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An Open-label Study to Evaluate the Clinical and Economic Benefits of I-Ray in Patients With Choroidal Neovascularization Secondary to Age-related Macular Degeneration (ENDEAVOUR)

Primary Purpose

Age-Related Macular Degeneration, Wet Macular Degeneration, Macular Degeneration

Status
Unknown status
Phase
Phase 2
Locations
United Kingdom
Study Type
Interventional
Intervention
IRay
Sponsored by
Oraya Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Age-Related Macular Degeneration focused on measuring AMD, Wet AMD

Eligibility Criteria

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

Inclusion Criteria:

  • Must have neovascular AMD and have received an anti-VEGF injections within 1 month prior to entering the study, and have the need for further treatment with anti-VEGF therapy.
  • Must have a total lesion size of <12 disc areas and a CNV lesion with the greatest linear dimension of <6 mm, but not greater than 3 mm from the center of the fovea to the furthest point on lesion perimeter.
  • Must have provided informed consent, documented it in writing, and have been given a copy of the signed informed consent form.
  • Must be willing and able to return for scheduled treatment and follow-up examinations for the 3-year duration of the study.
  • Must be at least 50 years of age.
  • Women must be post-menopausal ≥1 year or surgically sterilized.
  • Must have best corrected visual acuity of greater than or equal to 24 letters in the study eye and at least 20 letters in the fellow eye (if both eyes meet all the study criteria, then the eye with the worst vision should be selected as the study eye).

Exclusion Criteria:

  • Present with any implanted device, where the device labeling specifically contraindicates subjects undergoing x-rays.
  • An axial length of <20 mm (because of limitations of the IRay device) or >26 mm (to exclude subjects with pathologic myopia).
  • Evidence of diabetes or retinal findings consistent with diabetic retinopathy, or retinopathy for any cause.
  • Prior or concurrent therapies in the study eye for age related macular degeneration (other than intravitreal anti-VEGF), including submacular surgery, subfoveal thermal laser photocoagulation (with or without photographic evidence), transpupillary thermotherapy (TTT) and ocular photodynamic therapy.

Sites / Locations

  • Manchester Royal Eye HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

16 Gy IRay

Arm Description

16 Gy IRay + PRN Lucentis®

Outcomes

Primary Outcome Measures

Rate of anti-VEGF injections during the first 12 months

Secondary Outcome Measures

Time to first Anti-VEGF injection
Change in mean best-corrected visual acuity in the treated eye at month 12
Visual Functioning Questionnaire - 25 (VFQ-25)

Full Information

First Posted
January 18, 2012
Last Updated
April 24, 2013
Sponsor
Oraya Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01521065
Brief Title
An Open-label Study to Evaluate the Clinical and Economic Benefits of I-Ray in Patients With Choroidal Neovascularization Secondary to Age-related Macular Degeneration
Acronym
ENDEAVOUR
Official Title
A Multicenter, Open-label Study to Evaluate the Clinical and Economic Benefits of Low Voltage Stereotactic Radiotherapy in Subjects With Choroidal Neovascularization (CNV) Secondary to Age-related Macular Degeneration (AMD)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Unknown status
Study Start Date
September 2012 (undefined)
Primary Completion Date
October 2014 (Anticipated)
Study Completion Date
October 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oraya Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to confirm the clinical and economic benefits of IRay treatment with respect to the number of anti-VEGF injections and frequency of visits during the first year after treatment for patients with wet Age-related Macular Degeneration (AMD).
Detailed Description
The objective of this study is to confirm the clinical and economic benefits of low voltage external beam radiotherapy with the IRay with respect to number of anti-VEGF injections and frequency of ophthalmic assessments during the one year interval following treatment in subjects with neovascular AMD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Age-Related Macular Degeneration, Wet Macular Degeneration, Macular Degeneration, Eye Diseases, Retinal Diseases
Keywords
AMD, Wet AMD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
16 Gy IRay
Arm Type
Experimental
Arm Description
16 Gy IRay + PRN Lucentis®
Intervention Type
Device
Intervention Name(s)
IRay
Intervention Description
Approved dose of Anti-VEGF injection given at Day 0 followed by treatment with 16 Gy dose of IRay up to 14 days later.
Primary Outcome Measure Information:
Title
Rate of anti-VEGF injections during the first 12 months
Time Frame
12 Months
Secondary Outcome Measure Information:
Title
Time to first Anti-VEGF injection
Time Frame
Up to Month 12
Title
Change in mean best-corrected visual acuity in the treated eye at month 12
Time Frame
Month 12
Title
Visual Functioning Questionnaire - 25 (VFQ-25)
Time Frame
Baseline & Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Must have neovascular AMD and have received an anti-VEGF injections within 1 month prior to entering the study, and have the need for further treatment with anti-VEGF therapy. Must have a total lesion size of <12 disc areas and a CNV lesion with the greatest linear dimension of <6 mm, but not greater than 3 mm from the center of the fovea to the furthest point on lesion perimeter. Must have provided informed consent, documented it in writing, and have been given a copy of the signed informed consent form. Must be willing and able to return for scheduled treatment and follow-up examinations for the 3-year duration of the study. Must be at least 50 years of age. Women must be post-menopausal ≥1 year or surgically sterilized. Must have best corrected visual acuity of greater than or equal to 24 letters in the study eye and at least 20 letters in the fellow eye (if both eyes meet all the study criteria, then the eye with the worst vision should be selected as the study eye). Exclusion Criteria: Present with any implanted device, where the device labeling specifically contraindicates subjects undergoing x-rays. An axial length of <20 mm (because of limitations of the IRay device) or >26 mm (to exclude subjects with pathologic myopia). Evidence of diabetes or retinal findings consistent with diabetic retinopathy, or retinopathy for any cause. Prior or concurrent therapies in the study eye for age related macular degeneration (other than intravitreal anti-VEGF), including submacular surgery, subfoveal thermal laser photocoagulation (with or without photographic evidence), transpupillary thermotherapy (TTT) and ocular photodynamic therapy.
Facility Information:
Facility Name
Manchester Royal Eye Hospital
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tariq Aslam, M.D.
Phone
+44 771 125 0512
Email
tariq.aslam@cmft.nhs.uk
First Name & Middle Initial & Last Name & Degree
Tariq Aslam, M.D.

12. IPD Sharing Statement

Learn more about this trial

An Open-label Study to Evaluate the Clinical and Economic Benefits of I-Ray in Patients With Choroidal Neovascularization Secondary to Age-related Macular Degeneration

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