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Study of the Safety of Use of Intravitreal SOK583A1 Provided in a Prefilled Syringe

Primary Purpose

Neovascular Age-related Macular Degeneration (nAMD)

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
SOK583A1 (40 mg/mL)
Prefilled Syringe (PFS)
Sponsored by
Sandoz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neovascular Age-related Macular Degeneration (nAMD) focused on measuring Open label study,, intravitreal injection,, biosimilar,, aflibercept,, PFS

Eligibility Criteria

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

Inclusion Criteria:

  • Patients ≥ 50 years of age at baseline
  • Patients diagnosed with nAMD (uni- or bilateral)
  • Patients already under IVT Eylea treatment (last injection of the induction period or maintenance phase)
  • Willing and able to comply with all study procedures, and be likely to complete the study
  • Signed informed consent must be obtained before any assessment is performed

Exclusion Criteria:

  • Active, suspected or recent (within 4 weeks) intraocular inflammation (grade trace or above) in the study eye at baseline, which is of clinical significance according to the investigator's judgment, such as active infections of the anterior segment; this includes conjunctivitis (except mild blepharitis), keratitis, scleritis, idiopathic or autoimmune associated uveitis or endophthalmitis
  • Any uncontrolled ocular hypertension or glaucoma in the study eye (defined as IOP ≥ 26 mmHg, despite treatment with antiglaucomatous medication)
  • History of a medical, ocular or non-ocular condition, that in the judgment of the investigator, would preclude a safe administration of investigational product
  • Visual Acuity Score (VAS) worse than 20/200 on a Snellen chart, the generally accepted level of legal blindness
  • Topical ocular corticosteroids administered for at least 30 consecutive days within 3 months prior to screening
  • Systemic treatment with long-acting corticosteroids (more than 10 mg prednisolone equivalent) within 3 months prior to screening
  • Current or planned use of systemic medications known to be toxic to the lens, retina or optic nerve, including deferoxamine, chloroquine/hydroxychloroquine, tamoxifen, phenothiazines and ethambutol
  • Any invasive intraocular surgery, prior long-acting therapeutic agent, or ocular drug release device implantation (approved or investigational) in the study eye any time during the past 3 months
  • Receipt of any systemic anti-VEGF within the last 6 months prior to enrollment
  • Uncontrolled hypertension (defined as a systolic value ≥ 160 mmHg or diastolic value ≥ 100 mmHg at Screening)
  • Participants who do not comply with the local COVID-19 regulations of the study site
  • Pregnant or nursing (lactating) women or women of child-bearing potential (WOCBP) is defined as all women less than 1 year postmenopausal or less than 6 weeks since sterilization at Baseline, unless they are using highly effective methods of contraception during dosing of study treatment.

Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception while taking study treatment. Highly effective contraception methods include:

  • Total abstinence (when this is in line with the preferred and usual lifestyle of the patient. Periodic abstinence (e.g. calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception.
  • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
  • Male sterilization (at least 6 months prior to screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patients.
  • Use of oral (estrogen and progesterone), injected, or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example, hormone vaginal ring or transdermal hormone contraception.

Sites / Locations

  • Sandoz Investigational Site
  • Sandoz Investigational Site
  • Sandoz Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SOK583A1 (40 mg/mL)

Arm Description

participants received a single dose of 2 mg SOK583 in 0.05 mL (40 mg/mL) and completed the study

Outcomes

Primary Outcome Measures

Number of Participants With Ocular Treatment Emergent Adverse Events
Number of participants with ocular treatment emergent adverse events were reported.
Number of Participants With Non-ocular Treatment Emergent Adverse Events
Number of participants with non ocular Treatment emergent adverse events were reported.

Secondary Outcome Measures

Full Information

First Posted
December 15, 2021
Last Updated
October 26, 2022
Sponsor
Sandoz
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1. Study Identification

Unique Protocol Identification Number
NCT05161806
Brief Title
Study of the Safety of Use of Intravitreal SOK583A1 Provided in a Prefilled Syringe
Official Title
An Open-label, Single-arm, Multicenter Study in Patients With Neovascular Age-related Macular Degeneration to Evaluate the Safety of SOK583A1 (40 mg/mL), a Proposed Aflibercept Biosimilar Product, Provided in a Prefilled Syringe
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
March 11, 2022 (Actual)
Primary Completion Date
May 4, 2022 (Actual)
Study Completion Date
May 4, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sandoz

4. Oversight

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

5. Study Description

Brief Summary
This was an open-label, single arm, multicenter, Phase IIIb study in subjects with (wet) nAMD, eligible for IVT aflibercept treatment.
Detailed Description
This was an open-label, single arm, multicenter, Phase IIIb study in subjects with nAMD, eligible for Intravitreal (IVT) aflibercept treatment. Screening and Baseline could be performed on the same day. Subjects with nAMD received a single dose of study treatment (2 mg SOK583 in 0.05 mL) in line with the Eylea US PI, which recommends a dose of 2 mg aflibercept (0.05 mL) administered by IVT injection. Only subjects already under IVT Eylea treatment and hence familiar with the IVT procedure were eligible for the study. Administration of the study treatment was embedded into their individual dosing schedule. Demonstration of the safe use of the PFS containing SOK583A1 was based on the performance of at least 3 different ophthalmologist teams. Follow-up visits were performed on-site on Day 8 (±2 days) and on Day 31 (+4 days - end of study visit). Subjects participated for 30 to 34 days in the study including Baseline and treatment on Day 1 (Screening and Baseline could be performed on the same day) and the last safety follow-up on Day 31 (a time window of plus 4 days was allowed for the last safety follow-up).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neovascular Age-related Macular Degeneration (nAMD)
Keywords
Open label study,, intravitreal injection,, biosimilar,, aflibercept,, PFS

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SOK583A1 (40 mg/mL)
Arm Type
Experimental
Arm Description
participants received a single dose of 2 mg SOK583 in 0.05 mL (40 mg/mL) and completed the study
Intervention Type
Drug
Intervention Name(s)
SOK583A1 (40 mg/mL)
Other Intervention Name(s)
aflibercept
Intervention Description
SOK583A1 provided in a Prefilled Syringe (PFS), which includes 2 mg aflibercept in 0.05 mL for IVT administration
Intervention Type
Device
Intervention Name(s)
Prefilled Syringe (PFS)
Intervention Description
Prefilled Syringe (PFS)
Primary Outcome Measure Information:
Title
Number of Participants With Ocular Treatment Emergent Adverse Events
Description
Number of participants with ocular treatment emergent adverse events were reported.
Time Frame
throughout the study, approximately 31 days
Title
Number of Participants With Non-ocular Treatment Emergent Adverse Events
Description
Number of participants with non ocular Treatment emergent adverse events were reported.
Time Frame
throughout the study, approximately 31 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects ≥ 50 years of age at baseline Subjects diagnosed with nAMD (uni- or bilateral) Subjects already under IVT Eylea treatment (last injection of the induction period or maintenance phase) Exclusion Criteria: Active or recent (within 4 weeks) intraocular inflammation (grade trace or above) in the study eye at baseline, which is of clinical significance according to the investigator's judgment, such as active infections of the anterior segment; this includes conjunctivitis (except mild blepharitis), keratitis, scleritis, idiopathic or autoimmune associated uveitis or endophthalmitis Any uncontrolled ocular hypertension or glaucoma in the study eye (defined as intraocular pressure (IOP) ≥ 26 mmHg, despite treatment with anti-glaucomatous medication) History of a medical, ocular or non-ocular condition, that in the judgment of the investigator, would preclude a safe administration of investigational product Visual Acuity Score (VAS) worse than 20/200 on a Snellen chart, the generally accepted level of legal blindness Receipt of any systemic anti-VEGF within the last 6 months prior to enrollment Uncontrolled hypertension (defined as a systolic value ≥ 160 mmHg or diastolic value ≥ 100 mmHg at Screening) Subjects who do not comply with the local COVID-19 regulations of the study site
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Sandoz Investigational Site
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Sandoz Investigational Site
City
Oak Forest
State/Province
Illinois
ZIP/Postal Code
60452
Country
United States
Facility Name
Sandoz Investigational Site
City
Liverpool
State/Province
New York
ZIP/Postal Code
13088
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Learn more about this trial

Study of the Safety of Use of Intravitreal SOK583A1 Provided in a Prefilled Syringe

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