E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
geographic atrophy |
Atrofia geográfica |
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E.1.1.1 | Medical condition in easily understood language |
geographic atrophy |
Atrofia greográfica |
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E.1.1.2 | Therapeutic area | Diseases [C] - Eye Diseases [C11] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10063947 |
E.1.2 | Term | Geographic atrophy |
E.1.2 | System Organ Class | 100000004853 |
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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 |
The objectives of this trial are to assess long-term safety of avacincaptad pegol monthly intravitreal administration for patients with GA who completed Study ISEE2008 (GATHER2) through the Month 24 visit on study treatment (either avacincaptad pegol or Sham). |
Los objetivos de este estudio son evaluar la seguridad a largo plazo de la administración intravítrea de avacincaptad pegol en pacientes con atrofia geográfica (AG) que completaron el estudio ISEE2008 (GATHER2) y continuaron con el tratamiento del estudio (avacincaptad pegol o el tratamiento simulado) hasta la visita del mes 24. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Male or female patients aged 50 years or greater diagnosed with GA inside and/or outside of the fovea who completed Study ISEE2008 (GATHER2) through the Month 24 visit on study treatment, regardless of whether they received treatment with avacincaptad pegol or Sham previously, refer to Section 8.2 of the ISEE2008 protocol for inclusion criteria details. Patients must provide new written informed consent for this OLE trial prior to participating and have the ability to return for all trial visits for the duration of the 18-month trial. |
Pacientes masculinos o femeninos de 50 años o más diagnosticados con AG dentro y/o fuera de la fóvea que completaron el estudio ISEE2008 (GATHER2) hasta la visita del Mes 24 en el tratamiento del estudio, independientemente de si recibieron tratamiento con avacincaptad pegol o Sham anteriormente, derivar a la Sección 8.2 del protocolo ISEE2008 para conocer los detalles de los criterios de inclusión. Los pacientes deben proporcionar un nuevo consentimiento informado por escrito para este ensayo OLE antes de participar y tener la posibilidad de regresar para todas las visitas del ensayo durante los 18 meses del ensayo. |
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E.4 | Principal exclusion criteria |
Patients will not be eligible for the trial if: 1. Patient did not complete Study ISEE2008 (GATHER2) through the Month 24 visit on study treatment (either avacincaptad pegol or Sham), 2. Any patients who had the study drug permanently withdrawn for an AE are not eligible; patients who had study drug temporarily withheld for an AE(s) or elective ocular surgery will be reviewed on case by case basis for eligibility, 3. Patient did not enroll into this OLE trial within the 90 days enrollment period. 4. Patients who are pregnant or nursing |
Los pacientes no serán elegibles para el estudio si: 1. El paciente no completó el estudio ISEE2008 (GATHER2) hasta la visita del mes 24 de tratamiento del estudio (ya sea avacincaptad pegol o Sham), 2. Los pacientes a los que se les retiró el fármaco del estudio de forma permanente por un EA no son elegibles; los pacientes a los que se les retuvo temporalmente el fármaco del estudio debido a un AA o cirugía ocular electiva serán revisados caso por caso para determinar su elegibilidad, 3. El paciente no se inscribió en este ensayo OLE dentro del período de inscripción de 90 días. 4. Pacientes embarazadas o lactantes. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety Endpoints: • AEs • Ophthalmic variables o best corrected visual acuity (BCVA) o low luminance visual acuity (LL VA) o intraocular pressure (IOP) o ophthalmic examination • Immunogenicity and Pharmacokinetics |
Puntos finales de seguridad: • EA • Variables oftálmicas o mejor agudeza visual corregida (MAVC) o agudeza visual de baja luminancia (LL VA) o presión intraocular (PIO) examen oftalmológico • Inmunogenicidad y Farmacocinética |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
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
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 58 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Brazil |
Canada |
Colombia |
Israel |
Austria |
France |
Latvia |
Poland |
Spain |
Czechia |
Germany |
Italy |
Belgium |
Croatia |
Hungary |
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E.8.7 | Trial has a data monitoring committee | Yes |
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 | 2 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 4 |