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Phase 3 N=485 Randomized Double-blind Treatment

Phase III Study Assessing the Efficacy, Safety and Immunogenicity of SOK583A1 Versus Eylea® in Patients With Neovascular Age-related Macular Degeneration

Neovascular Age-related Macular Degeneration

Enrolled (actual)
485
Serious AEs
14.3%
Results posted
Mar 2024
Primary outcome: Primary: Best-Corrected Visual Acuity (BCVA) Will be Assessed Using the ETDRS Testing Charts at an Initial Distance of 4 Meters. The Change From Baseline in BCVA in Letters is Defined as Difference Between BCVA Score Between Week 8 and Baseline. — 6.5; 6.8 BCVA score in letters

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
SOK583A1 (40 mg/mL) (Biological); Eylea EU (40 mg/mL) (Biological)
Age
Adult, Older Adult · 50+ yrs
Sex
All
Sponsor
Sandoz
Primary completion
Jul 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Best-Corrected Visual Acuity (BCVA) Will be Assessed Using the ETDRS Testing Charts at an Initial Distance of 4 Meters. The Change From Baseline in BCVA in Letters is Defined as Difference Between BCVA Score Between Week 8 and Baseline.
6.5; 6.8
SECONDARY
Similarity in the Anatomical Outcome Between SOK583A1 and Eylea EU
-1.7877; -1.7274; -3.7845; -3.5026
SECONDARY
Similarity in the Anatomical Outcome Between SOK583A1 and Eylea EU
-1.7877; -1.7274; -3.7845; -3.5026
SECONDARY
Similarity of Efficacy Between SOK583A1 and Eylea EU in Terms of BCVA
6.9; 7.4; 6.4; 7.7
SECONDARY
Similarity Between SOK583A1 and Eylea EU in Terms of Safety
84; 78; 55; 51; 141; 141
SECONDARY
Similarity Between SOK583A1 and Eylea EU in Terms of Immunogenicity
2; 6; 232; 225
SECONDARY
Systemic Exposure to SOK583A1 and Eylea EU in Participants of the Pharmacokinetic (PK) Assessment
0.0; 0.0; 32.0; 33.3; 31.7; 33.6

Summary

Purpose and rationale: To demonstrate similar efficacy, safety and immunogenicity of SOK583A1 and Eylea EU as per Eylea approved treatment regimen in patients with nAMD. The primary clinical question of interest is: Does SOK583A1 have similar efficacy as Eylea EU in terms of mean change in BCVA score in participants with nAMD who are anti-VEGF naive, without important protocol deviations and adherent to the treatment and completed the treatment to Week 8?

Eligibility Criteria

Participants eligible for inclusion in this study must meet all of the following criteria:

  • Signed informed consent must be obtained prior to participation in the study
  • Participants must be 50 years of age or older at Screening
  • Anti-VEGF treatment-naive patients for either eye and systemically
  • Study eye diagnosed with active CNV lesions (type 1 and/ or type 2) secondary to AMD and/or Retinal Angiomatous Proliferation lesions (type 3), affecting the central subfield. Active CNV lesion is defined by the presence of leakage as evidenced by fluorescein angiography, and intra- or subretinal fluid as evidenced by optical coherence tomography, both confirmed by the CRC at Screening
  • Total area of CNV (including both classic and occult components) must comprise > 50% of the total lesion area in the study eye, confirmed by the CRC at Screening
  • BCVA between 73 and 38 letters, both inclusive, in the study eye at Screening and Baseline using ETDRS testing charts
  • Willing and able to comply with all study procedures, and be likely to complete the study
  • Clear ocular media and adequate pupil dilatation in both eyes to permit good quality photographic imaging.

Participants meeting any of the following criteria are not eligible for inclusion in this study.

Ocular conditions and treatments:

  • Previous treatment with any anti-VEGF therapy in either eye or investigational drugs in study eye or fellow eye, at any time prior to Baseline
  • Participant has received any approved treatment for nAMD (other than vitamin and dietary supplements) in the study eye and at any time prior to Baseline
  • Presence of other causes of CNV, including pathologic myopia (spherical equivalent of -8 diopters or more negative), ocular histoplasmosis syndrome, angioid streaks,choroidal rupture, or multifocal choroiditis in the study eye, assessed by imaging at screening by CRC and appropriately stated in the multi-modal eligibility confirmation report
  • Any active or suspected intraocular or periocular infection or suspected active intraocular inflammation (e.g infectious conjunctivitis, keratitis, scleritis, endophthalmitis, infectious blepharitis, uveitis) in either eye at Screening or Baseline
  • Subfoveal fibrosis, atrophy, or scarring extending > 50% of total lesion area in the study eye as assessed by the Investigator at Screening and confirmed by the CRC prior to randomization
  • Subretinal hemorrhage that is ≥ 50% of the total lesion area in the study eye, or if the subretinal hemorrhage involving the fovea is 1 or more disc areas (≥ 2.54 mm2 ) in size in the study eye, as assessed by Fluorescein Angiography (FA) and confirmed by the CRC
  • Retinal pigment epithelium (RPE) rip/tear in the study eye at Screening or Baseline
  • Current vitreous hemorrhage or history of vitreous hemorrhage in the study eye within 4 weeks prior to Baseline
  • History or evidence of the following, in the study eye:
  • Intraocular (including cataract surgery) or refractive surgery within the 90 day period prior to Baseline. The yttrium aluminum garnet (YAG) posterior capsulotomy is allowed no later than 4 weeks prior to Baseline
  • Previous penetrating keratoplasty or vitrectomy
  • Previous panretinal photocoagulation
  • Previous photodynamic therapy
  • Previous submacular surgery or other surgical intervention for AMD
  • Retinal detachment or treatment or surgery for retinal detachment
  • Any history of macular hole of stage 2 and above
  • Prior trabeculectomy or other filtration surgery
  • Ocular trauma within the 6-months period prior to Baseline
  • History of hypersensitivity to any of the study treatments or its excipients, or clinically relevant sensitivity to fluorescein dye, as assessed by the Investigators
  • Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) > 25 mmHg on medication or according to Investigator's judgment at Screening or Baseline
  • Aphakia and/or absence of the posterior capsule in the study eye at Screening or
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04864834). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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