Efficacy and Safety of Brolucizumab vs Aflibercept in Patients With Visual Impairment Due to Diabetic Macular Edema

Last updated: August 11, 2022
Sponsor: Novartis Pharmaceuticals
Overall Status: Completed

Phase

3

Condition

Diabetic Macular Edema

Macular Edema

Diabetic Retinopathy

Treatment

N/A

Clinical Study ID

NCT03917472
CRTH258B2305
2019-001004-37
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study was to evaluate the efficacy and safety of brolucizumab vs. aflibercept in the treatment of patients with visual impairment due to diabetic macular edema (DME).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Signed informed consent must be obtained prior to participation in the study.
  • Patients with type 1 or type 2 diabetes mellitus (DM) and Hemoglobin A1c (HbA1c) ≤ 12%at screening.
  • Study eye: Visual impairment due to DME with:
  • Best-corrected visual acuity (BCVA) score between 73 and 23 letters, inclusive,using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testingcharts at an initial testing distance of 4 meters
  • DME involving the center of the macula, with Central Subfield Thickness (CSFT) ≥ 320 µm on Spectral Domain Optical Coherence Tomography (SD-OCT)

Exclusion

Exclusion Criteria:

  • High-risk proliferative diabetic retinopathy (PDR) in the study eye
  • Concomitant conditions or ocular disorders in the study eye which confoundinterpretation of study results, compromise visual acuity or require medical orsurgical intervention
  • Any active intraocular or periocular infection or active intraocular inflammation inthe either eye
  • Uncontrolled glaucoma in the study eye
  • Presence of amblyopia, amaurosis or ocular disorders in the fellow eye with BCVA <20/200
  • Use of anti-VEGF therapies, intraocular surgery or laser photocoagulation (macular orpanretinal) in the study eye during the 3-month period prior to baseline
  • Use of intraocular or periocular corticosteroids in the study eye during the 6-monthperiod prior to baseline, and use of fluocinolone acetonide intravitreal (IVT) implant (Iluvien) at any time prior to baseline
  • Prior investigational drugs in either eye, vitreoretinal surgery in the study eye atany time prior to baseline

Study Design

Total Participants: 517
Study Start date:
July 17, 2019
Estimated Completion Date:
March 24, 2021

Study Description

This study was designed as a Phase III, multi-center, randomized, double-masked, active controlled, parallel group prospective study to evaluate if brolucizumab 6 mg dosed q4w is safe and effective in the treatment of subjects with visual impairment due to diabetic macular edema (DME). Subjects who met all the inclusion and none of the exclusion criteria were randomized in a 2:1 ratio to one of two treatment arms i.e., brolucizumab 6 mg and aflibercept 2 mg. Only one eye was selected as study eye and treated with study medication.

The study included a screening period of up to 2 weeks to assess eligibility, followed by a double-masked treatment period (Day 1 to Week 48). For all subjects, the last study assessment was performed at the Week 52/end of study (EOS) visit. All subjects had study visits q4w through Week 52. The primary analysis was performed at the EOS visit (Week 52).

To ensure masking was maintained, the investigational site had both masked and unmasked staff to perform the masked and unmasked study assessments/procedures accordingly.

Connect with a study center

  • Novartis Investigative Site

    Pecs, Baranya 7621
    Hungary

    Site Not Available

  • Novartis Investigative Site

    Zalaegerszeg, Zala 8900
    Hungary

    Site Not Available

  • Novartis Investigative Site

    Budapest, 1083
    Hungary

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  • Novartis Investigative Site

    Debrecen, 4032
    Hungary

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  • Novartis Investigative Site

    Szeged, H 6725
    Hungary

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  • Novartis Investigative Site

    Haifa, 3436212
    Israel

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  • Novartis Investigative Site

    Kfar Saba, 4428164
    Israel

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  • Novartis Investigative Site

    Petach Tikva, 4941492
    Israel

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  • Novartis Investigative Site

    Tel Aviv, 6789140
    Israel

    Site Not Available

  • Novartis Investigative Site

    Arecibo, 00612
    Puerto Rico

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  • Novartis Investigative Site

    Banska Bystrica, 97517
    Slovakia

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  • Novartis Investigative Site

    Bratislava, 85107
    Slovakia

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  • Novartis Investigative Site

    Poprad, 058 45
    Slovakia

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  • Novartis Investigative Site

    Trebisov, 075 01
    Slovakia

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  • Novartis Investigative Site

    Trencin, 91171
    Slovakia

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  • Novartis Investigative Site

    Zvolen, 960 01
    Slovakia

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    Phoenix, Arizona 85053
    United States

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    Tucson, Arizona 85704-5614
    United States

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    Beverly Hills, California 90211
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    Campbell, California 95008
    United States

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    Fresno, California 93720
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    Huntington Beach, California 92647
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    La Jolla, California 92093
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    Loma Linda, California 92354
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    Los Angeles, California 90033
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    Mountain View, California 94040
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    Oakland, California 94609
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    Madison, Wisconsin 53705-3611
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