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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04757636
Registration number
NCT04757636
Ethics application status
Date submitted
12/02/2021
Date registered
17/02/2021
Titles & IDs
Public title
OPT-302 With Aflibercept in Neovascular Age-related Macular Degeneration (nAMD)
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Scientific title
A Phase 3, Multicentre, Double-masked, Randomised Study to Evaluate the Efficacy and Safety of Intravitreal OPT-302 in Combination With Aflibercept, Compared With Aflibercept Alone, in Participants With nAMD
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Secondary ID [1]
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OPT-302-1005
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Universal Trial Number (UTN)
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Trial acronym
COAST
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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 - 2.0 mg OPT-302
Treatment: Other - 2.0 aflibercept
Treatment: Surgery - Sham
Experimental: 2.0 mg aflibercept with Standard Dosing 2.0 mg OPT-302 - 2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals.
2.0 mg OPT-302 intravitreal injection administered at 4-weekly intervals.
Experimental: 2.0 mg aflibercept with Extended Dosing 2.0 mg OPT-302 - 2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals.
2.0 mg OPT-302 intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals, with sham intravitreal injection administered at visits when OPT-302 is not.
Sham comparator: 2.0 mg aflibercept with sham - 2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals.
Sham intravitreal injection administered at 4-weekly intervals.
Treatment: Other: 2.0 mg OPT-302
intravitreal injection
Treatment: Other: 2.0 aflibercept
intravitreal injection
Treatment: Surgery: Sham
intravitreal injection
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Treatment: Surgery
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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 in Early Treatment Retinopathy Study (ETDRS) best-corrected visual acuity (BCVA) letters
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 52
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Secondary outcome [1]
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Proportion of participants gaining 15 or more ETDRS BCVA letters
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 52
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Secondary outcome [2]
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Proportion of participants gaining 10 or more ETDRS BCVA letters
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Assessment method [2]
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Timepoint [2]
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Baseline to Week 52
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Secondary outcome [3]
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Change in choroidal neovascularisation (CNV) area by fluorescein angiography (FA)
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Assessment method [3]
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Timepoint [3]
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Baseline to Week 52
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Secondary outcome [4]
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Proportion of participants with absence of both sub-retinal fluid and intra-retinal cysts by SD-OCT
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Assessment method [4]
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Timepoint [4]
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at Week 52
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Eligibility
Key inclusion criteria
* Active subfoveal CNV lesion or juxtafoveal CNV lesion with foveal involvement that is secondary to AMD in the Study Eye.
* An ETDRS BCVA score between 60 and 25 (inclusive) letters in the Study Eye.
Main
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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
* 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.
* Any current (or history of a) social, psychological, or medical condition that precludes enrolment into the study.
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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
Active, not recruiting
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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
12/03/2021
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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
1/07/2026
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Actual
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Sample size
Target
990
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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COAST Investigational Site - Liverpool
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COAST Investigational Site - Parramatta
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COAST Investigational Site - Strathfield
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COAST Investigational Site - East Melbourne
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Recruitment hospital [6]
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COAST Investigational Site - Rowville
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Recruitment postcode(s) [1]
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2127 - Liverpool
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Recruitment postcode(s) [2]
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2150 - Parramatta
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2135 - Strathfield
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Recruitment postcode(s) [4]
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5000 - Adelaide
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Recruitment postcode(s) [5]
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3002 - East Melbourne
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Recruitment postcode(s) [6]
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3178 - Rowville
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Recruitment outside Australia
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State/province [131]
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Devon
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Country [132]
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Essex
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Country [133]
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United Kingdom
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State/province [133]
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Greater Manchester
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Country [134]
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State/province [134]
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Merseyside
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Country [135]
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United Kingdom
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State/province [135]
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Norfolk
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Country [136]
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United Kingdom
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State/province [136]
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Surrey
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Country [137]
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United Kingdom
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State/province [137]
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Tyne And Wear
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Country [138]
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United Kingdom
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State/province [138]
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West Yorkshire
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Country [139]
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United Kingdom
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State/province [139]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Opthea Limited
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
A 2-year phase 3, multicentre, randomised, parallel-group, sham-controlled, double-masked study. Primary efficacy will be determined at Week 52.
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Trial website
https://clinicaltrials.gov/study/NCT04757636
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Phone
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Fax
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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/NCT04757636