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Efficacy and Safety of the Aflibercept FYB203 Biosimilar in Comparison to Eylea® in Patients With Neovascular Age-Related Macular Degeneration (MAGELLAN-AMD)

Primary Purpose

Neovascular Age-related Macular Degeneration

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
FYB203 (Proposed aflibercept biosimilar)
Eylea® (Aflibercept)
Sponsored by
Bioeq GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neovascular Age-related Macular Degeneration

Eligibility Criteria

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

Inclusion Criteria:

  • Age ≥ 50 years at Screening.
  • Male or female:

    • Male: A male patient must agree to use contraception as defined in this protocol during the treatment period and for at least 4 weeks after the last dose of study treatment.
    • Female: A female patient is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:

      1. Not a woman of childbearing potential (WOCBP), OR
      2. A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 4 weeks after the last dose of study treatment.
  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
  • Willingness and ability to undertake all scheduled visits and assessments.
  • Newly diagnosed choroidal neovascularization (CNV) lesion secondary to wet AMD

Exclusion Criteria:

Patients are not eligible for the study if any of the following criteria apply:

  • Employees of clinical study sites, individuals directly involved with the conduct of the study or immediate family members thereof, prisoners, and persons who are legally institutionalized.
  • Study eye requiring immediate treatment.
  • Any prior treatment with VEGF agent or any investigational products to treat AMD in either eye.
  • Uncontrolled ocular hypertension or glaucoma in the SE (defined as intraocular pressure [IOP] ≥ 30 mmHg, despite treatment with anti-glaucomatous medication).
  • Ocular disorders in the SE (i.e. retinal detachment, pre-retinal membrane of the macula or cataract with significant impact on VA) at the time of screening that may confound interpretation of study results and compromise VA.
  • Any concurrent intraocular condition in the SE (e.g. glaucoma, cataract, or diabetic retinopathy) that, in the opinion of the Investigator, would either require surgical intervention during the study to prevent or treat visual loss that might result from that condition or affect interpretation of study results.
  • Use of other investigational drugs (excluding vitamins, minerals) within 30 days or 5 half lives from randomization, whichever is longer.
  • Any type of advanced, severe, or unstable disease, including any medical condition (controlled or uncontrolled) that could be expected to progress, recur, or change to such an extent that it may bias the assessment of the clinical status of the patient to a significant degree or put the patient at special risk.
  • Stroke or myocardial infarction within 6 months prior to randomization.
  • Known hypersensitivity to the IMP (aflibercept or any component of the aflibercept formulation) or to drugs of similar chemical class or to fluorescein or any other component of fluorescein formulation.

Sites / Locations

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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

FYB203 (Proposed aflibercept biosimilar)

Eylea® (Aflibercept)

Arm Description

Patients will receive intravitreal (IVT) injections of FYB203 as detailed in the protocol.

Patients will receive intravitreal (IVT) injections of Eylea® as detailed in the protocol.

Outcomes

Primary Outcome Measures

Change from baseline in Best Corrected Visual Acuity (BCVA)

Secondary Outcome Measures

Change in retinal thickness
Functional changes of the retina
Proportion of patients who gain or lose pre-specified number of Early Treatment Diabetic Retinopathy Study (ETDRS) letters
Absence of disease activity
Concentration of aflibercept in blood
Change in vision related functioning and wellbeing measured by National Eye Institute Visual Function Questionnaire 25 (NEI VFQ-25)
Number of patients with anti-drug antibodies (ADAs)
Frequency of local and systemic adverse events (AEs) and serious adverse events (SAEs)

Full Information

First Posted
August 11, 2020
Last Updated
June 27, 2023
Sponsor
Bioeq GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT04522167
Brief Title
Efficacy and Safety of the Aflibercept FYB203 Biosimilar in Comparison to Eylea® in Patients With Neovascular Age-Related Macular Degeneration
Acronym
MAGELLAN-AMD
Official Title
A Phase 3 Randomized, Double-masked, Multicenter Study to Compare the Efficacy and Safety of the Proposed Aflibercept FYB203 Biosimilar in Comparison to Eylea® in Patients With Neovascular Age-Related Macular Degeneration
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
July 21, 2020 (Actual)
Primary Completion Date
June 23, 2022 (Actual)
Study Completion Date
May 18, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bioeq GmbH

4. Oversight

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

5. Study Description

Brief Summary
This is a randomized, double-masked, multicenter study to evaluate the efficacy and safety of FYB203 compared to Eylea® in patients with neovascular age related macular degeneration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neovascular Age-related Macular Degeneration

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
434 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FYB203 (Proposed aflibercept biosimilar)
Arm Type
Experimental
Arm Description
Patients will receive intravitreal (IVT) injections of FYB203 as detailed in the protocol.
Arm Title
Eylea® (Aflibercept)
Arm Type
Active Comparator
Arm Description
Patients will receive intravitreal (IVT) injections of Eylea® as detailed in the protocol.
Intervention Type
Drug
Intervention Name(s)
FYB203 (Proposed aflibercept biosimilar)
Intervention Description
Patients will receive 1 IVT injection of FYB203 every 4 weeks for the first 3 consecutive doses, followed by 1 IVT injection every 8 weeks through study completion.
Intervention Type
Drug
Intervention Name(s)
Eylea® (Aflibercept)
Intervention Description
Patients will receive 1 IVT injection of Eylea® every 4 weeks for the first 3 consecutive doses, followed by 1 IVT injection every 8 weeks through study completion.
Primary Outcome Measure Information:
Title
Change from baseline in Best Corrected Visual Acuity (BCVA)
Time Frame
Week 8
Secondary Outcome Measure Information:
Title
Change in retinal thickness
Time Frame
Through study completion, approximately 1 year
Title
Functional changes of the retina
Time Frame
Through study completion, approximately 1 year
Title
Proportion of patients who gain or lose pre-specified number of Early Treatment Diabetic Retinopathy Study (ETDRS) letters
Time Frame
Through study completion, approximately 1 year
Title
Absence of disease activity
Time Frame
Through study completion, approximately 1 year
Title
Concentration of aflibercept in blood
Time Frame
Through study completion, approximately 1 year
Title
Change in vision related functioning and wellbeing measured by National Eye Institute Visual Function Questionnaire 25 (NEI VFQ-25)
Time Frame
Through study completion, approximately 1 year
Title
Number of patients with anti-drug antibodies (ADAs)
Time Frame
Through study completion, approximately 1 year
Title
Frequency of local and systemic adverse events (AEs) and serious adverse events (SAEs)
Time Frame
Through study completion, approximately 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 50 years at Screening. Male or female: Male: A male patient must agree to use contraception as defined in this protocol during the treatment period and for at least 4 weeks after the last dose of study treatment. Female: A female patient is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP), OR A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 4 weeks after the last dose of study treatment. Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Willingness and ability to undertake all scheduled visits and assessments. Newly diagnosed choroidal neovascularization (CNV) lesion secondary to wet AMD Exclusion Criteria: Patients are not eligible for the study if any of the following criteria apply: Employees of clinical study sites, individuals directly involved with the conduct of the study or immediate family members thereof, prisoners, and persons who are legally institutionalized. Study eye requiring immediate treatment. Any prior treatment with VEGF agent or any investigational products to treat AMD in either eye. Uncontrolled ocular hypertension or glaucoma in the SE (defined as intraocular pressure [IOP] ≥ 30 mmHg, despite treatment with anti-glaucomatous medication). Ocular disorders in the SE (i.e. retinal detachment, pre-retinal membrane of the macula or cataract with significant impact on VA) at the time of screening that may confound interpretation of study results and compromise VA. Any concurrent intraocular condition in the SE (e.g. glaucoma, cataract, or diabetic retinopathy) that, in the opinion of the Investigator, would either require surgical intervention during the study to prevent or treat visual loss that might result from that condition or affect interpretation of study results. Use of other investigational drugs (excluding vitamins, minerals) within 30 days or 5 half lives from randomization, whichever is longer. Any type of advanced, severe, or unstable disease, including any medical condition (controlled or uncontrolled) that could be expected to progress, recur, or change to such an extent that it may bias the assessment of the clinical status of the patient to a significant degree or put the patient at special risk. Stroke or myocardial infarction within 6 months prior to randomization. Known hypersensitivity to the IMP (aflibercept or any component of the aflibercept formulation) or to drugs of similar chemical class or to fluorescein or any other component of fluorescein formulation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Official
Organizational Affiliation
Bioeq GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Sofia
Country
Bulgaria
Facility Name
Research Site
City
Stara Zagora
Country
Bulgaria
Facility Name
Research Site
City
Hradec Králové
Country
Czechia
Facility Name
Research Site
City
Ostrava
Country
Czechia
Facility Name
Research Site
City
Pardubice
Country
Czechia
Facility Name
Research Site
City
Praha
Country
Czechia
Facility Name
Research Site
City
Sokolov
Country
Czechia
Facility Name
Research Site
City
Budapest
Country
Hungary
Facility Name
Research Site
City
Debrecen
Country
Hungary
Facility Name
Research Site
City
Pécs
Country
Hungary
Facility Name
Research Site
City
Szeged
Country
Hungary
Facility Name
Research Site
City
Szekesfehervar
Country
Hungary
Facility Name
Research Site
City
Tatabánya
Country
Hungary
Facility Name
Research Site
City
Zalaegerszeg
Country
Hungary
Facility Name
Research Site
City
Haifa
Country
Israel
Facility Name
Research Site
City
Jerusalem
Country
Israel
Facility Name
Research Site
City
Kfar Saba
Country
Israel
Facility Name
Research Site
City
Petah tikva
Country
Israel
Facility Name
Research Site
City
Rechovot
Country
Israel
Facility Name
Research Site
City
Rishon LeZion
Country
Israel
Facility Name
Research Site
City
Tel Aviv
Country
Israel
Facility Name
Research Site
City
Bologna
Country
Italy
Facility Name
Research Site
City
Firenze
Country
Italy
Facility Name
Research Site
City
Milan
Country
Italy
Facility Name
Research Site
City
Roma
Country
Italy
Facility Name
Research Site
City
Rozzano
Country
Italy
Facility Name
Research Site
City
Udine
Country
Italy
Facility Name
Research Site
City
Akita
Country
Japan
Facility Name
Research Site
City
Amagasaki
Country
Japan
Facility Name
Research Site
City
Asahikawa
Country
Japan
Facility Name
Research Site
City
Chiyoda
Country
Japan
Facility Name
Research Site
City
Chuo
Country
Japan
Facility Name
Research Site
City
Fukuoka
Country
Japan
Facility Name
Research Site
City
Fukushima
Country
Japan
Facility Name
Research Site
City
Hamamatsu
Country
Japan
Facility Name
Research Site
City
Himeji
Country
Japan
Facility Name
Research Site
City
Hirakata
Country
Japan
Facility Name
Research Site
City
Kita
Country
Japan
Facility Name
Research Site
City
Kurume
Country
Japan
Facility Name
Research Site
City
Meguro
Country
Japan
Facility Name
Research Site
City
Nagasaki
Country
Japan
Facility Name
Research Site
City
Nagoya
Country
Japan
Facility Name
Research Site
City
Sapporo
Country
Japan
Facility Name
Research Site
City
Shinjuku-Ku
Country
Japan
Facility Name
Research Site
City
Suita
Country
Japan
Facility Name
Research Site
City
Toride
Country
Japan
Facility Name
Research Site
City
Yokosuka
Country
Japan
Facility Name
Research Site
City
Bielsko-Biala
Country
Poland
Facility Name
Research Site
City
Bydgoszcz
Country
Poland
Facility Name
Research Site
City
Kraków
Country
Poland
Facility Name
Research Site
City
Olsztyn
Country
Poland
Facility Name
Research Site
City
Tarnów
Country
Poland
Facility Name
Research Site
City
Warsaw
Country
Poland
Facility Name
Research Site
City
Łódź
Country
Poland
Facility Name
Research Site
City
Chelyabinsk
Country
Russian Federation
Facility Name
Research Site
City
Kazan
Country
Russian Federation
Facility Name
Research Site
City
Moscow
Country
Russian Federation
Facility Name
Research Site
City
Novosibirsk
Country
Russian Federation
Facility Name
Research Site
City
Saint Petersburg
Country
Russian Federation
Facility Name
Research Site
City
Kharkiv
Country
Ukraine
Facility Name
Research Site
City
Kherson
Country
Ukraine
Facility Name
Research Site
City
Kropyvnytskyi
Country
Ukraine
Facility Name
Research Site
City
Luts'k
Country
Ukraine
Facility Name
Research Site
City
Odesa
Country
Ukraine
Facility Name
Research Site
City
Poltava
Country
Ukraine
Facility Name
Research Site
City
Zaporizhzhya
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Efficacy and Safety of the Aflibercept FYB203 Biosimilar in Comparison to Eylea® in Patients With Neovascular Age-Related Macular Degeneration

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