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    Clinical Trial Results:
    Safety, tolerability and pharmacodynamics of single rising intravitreal and multiple rising intravitreal doses of BI 836880 in patients with wAMD (open label, non-randomized, uncontrolled)

    Summary
    EudraCT number
    2017-001221-40
    Trial protocol
    DE  
    Global end of trial date
    01 Nov 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Nov 2024
    First version publication date
    14 Nov 2024
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    1336-0007
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03861234
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Boehringer Ingelheim
    Sponsor organisation address
    Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
    Public contact
    Boehringer Ingelheim, Call Center, Boehringer Ingelheim, 001 18002430127, clintriage.rdg@boehringer-ingelheim.com
    Scientific contact
    Boehringer Ingelheim, Call Center, Boehringer Ingelheim, 001 18002430127, clintriage.rdg@boehringer-ingelheim.com
    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
    18 Dec 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    01 Nov 2023
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Nov 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this trial was to investigate the safety, tolerability, and pharmacodynamics of single and multiple intravitreal doses of BI 836880.
    Protection of trial subjects
    Only subjects that met all the study inclusion and none of the exclusion criteria were to be entered in the study. All subjects were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all subjects was adhered to throughout the trial conduct. Rescue medication was allowed for all subjects as required.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Jul 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 24
    Country: Number of subjects enrolled
    United States: 25
    Country: Number of subjects enrolled
    United Kingdom: 22
    Worldwide total number of subjects
    71
    EEA total number of subjects
    24
    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)
    4
    From 65 to 84 years
    61
    85 years and over
    6

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    A study consisting of a single rising dose (SRD) part followed by a multiple rising dose (MRD) part. The SRD part and MRD cohort 1 included patients with treatment-resistant wet age-related macular degeneration (wAMD). Patients with treatment-naïve wAMD were included in MRD cohort 2 and patients within 3 years of initial wAMD in MRD cohort 3.

    Pre-assignment
    Screening details
    All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.

    Period 1
    Period 1 title
    Enrollment Period
    Is this the baseline period?
    No
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Open-label study.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    0.06 mg BI 836880 - SRD part
    Arm description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    0.18 mg BI 836880 - SRD part
    Arm description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    0.5 mg BI 836880 - SRD part
    Arm description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    1 mg BI 836880 - SRD part
    Arm description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    2 mg BI 836880 - SRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    1 mg BI 836880 - cohort 1 MRD part
    Arm description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    2 mg BI 836680 - cohort 2 MRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Arm title
    2 mg BI 836680 - cohort 3 MRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.

    Number of subjects in period 1
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part 1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Started
    3
    3
    3
    3
    3
    11
    4
    13
    Completed
    3
    3
    3
    3
    3
    10
    4
    13
    Not completed
    0
    0
    0
    0
    0
    1
    0
    0
         Not treated
    -
    -
    -
    -
    -
    1
    -
    -
    Period 2
    Period 2 title
    Treatment period
    Is this the baseline period?
    Yes [1]
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    Open-label study.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    0.06 mg BI 836880 - SRD part
    Arm description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    0.18 mg BI 836880 - SRD part
    Arm description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    0.5 mg BI 836880 - SRD part
    Arm description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    1 mg BI 836880 - SRD part
    Arm description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    2 mg BI 836880 - SRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836880
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    1 mg BI 836880 - cohort 1 MRD part
    Arm description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836680
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Arm title
    2 mg BI 836680 - cohort 2 MRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836680
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Arm title
    2 mg BI 836680 - cohort 3 MRD part
    Arm description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.
    Arm type
    Experimental

    Investigational medicinal product name
    BI 836680
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.

    Notes
    [1] - Period 1 is not the baseline period. It is expected that period 1 will be the baseline period.
    Justification: Treatment period is used as baseline period
    Number of subjects in period 2 [2]
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part 1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Started
    3
    3
    3
    3
    3
    10
    4
    13
    Completed
    3
    3
    3
    3
    3
    8
    1
    13
    Not completed
    0
    0
    0
    0
    0
    2
    3
    0
         IMP on hold as per sponsor instructions
    -
    -
    -
    -
    -
    -
    2
    -
         Adverse event, non-fatal
    -
    -
    -
    -
    -
    1
    -
    -
         Medication discontinued due to safety notification
    -
    -
    -
    -
    -
    1
    -
    -
         As per sponsor decision
    -
    -
    -
    -
    -
    -
    1
    -
    Notes
    [2] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Worldwide 71 subjects were enrolled, whereof 43 subjects actually entered the trial.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    0.06 mg BI 836880 - SRD part
    Reporting group description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.18 mg BI 836880 - SRD part
    Reporting group description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.5 mg BI 836880 - SRD part
    Reporting group description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - SRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836880 - SRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - cohort 1 MRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836680 - cohort 2 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Reporting group title
    2 mg BI 836680 - cohort 3 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.

    Reporting group values
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part 1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part Total
    Number of subjects
    3 3 3 3 3 10 4 13 42
    Age categorical
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Units: Subjects
        In utero
    0 0 0 0 0 0 0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0 0 0 0 0 0 0
        Newborns (0-27 days)
    0 0 0 0 0 0 0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0 0 0 0 0 0 0
        Children (2-11 years)
    0 0 0 0 0 0 0 0 0
        Adolescents (12-17 years)
    0 0 0 0 0 0 0 0 0
        Adults (18-64 years)
    0 0 0 0 0 0 2 0 2
        From 65-84 years
    2 3 3 3 3 9 2 11 36
        85 years and over
    1 0 0 0 0 1 0 2 4
    Age Continuous
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Units: years
        arithmetic mean (standard deviation)
    81.7 ( 5.7 ) 76.7 ( 4.2 ) 75.3 ( 1.5 ) 75.7 ( 1.5 ) 70.7 ( 1.2 ) 77.0 ( 4.8 ) 69.3 ( 13.0 ) 77.0 ( 6.3 ) -
    Sex: Female, Male
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Units: Participants
        Female
    2 2 0 0 1 4 2 6 17
        Male
    1 1 3 3 2 6 2 7 25
    Race (NIH/OMB)
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Units: Subjects
        American Indian or Alaska Native
    0 0 0 0 0 0 0 0 0
        Asian
    0 0 0 0 0 0 0 0 0
        Native Hawaiian or Other Pacific Islander
    0 0 0 0 0 0 0 0 0
        Black or African American
    0 0 0 0 0 0 0 0 0
        White
    3 3 3 3 3 10 4 13 42
        More than one race
    0 0 0 0 0 0 0 0 0
        Unknown or Not Reported
    0 0 0 0 0 0 0 0 0
    Ethnicity (NIH/OMB)
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Units: Subjects
        Hispanic or Latino
    0 0 0 0 0 0 0 0 0
        Not Hispanic or Latino
    3 3 3 3 3 10 4 13 42
        Unknown or Not Reported
    0 0 0 0 0 0 0 0 0

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    0.06 mg BI 836880 - SRD part
    Reporting group description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.18 mg BI 836880 - SRD part
    Reporting group description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.5 mg BI 836880 - SRD part
    Reporting group description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - SRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836880 - SRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - cohort 1 MRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836680 - cohort 2 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Reporting group title
    2 mg BI 836680 - cohort 3 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.
    Reporting group title
    0.06 mg BI 836880 - SRD part
    Reporting group description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.18 mg BI 836880 - SRD part
    Reporting group description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.5 mg BI 836880 - SRD part
    Reporting group description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - SRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836880 - SRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - cohort 1 MRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836680 - cohort 2 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Reporting group title
    2 mg BI 836680 - cohort 3 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.

    Primary: SRD-part: Number of participants with ocular dose limiting events (DLEs)

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    End point title
    SRD-part: Number of participants with ocular dose limiting events (DLEs) [1] [2]
    End point description
    Single rising dose (SRD)-part: Number of participants with ocular dose limiting events (DLEs). Treated Set: All patients who were treated with at least on dose of BI 836880. SRD-part.
    End point type
    Primary
    End point timeframe
    From drug administration until the end of trial (EOT) visit in the SRD part, up to 6 weeks.
    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: The endpoint has been analyzed descriptively.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the SRD part of the trial.
    End point values
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part
    Number of subjects analysed
    3
    3
    3
    3
    3
    Units: Participants
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Primary: MRD-part: Number of participants with drug related adverse events (AEs)

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    End point title
    MRD-part: Number of participants with drug related adverse events (AEs) [3] [4]
    End point description
    Multiple rising dose (MRD)-part: Number of participants with drug related adverse events (AEs). Treated Set: All patients who were treated with at least on dose of BI 836880. MRD-part.
    End point type
    Primary
    End point timeframe
    From first drug administration until the end of trial (EOT) visit in the MRD part, up to 24 weeks.
    Notes
    [3] - 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: The endpoint was analyzed descriptively.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the MRD part of the trial.
    End point values
    1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Number of subjects analysed
    10
    4
    13
    Units: Participants
    2
    1
    3
    No statistical analyses for this end point

    Secondary: SRD-part: Number of participants with any ocular adverse events in the study eye

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    End point title
    SRD-part: Number of participants with any ocular adverse events in the study eye [5]
    End point description
    Single rising dose (SRD)-part: Number of participants with any ocular adverse events in the study eye.
    End point type
    Secondary
    End point timeframe
    From drug administration until the end of trial (EOT) visit in the SRD part, up to 6 weeks.
    Notes
    [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the SRD part of the trial.
    End point values
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part
    Number of subjects analysed
    3
    3
    3
    3
    3
    Units: Participants
    1
    0
    1
    1
    2
    No statistical analyses for this end point

    Secondary: SRD-part: Number of participants with drug related adverse events (AEs)

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    End point title
    SRD-part: Number of participants with drug related adverse events (AEs) [6]
    End point description
    Single rising dose (SRD)-part: Number of participants with drug related adverse events (AEs). Treated Set (TS): All patients who were treated with at least one dose of BI 836680. SRD-part.
    End point type
    Secondary
    End point timeframe
    From drug administration until the end of trial (EOT) visit in the SRD part, up to 6 weeks.
    Notes
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the SRD part of the trial.
    End point values
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 1 mg BI 836880 - SRD part 2 mg BI 836880 - SRD part
    Number of subjects analysed
    3
    3
    3
    3
    3
    Units: Participants
    0
    0
    0
    0
    0
    No statistical analyses for this end point

    Secondary: MRD-part: Percentage change from baseline in Central Subfield Thickness (CSFT) in the study eye at Week 12

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    End point title
    MRD-part: Percentage change from baseline in Central Subfield Thickness (CSFT) in the study eye at Week 12 [7]
    End point description
    Multiple rising dose (MRD)-part: Central subfield thickness was measured using Spectral domain-optical coherence tomography (SD-OCT) with the assessment performed by a qualified person and only specified OCT equipment was used. Optical coherence tomography angiography (OCT-A), a non-invasive imaging technique providing high-resolution volumetric blood flow information without the use of dye was also performed by a qualified person, and only specified device(s) were used. OCT images were sent to an independent CRC for evaluation. A detailed manual for OCT image acquisition and data transmission was provided. CSFT was investigated after 3 doses of BI 836880 in the MRD part of the trial at Week 12. Full Analysis Set (FAS): All patients who were treated with at least one dose of BI 836880 and have baseline and on-treatment CSFT measurements for the study eye in the time interval from drug administration to Week 12. MRD part.
    End point type
    Secondary
    End point timeframe
    At baseline and at week 12.
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the MRD part of the trial.
    End point values
    1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Number of subjects analysed
    10
    4
    12
    Units: Percentage change
        arithmetic mean (standard deviation)
    -7.7554 ( 18.9936 )
    -26.5552 ( 12.1400 )
    -0.1372 ( 20.1706 )
    No statistical analyses for this end point

    Secondary: MRD-part: Change from baseline in best corrected visual acuity (BCVA) in the study eye at Week 12

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    End point title
    MRD-part: Change from baseline in best corrected visual acuity (BCVA) in the study eye at Week 12 [8]
    End point description
    Multiple rising dose (MRD)-part): Visual acuity (VA) measured by ‘early treatment diabetic retinopathy study’ letter charts. BCVA was measured using the early treatment diabetic retinopathy study (ETDRS) VA chart starting at a test distance of 4 m. The BCVA score was the number of letters read correctly by the patient. The assessment was performed by a trained person under specified conditions regarding examination room and equipment. Full Analysis Set (FAS): All patients who were treated with at least one dose of BI 836880 and have baseline and on-treatment CSFT measurements for the study eye in the time interval from drug administration to Week 12. MRD part.
    End point type
    Secondary
    End point timeframe
    At baseline and at Week 12.
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the MRD part of the trial.
    End point values
    1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Number of subjects analysed
    10
    4
    13
    Units: Letters
        arithmetic mean (standard deviation)
    -1.2 ( 6.4 )
    1.8 ( 2.5 )
    -4.7 ( 22.3 )
    No statistical analyses for this end point

    Secondary: MRD-part: Time to recurrence in the study eye from last administration at each visit

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    End point title
    MRD-part: Time to recurrence in the study eye from last administration at each visit [9]
    End point description
    Time to recurrence was assessed from last trial drug administration to occurrence of any of the following in the study eye, leading to the use of wet age-related macular degeneration (wAMD) rescue medication as decided by the investigator: - Increase in Central Subfield Thickness (CFST) ≥75 μm with a decrease in Best Corrected Visual Acuity (BCVA) of ≥ 5 letters compared to Visit 5, OR - Decrease in BCVA of >5 letters compared to baseline (Visit 2), due to worsening wAMD activity, OR -Decrease in BCVA of ≥10 letters compared to the best prior BCVA, due to worsening wAMD activity. From above criteria, if Visit 5 BCVA/CSFT assessment data is missing, BCVA/CSFT values available earlier than Visit 5 will be used. The last trial drug administration is strictly referring to the third injection, if a patient doesn’t complete 3 injections, the patient will not be evaluated for time to recurrence endpoint and will be censored. Treated Set. 99999 = Not calculable (NC).
    End point type
    Secondary
    End point timeframe
    From last drug administration at Week 8 until End of Trial, up to 16 weeks.
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the MRD part of the trial.
    End point values
    1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Number of subjects analysed
    10
    4 [10]
    13 [11]
    Units: Weeks
        median (confidence interval 95%)
    8.0 (4.6 to 16.1)
    99999 (99999 to 99999)
    99999 (8.1 to 99999)
    Notes
    [10] - Not calculable (nc), as there was no event ("recurrence").
    [11] - NC., as patients either censored or had events before the probability of recurrence reached to 50%.
    No statistical analyses for this end point

    Secondary: MRD-part: Number of participants with any ocular adverse events in the study eye

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    End point title
    MRD-part: Number of participants with any ocular adverse events in the study eye [12]
    End point description
    Multiple rising dose (MRD)-part: Number of participants with any ocular adverse events in the study eye. Treated Set (TS): All patients who were treated with at least one dose of BI 836880. MRD-part.
    End point type
    Secondary
    End point timeframe
    From first drug administration until the end of trial (EOT) visit in the MRD part, up to 24 weeks.
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint was only analyzed in the MRD part of the trial.
    End point values
    1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 2 mg BI 836680 - cohort 3 MRD part
    Number of subjects analysed
    10
    4
    13
    Units: Participants
    5
    1
    9
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    SRD-part: From drug administration until the end of trial (EOT) visit, up to 6 weeks. MRD-part: From first drug administration until the end of trial (EOT) visit, up to 24 weeks. All-cause deaths: Up to 6 weeks for SRD-part, up to 24 weeks for MRD-part.
    Adverse event reporting additional description
    Treated Set (TS): All patients who were treated with at least one dose of BI 836880.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    26.1
    Reporting groups
    Reporting group title
    0.06 mg BI 836880 - SRD part
    Reporting group description
    0.06 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.18 mg BI 836880 - SRD part
    Reporting group description
    0.18 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    0.5 mg BI 836880 - SRD part
    Reporting group description
    0.5 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836680 - cohort 3 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients within 3 years of initial wAMD.

    Reporting group title
    2 mg BI 836880 - SRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    1 mg BI 836880 - cohort 1 MRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Reporting group title
    2 mg BI 836680 - cohort 2 MRD part
    Reporting group description
    2 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as three IVT injections on Day 1, Day 29 and Day 57, in patients with treatment-naïve wAMD.

    Reporting group title
    1 mg BI 836880 - SRD part
    Reporting group description
    1 mg BI 836880 solution for intravitreal (IVT) injection with diluent for BI 836880 concentrate for solution for injection 80mg/mL, 10 mL vial was administered as single IVT injection on Day 1, in patients with treatment-resistant wet age-related macular degeneration (wAMD).

    Serious adverse events
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 2 mg BI 836680 - cohort 3 MRD part 2 mg BI 836880 - SRD part 1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 1 mg BI 836880 - SRD part
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    4 / 13 (30.77%)
    0 / 3 (0.00%)
    2 / 10 (20.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma of skin
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Depressed fracture
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Eye disorders
    Neovascular age-related macular degeneration
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    2 / 13 (15.38%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 2
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Retinal occlusive vasculitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    1 / 1
    0 / 0
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    0.06 mg BI 836880 - SRD part 0.18 mg BI 836880 - SRD part 0.5 mg BI 836880 - SRD part 2 mg BI 836680 - cohort 3 MRD part 2 mg BI 836880 - SRD part 1 mg BI 836880 - cohort 1 MRD part 2 mg BI 836680 - cohort 2 MRD part 1 mg BI 836880 - SRD part
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    11 / 13 (84.62%)
    2 / 3 (66.67%)
    8 / 10 (80.00%)
    2 / 4 (50.00%)
    1 / 3 (33.33%)
    Investigations
    Blood glucose increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    Blood folate decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    0
    0
    0
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Blood creatine phosphokinase MB increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Blood alkaline phosphatase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Blood potassium increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Electrocardiogram T wave inversion
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Heart rate irregular
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    Tear break up time decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Oxygen saturation abnormal
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    Lipase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Injury, poisoning and procedural complications
    Foreign body in eye
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Corneal abrasion
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Cataract operation complication
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Vascular disorders
    Peripheral venous disease
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Labile hypertension
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    General disorders and administration site conditions
    Malaise
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Eye disorders
    Anterior chamber cell
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Dry eye
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    1 / 3 (33.33%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    0
    1
    Eye inflammation
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Foreign body sensation in eyes
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Lenticular opacities
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Meibomian gland dysfunction
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Ocular discomfort
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Punctate keratitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Conjunctival haemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 3 (33.33%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    1
    0
    0
    0
    0
    0
    Cataract subcapsular
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Retinal haemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Retinal oedema
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Subretinal fluid
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    2 / 13 (15.38%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    1
    0
    0
    2
    0
    1
    0
    0
    Visual acuity reduced
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    2 / 13 (15.38%)
    0 / 3 (0.00%)
    2 / 10 (20.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    2
    0
    0
    Visual impairment
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Vitreal cells
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Vitreous floaters
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    2 / 3 (66.67%)
    1 / 10 (10.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    2
    1
    1
    0
    Vitreous haemorrhage
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    2 / 13 (15.38%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    2
    0
    0
    0
    0
    Vitreous opacities
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Vitreous detachment
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    2 / 13 (15.38%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    3
    0
    0
    0
    0
    Gastrointestinal disorders
    Dental caries
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Respiratory, thoracic and mediastinal disorders
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Pigmentation disorder
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    1
    0
    0
    Infections and infestations
    COVID-19
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    2 / 10 (20.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    1
    0
    Urinary tract infection
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    2 / 10 (20.00%)
    1 / 4 (25.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    3
    1
    0
    Chorioretinitis
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    1 / 13 (7.69%)
    0 / 3 (0.00%)
    0 / 10 (0.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    1
    0
    0
    0
    0
    Product issues
    Device dislocation
         subjects affected / exposed
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 3 (0.00%)
    0 / 13 (0.00%)
    0 / 3 (0.00%)
    1 / 10 (10.00%)
    0 / 4 (0.00%)
    0 / 3 (0.00%)
         occurrences all number
    0
    0
    0
    0
    0
    2
    0
    0

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    26 Sep 2019
    Amendment 1 became effective without approval by the Independent ethics committee (IEC)/ Institutional review board (IRB)/Competent authority (CA). The amendment introduced minor changes to the Clinical Trial Protocol (CTP) as follows: - Minor corrections to the flow charts regarding the timing of Anit-drug antibody (ADA) sampling to align with the rest of the CTP - Clarified endpoint definitions to specify that that they should be measured in the study eye - Correction of the calculated relative dose increases - Removed electrocardiogram (ECG) interval measurement analytical methods and deleted stipulations for blinding of the central ECG lab with regards to interval measurements as no interval measurements were to be collected and ECGs were only to be checked for baseline conditions and adverse events (AEs) - Clarification of vascular occlusion dose-limiting events (DLE) definition - Updated the methods of SAE submittal to Boehringer Ingelheim (BI) - Clarified that no hypothesis testing was to be accomplished due to the exploratory nature of the trial - Minor typing error corrections
    11 Nov 2019
    Amendment 2 became effective without approval by the IEC/IRB/CA. The amendment introduced minor changes to the CTP as follows: - Clarification of inclusion criteria 1, 2, and 7 with regards to the methods to be used for Wet age-related macular degeneration (wAMD) diagnosis, applicability to sinlge rising dose (SRD) vs multiple rising dose (MRD), and degree of fibrosis, respectively.
    06 Oct 2020
    Amendment 3 became effective after approval by the IEC/IRB/CA. The amendment introduced substantial changes to the CTP as follows: - Minor corrections to wording to more accurately describe endpoints and criteria - Removal of biobanking for SRD part and clarification of height and weight measurement timing - Addition of pharmacokinetic (PK) and biomarker sampling at Visits 6, 7, and 8 and ADA sampling at Visit 8 for MRD cohort 1 - Update of drug profile with data from 10 treated SRD patients - Added an assessment of the impact of the COVID-19 pandemic on the trial and the overall impact on the benefit-risk assessment along with changes to trial conduct with regard to COVID-19 testing and individual participation in the trial - Several adaptations were introduced to more accurately describe respective endpoints - Clarified the safety monitoring committee (SMC) role in selection of doses to be used in the MRD part - Clarification with regard to the timing of prior vascular endothelial growth factor (VEGF) treatments prior to screening/randomisation
    06 Oct 2020
    Amendment 3 (continued): - Clarification of the definition of child bearing potential and contraceptive requirements - ‘Qualified personnel’ were added as an alternative to the site pharmacist - Clarification that standard of care was allowed from Visit 5 (Follow up period) - Corrected the timeframe for dose limiting events - Clarification of criteria to accurately determine recurrence leading to the use of rescue medication by adding specific central subfield retinal thickness (CSFT) and best corrected visual acuity (BCVA) changes - Added PK and plasma derived biomarker assessments for 56, 84, and 112 days after the 3rd treatment for the MRD part - Clarification of timelines and requirements for ocular tonometry and the exchange of optional fluorescein angiography for optical coherence tomography-angiography (OCT-A) acquisitions during follow up - Increased Follow up period from 14 to 28 days - Added text allowing an informal preliminary analysis of efficacy data after the completion of Visit 5
    26 Mar 2021
    Amenment 4 became effective after approval by the IEC/IRB/CA. The amendment introduced substantial changes to the CTP as follows: - Increased the time from the last injection of VEGF therapy prior to screening from 12 to 16 weeks and removed the requirement for patients to have had the first anti-VEGF treatment in the study eye within 18 months (inclusion criterion 2) in order to increase eligibility and recruitment to the trial - Clarified exclusion criteria regarding previous incidences of increased IOP, allowed yttrium aluminium garnet laser capsulotomy within 1 month prior to enrolment, and allowed previous participation in other trials for the treatment of wAMD if washout requirements were met in order to increase eligibility and recruitment to the trial
    28 Jul 2021
    Amendment 5 became effective after approval by the IEC/IRB/CA. The amendment introduced major changes to the CTP through the addition of MRD cohort 2 (treatment naïve patients) as follows: - Integration of cohort 2 via the additions of Flow Chart III and eligibility criteria (including specific inclusion and exclusion criteria), integration of associated increase in the number of entered/treated patients and sample size calculation, adaptation of the tested doses (2 mg BI 836880 for cohort 2), and an update of the trial rationale. - Update of drug profile and dose escalation scheme with data from the completed SRD part, including the highest safe dose (2 mg BI 836880). - Update of benefit risk assessment considering published faricimab data. Integration of risks and a corresponding update to the informed consent form (ICF) with regard to the silicon oil coated needle caution statement by Becton Dickson. - Description of new drug formulation (40 mg/mL BI 836880 solution for injection) - Addition of optional safety visits within 1 week of treatment visits (Visits 2, 3, and 4) and description of remote monitoring calls. - Increase in pre-dose sampling PK blood sampling windows
    25 Oct 2021
    Amendment 6 became effective after approval by the IEC/IRB/CA. The amendment introduced substantial changes to the CTP as follows: Clarification of sample size and the overlap of cohorts 1 and 2 - Reduction of required CSFT >330 μm to CSFT >300 μm inclusion criteria to increase eligibility and recruitment - Broadening of early treatment diabetic retinopathy study (ETDRS) inclusion criteria from ‘ETDRS visual acuity (VA) in the study eye between 70 and 24 letters inclusive’ to ‘between 75 and 24 letters inclusive (approximately 20/32 or 6/9.5)’for MRD cohort 1 in line with the positive safety data collected to date. - Added description of diluent and its use for both 40 mg/mL and 80 mg/mL formulations.
    28 Sep 2022
    Amendment 7 became effective while the trial was on voluntary medical hold by the sponsor due to 2 incidences inflammatory eye disorders that were judged as related to BI 836880 by investigators. Amendment 7 implemented safety measures to mitigate the risk and ensure early detection of intraocular inflammation. The trial was resumed only after approval by the IEC/IRB/CA. The amendment included the addition of cohort 3 and other updates to the CTP as follows: - Integration of cohort 3 via the additions of Flow Chart IV and eligibility criteria (including specific inclusion and exclusion criteria), dose groups (cohort 3 dosed at 2 mg per treatment), an update of the trial rationale. - Descriptions of increased safety measures included: fluorescein angiography imaging during screening, wide angle colour fundus photos with vitreous haze assessment at every visit, and the requirement to report any intraocular inflammation events as adverse events of special interests (AESIs). Furthermore, certain exclusion criteria were amended to exclude patients with a high potential of developing ocular inflammation from MRD cohort 3. - Revised and clarified the patients entered, cohort sizes, and dose groups in MRD part. All remaining patients were allocated to cohort 3. Reiteration of replacement strategy. - Updated current summary of clinical safety data including descriptions of 2 serious adverse events (SAEs) reported in MRD cohort 1. Described evidence of efficacy detected during exploratory analysis of interim data in patients requiring frequent standard of care which were the target patient population for MRD cohort 3.
    28 Sep 2022
    Amendment 7 (continued): Added the following MRD cohort 3 further exploratory endpoints to gather insight of the treatment effect: o Absence (yes/no) of intra-retinal or sub-retinal fluid (IRF, SRF) in the study eye at Week 16 (Visit 6, cohort 3 only) o Resolution (yes/no) of subretinal hyper-reflective material/retinal pigment epithelial detachment (SHRM/PED) in the study eye at Week 16 (Visit 6, cohort 3 only) o A responder analysis that was further modified in the trial statistical analysis plan (TSAP) - Reworded statistical sections to make clear that no statistical testing was planned for descriptive statistics. Updated/clarified analytical details regarding MRD cohort 3 including the addition of the evaluable responders’ analytical dataset. - Added new BI 836880 formulation where an initial trial formulation (CMC1) was switched to an intended final formulation (CMC2) for MRD cohort 3. - Amended the restrictions to concomitant treatment to clarify that standard of care (SoC) therapy could be administered if there is a worsening in disease before Visit 6, and as deemed medically appropriate during/after Visit 6 to make clear that investigators could treat patients with SoC during the follow up period even if patients did not meet time to recurrence or AESI criteria. - Clarified DLE criteria and amended AESI criteria for cohorts that received the maximum dose (2 mg BI 836880, MRD cohorts 2 & 3). - Clarified the evaluation of ECGs by site personnel to allow operational flexibility. - Clarified the requirement of written consent of the pregnant partner of a study participant for drug exposure reporting and pregnancy outcome. - Extended PK dose sampling window prior to 1st intravitreal (IVT) dose.

    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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