Overview
Sponsor-declared trial summary
Neovascular Age-related Macular Degeneration (wet AMD)
To determine the efficacy of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular AMD
Key facts
- Sponsor
- Opthea Limited
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Eye Diseases [C11]
- Trial duration
- 27 Aug 2021 → 31 Mar 2025
- Decision date (initial)
- 2024-09-15
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Opthea Limited
External identifiers
- EU CT number
- 2024-512880-30-00
- EudraCT number
- 2020-004694-46
- ClinicalTrials.gov
- NCT04757636
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Pharmacokinetic, Safety, Efficacy
To determine the efficacy of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular AMD
Secondary objectives 1
- The secondary objectives of the study are to determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept from Baseline to (and at) Week 52 as determined by: Efficacy: • Changes in ETDRS BCVA letter score
Conditions and MedDRA coding
Neovascular Age-related Macular Degeneration (wet AMD)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 27.0 | PT | 10071129 | Neovascular age-related macular degeneration | 100000004853 |
| 20.1 | LLT | 10067791 | Wet macular degeneration | 10015919 |
| 20.0 | SOC | 10015919 | Eye disorders | 9 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- 1. Male or female participants at least 50 years of age.
- 2. Active subfoveal CNV lesion or juxtafoveal CNV lesion with foveal involvement that is secondary to AMD in the Study Eye.
- 3. An ETDRS BCVA score between 60 and 25 (inclusive) letters in the Study Eye.
Exclusion criteria 2
- Study Eye • Any previous treatment for neovascular AMD.
- Clinically significant ocular disorders (other than neovascular AMD), which may interfere with assessment of BCVA, assessment of safety, or fundus imaging.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Mean change from Baseline to Week 52 in Early Treatment Retinopathy Study (ETDRS) best-corrected visual acuity (BCVA) letters.
Secondary endpoints 2
- Efficacy: - Proportion of participants gaining 15 or more ETDRS BCVA letters from Baseline to Week 52 - Proportion of participants gaining 10 or more ETDRS BCVA letters from Baseline to Week 52
- - Change in CNV area by fluorescein angiography (FA) from Baseline to Week 52 - Proportion of participants with absence of both SRF and IR cysts by spectral domain optical coherence tomography (SD-OCT) at Week 52
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD5870808 · Product
- Active substance
- Vascular Endothelial Growth Factor Receptor 3 Extracellular Domains 1-3 Fused to a IGG1 Fc Fragment
- Substance synonyms
- VEGFR-3 EXTRACELLULAR DOMAINS 1-3 FUSED TO A IGG1 FC FRAGMENT, OPT-302
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVITREAL USE
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 48 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- OPTHEA LTD
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 4
Eylea 40 mg/mL solution for injection in pre-filled syringe
PRD701247 · Product
- Active substance
- Aflibercept
- Substance synonyms
- BAY 86-5321, ABP 938, AVE0005, BAY86-5321, VEGF TRAP, BAY 86-5319
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVITREAL USE
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 48 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- S01LA05 — -
- Marketing authorisation
- EU/1/12/797/001
- MA holder
- BAYER AG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Eylea 40 mg/mL solution for injection in pre-filled syringe
PRD3456172 · Product
- Active substance
- Aflibercept
- Substance synonyms
- BAY 86-5321, ABP 938, AVE0005, BAY86-5321, VEGF TRAP, BAY 86-5319
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVITREAL USE
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 48 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- S01LA05 — -
- Marketing authorisation
- EU/1/12/797/001
- MA holder
- BAYER AG
- MA country
- Liechtenstein
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Eylea 40 mg/mL solution for injection in pre-filled syringe
PRD3117102 · Product
- Active substance
- Aflibercept
- Substance synonyms
- BAY 86-5321, ABP 938, AVE0005, BAY86-5321, VEGF TRAP, BAY 86-5319
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVITREAL USE
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 48 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- S01LA05 — -
- Marketing authorisation
- EU/1/12/797/001
- MA holder
- BAYER AG
- MA country
- Iceland
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Eylea 40 mg/mL solution for injection in pre-filled syringe
PRD3117105 · Product
- Active substance
- Aflibercept
- Substance synonyms
- BAY 86-5321, ABP 938, AVE0005, BAY86-5321, VEGF TRAP, BAY 86-5319
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAVITREAL USE
- Max daily dose
- 2 mg milligram(s)
- Max total dose
- 48 mg milligram(s)
- Max treatment duration
- 96 Week(s)
- Authorisation status
- Authorised
- ATC code
- S01LA05 — -
- Marketing authorisation
- EU/1/12/797/001
- MA holder
- BAYER AG
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Placebo 1
Sham injection, intravitreal use, mimic OPT-302 injection
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Opthea Limited
- Sponsor organisation
- Opthea Limited
- Address
- 650 Chapel Street
- City
- South Yarra
- Postcode
- 3141
- Country
- Australia
Scientific contact point
- Organisation
- Opthea Limited
- Contact name
- Clinical Trial Information
Public contact point
- Organisation
- Opthea Limited
- Contact name
- Clinical Trial Information
Third parties 2
| Organisation | City, country | Duties |
|---|---|---|
| Syneos Health Hellas Single Member S.A. ORG-100043210
|
Vrilissia, Greece | On site monitoring, Code 12, Code 2, Code 5, Code 8 |
| Syneos Health Inc. ORG-100008382
|
Morrisville, United States | On site monitoring, Code 10, Code 11, Code 12, Other, Code 2, Data management, E-data capture, Code 8, Code 9 |
Locations
16 EU/EEA countries · 61 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ended | 4 | 1 |
| Bulgaria | Ended | 4 | 1 |
| Croatia | Ended | 27 | 3 |
| Czechia | Ended | 125 | 6 |
| Estonia | Ended | 16 | 3 |
| France | Ended | 6 | 2 |
| Germany | Ended | 2 | 2 |
| Greece | Ended | 25 | 3 |
| Hungary | Ended | 76 | 7 |
| Italy | Ended | 23 | 7 |
| Latvia | Ended | 26 | 2 |
| Lithuania | Ended | 17 | 3 |
| Netherlands | Ended | 5 | 2 |
| Poland | Ended | 83 | 6 |
| Slovakia | Ended | 20 | 4 |
| Spain | Ended | 16 | 9 |
| Rest of world
Canada, Philippines, Australia, United Kingdom, Argentina, Israel, Korea, Republic of, Colombia, United States, Puerto Rico, India, Brazil, Taiwan
|
— | 523 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2022-03-18 | 2022-05-17 | 2024-02-13 | ||
| Bulgaria | 2022-07-14 | 2022-09-21 | 2024-02-13 | ||
| Croatia | 2022-04-19 | 2022-05-16 | 2024-02-13 | ||
| Czechia | 2021-09-21 | 2021-10-04 | 2024-02-13 | ||
| Estonia | 2021-08-27 | 2021-12-13 | 2024-02-13 | ||
| France | 2021-12-02 | 2021-12-14 | 2024-02-13 | ||
| Germany | 2022-04-06 | 2022-06-13 | 2024-02-13 | ||
| Greece | 2021-12-21 | 2021-12-22 | 2024-02-13 | ||
| Hungary | 2021-10-13 | 2021-10-29 | 2024-02-13 | ||
| Italy | 2021-11-19 | 2022-01-25 | 2024-02-13 | ||
| Latvia | 2021-11-01 | 2021-11-03 | 2024-02-13 | ||
| Lithuania | 2021-12-07 | 2021-12-13 | 2024-02-13 | ||
| Netherlands | 2022-01-12 | 2022-01-18 | 2024-02-13 | ||
| Poland | 2022-02-03 | 2022-02-09 | 2024-02-13 | ||
| Slovakia | 2021-11-26 | 2022-02-21 | 2024-02-13 | ||
| Spain | 2022-01-13 | 2022-03-29 | 2024-02-13 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| COAST_OPT-302-1005_Summary SUM-88787
|
2025-07-01T17:39:42 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| COAST_OPT-302-1005_Layperson_Summary | 2025-07-01T17:41:13 | Submitted | Laypersons Summary of Results |
Documents 59 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | COAST_OPT-302-1005_Layperson_Summary | N/A |
| Protocol (for publication) | D1_Protocol_ENG_2024-512880-30-00_redacted | 2.0 AM.1 |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Blank document | N/A |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_blank document | N/A |
| Subject information and informed consent form (for publication) | L1_ SIS and ICF Main_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Main ICF_HUN_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_Main ICF_Redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF GDPR_site 863_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_HRV_hr_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Optional Collection storage and use of biological samples_HRV_hr_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy_HRV_hr_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_CoT for RUS ICF_Redacted | N/A |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Future Research_SK_Redacted | V1.0SVK1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_GDPR_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_GreenPhire_Redacted | 1.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_GRC_Redacted | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Redacted | 1.3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_site 863_Redacted | 1.3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_site 864_Redacted | 1.3.1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_AT_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_BG_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_DE_Redacted | 2.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_ENG_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_EST_Redacted | 1.2EST(ET) |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_LAV_Redacted | 1.2a(LV)02 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_LIT_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_RUS_Redacted | 1.2EST(RU) |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_RUS_Redacted | 1.2a(RU)02 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_RUS_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_SK_Redacted | V1.2SVK2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_DE_Redacted | 1.4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Redacted | 1.2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Privacy Notice for Main_SK_Redacted | V2.0SVK3.0 |
| Subject information and informed consent form (for publication) | L1_SIS_Main PIS_HUN_Redacted | 2.1.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Adult_IT_Redacted | 1.3.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Future Research_686_IT_Redacted | 686v1.0A |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Future Research_688_IT_Redacted | 688v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Future Research_691_IT_Redacted | 691v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Future Research_695_IT_Redacted | 695v1.0 |
| Subject information and informed consent form (for publication) | L1_SIS-ICF Future Research_IT_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Blank document | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | G2_SmPC_Eylea | N/A |
| Summary of results (for publication) | COAST_OPT-302-1005_Summary | N/A |
Application history
3 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-07-26 | Czechia | Acceptable with conditions 2024-08-28
|
2024-08-28 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-12-20 | Acceptable with conditions 2024-08-28
|
2024-12-20 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-01-13 | Czechia | Acceptable 2025-04-16
|
2025-04-16 |