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CompletedNCT01189461Updated Sep 6, 2013Results posted

Study To Evaluate Safety And Tolerability Of Pegaptanib Sodium In Patients With Diabetic Macular Edema

A Phase 3 interventional study of pegaptanib sodium in Anti- VGF Inhibitor, Diabetic Macular Edema and Diabetic Retinopathy, sponsored by Pfizer. Completed at 12 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-09-06.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
46
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will asses sthe safety of pegaptanib sodium in patients with diabetic macular edema. The hypothesis is that pegaptanib is safe and efficacious in patients with diabetic macular edema.

02

Conditions studied

  • Anti- VGF Inhibitor
  • Diabetic Macular Edema
  • Diabetic Retinopathy

Keywords

  • pegaptanib sodium
  • diabetic macular edema
03

In context

Macular Edema

841 studies on the registry are indexed under Macular Edema; 56 are open to participants now.

This study's enrollment of 46 is close to the median of 50 across 619 interventional studies indexed under Macular Edema.

Browse Macular Edema studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Subjects with documented clinical diagnosis of diabetic macular edema (DME) with proliferative or non proliferative diabetic retinopathy.
  • Subjects, who according to the clinical assessment of the investigator, may benefit from anti-VEGF therapy including those subjects who were participating in the A5751013 study and who, in the investigator's opinion, may benefit from continued pegaptanib sodium therapy.

Exclusion criteria

Exclusion Criteria:

  • Eyes with prior scatter (panretinal) photocoagulation within 4 months prior to baseline or anticipated scatter (panretinal) photocoagulation within the next 6 months.
  • Presence of any abnormality that is likely to confound assessment of visual acuity improvement in eyes in which macular edema resolves, or improves, such as non-perfusion for >1 disc area involving the foveal avascular zone (FAZ - involving 2 or more quadrants centered around the foveal avascular zone), epiretinal membrane associated with signs of contraction and/or significant opacification (i.e. striae within 1 disc diameter of the foveal center), or presence of chorioretinal atrophy involving the center of the macula.
  • Vitreomacular traction determined clinically and/or by optical coherence tomography (OCT), which, in the investigator's opinion, contributes to the macular edema (or causes associated foveal detachment), and would preclude improvement with pegaptanib sodium.
  • Any other cause of macular edema such as vitreous extension, or entrapment to anterior segment wound, or any retinal vein occlusion involving the macula.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    pegaptanib sodium arm

    all patients will receive pegaptanib sodium

    Drug: pegaptanib sodium

Interventions

  • Drugpegaptanib sodium

    Upon enrollment, all subjects will be treated in the study eye with pegaptanib sodium 0.3 mg at the investigators' discretion based on visual acuity assessment up to a maximum of 48 weeks. The minimum dosing interval between injections will be at least 6 weeks.

06

What researchers measure

Primary outcomes

  1. Incidence of Ocular and Non-Ocular Adverse Events (AEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Total number of participants who had ocular and non-ocular AEs was reported.

    Time frame: Baseline up to 30 days after last dose

  2. Mean Total Number of Injections

    Mean number of injections per participant was calculated as (number of injection administered per participant - 1)/duration of treatment. Mean number of injections administered for total participants was summarized.

    Time frame: Baseline up to Week 48 (End of treatment)

Secondary outcomes

  1. Incidence of Ocular and Non-Ocular Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Total number of participants who had ocular and non-ocular SAEs was reported.

    Time frame: Baseline up to 30 days after last dose

  2. Change From Baseline in Best Corrected Visual Acuity (BCVA) Score at Week 48 (End of Treatment)

    VA indicated sharpness or clarity of vision. BCVA assessed by early treatment diabetic retinopathy study chart using 4 meter (m), 1m distance, or if participant was able to count fingers, perceive hand motion or light. At 4m (\>= 20 letters), VA score=number of letters correct plus 30 (credited for 30 letters at 1m); otherwise , VA score=number of letters read correctly at 1m plus number read at 4m (if any). If no letters were read correctly at 4m or 1m, VA score= 0, which were excluded from summary statistics calculation. BVCA score ranged: 0 (poor eyesight) to 78 (best eyesight).

    Time frame: Baseline, Week 48 (End of treatment)

07

Results

Posted Sep 6, 2013

Participant flow

Participant flow — Overall Study
MilestoneMacugen
Started46
Completed12
Not completed34
Withdrew: Lack of efficacy13
Withdrew: Lost to follow-up1
Withdrew: Withdrawal by subject6
Withdrew: Protocol violation1
Withdrew: Adverse event2
Withdrew: Did not meet entrance criteria3
Withdrew: Other8

Outcome measures

PrimaryIncidence of Ocular and Non-Ocular Adverse Events (AEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Total number of participants who had ocular and non-ocular AEs was reported.

Time frame:
Baseline up to 30 days after last dose
Reported as:
Number · participants
Incidence of Ocular and Non-Ocular Adverse Events (AEs)
participantsMacugen
Ocular AEs10
Non-ocular AEs8
SecondaryIncidence of Ocular and Non-Ocular Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Total number of participants who had ocular and non-ocular SAEs was reported.

Time frame:
Baseline up to 30 days after last dose
Reported as:
Number · participants
Incidence of Ocular and Non-Ocular Serious Adverse Events (SAEs)
participantsMacugen
Ocular SAEs0
Non-ocular SAEs3
PrimaryMean Total Number of Injections

Mean number of injections per participant was calculated as (number of injection administered per participant - 1)/duration of treatment. Mean number of injections administered for total participants was summarized.

Time frame:
Baseline up to Week 48 (End of treatment)
Reported as:
Mean · injections
Mean Total Number of Injections
injectionsMacugen
Mean Total Number of Injections3.24 ± 1.037
SecondaryChange From Baseline in Best Corrected Visual Acuity (BCVA) Score at Week 48 (End of Treatment)

VA indicated sharpness or clarity of vision. BCVA assessed by early treatment diabetic retinopathy study chart using 4 meter (m), 1m distance, or if participant was able to count fingers, perceive hand motion or light. At 4m (\>= 20 letters), VA score=number of letters correct plus 30 (credited for 30 letters at 1m); otherwise , VA score=number of letters read correctly at 1m plus number read at 4m (if any). If no letters were read correctly at 4m or 1m, VA score= 0, which were excluded from summary statistics calculation. BVCA score ranged: 0 (poor eyesight) to 78 (best eyesight).

Time frame:
Baseline, Week 48 (End of treatment)
Reported as:
Mean · units on a scale
Change From Baseline in Best Corrected Visual Acuity (BCVA) Score at Week 48 (End of Treatment)
units on a scaleMacugen
Baseline (n= 42)58.93 ± 16.468
Change at Week 48 (n= 14)2.21 ± 7.536

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Macugen—3/46 (6.5%)16/46 (34.8%)
Most frequent serious events
Most frequent serious events
EventMacugen
Myocardial infarctionCardiac disorders1/46
Lung neoplasm malignantNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/46
Cerebrovascular accidentNervous system disorders1/46
Most frequent other events
Showing 10 of 31
Most frequent other events
EventMacugen
Macular oedemaEye disorders3/46
Visual acuity reducedEye disorders2/46
AnaemiaBlood and lymphatic system disorders1/46
CataractEye disorders1/46
Conjunctival haemorrhageEye disorders1/46
Conjunctival hyperaemiaEye disorders1/46
ConjunctivitisEye disorders1/46
Eye dischargeEye disorders1/46
Eye painEye disorders1/46
Eye pruritusEye disorders1/46

Baseline characteristics

Age Continuous
Age Continuous(years)Macugen
Mean65.0 ± 10.6
Sex: Female, Male
Sex: Female, Male(Participants)Macugen
Female16
Male30
08

Study locations

12 sites
  • Kuopion Yliopistollinen sairaala
    Kuopio, 70210, Finland
  • PHSOTEY / Silmätautien klinikka
    Lahti, 15850, Finland
  • Hospital Naval Del Ferrol
    Ferrol, A Coruña 15405, Spain
  • Hospital Ntra. Sra. de La Esperanza
    Santiago de Compostela, La Coruña 15705, Spain
  • Hospital Universitari Sant Joan de Reus
    Reus, Tarragona 43204, Spain
  • Hospital Universitari de Girona Dr. Josep Trueta
    Girona, 17007, Spain
  • Hospital Universitario Clinico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Stockholms Ogonklinik
    Stockholm, 114 86, Sweden
  • Ogonkliniken, Centrallasarettet
    Vasteras, 721 89, Sweden
  • Frimley Park Hospital
    Frimley, Camberley, Surrey GU15 3UW, United Kingdom
  • Kings College Hospital
    London, SE5 9RS, United Kingdom
09

References and documents

Publications

  • Sivaprasad S, Browning RC, Starita C. An open-label, one-year, noncomparative study to evaluate the safety and tolerability of intravitreal pegaptanib sodium in patients with diabetic macular edema. Clin Ophthalmol. 2014 Aug 21;8:1565-71. doi: 10.2147/OPTH.S68498. eCollection 2014. PubMed 25187694 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01189461
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Aug 26, 2010
Start date
Jan 2011
Primary completion
Jul 2012
Completion
Jul 2012
Results posted
Sep 6, 2013
Last update
Sep 6, 2013

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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