Clinical trial to evaluate the genetic polymorphisms influence in the response to Ranibizumab and Bevacizumab treatment in patients with Age-Associated Macular Degeneration

2024-518990-33-00 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 5 sites

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 574
Countries 1
Sites 5

Age-Associated Macular Degeneration

Main objective: 1. To determinate if Bevacizumab is as effective as ranibizumab after one year of treatment for patients with AMD. Key Secondary objective: 2. To evaluate the influence of different polymorphisms in the following genes on a saliva sampling: VEGFA, CFH, CTGF/CCN2, ARMS2, HTRA1, OR52B4, LOC100287225, LEPR…

Key facts

Sponsor
Consorci Mar Parc De Salut De Barcelona
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Decision date (initial)
2024-10-25
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518990-33-00
EudraCT number
2019-003204-12

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacogenomic, Therapy

Main objective:
1. To determinate if Bevacizumab is as effective as ranibizumab after one year of treatment for
patients with AMD.
Key Secondary objective:
2. To evaluate the influence of different polymorphisms in the following genes on a saliva sampling:
VEGFA, CFH, CTGF/CCN2, ARMS2, HTRA1, OR52B4, LOC100287225, LEPR, SERPINF1 in the
response to treatment of the two drugs.

Conditions and MedDRA coding

Age-Associated Macular Degeneration

VersionLevelCodeTermSystem organ class
20.1 PT 10064930 Age-related macular degeneration 100000004853

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Patients diagnosed with neovascular Age-related Macular Degeneration and:  Age of 50 years or older.  That at the discretion of the ophthalmologist has an indication of receiving treatmentwith an anti VEGF agent as usual in clinical practice.  Without previous treatment in the eye under study (no previous antiVEGF treatment for AMD).

Exclusion criteria 7

  1. Participate or have participated in another clinical trial with an experimental drug in the last 6 months.
  2. Patients with other eye diseases, p.eg, advanced glaucoma or visually significant cataracts, which are likely to require surgery during the follow-up period in the eye under study
  3. Concomitant administration of antiVEGF for other non-ocular diseases
  4. High cardiovascular risk within last 3 months (poorly controlled arterial hypertension, history or risk of arterial thromboembolic events, history of stroke or acute myocardial infarction, anticoagulant treatment, proteinuria or major elective surgery) or if patient is unstable at the time of planned Intravitreal injection, except for stable patients with favorable consultation with additional relevant physicians prior to the administration (p.e. cardiologist)Ophthalmological risk with the intraocular injection (all intravitreal treatments): active or suspected ocular or periocular infection, severe blepharitis, history of endophthalmitis, history of retinal detachment, myopathy, glaucoma
  5. Hypersensitivity to the active substance or to the excipients
  6. Diabetic retinopathy documented
  7. Pregnant or nursing (lactating) women.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Visual acuity score measured on ETDRS at 4 meters of initial distance or Snellen with conversion to ETDRS if necessary, using the method proposed by Rosenfeld et al, between the baseline and final evaluations. Main outcome will be assessed at 1 year.Genetic polymorphism: Saliva samples will be collected using oral swabs suitable for obtaining DNA. The genomic DNA will be obtained from a first digestion of the sample wit

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Avastin 25 mg/ml concentrate for solution for infusion.

PRD2153901 · Product

Active substance
Bevacizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVITREAL USE
Max daily dose
1.25 mg milligram(s)
Max total dose
15 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
L01FG01 — -
Marketing authorisation
EU/1/04/300/001
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Ranibizumab

SUB22314 · Substance

Active substance
Ranibizumab
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVITREAL USE
Max daily dose
0.05 ml millilitre(s)
Max total dose
0.05 ml millilitre(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Consorci Mar Parc De Salut De Barcelona

Sponsor organisation
Consorci Mar Parc De Salut De Barcelona
Address
Passeig Maritim De La Barceloneta 25-29
City
Barcelona
Postcode
08003
Country
Spain

Scientific contact point

Organisation
Consorci Mar Parc De Salut De Barcelona
Contact name
Ana Aldea

Public contact point

Organisation
Consorci Mar Parc De Salut De Barcelona
Contact name
Marta López

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 574 5
Rest of world 0

Investigational sites

Spain

5 sites · Authorised, recruitment pending
La Paz Univerity Hospital
Farmacología clínica, PASEO DE LA CASTELLANA 261 - 11º FLOOR, Spain, Madrid
Hospital Del Mar
Research Institute, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital De La Santa Creu I Sant Pau
Oftalmologia, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Del Mar
Oftalmologia, Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Hospital Universitario De Canarias
Oftalmologia, Carretera Ofra S/N, 38320, San Cristobal De La Laguna

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol_V7_13032025_censurado 1
Protocol (for publication) protocolo vs 5 vs 16012024_clean_Censurado 1
Recruitment arrangements (for publication) CTIS Blank Document for Transition 1
Recruitment arrangements (for publication) recruitment procedure 1
Subject information and informed consent form (for publication) HI_CI vs1 vs 160012024 _OBSERVACIONAL_Censurado 1
Subject information and informed consent form (for publication) HIP_CI_V1_20122021_IP2023_Censurado 1
Subject information and informed consent form (for publication) HIP_CI_V3_13032025_OBS_trackchanges 1
Subject information and informed consent form (for publication) HIP_CI_V3_13032025_trackchanges 1
Summary of Product Characteristics (SmPC) (for publication) CTIS Blank Document for Transition 1
Summary of Product Characteristics (SmPC) (for publication) FT_1221673001_biosimilar_ranivisio 1
Summary of Product Characteristics (SmPC) (for publication) FT_1221691001_biosimilar_ximluci 1
Summary of Product Characteristics (SmPC) (for publication) FT_lucentis 1
Summary of Product Characteristics (SmPC) (for publication) spc_BEVACIZUMAB_2021_12_20 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-14 Spain Acceptable
2024-10-25
2024-10-25
2 SUBSTANTIAL MODIFICATION SM-1 2025-03-19 Acceptable
2025-05-16
3 SUBSTANTIAL MODIFICATION SM-2 2025-06-02 Spain Acceptable 2025-06-26