Adjunct Episcleral Brachytherapy for PCV (KILAUEA)
Primary Purpose
Age-Related Macular Degeneration, Polypoid Choroidal Vasculopathy
Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Episcleral Brachytherapy
Aflibercept Injection
Sponsored by
About this trial
This is an interventional treatment trial for Age-Related Macular Degeneration
Eligibility Criteria
Inclusion Criteria:
- Active PCV due to nAMD
- Incomplete response to anti-VEGF
- Received at least 3 consecutive and sequential anti-VEGF injections (no missed treatments)
- Ability to undergo ESB intervention
Exclusion Criteria:
- Sub-retinal fibrosis
- Type I or Type II diabetes mellitus
- Previous therapeutic radiation to the head or neck that may have resulted in radiation dose to the retina
- Study eye with BCVA of worse than 20 ETDRS letters (20/400 Snellen)
- Fellow eye with worse BCVA than the study eye or other vision-threatening disease not eligible for treatment
- Receiving anti-VEGF therapy for any reason other than AMD
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
ESB adjunct to IAI
IAI monotherapy
Arm Description
Single ESB treatment adjunct to intravitreal aflibercept injections (IAI)
Intravitreal aflibercept injections (IAI)
Outcomes
Primary Outcome Measures
Best Corrected Visual Acuity (BCVA)
Secondary Outcome Measures
Best Corrected Visual Acuity (BCVA)
Central Retinal Thickness
Lesion size
Full Information
NCT ID
NCT05251636
First Posted
February 11, 2022
Last Updated
August 28, 2023
Sponsor
Salutaris Medical Devices, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT05251636
Brief Title
Adjunct Episcleral Brachytherapy for PCV
Acronym
KILAUEA
Official Title
A Double-Masked, Multi-center, Active Controlled Safety and Efficacy Study of Adjunct Episcleral Brachytherapy for Polypoid Choroidal Vasculopathy
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 2025 (Anticipated)
Primary Completion Date
September 2026 (Anticipated)
Study Completion Date
September 2028 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Salutaris Medical Devices, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
5. Study Description
Brief Summary
This study is investigating the use of episcleral brachytherapy (ESB) adjunct to aflibercept compared to aflibercept monotherapy for the treatment of polyploid choroidal vasculopathy (PCV) in patients experiencing an inadequate response to anti-VEGF monotherapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Age-Related Macular Degeneration, Polypoid Choroidal Vasculopathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
159 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
ESB adjunct to IAI
Arm Type
Experimental
Arm Description
Single ESB treatment adjunct to intravitreal aflibercept injections (IAI)
Arm Title
IAI monotherapy
Arm Type
Active Comparator
Arm Description
Intravitreal aflibercept injections (IAI)
Intervention Type
Radiation
Intervention Name(s)
Episcleral Brachytherapy
Intervention Description
Minimally invasive, single fraction brachytherapy
Intervention Type
Drug
Intervention Name(s)
Aflibercept Injection
Intervention Description
Standard of Care intravitreal aflibercept injection
Primary Outcome Measure Information:
Title
Best Corrected Visual Acuity (BCVA)
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Best Corrected Visual Acuity (BCVA)
Time Frame
24 months
Title
Central Retinal Thickness
Time Frame
12 and 24 months
Title
Lesion size
Time Frame
12 and 24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Active PCV due to nAMD
Incomplete response to anti-VEGF
Received at least 3 consecutive and sequential anti-VEGF injections (no missed treatments)
Ability to undergo ESB intervention
Exclusion Criteria:
Sub-retinal fibrosis
Type I or Type II diabetes mellitus
Previous therapeutic radiation to the head or neck that may have resulted in radiation dose to the retina
Study eye with BCVA of worse than 20 ETDRS letters (20/400 Snellen)
Fellow eye with worse BCVA than the study eye or other vision-threatening disease not eligible for treatment
Receiving anti-VEGF therapy for any reason other than AMD
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mary Drew
Phone
5206387518
Email
mdrew@salutarismd.com
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Adjunct Episcleral Brachytherapy for PCV
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