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    Clinical Trial Results:
    fMRI analysis of the visual cortex in neovascular Age-related Macular Degeneration

    Summary
    EudraCT number
    2013-004769-15
    Trial protocol
    AT  
    Global end of trial date
    17 Dec 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    23 May 2020
    First version publication date
    23 May 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    V1.2
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Medical University of Vienna
    Sponsor organisation address
    Währinger Gürtel 18-20, Wien, Austria, 1090
    Public contact
    Vienna Study Center, Universitätsklinik für Augenheilkunde, Medizinische Universität Wien, 0043 1404004847, renate.baltas@meduniwien.ac.at
    Scientific contact
    Vienna Study Center, Universitätsklinik für Augenheilkunde, Medizinische Universität Wien, 4040048471 1404004847, renate.baltas@meduniwien.ac.at
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    17 Dec 2019
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    17 Dec 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Dec 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the activation pattern of the primary visual cortex in nAMD patients before and after ranibizumab therapy and to compare it with healthy controls.
    Protection of trial subjects
    Ranibizumab intravitreal injections were administered according to the label. Patient safety standards of the Dept. of Ophthalmology of the Medical University of Vienna were applied.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    16 Dec 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 41
    Worldwide total number of subjects
    41
    EEA total number of subjects
    41
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    2
    From 65 to 84 years
    37
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Twenty eyes of 20 patients with treatment-naïve nAMD were recruited for this study

    Pre-assignment period milestones
    Number of subjects started
    41
    Number of subjects completed
    41

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment group
    Arm description
    Patients with treatment naive neovascular age-related macular degeneration were treated with 3 monthly intravitreal injections of Ranibizumab.
    Arm type
    Experimental

    Investigational medicinal product name
    Lucentis
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0,05 mL (=0,5mg) Ranibizumab

    Arm title
    Control group
    Arm description
    Healthy age-matched controls
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Number of subjects in period 1
    Treatment group Control group
    Started
    20
    21
    Completed
    20
    21

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial (overall period)
    Reporting group description
    -

    Reporting group values
    Overall trial (overall period) Total
    Number of subjects
    41 41
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    75.3 ± 6.88 -
    Gender categorical
    Units: Subjects
        Female
    27 27
        Male
    14 14

    End points

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    End points reporting groups
    Reporting group title
    Treatment group
    Reporting group description
    Patients with treatment naive neovascular age-related macular degeneration were treated with 3 monthly intravitreal injections of Ranibizumab.

    Reporting group title
    Control group
    Reporting group description
    Healthy age-matched controls

    Primary: Functional magnetic resonance imaging

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    End point title
    Functional magnetic resonance imaging [1]
    End point description
    End point type
    Primary
    End point timeframe
    Baseline vs Month 3
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: In order to visualise the difference of active voxels numbers when comparing baseline and month 3 runs, data of all subjects were combined and visualised through a histogram in visual field space. The inner 9.4° visual angle were separated into nine concentric annuli and a central disk. The relative change of suprathreshold pRF centre voxel numbers inside these annuli were then compared for baseline and post-ranibizumab loading dose runs over all patients.
    End point values
    Treatment group Control group
    Number of subjects analysed
    20
    21
    Units: Active V1 voxels
        number (not applicable)
    20
    21
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    During treatment phase for each patient.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17
    Reporting groups
    Reporting group title
    Patients
    Reporting group description
    -

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No non-serious adverse event was recorded
    Serious adverse events
    Patients
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 20 (15.00%)
         number of deaths (all causes)
    3
         number of deaths resulting from adverse events
    Gastrointestinal disorders
    Gastritis
         subjects affected / exposed
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Hepatobiliary disorders
    Liver disorder
         subjects affected / exposed
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Endocrine disorders
    Hyperthyroidism
         subjects affected / exposed
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    1 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Patients
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 20 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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