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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03577899
Registration number
NCT03577899
Ethics application status
Date submitted
13/06/2018
Date registered
5/07/2018
Titles & IDs
Public title
Efficacy and Safety Trial of Conbercept Intravitreal Injection for Neovascular AMD (PANDA-1)
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Scientific title
A Multicenter, Double-Masked, Randomized, Dose-Ranging Trial to Evaluate the Efficacy and Safety of Conbercept Intravitreal Injection in Subjects With Neovascular Age-Related Macular Degeneration (AMD) (PANDA-1)
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Secondary ID [1]
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KHB-1801
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neovascular Age-related Macular Degeneration
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - 0.5 mg Conbercept Intravitreal Injection
Treatment: Other - 1.0 mg Conbercept Intravitreal Injection
Treatment: Other - 2.0 mg Aflibercept Intravitreal Injection
Experimental: 0.5 mg Conbercept - Subjects received 0.5 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (0.5 mg, q8w) for a total of 92 weeks treatment in the study eye.
Experimental: 1.0 mg Conbercept - Subjects received 1.0 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every twelve weeks thereafter (1.0 mg, q12w) for a total of 92 weeks treatment in the study eye.
Active comparator: Aflibercept - Subjects received 2.0 mg aflibercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (2.0 mg, q8w) for a total of 92 weeks of treatment in the study eye.
Treatment: Other: 0.5 mg Conbercept Intravitreal Injection
Subjects received 0.5 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (0.5 mg, q8w) for a total of 92 weeks treatment in the study eye.
Treatment: Other: 1.0 mg Conbercept Intravitreal Injection
Subjects received 1.0 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every twelve weeks thereafter (1.0 mg, q12w) for a total of 92 weeks treatment in the study eye.
Treatment: Other: 2.0 mg Aflibercept Intravitreal Injection
Subjects received 2.0 mg aflibercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (2.0 mg, q8w) for a total of 92 weeks of treatment in the study eye.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Mean change from baseline in best corrected visual acuity (BCVA) at Week 36 in the study eye
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Assessment method [1]
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BCVA was assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) method
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Timepoint [1]
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Baseline to Week 36
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Secondary outcome [1]
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Proportion of subjects maintaining vision (i.e., losing <15 ETDRS BCVA letters) from baseline to Week 36
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Assessment method [1]
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To assess proportion of subjects maintaining vision (i.e., losing \<15 ETDRS BCVA letters) from baseline to Week 36
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Timepoint [1]
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Baseline to Week 36
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Secondary outcome [2]
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Proportion of subjects gaining =15 ETDRS BCVA letters from baseline to Week 36
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Assessment method [2]
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To assess proportion of subjects gaining =15 ETDRS BCVA letters from baseline to Week 36
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Timepoint [2]
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Baseline to Week 36
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Secondary outcome [3]
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Mean change from baseline in central retinal thickness (µm) by spectral domain optical coherence tomography (SD-OCT) at Week 36
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Assessment method [3]
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To assess mean change from baseline in central retinal thickness (µm) by spectral
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Timepoint [3]
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Baseline and Week 36
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Secondary outcome [4]
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Proportion of subjects maintaining vision (i.e. losing <15 ETDRS BCVA letters) from baseline to Week 48
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Assessment method [4]
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To assess proportion of subjects maintaining vision (i.e. losing \<15 ETDRS BCVA letters) from baseline to Week 48
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Timepoint [4]
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Baseline to Week 48
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Secondary outcome [5]
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Mean change from baseline in ETDRS BCVA letter score at Week 96
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Assessment method [5]
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To assess mean change from baseline in ETDRS BCVA letter score at Week 96
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Timepoint [5]
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Baseline and Week 96
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Secondary outcome [6]
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Number of participants with adverse events as measure of safety and tolerability
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Assessment method [6]
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To assess the number of participants with adverse events as measure of safety and tolerability
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Timepoint [6]
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Baseline to Week 96
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Secondary outcome [7]
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Blood concentration of conbercept doses conducted in a subgroup of subjects, when feasible
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Assessment method [7]
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To assess the blood concentration of conbercept doses conducted in a subgroup of subjects, when feasible
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Timepoint [7]
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Baseline to Week 96
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Secondary outcome [8]
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Half-life (t1/2) of conbercept doses conducted in a subgroup of subjects, when feasible
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Assessment method [8]
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To assess half-life (t1/2) of conbercept doses conducted in a subgroup of subjects, when feasible
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Timepoint [8]
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Baseline to Week 96
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Secondary outcome [9]
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Presence of anti-drug antibody of conbercept doses conducted in a subgroup of subjects, when feasible
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Assessment method [9]
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To assess the presence of anti-drug antibody of conbercept doses conducted in a subgroup of subjects, when feasible
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Timepoint [9]
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Baseline to Week 96
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Eligibility
Key inclusion criteria
1. Men and women = 50 years of age at the Screening visit;
2. Females must be at least 1 year postmenopausal, or surgically sterilized, or, if of childbearing potential, must have a negative pregnancy test at the Screening visit;
o Women of childbearing potential must agree to use a highly effective method of contraception throughout the study.
3. Have received no previous treatment for neovascular AMD, including laser photocoagulation and/or photodynamic therapy (PDT) and/or IVT VEGF antagonists (treatment naïve) and;
4. Have active subfoveal choroidal neovascularization (CNV) lesions secondary to AMD (including polypoidal choroidal vasculopathy (PCV)) evidenced by subfoveal fluorescein angiography (FA) leakage, or definite subfoveal fluid by SD-OCT in the study eye at Screening;
5. Have a ETDRS BCVA letter score of 78 to 25 in the study eye at Screening;
6. Are willing and able to sign the study written informed consent form (ICF).
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Have had any prior ocular or systemic treatment (investigational or approved) or surgery for the treatment of neovascular AMD in the study eye except dietary supplements or vitamins;
2. Have participated as a subject in any interventional clinical trial within one month (30 days) prior to Baseline visit;
3. Have a subretinal hemorrhage that is either 50% or more of the total lesion area, or blood is under the fovea and is one or more disc areas in size (greater than 2.5 mm2) in the study eye at Screening;
4. Have any retinal pigment epithelial tears or rips in the study eye at Screening or upon examination at Baseline;
5. Have any vitreous hemorrhage in the study eye upon examination at Baseline or history of vitreous hemorrhage within eight weeks prior to Screening;
6. Have any other cause of CNV;
7. Have had prior pars plana vitrectomy in the study eye;
8. Have presence of a full thickness macular hole at Screening or upon examination at Baseline or a history of a full thickness macular hole in the study eye;
9. Have prior trabeculectomy or other filtration surgery in the study eye;
10. Have uncontrolled glaucoma;
11. Have active intraocular inflammation in either eye at Screening or upon examination at Baseline or a history of uveitis in either eye;
12. Have aphakia or pseudophakia with absence of posterior capsule (unless it occurred as a result of yttrium aluminum garnet (YAG) posterior capsulotomy) in the study eye;
13. Significant media opacities, including cataract, in the study eye that, in the opinion of the Investigator, could require either medical or surgical intervention during the study period;
14. Have any use of long acting intraocular steroids, including implants, within six months prior to Day 1, Baseline;
15. Have any known allergy to povidone iodine or known serious allergy to the fluorescein sodium for injection in angiography;
16. Any history of known contraindications indicated in the Food and Drug Administration (FDA)-approved label for the active control;
17. If female, be pregnant (positive urine pregnancy test at Screening) or breastfeeding.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
25/09/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
19/05/2021
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Sample size
Target
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Accrual to date
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Final
1157
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Kanghong Investigative Site - Albury
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Kanghong Investigative Site - Crawley
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2640 - Albury
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2170 - Liverpool
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2150 - Parramatta
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2135 - Strathfield
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2000 - Sydney
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Recruitment postcode(s) [6]
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5000 - Adelaide
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Recruitment postcode(s) [7]
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3150 - Glen Waverley
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Recruitment postcode(s) [8]
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3002 - Melbourne
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Recruitment postcode(s) [9]
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6009 - Crawley
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Recruitment outside Australia
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Taoyuan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Chengdu Kanghong Biotech Co., Ltd.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this clinical study is to evaluate the efficacy and safety of two different levels of conbercept intravitreal (IVT) injection as compared to the approved vascular endothelial growth factor (VEGF) antagonist active control, aflibercept intravitreal injection (2.0 mg/eye, Eylea®), in subjects with neovascular AMD.
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Trial website
https://clinicaltrials.gov/study/NCT03577899
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Yan Cheng, MD, PhD
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Chengdu Kanghong Biotechnology Co.,Ltd.
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03577899