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Evaluation Of Safety And Efficacy Of 0.3 Mg/Eye Macugen In Patients With Small Age-Related Macular Degeneration Lesions

Primary Purpose

Macular Degeneration

Status
Completed
Phase
Phase 4
Locations
France
Study Type
Interventional
Intervention
pegaptanib sodium (Macugen)
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Macular Degeneration

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Clinical and angiographic evidence of juxtafoveal or subfoveal choroidal neovascularization secondary to AMD with a total lesion size of less than 2 MPS disc areas Best-corrected visual acuity in the study eye greater than 54 letters (ETDRS) Women must be using 2 forms of effective contraception Adequate hematological, renal and liver functions Exclusion Criteria: Any atrophy or fibrosis; any retinal hemorrhage measuring more than 1 disc area Any extrafoveal choroidal neovascularization Any intraocular surgery or thermal laser to the study eye within 3 months of enrollment Previous or concomitant therapy for AMD including PDT with verteporfin (Visudyne) or subfoveal/non-foveal thermal laser therapy, transpupillary thermotherapy, external beam radiation, submacular surgery. Presence of other causes of choroidal neovascularization, including pathological myopia, the ocular histoplasmosis syndrome, angioid streaks, choroidal rupture and multifocal choroiditis

Sites / Locations

  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Active

Arm Description

Outcomes

Primary Outcome Measures

Number of Responders for Visual Acuity Using Early Treatment Diabetic Retinopathy Study (ETDRS)
Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0. Responders defined as subjects having lost from baseline less than 15 letters of the best-corrected visual acuity; includes subjects with visual acuity gain.

Secondary Outcome Measures

Change From Baseline in Visual Acuity
Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0. Change: mean score at observation minus mean score at baseline.
Number of Subjects Gaining Vision
Subjects gaining vision: gain from baseline of more than 15 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Number of Subjects Maintaining Vision
Subjects maintaining vision: gain from baseline of more than 0 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Number of Subjects With Severe Visual Loss
Subjects with severe visual loss: loss from baseline of >= 30 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Number of Subjects With a Distance Visual Acuity of > 20/200 at Baseline and Progressing to (<= 20/200)
Subjects with improving scores are those with > 20/200 at Baseline and progressing to =< 20/200 at Week 54. Subjects with no change are those with > 20/200 at Baseline and remaining at > 20/200 at Week 54.
Change in Vision-related Functioning and Quality of Life Using the National Eye Institute Visual Functioning Questionnaire-25 (NEI-VFQ 25).
Patient reported vision-related functioning and quality of life as measured using the 25 item NEI-VFQ 25. Change = Mean score at 54 weeks - mean score at baseline. A positive change represents an increase in function/health from Baseline. Items grouped as the following - Composite: mean score items 1-25; General Health: item 1; General Vision: item 2; Ocular Pain:4,19; Near Vision:5,6,7; Distance Vision:8,9,14; Social Functioning:11,13; Mental Health Activities:3,21,22,25; Role Difficulties:17,18; Dependency:20,23,24; Driving:15c,16, 16a; Color Vision: 12; Peripheral Vision: 10.

Full Information

First Posted
May 8, 2006
Last Updated
March 15, 2010
Sponsor
Pfizer
Collaborators
ITEC GROUP 3
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1. Study Identification

Unique Protocol Identification Number
NCT00324116
Brief Title
Evaluation Of Safety And Efficacy Of 0.3 Mg/Eye Macugen In Patients With Small Age-Related Macular Degeneration Lesions
Official Title
A Prospective, Open-Label Multi Center Trial Evaluating The Safety And Efficacy Of 0.3 Mg/Eye Pegaptanib Sodium (Macugen) Intravitreous Injection Given Every 6 Weeks For 54 Weeks In Patients With Small Neovascular Age-Related Macular Degeneration (AMD) Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
July 2006 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
August 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pfizer
Collaborators
ITEC GROUP 3

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the efficacy, based on the best-corrected visual acuity (using the ETDRS chart), of a 0.3 mg/eye pegaptanib sodium intravitreous injection given every 6 weeks for 54 weeks in patients with exudative age-related macular degeneration and evidence of recent onset, subfoveal and/or juxtafoveal choroidal neovascularization.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
81 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
pegaptanib sodium (Macugen)
Other Intervention Name(s)
MACUGEN
Intervention Description
0.3 MG/eye pegaptanib IB sodium by intravitreous injection given every 6 weeks for 54 weeks.
Primary Outcome Measure Information:
Title
Number of Responders for Visual Acuity Using Early Treatment Diabetic Retinopathy Study (ETDRS)
Description
Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0. Responders defined as subjects having lost from baseline less than 15 letters of the best-corrected visual acuity; includes subjects with visual acuity gain.
Time Frame
Baseline, 54 Weeks
Secondary Outcome Measure Information:
Title
Change From Baseline in Visual Acuity
Description
Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0. Change: mean score at observation minus mean score at baseline.
Time Frame
Baseline, 6 weeks, 12 weeks, 54 weeks
Title
Number of Subjects Gaining Vision
Description
Subjects gaining vision: gain from baseline of more than 15 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Time Frame
54 weeks or at early termination
Title
Number of Subjects Maintaining Vision
Description
Subjects maintaining vision: gain from baseline of more than 0 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Time Frame
54 weeks or at early termination
Title
Number of Subjects With Severe Visual Loss
Description
Subjects with severe visual loss: loss from baseline of >= 30 letters of visual acuity. Best-corrected visual acuity assessed using retroilluminated modified Ferris-Bailey ETDRS charts. When possible to measure visual acuity @ 2.0 m (≥20 letters), visual acuity score for that eye recorded as number of letters correct plus 15; otherwise, score was number of letters read correctly @ 1.0 m plus number, if any, read @ 2.0 m. If no letter was read correctly either at 2.0 or 1.0 m, then visual acuity score was recorded as 0.
Time Frame
54 weeks or at early termination
Title
Number of Subjects With a Distance Visual Acuity of > 20/200 at Baseline and Progressing to (<= 20/200)
Description
Subjects with improving scores are those with > 20/200 at Baseline and progressing to =< 20/200 at Week 54. Subjects with no change are those with > 20/200 at Baseline and remaining at > 20/200 at Week 54.
Time Frame
54 weeks
Title
Change in Vision-related Functioning and Quality of Life Using the National Eye Institute Visual Functioning Questionnaire-25 (NEI-VFQ 25).
Description
Patient reported vision-related functioning and quality of life as measured using the 25 item NEI-VFQ 25. Change = Mean score at 54 weeks - mean score at baseline. A positive change represents an increase in function/health from Baseline. Items grouped as the following - Composite: mean score items 1-25; General Health: item 1; General Vision: item 2; Ocular Pain:4,19; Near Vision:5,6,7; Distance Vision:8,9,14; Social Functioning:11,13; Mental Health Activities:3,21,22,25; Role Difficulties:17,18; Dependency:20,23,24; Driving:15c,16, 16a; Color Vision: 12; Peripheral Vision: 10.
Time Frame
Baseline, 54 weeks or at early termination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical and angiographic evidence of juxtafoveal or subfoveal choroidal neovascularization secondary to AMD with a total lesion size of less than 2 MPS disc areas Best-corrected visual acuity in the study eye greater than 54 letters (ETDRS) Women must be using 2 forms of effective contraception Adequate hematological, renal and liver functions Exclusion Criteria: Any atrophy or fibrosis; any retinal hemorrhage measuring more than 1 disc area Any extrafoveal choroidal neovascularization Any intraocular surgery or thermal laser to the study eye within 3 months of enrollment Previous or concomitant therapy for AMD including PDT with verteporfin (Visudyne) or subfoveal/non-foveal thermal laser therapy, transpupillary thermotherapy, external beam radiation, submacular surgery. Presence of other causes of choroidal neovascularization, including pathological myopia, the ocular histoplasmosis syndrome, angioid streaks, choroidal rupture and multifocal choroiditis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Pfizer Investigational Site
City
Angers
State/Province
Cedex 09
ZIP/Postal Code
49933
Country
France
Facility Name
Pfizer Investigational Site
City
Lyon
State/Province
Cedex 4
ZIP/Postal Code
69317
Country
France
Facility Name
Pfizer Investigational Site
City
Besancon
State/Province
Cedex
ZIP/Postal Code
25030
Country
France
Facility Name
Pfizer Investigational Site
City
Creteil
State/Province
Cedex
ZIP/Postal Code
94010
Country
France
Facility Name
Pfizer Investigational Site
City
Macon
State/Province
Cedex
ZIP/Postal Code
71018
Country
France
Facility Name
Pfizer Investigational Site
City
Poitiers
State/Province
Cedex
ZIP/Postal Code
86021
Country
France
Facility Name
Pfizer Investigational Site
City
Bayonne
ZIP/Postal Code
64100
Country
France
Facility Name
Pfizer Investigational Site
City
Belfort Cedex
ZIP/Postal Code
90016
Country
France
Facility Name
Pfizer Investigational Site
City
Bordeaux
ZIP/Postal Code
33076
Country
France
Facility Name
Pfizer Investigational Site
City
Bordeaux
ZIP/Postal Code
33100
Country
France
Facility Name
Pfizer Investigational Site
City
Brest
ZIP/Postal Code
29200
Country
France
Facility Name
Pfizer Investigational Site
City
DIJON Cedex
ZIP/Postal Code
21033
Country
France
Facility Name
Pfizer Investigational Site
City
La Rochefoucauld
ZIP/Postal Code
16110
Country
France
Facility Name
Pfizer Investigational Site
City
La Tronche
ZIP/Postal Code
38700
Country
France
Facility Name
Pfizer Investigational Site
City
Lille
ZIP/Postal Code
59800
Country
France
Facility Name
Pfizer Investigational Site
City
Limoges Cedex 1
ZIP/Postal Code
87042
Country
France
Facility Name
Pfizer Investigational Site
City
Lyon
ZIP/Postal Code
69003
Country
France
Facility Name
Pfizer Investigational Site
City
Marseille
ZIP/Postal Code
13008
Country
France
Facility Name
Pfizer Investigational Site
City
Montpellier
ZIP/Postal Code
34000
Country
France
Facility Name
Pfizer Investigational Site
City
Montpellier
ZIP/Postal Code
34070
Country
France
Facility Name
Pfizer Investigational Site
City
MULHOUSE Cedex 1
ZIP/Postal Code
68070
Country
France
Facility Name
Pfizer Investigational Site
City
Nancy
ZIP/Postal Code
54000
Country
France
Facility Name
Pfizer Investigational Site
City
Nantes Cedex 1
ZIP/Postal Code
44093
Country
France
Facility Name
Pfizer Investigational Site
City
Paris cedex 12
ZIP/Postal Code
75557
Country
France
Facility Name
Pfizer Investigational Site
City
PARIS Cedex 19
ZIP/Postal Code
75940
Country
France
Facility Name
Pfizer Investigational Site
City
Paris
ZIP/Postal Code
75006
Country
France
Facility Name
Pfizer Investigational Site
City
Paris
ZIP/Postal Code
75015
Country
France
Facility Name
Pfizer Investigational Site
City
Rives
ZIP/Postal Code
38140
Country
France
Facility Name
Pfizer Investigational Site
City
Rouen
ZIP/Postal Code
76000
Country
France
Facility Name
Pfizer Investigational Site
City
Saint-Herblain
ZIP/Postal Code
44819
Country
France
Facility Name
Pfizer Investigational Site
City
Strasbourg Cedex
ZIP/Postal Code
67091
Country
France
Facility Name
Pfizer Investigational Site
City
Strasbourg
ZIP/Postal Code
67000
Country
France
Facility Name
Pfizer Investigational Site
City
Toulouse
ZIP/Postal Code
31054
Country
France
Facility Name
Pfizer Investigational Site
City
Toulouse
ZIP/Postal Code
31200
Country
France

12. IPD Sharing Statement

Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=A5751016&StudyName=Evaluation%20Of%20Safety%20And%20Efficacy%20Of%200.3%20Mg/Eye%20Macugen%20In%20Patients%20With%20Small%20Age-Related%20Macular%20Degeneration%20Lesions
Description
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Evaluation Of Safety And Efficacy Of 0.3 Mg/Eye Macugen In Patients With Small Age-Related Macular Degeneration Lesions

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