A Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy (CANBERRA)
Primary Purpose
Diabetic Retinopathy
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo
RG7774
Sponsored by
About this trial
This is an interventional treatment trial for Diabetic Retinopathy
Eligibility Criteria
Inclusion Criteria
- Able and willing to provide written informed consent and to comply with the study protocol according to International Conference of Harmonization (ICH) and local regulations
- Male and female patients of at least 18 years of age
- Treatment naΓ―ve with moderately severe to severe NPDR defined as ETDRS DRSS 47 or 53
- Patients are eligible with and without DME in either eye
- BCVA score at screening of at least 70 letters in study eyes without DME and at least 75 letters in case DME is present
- Clear ocular media and adequate pupillary dilation to allow acquisition of good quality retinal images.
- Diagnosis of diabetes mellitus (DM) type 1 or type 2
- Hemoglobin A1c (HbA1c) </= 12%.
- A female is eligible to participate if she is not pregnant, not breastfeeding
Exclusion Criteria
Ocular criteria for study eye:
- Prior treatment for DR or other retinal diseases with any approved or investigational therapy, including but not limited to intravitreal steroids, intravitreal anti-VEGF, light therapy, periocular pharmacological intervention, and laser (e.g. focal, grid, micropulse, or pan-retinal)
- Uncontrolled glaucoma
- Any concurrent intraocular condition (e.g. retinal detachment, dense cataract, epiretinal membrane with traction, or vitreomacular traction, etc.) that in the opinion of the Investigator could reduce the potential for improvement, require medical surgical intervention or may confound the visual and functional assessment and interpretation of study results
Concurrent ocular conditions in either eye:
- Any active ocular infection
- Any active intraocular inflammation
General Criteria:
- Previous systemic use of anti-VEGF drugs within 6 months prior to screening
- Complications of diabetes such as end-stage renal disease or liver disease
- Currently untreated diabetes mellitus or previously untreated patients who initiated oral or injectable anti-diabetic medication within 3 months prior to screening
- Uncontrolled blood pressure ([BP] defined as systolic > 180mmHg and/or diastolic >100 mmHg while patient at rest)
- History of concurrent cardio-vascular disease not considered well controlled by the Investigator
- Any major illness or major surgical procedure within one month before screening
- History of or currently active other diseases, metabolic dysfunction, physical examination finding, malignancies not considered cured, or clinical laboratory findings giving reasonable suspicion of a condition that contraindicated the use of the investigational medicinal drug or that might affect interpretation of the results of the study or renders the patient at high risk for treatment complications in the opinion of the investigator
- Known hypersensitivity to any of the excipients of the drug used, fluorescein dye or dilating eye drops
- Use of systemic medications known to be toxic to the lens, retina or optic nerve (e.g., deferoxamine, chloroquine/hydroxychloroquine, tamoxifen, phenothiazines and ethambutol) used during the 6-month period prior to screening or likely need to be used
Sites / Locations
- Arizona Retina and Vitreous Consultants
- Retina Associates Tucson
- Win Retina
- Global Research Management
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
- Retina Consultants of Southern Colorado PC
- Retina Group of New England
- Rand Eye
- Florida Retina Consultants
- Florida Eye Associates
- Medeye Associates
- Retina Specialty Institute
- Retina Vitreous Assoc of FL
- Southeast Retina Center
- Marietta Eye Clinic
- Retina Associated Ltd
- University Retina and Macula Associates, PC
- Cumberland Valley Retina PC
- University of Michigan, Kellogg Eye Center
- Deep Blue Retina PLLC
- Sierra Eye Associates
- Envision Ocular, LLC
- Eye Associates of New Mexico
- Velocity Clinical Research
- Ophthalmic Consultants of Long Island
- Charlotte Eye Ear Nose and Throat Associates
- EyeHealth Northwest
- Erie Retinal Surgery
- Charleston Neuroscience Institute
- Southeastern Retina Associates Chattanooga
- Charles Retina Institute
- Retina Res Institute of Texas
- Austin Clinical Research LLC
- San Antonio Eye Center
- Retina Consultants of Texas
- Retinal Consultants of Houston
- Strategic Clinical Research Group, LLC
- Sydney Eye Hospital
- Sydney Retina Clinic and Day Surgery
- Centre For Eye Research Australia
- Retina Specialists Victoria
- Centrum Medyczne Julianow; Zeglarska
- Gabinet Okulistyczny Prof Edward Wylegala
- Centrum Medyczne UNO-MED
- Centrum Diagnostyki i Mikrochirurgii Oka LENS
- LensClinic
- Emanuelli Research and Development Center LLC
- Fakultna nemocnica s poliklinikou F.D. Roosevelta
- Klinika OftalmolΓ³gie LFUK a UNB
- O?nΓ‘ klinika UNB a SZU
- 3F s.r.o
- Fakultna nemocnica Trencin
- Fakultna nemocnica s poliklinikou Zilina; Ocne oddelenie
- Hospital Universitari de Bellvitge; Servicio de Oftalmologia
- Hospital General de Catalunya
- Hospital Universitario Puerta de Hierro
- Hospital Dos de Maig
- Hospital Clinic I Provincial
- Clinica Barraquer
- Pio del Rio Hortega University Hospital
- Miguel Servet University Hospital
- Royal Victoria Hospital; Outpatients Department
- Colchester General Hospital
- Royal Surrey County Hospital; Eye Clinic Research office
- Hull University Teaching Hospitals NHS Trust
- Royal Liverpool University Hospital
- Nottingham University Hospitals NHS Trust
- Sunderland Eye Infirmary
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Placebo Comparator
Experimental
Experimental
Arm Label
Group A
Group B
Group C
Arm Description
Participants will receive an oral dose of placebo matched to RG7774 once daily (QD)
Participants will receive a low oral dose of RG7774 QD
Participants will receive a high oral dose of RG7774 QD
Outcomes
Primary Outcome Measures
Proportion of Participants with >/= 2-Step Improvement in the Early Treatment Diabetic Retinopathy Study (ETDRS) DR Severity Scale (DRSS) from Baseline at Week 36 Measured in the Study Eye
Percentage of Participants with Adverse Events (AEs)
Secondary Outcome Measures
Percentage of Participants with Anterior Segment Neovascularization (ASNV), new Proliferative Diabetic Retinopathy (PDR), new Diabetic Macular Edema (DME), and Pre-Existing DME Requiring Intervention
Change from Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04265261
Brief Title
A Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy
Acronym
CANBERRA
Official Title
A Randomized, Double-Masked, 48-Week, Parallel-Group, Placebo-Controlled, Proof-of-Concept Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
June 5, 2020 (Actual)
Primary Completion Date
July 19, 2023 (Actual)
Study Completion Date
July 19, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche
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
The study's main purpose is to asses the safety, tolerability, and effect of oral administration of RG7774 on the severity of diabetic retinopathy (DR) in participants with moderately severe to severe non-proliferative diabetic retinopathy (NPDR) and good vision.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Retinopathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
104 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group A
Arm Type
Placebo Comparator
Arm Description
Participants will receive an oral dose of placebo matched to RG7774 once daily (QD)
Arm Title
Group B
Arm Type
Experimental
Arm Description
Participants will receive a low oral dose of RG7774 QD
Arm Title
Group C
Arm Type
Experimental
Arm Description
Participants will receive a high oral dose of RG7774 QD
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive oral placebo matched to RG7774
Intervention Type
Drug
Intervention Name(s)
RG7774
Intervention Description
Participants will receive oral RG7774
Primary Outcome Measure Information:
Title
Proportion of Participants with >/= 2-Step Improvement in the Early Treatment Diabetic Retinopathy Study (ETDRS) DR Severity Scale (DRSS) from Baseline at Week 36 Measured in the Study Eye
Time Frame
Week 36
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
From baseline up to 52 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants with Anterior Segment Neovascularization (ASNV), new Proliferative Diabetic Retinopathy (PDR), new Diabetic Macular Edema (DME), and Pre-Existing DME Requiring Intervention
Time Frame
From baseline up to 52 weeks
Title
Change from Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
Time Frame
Baseline; Week 36
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria
Able and willing to provide written informed consent and to comply with the study protocol according to International Conference of Harmonization (ICH) and local regulations
Male and female patients of at least 18 years of age
Treatment naΓ―ve with moderately severe to severe NPDR defined as ETDRS DRSS 47 or 53
Patients are eligible with and without DME in either eye
BCVA score at screening of at least 70 letters in study eyes without DME and at least 75 letters in case DME is present
Clear ocular media and adequate pupillary dilation to allow acquisition of good quality retinal images.
Diagnosis of diabetes mellitus (DM) type 1 or type 2
Hemoglobin A1c (HbA1c) </= 12%.
A female is eligible to participate if she is not pregnant, not breastfeeding
Exclusion Criteria
Ocular criteria for study eye:
Prior treatment for DR or other retinal diseases with any approved or investigational therapy, including but not limited to intravitreal steroids, intravitreal anti-VEGF, light therapy, periocular pharmacological intervention, and laser (e.g. focal, grid, micropulse, or pan-retinal)
Uncontrolled glaucoma
Any concurrent intraocular condition (e.g. retinal detachment, dense cataract, epiretinal membrane with traction, or vitreomacular traction, etc.) that in the opinion of the Investigator could reduce the potential for improvement, require medical surgical intervention or may confound the visual and functional assessment and interpretation of study results
Concurrent ocular conditions in either eye:
Any active ocular infection
Any active intraocular inflammation
General Criteria:
Previous systemic use of anti-VEGF drugs within 6 months prior to screening
Complications of diabetes such as end-stage renal disease or liver disease
Currently untreated diabetes mellitus or previously untreated patients who initiated oral or injectable anti-diabetic medication within 3 months prior to screening
Uncontrolled blood pressure ([BP] defined as systolic > 180mmHg and/or diastolic >100 mmHg while patient at rest)
History of concurrent cardio-vascular disease not considered well controlled by the Investigator
Any major illness or major surgical procedure within one month before screening
History of or currently active other diseases, metabolic dysfunction, physical examination finding, malignancies not considered cured, or clinical laboratory findings giving reasonable suspicion of a condition that contraindicated the use of the investigational medicinal drug or that might affect interpretation of the results of the study or renders the patient at high risk for treatment complications in the opinion of the investigator
Known hypersensitivity to any of the excipients of the drug used, fluorescein dye or dilating eye drops
Use of systemic medications known to be toxic to the lens, retina or optic nerve (e.g., deferoxamine, chloroquine/hydroxychloroquine, tamoxifen, phenothiazines and ethambutol) used during the 6-month period prior to screening or likely need to be used
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
Facility Name
Arizona Retina and Vitreous Consultants
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85016
Country
United States
Facility Name
Retina Associates Tucson
City
Tucson
State/Province
Arizona
ZIP/Postal Code
85710
Country
United States
Facility Name
Win Retina
City
Arcadia
State/Province
California
ZIP/Postal Code
91006
Country
United States
Facility Name
Global Research Management
City
Glendale
State/Province
California
ZIP/Postal Code
91204
Country
United States
Facility Name
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
City
Torrance
State/Province
California
ZIP/Postal Code
90502
Country
United States
Facility Name
Retina Consultants of Southern Colorado PC
City
Colorado Springs
State/Province
Colorado
ZIP/Postal Code
80909
Country
United States
Facility Name
Retina Group of New England
City
Waterford
State/Province
Connecticut
ZIP/Postal Code
06385
Country
United States
Facility Name
Rand Eye
City
Deerfield Beach
State/Province
Florida
ZIP/Postal Code
33064
Country
United States
Facility Name
Florida Retina Consultants
City
Lakeland
State/Province
Florida
ZIP/Postal Code
33805
Country
United States
Facility Name
Florida Eye Associates
City
Melbourne
State/Province
Florida
ZIP/Postal Code
32901
Country
United States
Facility Name
Medeye Associates
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Retina Specialty Institute
City
Pensacola
State/Province
Florida
ZIP/Postal Code
32503
Country
United States
Facility Name
Retina Vitreous Assoc of FL
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33711
Country
United States
Facility Name
Southeast Retina Center
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
Marietta Eye Clinic
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Retina Associated Ltd
City
Elmhurst
State/Province
Illinois
ZIP/Postal Code
60126
Country
United States
Facility Name
University Retina and Macula Associates, PC
City
Oak Forest
State/Province
Illinois
ZIP/Postal Code
60452
Country
United States
Facility Name
Cumberland Valley Retina PC
City
Hagerstown
State/Province
Maryland
ZIP/Postal Code
21740
Country
United States
Facility Name
University of Michigan, Kellogg Eye Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48105
Country
United States
Facility Name
Deep Blue Retina PLLC
City
Southaven
State/Province
Mississippi
ZIP/Postal Code
38671
Country
United States
Facility Name
Sierra Eye Associates
City
Reno
State/Province
Nevada
ZIP/Postal Code
89502
Country
United States
Facility Name
Envision Ocular, LLC
City
Bloomfield
State/Province
New Jersey
ZIP/Postal Code
07003
Country
United States
Facility Name
Eye Associates of New Mexico
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87109
Country
United States
Facility Name
Velocity Clinical Research
City
East Syracuse
State/Province
New York
ZIP/Postal Code
13057
Country
United States
Facility Name
Ophthalmic Consultants of Long Island
City
Oceanside
State/Province
New York
ZIP/Postal Code
11572
Country
United States
Facility Name
Charlotte Eye Ear Nose and Throat Associates
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
Facility Name
EyeHealth Northwest
City
Portland
State/Province
Oregon
ZIP/Postal Code
97225
Country
United States
Facility Name
Erie Retinal Surgery
City
Erie
State/Province
Pennsylvania
ZIP/Postal Code
16507
Country
United States
Facility Name
Charleston Neuroscience Institute
City
Ladson
State/Province
South Carolina
ZIP/Postal Code
29456
Country
United States
Facility Name
Southeastern Retina Associates Chattanooga
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Charles Retina Institute
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
Retina Res Institute of Texas
City
Abilene
State/Province
Texas
ZIP/Postal Code
79606
Country
United States
Facility Name
Austin Clinical Research LLC
City
Austin
State/Province
Texas
ZIP/Postal Code
78750
Country
United States
Facility Name
San Antonio Eye Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Retina Consultants of Texas
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77384-4167
Country
United States
Facility Name
Retinal Consultants of Houston
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
Sydney Eye Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2000
Country
Australia
Facility Name
Sydney Retina Clinic and Day Surgery
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2000
Country
Australia
Facility Name
Centre For Eye Research Australia
City
East Melbourne
State/Province
Victoria
ZIP/Postal Code
3002
Country
Australia
Facility Name
Retina Specialists Victoria
City
Rowville
State/Province
Victoria
ZIP/Postal Code
3178
Country
Australia
Facility Name
Centrum Medyczne Julianow; Zeglarska
City
?Γ³d?
ZIP/Postal Code
91-321
Country
Poland
Facility Name
Gabinet Okulistyczny Prof Edward Wylegala
City
Katowice
ZIP/Postal Code
40-594
Country
Poland
Facility Name
Centrum Medyczne UNO-MED
City
Krakow
ZIP/Postal Code
31-070
Country
Poland
Facility Name
Centrum Diagnostyki i Mikrochirurgii Oka LENS
City
Olsztyn
ZIP/Postal Code
10-424
Country
Poland
Facility Name
LensClinic
City
Rybnik
ZIP/Postal Code
44-203
Country
Poland
Facility Name
Emanuelli Research and Development Center LLC
City
Arecibo
ZIP/Postal Code
00612
Country
Puerto Rico
Facility Name
Fakultna nemocnica s poliklinikou F.D. Roosevelta
City
Banska Bystrica
ZIP/Postal Code
974 01
Country
Slovakia
Facility Name
Klinika OftalmolΓ³gie LFUK a UNB
City
Bratislava
ZIP/Postal Code
826 06
Country
Slovakia
Facility Name
O?nΓ‘ klinika UNB a SZU
City
Bratislava
ZIP/Postal Code
851 07
Country
Slovakia
Facility Name
3F s.r.o
City
KoΕ‘ice
ZIP/Postal Code
040 11
Country
Slovakia
Facility Name
Fakultna nemocnica Trencin
City
Trencin
ZIP/Postal Code
911 71
Country
Slovakia
Facility Name
Fakultna nemocnica s poliklinikou Zilina; Ocne oddelenie
City
Zilina
ZIP/Postal Code
012 07
Country
Slovakia
Facility Name
Hospital Universitari de Bellvitge; Servicio de Oftalmologia
City
Hospitalet De Llobregat
State/Province
Barcelona
ZIP/Postal Code
8907
Country
Spain
Facility Name
Hospital General de Catalunya
City
San Cugat Del Valles
State/Province
Barcelona
ZIP/Postal Code
08195
Country
Spain
Facility Name
Hospital Universitario Puerta de Hierro
City
Majadahonda
State/Province
Madrid
ZIP/Postal Code
28222
Country
Spain
Facility Name
Hospital Dos de Maig
City
Barcelona
ZIP/Postal Code
08025
Country
Spain
Facility Name
Hospital Clinic I Provincial
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Clinica Barraquer
City
Barcelona
ZIP/Postal Code
8021
Country
Spain
Facility Name
Pio del Rio Hortega University Hospital
City
Valladolid
ZIP/Postal Code
47012
Country
Spain
Facility Name
Miguel Servet University Hospital
City
Zaragoza
ZIP/Postal Code
50009
Country
Spain
Facility Name
Royal Victoria Hospital; Outpatients Department
City
Belfast
ZIP/Postal Code
BT12 6BA
Country
United Kingdom
Facility Name
Colchester General Hospital
City
Colchester, Essex
ZIP/Postal Code
CO4 5JL
Country
United Kingdom
Facility Name
Royal Surrey County Hospital; Eye Clinic Research office
City
Guilford
ZIP/Postal Code
GU2 7XX
Country
United Kingdom
Facility Name
Hull University Teaching Hospitals NHS Trust
City
Hull
ZIP/Postal Code
HU3 2JZ
Country
United Kingdom
Facility Name
Royal Liverpool University Hospital
City
Liverpool
ZIP/Postal Code
L7 8XP
Country
United Kingdom
Facility Name
Nottingham University Hospitals NHS Trust
City
Nottingham
ZIP/Postal Code
NG7 2UH
Country
United Kingdom
Facility Name
Sunderland Eye Infirmary
City
Sunderland
ZIP/Postal Code
SR2 9HP
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research_and_development/who_we_are_how_we_work/clinical_trials/our_commitment_to_data_sharing.htm).
Learn more about this trial
A Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy
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