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A Phase III Study for 601 Versus Ranibizumab in Patients With Vision Loss

Primary Purpose

Branch Retinal Vein Occlusion

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
601 1.25mg
ranibizumab 0.5mg
Sponsored by
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Branch Retinal Vein Occlusion focused on measuring Retinal Vein Occlusion, Macular Edema, Vascular Endothelial Growth Factor

Eligibility Criteria

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

Inclusion Criteria:

  • Sign informed consent form and willing to be followed up at the time specified in the trial
  • Male or Female, at least 18 years of age
  • The study eye must meet the following criteria:Diagnosed with macular edema secondary to Branch retinal vein occlusion (BRVO) or Hemi-retinal vein occlusion (HRVO) within 12 months; BCVA score ≤ 73 and ≥19 letters using ETDRS visual acuity testing charts (approximate Snellen equivalent of 20/40 to 20/400); CRT ≥ 250μm; No optometric media opacity and pupil abnormal
  • BCVA score ≥ 34 ETDRS letters (approximate Snellen equivalent of 20/200) in the fellow eye, with no active RVO disease.

Exclusion Criteria:

  • For Study Eye: Concomitant conditions or ocular disorders in the study eye at screening or baseline which could, in the opinion of the investigator, prevent response to study treatment or may confound interpretation of study results, compromise visual acuity or require medical or surgical intervention during the 52-week study period
  • For Study Eye: iris, chamber angle neovascularization or retinal, optic disc neovascularization
  • For Study Eye: Previous use of intraocular or periocular steroids within 3 months prior to baseline, or dexamethasone intravitreal implant within 6 months prior to baseline
  • For Study Eye: Macular laser photocoagulation (focal/grid),panretinal laser photocoagulation,vitrectomy,trabeculectomy or keratoplasty in the study eye at any time prior to baseline. YAG laser treatment or any other intraocular surgeries (e.g. cataract surgery) in the study eye within 3 months prior to the baseline
  • For Study Eye: During the screening period, the BCVA is >10 letters improved
  • For Study Eye: Aphakia (except IOL) or posterior capsular defect (except YAG posterior capsulotomy after intraocular lens implantation surgery)
  • For Any Eye: Active ocular infections (e.g. blepharitis, conjunctivitis, keratitis, scleritis, uveitis, endophthalmitis) in any eye
  • For Any Eye: Uncontrolled glaucoma (defined as intraocular pressure after antiglaucoma therapy ≥ 25mmHg) in any eye, or the cup/disk ratio >0.8 in the study eye
  • For Any Eye: History of intravitreal use of anti-VEGF drugs (e.g. ranibizumab,bevacizumab,aflibercept, conbercept, etc.) in any eye within 3 months prior to baseline
  • History of allergy to fluorescein sodium and allergies to protein products for treatment or diagnosis
  • History of stroke (cerebrovascular accident), myocardial infarction, active disseminated intravascular coagulation or pronounced bleeding tendency in the past 6 months prior to baseline
  • Systemic immune diseases (e.g. ankylosing spondylitis, systemic lupus erythematosus, Behcet's disease, rheumatoid arthritis, scleroderma etc.)
  • Any uncontrolled clinical conditions (e.g. AIDS, active hepatitis, serious mental, neurological, cardiovascular, respiratory and other systemic diseases or malignant tumors, etc.). Malignant tumors with no metastasis or recurrence within 5 years or cancers in situ cancers are not excluded.
  • Uncontrolled blood pressure (defined as systolic blood pressure ≥ 160 mmHg or diastolic pressure ≥ 100 mmHg after antihypertensive medication
  • History of surgery (except for healed minimally invasive surgery) and/or currently have unhealed wounds, moderate to severe ulcers, fractures, etc. within 1 month prior to baseline
  • History of system use of anti-VEGF drugs (e.g. bevacizumab) within 3 months prior to baseline
  • Liver dysfunction (ALT or AST is 2 times higher than the upper limit of normal value in the local laboratory). Renal function impairment (Cr is 1.5 times higher than the upper limit of normal values in the local laboratory)
  • Abnormal coagulation function (prothrombin time ≥ the upper limit of normal value for 3 seconds) and activated partial thromboplastin time ≥ the upper limit of normal value for 10 seconds).
  • Non-use of effective contraception during childbearing age (except for women with spontaneous admonishment of more than 12 months)
  • Women in pregnancy and lactation
  • Participation in clinical trials of any drug (except vitamins and minerals) or medical devices in the past 1 month or 5 half-lifes if the drug has a long half-life >1 month prior to baseline.
  • Any conditions that researchers think it needs to be ruled out

Sites / Locations

  • BeiJing HospitalRecruiting
  • The First Affiliated Hospital of JiNan UniversityRecruiting
  • HeNan Provincial Eye HospitalRecruiting
  • The Second XiangYa Hospital of Central South UniversityRecruiting
  • JiangSu Province HospitalRecruiting
  • ShangHai General HospitalRecruiting
  • West China Hospital of Sichuan UniversityRecruiting
  • TianJin Eye HospitalRecruiting
  • TianJin Medical University Eye HospitalRecruiting
  • ZheJiang Province People's HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

601 1.25mg

ranibizumab 0.5mg

Arm Description

loading phase (6 months): 601 1.25mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses

loading phase (6 months): ranibizumab 0.5mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses

Outcomes

Primary Outcome Measures

best-corrected visual acuity (BCVA)
Assessed with Early treatment diabetic retinopathy study (ETDRS) visual acuity testing charts.

Secondary Outcome Measures

best-corrected visual acuity (BCVA)
Assessed with Early treatment diabetic retinopathy study (ETDRS) visual acuity testing charts.
central retinal thickness (CRT)
SD-OCT (spectral domain optical coherence tomography) was used to assess the average retinal thickness of the central 1 mm diameter subfield around the foveal center.
Number of injections
Number of administered injections for 601 or ranibizumab
Adverse Events (AEs)
All adverse events related to 601 or ranibizumab observed through various tests (including blood routine, pregnancy test, electrocardiogram, etc.)
Steady-state Blood concentrations of 601 or ranibizumab
Detect the steady-state blood concentrations of 601 or ranibizumab through the subject's blood sample
Blood concentrations of Vascular Endothelial Growth Factor (VEGF)
Detect the blood concentrations of VEGF through the subject's blood sample
anti-drug antibody (ADA) of 601
Detect the presence of anti-drug antibody (ADA) of 601 through the subject's blood sample. ADA-positive subjects will also undergo further Neutralization antibody (Nab) testing.

Full Information

First Posted
August 26, 2022
Last Updated
January 11, 2023
Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05520177
Brief Title
A Phase III Study for 601 Versus Ranibizumab in Patients With Vision Loss
Official Title
A Randomized, Double Masked, Multicenter, Phase III Study Assessing the Efficacy and Safety of 601 Versus Ranibizumab in Patients With Macular Edema Secondary to Branch Retinal Vein Occlusion (BRVO)
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 27, 2022 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Guojian Pharmaceutical (Shanghai) Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
To compare the efficacy and safety of recombinant humanized anti-VEGF monoclonal antibody (601) with Ranibizumab in patients with macular edema secondary to BRVO
Detailed Description
After a up to 14-day screening period, patients will be randomized allocated in 2 groups at 1:1 ratio and followed up for 52 weeks. Followed-up visits will be scheduled at a 4-week interval. After 6 initial monthly injections of 601 or ranibizumab (loading phase), subjects will enter an individualized flexible treatment (IFT) phase (week 24 to week 48). During the IFT phase, subjects will receive either the injections or not based on the assessment of disease stability at each visit. Efficacy and safety outcomes will be evaluated up to a period of 52 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Branch Retinal Vein Occlusion
Keywords
Retinal Vein Occlusion, Macular Edema, Vascular Endothelial Growth Factor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
350 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
601 1.25mg
Arm Type
Experimental
Arm Description
loading phase (6 months): 601 1.25mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses
Arm Title
ranibizumab 0.5mg
Arm Type
Active Comparator
Arm Description
loading phase (6 months): ranibizumab 0.5mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses
Intervention Type
Drug
Intervention Name(s)
601 1.25mg
Other Intervention Name(s)
601
Intervention Description
loading phase (6 months): 601 1.25mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses
Intervention Type
Drug
Intervention Name(s)
ranibizumab 0.5mg
Other Intervention Name(s)
Lucentis
Intervention Description
loading phase (6 months): ranibizumab 0.5mg/eye/time, Intravitreal injection, administered once every 4 weeks for 6 consecutive doses
Primary Outcome Measure Information:
Title
best-corrected visual acuity (BCVA)
Description
Assessed with Early treatment diabetic retinopathy study (ETDRS) visual acuity testing charts.
Time Frame
From Baseline to Week 24
Secondary Outcome Measure Information:
Title
best-corrected visual acuity (BCVA)
Description
Assessed with Early treatment diabetic retinopathy study (ETDRS) visual acuity testing charts.
Time Frame
up to 52 weeks
Title
central retinal thickness (CRT)
Description
SD-OCT (spectral domain optical coherence tomography) was used to assess the average retinal thickness of the central 1 mm diameter subfield around the foveal center.
Time Frame
up to 52 weeks
Title
Number of injections
Description
Number of administered injections for 601 or ranibizumab
Time Frame
up to 52 weeks
Title
Adverse Events (AEs)
Description
All adverse events related to 601 or ranibizumab observed through various tests (including blood routine, pregnancy test, electrocardiogram, etc.)
Time Frame
up to 52 weeks
Title
Steady-state Blood concentrations of 601 or ranibizumab
Description
Detect the steady-state blood concentrations of 601 or ranibizumab through the subject's blood sample
Time Frame
up to 52 weeks
Title
Blood concentrations of Vascular Endothelial Growth Factor (VEGF)
Description
Detect the blood concentrations of VEGF through the subject's blood sample
Time Frame
up to 52 weeks
Title
anti-drug antibody (ADA) of 601
Description
Detect the presence of anti-drug antibody (ADA) of 601 through the subject's blood sample. ADA-positive subjects will also undergo further Neutralization antibody (Nab) testing.
Time Frame
up to 52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Sign informed consent form and willing to be followed up at the time specified in the trial Male or Female, at least 18 years of age The study eye must meet the following criteria:Diagnosed with macular edema secondary to Branch retinal vein occlusion (BRVO) or Hemi-retinal vein occlusion (HRVO) within 12 months; BCVA score ≤ 73 and ≥19 letters using ETDRS visual acuity testing charts (approximate Snellen equivalent of 20/40 to 20/400); CRT ≥ 250μm; No optometric media opacity and pupil abnormal BCVA score ≥ 34 ETDRS letters (approximate Snellen equivalent of 20/200) in the fellow eye, with no active RVO disease. Exclusion Criteria: For Study Eye: Concomitant conditions or ocular disorders in the study eye at screening or baseline which could, in the opinion of the investigator, prevent response to study treatment or may confound interpretation of study results, compromise visual acuity or require medical or surgical intervention during the 52-week study period For Study Eye: iris, chamber angle neovascularization or retinal, optic disc neovascularization For Study Eye: Previous use of intraocular or periocular steroids within 3 months prior to baseline, or dexamethasone intravitreal implant within 6 months prior to baseline For Study Eye: Macular laser photocoagulation (focal/grid),panretinal laser photocoagulation,vitrectomy,trabeculectomy or keratoplasty in the study eye at any time prior to baseline. YAG laser treatment or any other intraocular surgeries (e.g. cataract surgery) in the study eye within 3 months prior to the baseline For Study Eye: During the screening period, the BCVA is >10 letters improved For Study Eye: Aphakia (except IOL) or posterior capsular defect (except YAG posterior capsulotomy after intraocular lens implantation surgery) For Any Eye: Active ocular infections (e.g. blepharitis, conjunctivitis, keratitis, scleritis, uveitis, endophthalmitis) in any eye For Any Eye: Uncontrolled glaucoma (defined as intraocular pressure after antiglaucoma therapy ≥ 25mmHg) in any eye, or the cup/disk ratio >0.8 in the study eye For Any Eye: History of intravitreal use of anti-VEGF drugs (e.g. ranibizumab,bevacizumab,aflibercept, conbercept, etc.) in any eye within 3 months prior to baseline History of allergy to fluorescein sodium and allergies to protein products for treatment or diagnosis History of stroke (cerebrovascular accident), myocardial infarction, active disseminated intravascular coagulation or pronounced bleeding tendency in the past 6 months prior to baseline Systemic immune diseases (e.g. ankylosing spondylitis, systemic lupus erythematosus, Behcet's disease, rheumatoid arthritis, scleroderma etc.) Any uncontrolled clinical conditions (e.g. AIDS, active hepatitis, serious mental, neurological, cardiovascular, respiratory and other systemic diseases or malignant tumors, etc.). Malignant tumors with no metastasis or recurrence within 5 years or cancers in situ cancers are not excluded. Uncontrolled blood pressure (defined as systolic blood pressure ≥ 160 mmHg or diastolic pressure ≥ 100 mmHg after antihypertensive medication History of surgery (except for healed minimally invasive surgery) and/or currently have unhealed wounds, moderate to severe ulcers, fractures, etc. within 1 month prior to baseline History of system use of anti-VEGF drugs (e.g. bevacizumab) within 3 months prior to baseline Liver dysfunction (ALT or AST is 2 times higher than the upper limit of normal value in the local laboratory). Renal function impairment (Cr is 1.5 times higher than the upper limit of normal values in the local laboratory) Abnormal coagulation function (prothrombin time ≥ the upper limit of normal value for 3 seconds) and activated partial thromboplastin time ≥ the upper limit of normal value for 10 seconds). Non-use of effective contraception during childbearing age (except for women with spontaneous admonishment of more than 12 months) Women in pregnancy and lactation Participation in clinical trials of any drug (except vitamins and minerals) or medical devices in the past 1 month or 5 half-lifes if the drug has a long half-life >1 month prior to baseline. Any conditions that researchers think it needs to be ruled out
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Gang Tong, Bachelor of Medicine
Phone
021-60790099
Email
tonggang@3s-guojian.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaorong Li, MD
Organizational Affiliation
Tianjin Medical University Eye Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
BeiJing Hospital
City
BeiJing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hong Dai, Bachelor
Phone
010-85133308
Email
dai-hong@x263.net
First Name & Middle Initial & Last Name & Degree
Hong Dai
Facility Name
The First Affiliated Hospital of JiNan University
City
GuangZhou
State/Province
Guangdong
ZIP/Postal Code
510630
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
JingXiang Zhong, MD
First Name & Middle Initial & Last Name & Degree
JingXiang Zhong
Facility Name
HeNan Provincial Eye Hospital
City
ZhengZhou
State/Province
Henan
ZIP/Postal Code
450003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zongming Song, MD
First Name & Middle Initial & Last Name & Degree
Zongming Song
Facility Name
The Second XiangYa Hospital of Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410011
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
BaiHua Chen, MD
First Name & Middle Initial & Last Name & Degree
BaiHua Chen
Facility Name
JiangSu Province Hospital
City
NanJing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
SongTao Yuan, MD
First Name & Middle Initial & Last Name & Degree
SongTao Yuan
Facility Name
ShangHai General Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hong Wang, MD
First Name & Middle Initial & Last Name & Degree
Hong Wang
Facility Name
West China Hospital of Sichuan University
City
ChengDu
State/Province
Sichuan
ZIP/Postal Code
610000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fang Lu, MD
Phone
86-028-85422452
Email
lufang@medicail.com.cn
First Name & Middle Initial & Last Name & Degree
Ming Zhang
Facility Name
TianJin Eye Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300020
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
QuanHong Han, MD
First Name & Middle Initial & Last Name & Degree
QuanHong Han
Facility Name
TianJin Medical University Eye Hospital
City
TianJin
State/Province
Tianjin
ZIP/Postal Code
300384
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaorong Li, PhD
Phone
022-23346434
Email
xiaorli@163.com
First Name & Middle Initial & Last Name & Degree
Xiaorong Li
Facility Name
ZheJiang Province People's Hospital
City
HangZhou
State/Province
Zhejiang
ZIP/Postal Code
310024
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
MiaoQin Wu, MD
First Name & Middle Initial & Last Name & Degree
MiaoQin Wu

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase III Study for 601 Versus Ranibizumab in Patients With Vision Loss

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