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Reduced Fluence Visudyne-Anti-VEGF-Dexamethasone In Combination for AMD Lesions (RADICAL)

Information source: QLT Inc
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Choroidal Neovascularization; Macular Degeneration

Intervention: verteporfin, ranibizumab (Drug); verteporfin, ranibizumab, dexamethasone (Drug); ranibizumab (Drug); verteporfin, ranibizumab, dexamethasone (Drug)

Phase: Phase 2

Status: Active, not recruiting

Sponsored by: QLT Inc

Official(s) and/or principal investigator(s):
Henry Hudson, MD, Principal Investigator, Affiliation: Retina Centers, PC
Allen Ho, MD, Principal Investigator, Affiliation: Retina Diagnostic & Treatment Associates, LLC
Andrew Strong, Ph.D, Study Chair, Affiliation: QLT Inc
Oscar Cuzzani, MD, Study Director, Affiliation: QLT Inc

Summary

The objective of this study is to determine if combination therapy (reduced-fluence Visudyne followed by Lucentis [within 2 hours] or either of two regimens of reduced-fluence Visudyne followed by Lucentis-Dexamethasone triple therapy [within 2 hours]) reduces retreatment rates compared with Lucentis monotherapy while maintaining similar vision outcomes and an acceptable safety profile.

Clinical Details

Official title: A Multicenter, Randomized, Single-Masked Study Comparing Reduced-Fluence Visudyne®-Lucentis® Combination Therapies and Lucentis® Monotherapy in Subjects With CNV Secondary to AMD.

Study design: Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: The primary efficacy variable are mean number of retreatments (Day 0 excluded) and mean change from baseline in best-corrected VA score.

Secondary outcome: gain = or > 15 letters; VA change = or > 0-letter gain; loss = or > 15 letters; Frequency distribution of VA change; Central retinal thickness--mean and mean change; Lesion size(GLD)--mean and mean change; adverse events, FA assessment

Eligibility

Minimum age: 50 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Treatment naive for choroidal neovascularization (CNV) secondary to AMD in the study

eye except for laser treatment outside the subfoveal area

- Subfoveal CNV due to AMD

- CNV must be = or >50 % of the entire lesion

- All lesion composition types with a lesion greatest linear dimension (GLD) < 5400

microns (approx = or <9disc areas [DA])

- Best-corrected Early Treatment Diabetic Retinopathy Study (ETDRS) VA score of 25 - 73

letters (approx Snellen equivalent of 20/40 - 20/320), inclusive

Exclusion Criteria:

- Subfoveal geographic atrophy or subfoveal fibrosis of the study eye

- Intraocular surgery within 3 months of enrollment

- Inability to attend the protocol-required visits

- Known allergies or hypersensitivity to any of the study treatments.

- Other systemic diseases or active uncontrolled infections that would make subject a

poor medical risk

- Uncontrolled glaucoma, defined as (1)subject is on >1 glaucoma medication (includes

combination treatments) or (2)subject has glaucoma that could lead to progressive visual field deterioration

- If subject has had a stroke within the last year

Locations and Contacts

Mobile, Alabama, United States

Calgary, Alberta, Canada

Retina Centers, PC, Tucson, Arizona 85704-5614, United States

Phoenix, Arizona, United States

Vancouver, British Columbia, Canada

Beverly Hills, California, United States

Poway, California, United States

Campbell, California, United States

Sacramento, California, United States

Torrance, California, United States

Los Angeles, California, United States

Fort Myers, Florida, United States

Indianapolis, Indiana, United States

Davenport, Iowa, United States

Missoula, Montana, United States

Omaha, Nebraska, United States

Portsmouth, New Hampshire, United States

Halifax, Nova Scotia, Canada

Toronto, Ontario, Canada

London, Ontario, Canada

Portland, Oregon, United States

West Mifflin, Pennsylvania, United States

Philadelphia, Pennsylvania, United States

Temple, Texas, United States

Arlington, Texas, United States

Seattle, Washington, United States

Additional Information

Starting date: July 2007
Ending date: May 2010
Last updated: May 30, 2008

Page last updated: June 20, 2008

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