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A Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD) (DAYLIGHT)

Primary Purpose

Wet Age-related Macular Degeneration

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
KSI-301
Aflibercept
Sham Procedure
Sponsored by
Kodiak Sciences Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wet Age-related Macular Degeneration focused on measuring AMD, Wet AMD, neovascularization secondary to age-related macular degeneration, KSI-301, Aflibercept, Vascular endothelial growth factor, VEGF, Anti-VEGF, Antibody biopolymer conjugate, Macular Degeneration, wAMD, Retinal Degeneration, Retinal Diseases, Eye Diseases, Vision Disorders, Vision, Low, Kodiak

Eligibility Criteria

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

Inclusion Criteria:

  • Signed informed consent prior to participation in the study.
  • Treatment-naïve choroidal neovascularization (CNV) secondary to AMD.
  • BCVA ETDRS score between 83 and 25 letters, inclusive, in the Study Eye.
  • Decrease in vision in the Study Eye determined by the Investigator to be primarily the result of wAMD.
  • Other protocol-specified inclusion criteria may apply

Exclusion Criteria:

  • BCVA of hand motion or worse in the non-Study Eye or non-physical presence of a non-Study Eye (i.e., monocular).
  • Active or suspected ocular or periocular infection or inflammation.
  • CNV secondary to other causes in the Study Eye.
  • Any history or evidence of a concurrent ocular condition present in the Study Eye, that in the opinion of the Investigator could require either medical or surgical intervention or affect macular edema or alter visual acuity during the study.
  • Uncontrolled glaucoma in the Study Eye.
  • Significant media opacities, including cataract, in the Study Eye that might interfere with visual acuity, assessment of safety, OCT or fundus photography.
  • Cataract in the Study Eye that in the judgment of the Investigator is expected to require surgical extraction within 12 months of screening.
  • Women who are pregnant or lactating or intending to become pregnant during the study.
  • Recent history (within the 6 months prior to screening) of myocardial infarction, stroke, transient ischemic attack, acute congestive heart failure or any acute coronary event.
  • History of a medical condition that, in the judgment of the Investigator, would preclude scheduled study visits, completion of the study, or a safe administration of investigational product.
  • Uncontrolled blood pressure defined as a systolic value ≥180 mmHg or diastolic value ≥100 mmHg while at rest.
  • Other protocol-specified exclusion criteria may apply

Sites / Locations

  • Retinal Research Institute, LLC
  • Northwest Arkansas Retina Associates
  • California Retina Consultants
  • Eye Medical Center of Fresno
  • Retina Consultants of Orange County
  • UCSD Jacobs Retina Center
  • Retina Associates of Orange County
  • Northern California Retina Vitreous Associates
  • Retina Consultants of San Diego
  • Retina Consultants of Southern California
  • Retinal Consultants Medical Group Inc
  • Orange County Retina Medical Group
  • Colorado Retina Associates PC
  • Retina Group of New England
  • Florida Eye Microsurgical Institute
  • Rand Eye Institute
  • Retina Health Center
  • National Ophthalmic Research Institute
  • Florida Eye Associates
  • Retina Specialty Institute
  • Retina Vitreous Associates of Florida
  • Retina Associates of Florida
  • Southeast Retina Center
  • University of Chicago
  • Springfield Clinic LLP
  • Talley Eye
  • Wolfe Eye Clinic
  • Retina Associates PA
  • Retina Associates of Kentucky
  • Retina Group of Washington
  • Cumberland Valley Retina Consultants PC
  • Ophthalmic Consultants of Boston
  • New England Retina Consultants
  • Vitreo Retinal Associates PC
  • Foundation for Vision Research
  • Associated Retinal Consultants PC
  • Vitreoretinal Surgery PA
  • Sierra Eye Associates
  • The Retina Center of New Jersey
  • NJ Retina
  • Retina-Vitreous Surgeons of Central NY
  • Retina Associates of Western NY
  • Western Carolina Retinal Associate PA
  • Retina Associates of Cleveland
  • Cleveland Clinic Foundation, Cole Eye Institute
  • Retina Northwest
  • Retina Consultants, LLC
  • Cascade Medical Research Institute
  • MidAtlantic Retina
  • Retina Research of Beaufort
  • Charleston Neuroscience Institute
  • Palmetto Retina Center
  • Black Hills Regional Eye Institute
  • Southeastern Retina Associates PC
  • Tennessee Retina PC
  • Retina Research Institute of Texas
  • Austin Retina Associates
  • Retina Consultants of Texas
  • Retina Consultants of Texas-(Katy)
  • Texas Retina Associates
  • Austin Retina Associates (Round Rock)
  • Medical Center Ophthalmology Associates
  • Retina Consultants of Texas - (Woodlands)
  • Strategic Clinical Research Group, LLC
  • Spokane Eye
  • Emanuelli Research & Development Center LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

KSI-301 (Treatment Group A)

Aflibercept (Treatment Group B)

Arm Description

Intravitreal injection of KSI-301 (5 mg) at Day 1 once every 4 weeks via intravitreal injection through Week 44.

Intravitreal injection of aflibercept (2 mg) once every 4 weeks for 3 monthly doses followed by intravitreal injection of aflibercept (2 mg) once every 8 weeks from Week 16 to Week 44. Sham injections will be administered at each monthly visit where an active treatment is not administered.

Outcomes

Primary Outcome Measures

Non-inferiority of KSI-301 to aflibercept measured by changes in BCVA.
Demonstrate that KSI-301 5 mg is non-inferior to aflibercept 2 mg with respect to mean change in best-corrected visual acuity (BCVA).

Secondary Outcome Measures

Efficacy of KSI-301 5 mg compared to aflibercept 2 mg based on changes in BCVA
Change from baseline in best corrected visual acuity (BCVA) between the two treatment arms.
Efficacy of KSI-301 5 mg compared to aflibercept 2 mg based on OCT-CST
Change from baseline in central subfield thickness (CST) between the two treatment arms.
Safety and tolerability of KSI-301 5 mg compared to aflibercept 2 mg based on the number of ocular and systemic adverse events
Incidence of ocular and systemic adverse events between the two treatment arms.

Full Information

First Posted
July 6, 2021
Last Updated
May 26, 2023
Sponsor
Kodiak Sciences Inc
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1. Study Identification

Unique Protocol Identification Number
NCT04964089
Brief Title
A Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD)
Acronym
DAYLIGHT
Official Title
A Prospective, Randomized, Double-masked, Active Comparator-controlled, Multi-center, Two-arm, Phase 3 Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
June 15, 2021 (Actual)
Primary Completion Date
March 28, 2023 (Actual)
Study Completion Date
April 6, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kodiak Sciences Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This Phase 3 study will evaluate the efficacy and safety of KSI-301 compared to aflibercept, in participants with neovascular (wet) age-related macular degeneration (wAMD)
Detailed Description
This is a Phase 3, prospective, randomized, double-masked, two-arm, multi-center non-inferiority study evaluating the efficacy and safety of repeated intravitreal dosing of KSI-301 5 mg in participants with visual impairment due to treatment-naïve neovascular (wet) age-related macular degeneration (wAMD) The primary endpoint will be assessed as an average of Weeks 40, 44, and 48; additional secondary endpoints for efficacy will be assessed by visit over time

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Wet Age-related Macular Degeneration
Keywords
AMD, Wet AMD, neovascularization secondary to age-related macular degeneration, KSI-301, Aflibercept, Vascular endothelial growth factor, VEGF, Anti-VEGF, Antibody biopolymer conjugate, Macular Degeneration, wAMD, Retinal Degeneration, Retinal Diseases, Eye Diseases, Vision Disorders, Vision, Low, Kodiak

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Participants will be randomized 1:1 into one of two treatment arms: KSI-301 or aflibercept.
Masking
ParticipantCare ProviderOutcomes Assessor
Masking Description
For masking purposes, sham injections will be administered at every monthly visit if an active treatment is not administered. To preserve masking, two investigators are required for this study. The masked Investigator will be responsible for the examinations and safety assessments. The unmasked Investigator will perform the injections and post-treatment assessments.
Allocation
Randomized
Enrollment
557 (Actual)

8. Arms, Groups, and Interventions

Arm Title
KSI-301 (Treatment Group A)
Arm Type
Experimental
Arm Description
Intravitreal injection of KSI-301 (5 mg) at Day 1 once every 4 weeks via intravitreal injection through Week 44.
Arm Title
Aflibercept (Treatment Group B)
Arm Type
Active Comparator
Arm Description
Intravitreal injection of aflibercept (2 mg) once every 4 weeks for 3 monthly doses followed by intravitreal injection of aflibercept (2 mg) once every 8 weeks from Week 16 to Week 44. Sham injections will be administered at each monthly visit where an active treatment is not administered.
Intervention Type
Drug
Intervention Name(s)
KSI-301
Intervention Description
Intravitreal Injection
Intervention Type
Drug
Intervention Name(s)
Aflibercept
Other Intervention Name(s)
Eylea
Intervention Description
Intravitreal Injection
Intervention Type
Other
Intervention Name(s)
Sham Procedure
Intervention Description
The sham is a procedure that mimics an intravitreal injection. It involves pressing the blunt end of an empty syringe (without a needle) against the anesthetized eye. It will be administered to participants in both treatments arms at applicable visits to maintain masking.
Primary Outcome Measure Information:
Title
Non-inferiority of KSI-301 to aflibercept measured by changes in BCVA.
Description
Demonstrate that KSI-301 5 mg is non-inferior to aflibercept 2 mg with respect to mean change in best-corrected visual acuity (BCVA).
Time Frame
Day 1 to Week 48
Secondary Outcome Measure Information:
Title
Efficacy of KSI-301 5 mg compared to aflibercept 2 mg based on changes in BCVA
Description
Change from baseline in best corrected visual acuity (BCVA) between the two treatment arms.
Time Frame
Day 1 to Week 48
Title
Efficacy of KSI-301 5 mg compared to aflibercept 2 mg based on OCT-CST
Description
Change from baseline in central subfield thickness (CST) between the two treatment arms.
Time Frame
Day 1 to Week 48
Title
Safety and tolerability of KSI-301 5 mg compared to aflibercept 2 mg based on the number of ocular and systemic adverse events
Description
Incidence of ocular and systemic adverse events between the two treatment arms.
Time Frame
Day 1 to Week 52

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent prior to participation in the study. Treatment-naïve choroidal neovascularization (CNV) secondary to AMD. BCVA ETDRS score between 83 and 25 letters, inclusive, in the Study Eye. Decrease in vision in the Study Eye determined by the Investigator to be primarily the result of wAMD. Other protocol-specified inclusion criteria may apply Exclusion Criteria: BCVA of hand motion or worse in the non-Study Eye or non-physical presence of a non-Study Eye (i.e., monocular). Active or suspected ocular or periocular infection or inflammation. CNV secondary to other causes in the Study Eye. Any history or evidence of a concurrent ocular condition present in the Study Eye, that in the opinion of the Investigator could require either medical or surgical intervention or affect macular edema or alter visual acuity during the study. Uncontrolled glaucoma in the Study Eye. Significant media opacities, including cataract, in the Study Eye that might interfere with visual acuity, assessment of safety, OCT or fundus photography. Cataract in the Study Eye that in the judgment of the Investigator is expected to require surgical extraction within 12 months of screening. Women who are pregnant or lactating or intending to become pregnant during the study. Recent history (within the 6 months prior to screening) of myocardial infarction, stroke, transient ischemic attack, acute congestive heart failure or any acute coronary event. History of a medical condition that, in the judgment of the Investigator, would preclude scheduled study visits, completion of the study, or a safe administration of investigational product. Uncontrolled blood pressure defined as a systolic value ≥180 mmHg or diastolic value ≥100 mmHg while at rest. Other protocol-specified exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pablo Velazquez-Martin, MD
Organizational Affiliation
Kodiak Sciences Inc
Official's Role
Study Director
Facility Information:
Facility Name
Retinal Research Institute, LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85014
Country
United States
Facility Name
Northwest Arkansas Retina Associates
City
Springdale
State/Province
Arkansas
ZIP/Postal Code
72762
Country
United States
Facility Name
California Retina Consultants
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
Eye Medical Center of Fresno
City
Fresno
State/Province
California
ZIP/Postal Code
93720
Country
United States
Facility Name
Retina Consultants of Orange County
City
Fullerton
State/Province
California
ZIP/Postal Code
92835
Country
United States
Facility Name
UCSD Jacobs Retina Center
City
La Jolla
State/Province
California
ZIP/Postal Code
92037
Country
United States
Facility Name
Retina Associates of Orange County
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Northern California Retina Vitreous Associates
City
Mountain View
State/Province
California
ZIP/Postal Code
94040
Country
United States
Facility Name
Retina Consultants of San Diego
City
Poway
State/Province
California
ZIP/Postal Code
92064
Country
United States
Facility Name
Retina Consultants of Southern California
City
Redlands
State/Province
California
ZIP/Postal Code
92374
Country
United States
Facility Name
Retinal Consultants Medical Group Inc
City
Sacramento
State/Province
California
ZIP/Postal Code
95819
Country
United States
Facility Name
Orange County Retina Medical Group
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
Facility Name
Colorado Retina Associates PC
City
Lakewood
State/Province
Colorado
ZIP/Postal Code
80228
Country
United States
Facility Name
Retina Group of New England
City
Waterford
State/Province
Connecticut
ZIP/Postal Code
06385
Country
United States
Facility Name
Florida Eye Microsurgical Institute
City
Boynton Beach
State/Province
Florida
ZIP/Postal Code
33426
Country
United States
Facility Name
Rand Eye Institute
City
Deerfield Beach
State/Province
Florida
ZIP/Postal Code
33064
Country
United States
Facility Name
Retina Health Center
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33907
Country
United States
Facility Name
National Ophthalmic Research Institute
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33912
Country
United States
Facility Name
Florida Eye Associates
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32901
Country
United States
Facility Name
Retina Specialty Institute
City
Pensacola
State/Province
Florida
ZIP/Postal Code
32503
Country
United States
Facility Name
Retina Vitreous Associates of Florida
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33703
Country
United States
Facility Name
Retina Associates of Florida
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Southeast Retina Center
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
Springfield Clinic LLP
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62703
Country
United States
Facility Name
Talley Eye
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47710
Country
United States
Facility Name
Wolfe Eye Clinic
City
West Des Moines
State/Province
Iowa
ZIP/Postal Code
50266
Country
United States
Facility Name
Retina Associates PA
City
Lenexa
State/Province
Kansas
ZIP/Postal Code
66215
Country
United States
Facility Name
Retina Associates of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40509
Country
United States
Facility Name
Retina Group of Washington
City
Chevy Chase
State/Province
Maryland
ZIP/Postal Code
20815
Country
United States
Facility Name
Cumberland Valley Retina Consultants PC
City
Hagerstown
State/Province
Maryland
ZIP/Postal Code
21740
Country
United States
Facility Name
Ophthalmic Consultants of Boston
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
New England Retina Consultants
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01103
Country
United States
Facility Name
Vitreo Retinal Associates PC
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01603
Country
United States
Facility Name
Foundation for Vision Research
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49525
Country
United States
Facility Name
Associated Retinal Consultants PC
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
78073
Country
United States
Facility Name
Vitreoretinal Surgery PA
City
Edina
State/Province
Minnesota
ZIP/Postal Code
55435
Country
United States
Facility Name
Sierra Eye Associates
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
Facility Name
The Retina Center of New Jersey
City
Bloomfield
State/Province
New Jersey
ZIP/Postal Code
07017
Country
United States
Facility Name
NJ Retina
City
Teaneck
State/Province
New Jersey
ZIP/Postal Code
07605
Country
United States
Facility Name
Retina-Vitreous Surgeons of Central NY
City
Liverpool
State/Province
New York
ZIP/Postal Code
13088
Country
United States
Facility Name
Retina Associates of Western NY
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States
Facility Name
Western Carolina Retinal Associate PA
City
Asheville
State/Province
North Carolina
ZIP/Postal Code
28803
Country
United States
Facility Name
Retina Associates of Cleveland
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44130
Country
United States
Facility Name
Cleveland Clinic Foundation, Cole Eye Institute
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Retina Northwest
City
Portland
State/Province
Oregon
ZIP/Postal Code
97210
Country
United States
Facility Name
Retina Consultants, LLC
City
Salem
State/Province
Oregon
ZIP/Postal Code
97302
Country
United States
Facility Name
Cascade Medical Research Institute
City
Springfield
State/Province
Oregon
ZIP/Postal Code
97477
Country
United States
Facility Name
MidAtlantic Retina
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Retina Research of Beaufort
City
Beaufort
State/Province
South Carolina
ZIP/Postal Code
29902
Country
United States
Facility Name
Charleston Neuroscience Institute
City
Ladson
State/Province
South Carolina
ZIP/Postal Code
29456
Country
United States
Facility Name
Palmetto Retina Center
City
West Columbia
State/Province
South Carolina
ZIP/Postal Code
296169
Country
United States
Facility Name
Black Hills Regional Eye Institute
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57701
Country
United States
Facility Name
Southeastern Retina Associates PC
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37909
Country
United States
Facility Name
Tennessee Retina PC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
Retina Research Institute of Texas
City
Abilene
State/Province
Texas
ZIP/Postal Code
79606
Country
United States
Facility Name
Austin Retina Associates
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
Retina Consultants of Texas
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Retina Consultants of Texas-(Katy)
City
Katy
State/Province
Texas
ZIP/Postal Code
77494
Country
United States
Facility Name
Texas Retina Associates
City
Plano
State/Province
Texas
ZIP/Postal Code
75075
Country
United States
Facility Name
Austin Retina Associates (Round Rock)
City
Round Rock
State/Province
Texas
ZIP/Postal Code
78681
Country
United States
Facility Name
Medical Center Ophthalmology Associates
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78240
Country
United States
Facility Name
Retina Consultants of Texas - (Woodlands)
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384
Country
United States
Facility Name
Strategic Clinical Research Group, LLC
City
Willow Park
State/Province
Texas
ZIP/Postal Code
76087
Country
United States
Facility Name
Spokane Eye
City
Spokane
State/Province
Washington
ZIP/Postal Code
99204
Country
United States
Facility Name
Emanuelli Research & Development Center LLC
City
Arecibo
ZIP/Postal Code
00612
Country
Puerto Rico

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Efficacy and Safety of Intravitreal KSI-301 Compared With Intravitreal Aflibercept in Participants With Neovascular (Wet) Age-related Macular Degeneration (wAMD)

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