E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
proliferative diabetic retinopathy |
Proliferative diabetische Retinopathie |
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E.1.1.1 | Medical condition in easily understood language |
advanced retinal changes in diabetic patients |
Fortgeschrittene Netzhautveränderungen infolge von Zuckerkrankheit |
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E.1.1.2 | Therapeutic area | Diseases [C] - Eye Diseases [C11] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the change in ETDRS diabetic retinopathy severity score from baseline to m12 and to m36
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Erfassen von Veränderungen des Schweregrads der diabetischen Retinopathie anhand der ETDRS Skala von Baseline zu Monat 12 und Monat 36. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives also cover parameters related to vascular integrity and its improvement under repeated aflibercept treatment |
Erfassen von Veränderungen an den Netzhautgefäßen durch die Behandlung mit Aflibercept. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Active proliferative diabetic retinopathy (ETDRS severity 61 or higher) Diagnosis of type 1 or type 2 diabetes ≥ 18 years of age Written informed consent to participate in the study
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Aktive proliferative diabetische Retinopathie (eTDRS Schweregrad 61 oder höher) diagnostizierter Typ 1 oder Typ 2 Diabetes Alter ≥ 18 Jahre Unterschriebene Patienteninformation |
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E.4 | Principal exclusion criteria |
Intravitreal injection of any Anti-VEGF therapy in the study eye within 6 months prior to study inclusion Intraocular surgery, laser therapy (argon or YAG) in the study eye within 3 months prior to study inclusion Uncontrolled glaucoma Media opacities in the study eye Cardiovascular event within the past 6 months Allergy to study drug or to fluorescein retinal traction/detachment caused by proliferative membrane Active intraocular inflammation (grade trace or above) in the study eye, like infectious conjunctivitis, scleritis, endophthalmitis as well as idiopathic or autoimmune-associated uveitis Systemic anti-VEGF or pro-VEGF treatment within four months prior to randomization or anticipated use during the study. Individual is expecting to move out of the area of the clinical center during the study period of 36 months.. pregnant or breast-feeding women
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Vorbehandlung mit einem anti-VEGF Medikemant innerhalb von 6 Monaten vor Studieninklusion Augenoperation oder Laserbehandlung (Argon oder YAG) im Studienauge innerhalb von 3 Monaten vor Studieninklusion Unkontrolliertes Glaukom Medientrübung Kardiovaskulärer Zwischenfall (Myocardinfarkt, Angina pectoris, Schlaganfall) innerhalb von 6 Monaten vor Studieninklusion Allergie auf das Studienmedikament oder auf Fluoreszin Netzhauttraktion oder -abhebung durch eine proliferative Membran Aktive Augenentzündung Systemische anti-VEGF oder pro-VEGF Behandlung innerhalb von 4 Monaten vor Studieninklusion Geplanter Auslandsaufenthlet oder Umzug, der ein Einhalten der Studienvisiten unmöglich macht Schwangere oder stillende Frauen
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E.5 End points |
E.5.1 | Primary end point(s) |
The proportion of study eyes with DRSS improvements of 1 step or more The proportion of study eyes with DRSS improvement of 2 steps or more The proportion of study eyes with DRSS improvement of 3 steps or more The mean change (standard deviation) in DRSS |
Anteil der Patienten in % mit Verbesserung im ETDRS DRSS um 1 Schritt oder mehr Anteil der Patienten in % mit Verbesserung im ETDRS DRSS um 2 Schritte oder mehr Anteil der Patienten in % mit Verbesserung im ETDRS DRSS um 3 Schritte oder mehr Veränderung im ETDRS DRSS
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Month 12 and 36 |
Monat 12 und Monat 36 |
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E.5.2 | Secondary end point(s) |
Proportion of study eyes exhibiting a specific feature (such as microaneurysms, vessel loops, capillary dropout, intraretinal microvascular abnormalities, venous beading, and potentially yet undescribed phenomena) Proportion of study eyes with regression of proliferative membrane Mean change in peripheral visual field Mean change in best corrected visual acuity Mean change in capillary vessel density Mean change in capillary fractal index Mean change in area of non-perfused capillaries Mean change in oxigen saturation in venules and areriols Characterization of cytokine levels in the aqueous humor and change following anti-VEGF treatment |
Anteil der Augen, die pathognomonische Veränderungen wie Mikroaneurysmen, Kapillarnetzausfälle, intraretinale Gefäßveränderungen, venöse Kalliberschwankungen oder bisher noch nicht beschriebene Veränderungen zeigen Anteil der Augen mit regression der Proliferativen Membran Änderung im Gesichtsfeld Visusveränderung Veränderung der Kapillarnetzdichte Veränderung der Kapillarverzweigung Veränderung des nicht perfundierten Kapillarnetzes Bestimmung der Cytokin-Konzentration im Kammerwasser vor und während der anti-VEGF Therapie |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
monthly or annually, dependent on the imaging method applied |
Monatlich bzw jährlicher Verlauf |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 4 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |