error
Percent change
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Secondary
Change From Baseline in Central Retinal/Lesion Thickness at Week 12 Measured by Optical Coherence Tomography (OCT)
CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 12.
Analysis was performed on FAS. LOCF was used to impute missing data.
Posted
Least Squares Mean
Standard Error
Microns
Baseline, Week 12
ID
Title
Description
OG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
OG002
Time Frame
All Adverse Events (AEs) were collected from signature of the informed consent form up to the final visit (Week 52) regardless of seriousness or relationship to investigational product.
Description
Reported AEs are treatment-emergent and are defined as AEs starting after the first study eye injection and no later than 30 days after the last study eye or fellow eye injection. Analysis was performed on safety analysis set (SAF) and included all initially randomized participants who received any study drug before Week 12; it was based on Week 12 secondary randomization group assignment.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Group 1: REGN2176-3 (1 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 1 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, Group 1 continued without a secondary randomization. After Week 12, dosing in Group 1 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
3
103
17
103
48
103
EG001
Group 2: REGN2176-3 (3 mg:2 mg)
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 2 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
2
106
20
106
50
106
EG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
3
108
23
108
51
108
EG003
Group 4: REGN2176-3 (3 mg:2 mg) to IAI 2 mg
Intravitreal injection of REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 2 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 4 was monthly with IAI 2 mg up to Week 28, then criteria based re-dosing from Week 28-52.
1
94
17
94
52
94
EG004
Group 5: IAI 2 mg to REGN2176-3 (3 mg:2 mg)
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 5 was monthly with REGN2176-3 (REGN2176 3 mg and REGN3 2 mg) up to Week 28, then criteria based re-dosing from Week 28-52.
1
94
15
94
52
94
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG0030 events0 affected94 at risk
EG0041 events1 affected94 at risk
Acute coronary syndrome
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Acute myocardial infarction
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Bradycardia
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0003 events3 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Cardio-Respiratory arrest
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Cardiomyopathy
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Coronary artery disease
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Ischaemic cardiomyopathy
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Pericardial effusion
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Stress cardiomyopathy
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Blindness
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Blindness transient
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Macular degeneration
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Neovascular age-related macular degeneration
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Open angle glaucoma
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Retinal haemorrhage
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Uveitis
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0002 events1 affected103 at risk
EG0012 events2 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Visual acuity reduced
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0002 events2 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Ileus
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Intestinal obstruction
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Large intestine polyp
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Chest pain
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Death
General disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Non-Cardiac chest pain
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Hepatitis acute
Hepatobiliary disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Device related infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Endophthalmitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
Study eye
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Infectious colitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Osteomyelitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Sepsis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0012 events2 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Staphylococcal bacteraemia
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0002 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Vestibular neuronitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Ankle fracture
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Back injury
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Comminuted fracture
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0012 events2 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0012 events2 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Humerus fracture
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Impacted fracture
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Procedural pain
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Subdural haematoma
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Toxicity to various agents
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Blood pressure increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Hypercalcaemia
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Intervertebral disc protrusion
Musculoskeletal and connective tissue disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Muscle haemorrhage
Musculoskeletal and connective tissue disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Muscular weakness
Musculoskeletal and connective tissue disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Bladder cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Breast cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Gastric cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Leukaemia
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Lip squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Lung adenocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Lung neoplasm malignant
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Non-Small cell lung cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Oesophageal carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Prostate cancer stage ii
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
Study eye
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Squamous cell carcinoma of skin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Basal ganglia stroke
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Carotid artery stenosis
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Dementia alzheimer's type
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Dysarthria
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Encephalopathy
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Hypoaesthesia
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Metabolic encephalopathy
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Syncope
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Tremor
Nervous system disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Major depression
Psychiatric disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Calculus ureteric
Renal and urinary disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Nephrolithiasis
Renal and urinary disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Acute respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Aspiration
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Chronic obstructive pulmonary disease
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0002 events1 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Pleural effusion
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0002 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Hypotension
Vascular disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Peripheral ischaemia
Vascular disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0011 events1 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Shock haemorrhagic
Vascular disorders
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Neovascular age-related macular degeneration
Eye disorders
MedDRA 18.0
Systematic Assessment
Fellow eye
EG0001 events1 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Squamous cell carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 events0 affected103 at risk
EG0010 events0 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Cataract
Eye disorders
MedDRA 18.0
Systematic Assessment
Fellow eye
EG0006 events6 affected103 at risk
EG0011 events1 affected106 at risk
EG0022 events2 affected108 at risk
EG0031 events1 affected94 at risk
EG004
Conjunctival haemorrhage
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0006 events6 affected103 at risk
EG0014 events4 affected106 at risk
EG0027 events6 affected108 at risk
EG003
Eye pain
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0003 events3 affected103 at risk
EG0016 events5 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Neovascular age-related macular degeneration
Eye disorders
MedDRA 18.0
Systematic Assessment
Fellow eye
EG0001 events1 affected103 at risk
EG00110 events10 affected106 at risk
EG0029 events8 affected108 at risk
EG003
Posterior capsule opacification
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0001 events1 affected103 at risk
EG0012 events2 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Retinal haemorrhage
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0007 events6 affected103 at risk
EG0018 events8 affected106 at risk
EG0023 events3 affected108 at risk
EG003
Vitreous detachment
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0003 events3 affected103 at risk
EG0014 events3 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Vitreous floaters
Eye disorders
MedDRA 18.0
Systematic Assessment
Study eye
EG0003 events2 affected103 at risk
EG0011 events1 affected106 at risk
EG0021 events1 affected108 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0003 events3 affected103 at risk
EG0016 events6 affected106 at risk
EG00212 events9 affected108 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0003 events2 affected103 at risk
EG0018 events7 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0008 events7 affected103 at risk
EG0019 events7 affected106 at risk
EG0024 events4 affected108 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0006 events5 affected103 at risk
EG0016 events6 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Hypertension
Vascular disorders
MedDRA 18.0
Systematic Assessment
EG0006 events6 affected103 at risk
EG0014 events4 affected106 at risk
EG00210 events10 affected108 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0003 events3 affected103 at risk
EG0010 events0 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Posterior capsule opacification
Eye disorders
MedDRA 18.0
Systematic Assessment
Fellow eye
EG0005 events5 affected103 at risk
EG0011 events1 affected106 at risk
EG0022 events2 affected108 at risk
EG003
Vitreous floaters
Eye disorders
MedDRA 18.0
Systematic Assessment
Fellow eye
EG0002 events2 affected103 at risk
EG0010 events0 affected106 at risk
EG0020 events0 affected108 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The investigator has the right to independently publish study results from the investigator's site after a multi-center publication, or a defined period after the completion of the study by all sites. The investigator must provide the sponsor a copy of any such publication derived from the study for review and comment in advance of any submission, and delay publication, if requested, to allow the Sponsor to preserve its proprietary rights.
Point of Contact
Title
Organization
Phone
Extension
Email
Clinical Trials Administrator
Regeneron Pharmaceuticals, Inc.
844-734-6643
clinicaltrials@regeneron.com
ID
Term
C533178
aflibercept
Ancestor Terms
Not provided
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
0 subjects
0 subjects
0 subjects
67 subjects
67 units
FG00467 subjects67 units
27 units
FG00427 subjects27 units
2 subjects
FG0042 subjects
Death
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
Physician Decision
FG00026 subjects
FG00128 subjects
FG00226 subjects
FG00321 subjects
FG00424 subjects
Withdrawal by Subject
FG0003 subjects
FG0014 subjects
FG0024 subjects
FG0031 subjects
FG0040 subjects
Lost to Follow-up
FG0000 subjects
FG0012 subjects
FG0021 subjects
FG0032 subjects
FG0041 subjects
Other Un-specified
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG0040 subjects
78.3
± 8.56
135
BG003317
Male
BG00042
BG00179
BG00267
BG003188
6
BG00314
Not Hispanic or Latino
BG000102
BG001193
BG002196
BG003491
Unknown or Not Reported
BG0000
BG0010
BG0020
BG0030
1
BG0031
Asian
BG0005
BG0019
BG00210
BG00324
Native Hawaiian or Other Pacific Islander
BG0000
BG0010
BG0020
BG0030
Black or African American
BG0000
BG0011
BG0022
BG0033
White
BG00098
BG001189
BG002186
BG003473
More than one race
BG0000
BG0011
BG0021
BG0032
Unknown or Not Reported
BG0000
BG0010
BG0022
BG0032
194
BG003485
Japan
Title
Measurements
BG0005
BG0017
BG0028
BG00320
OG001
OG002
To control for the family-wise type I error rate of 5%, for each of the 2 REGN2176-3 groups the 2-sided hypothesis comparing REGN2176-3 (1 mg: 2 mg) vs. Intravitreal Aflibercept Injection (IAI) 2 mg was tested at a significance level of α = 2.5%.
ANCOVA
0.0982
Threshold for significance at 0.025 level.
Least Squares (LS) Mean Difference
-1.70
2-Sided
95
-4.00
0.61
Superiority
Analysis was performed using ANCOVA model with baseline measurements as covariate and treatment group, baseline angiographic choroidal neovascularization (CNV) subtype (predominantly or minimally classic versus occult versus occult with no classic lesions) as fixed factors.
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG000103
OG001200
OG002202
Title
Denominators
Categories
Title
Measurements
OG000-131.1± 6.88
OG001-116.9± 4.96
OG002-134.4± 4.92
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG000103
OG001200
OG002202
Title
Denominators
Categories
Title
Measurements
OG00035.0
OG00124.0
OG00242.1
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG00097
OG001187
OG002192
Title
Denominators
Categories
Title
Measurements
OG000-3.4± 0.44
OG001-2.0± 0.31
OG002-3.6± 0.31
Units
Counts
Participants
OG00097
OG001187
OG002192
Title
Denominators
Categories
Title
Measurements
OG000-3.1± 0.43
OG001-2.1± 0.31
OG002-3.5± 0.31
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG000103
OG001200
OG002202
Title
Denominators
Categories
Title
Measurements
OG00011.7
OG00118.5
OG00221.8
OG002
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.
Units
Counts
Participants
OG00094
OG001191
OG002193
Title
Denominators
Categories
Title
Measurements
OG000-50.0± 5.94
OG001-41.9± 4.17
OG002-48.8± 4.14
Group 3: Intravitreal Aflibercept Injection (IAI) 2 mg
IAI every 4 weeks for 12 weeks. At Week 12, a secondary randomization occurred in Group 3 for those participants who completed the Week 12 assessments. After Week 12, dosing in Group 3 was monthly up to Week 28, then criteria based re-dosing from Week 28-52.