CClinicalTrials.gg
TerminatedNCT01362348Updated Sep 21, 2017Results posted

12 Week Patient Study in Neovascular Age-related Macular Degeneration (AMD)

A Phase 2 interventional study of pazopanib eye drops in Macular Degeneration, sponsored by GlaxoSmithKline. Terminated at 15 sites in 3 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2017-09-21.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Why this study was terminated
Lack of efficacy identified during a preliminary analysis
Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
50 Years and older
Sex
All
01

Study summary

The purpose of this 12 week, open-label study is to investigate the safety and efficacy of a single dose regimen of pazopanib eye drop for neovascular AMD.

Read the detailed description

MD7114987 is a Phase 2a study designed to determine whether pazopanib eye drops have the potential to reduce retinal edema and maintain or improve visual acuity in persons with a previously untreated subfoveal choroidal neovascularization (CNV) lesion secondary to age-related macular degeneration (AMD) and to further characterize the safety and tolerability of pazopanib eye drops administered over a 12-week period.

02

Conditions studied

  • Macular Degeneration

Keywords

  • Age-related Macular Degeneration
03

In context

Macular Degeneration

1,473 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.

This study's enrollment of 19 is below the median of 51 across 984 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

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

04

Who can participate

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

Inclusion criteria

Subjects eligible for enrolment in the study must meet all of the following criteria:

  • Consent: Subject understands the procedures, agrees to participate in the study (including participation in the CFH Y402H pharmacogenetic research), and has signed and dated the informed consent form prior to the initiation of any study-related activities. If the subject is unable to read the consent form due to visual impairment then the consent must be read to the subject verbatim by the person administering the consent, a family member, or legally acceptable representative. (Note: Consent by legally acceptable representative is allowed where this is in accordance with local laws, regulations, and ethics committee policy.)
  • Age-related macular degeneration: For each subject enrolled in the study, only one eye (study eye) will be treated, and eligibility criteria apply to the study eye. All of the following characteristics are required and must be confirmed by the central reading center:
  • CNV caused by AMD that extends under the geometric center of the foveal avascular zone
  • Center subfield thickness (inclusive of subretinal fluid) > 320 microns on OCT [SPECTRALIS® (Heidelberg)]
  • Total lesion area ≤12 disc areas on fluorescein angiography, where the lesion complex includes CNV, blood, blocked florescence not from blood, and serous detachment of the retinal pigment epithelium
  • CNV comprises \< 50% of lesion area
  • classic CNV comprises \< 50% of the lesion area
  • fibrosis comprises ≤ 25% of lesion area
  • if no evidence of classic CNV, then presumed to have recent disease progression based on deterioration (≥ 5 letter decrease in vision or evidence of growth of a CNV lesion on fluorescein angiography ) within the last 3 months or evidence of hemorrhage from CNV
  • Visual acuity: Best-corrected visual acuity score by electronic ETDRS in the study eye of between 25 and 73 letters (approximately equivalent to Snellen VA of 20/320 to 20/32) at screening
  • Gender and age: Subject is a male or female adult 50 years of age or older.
  • Non-childbearing potential: Female subject is of non-childbearing potential defined as being physiologically incapable of becoming pregnant. This includes any female who is post-menopausal (12 months of spontaneous amenorrhea) or who is surgically post-menopausal (via documented hysterectomy or bilateral tubal ligation). In questionable cases of postmenopausal status, a blood sample with simultaneous follicle stimulating hormone (FSH) >40 MIU/mL and estradiol \<40 pg/mL (\<140 pmol/L) [or equivalent values based on local laboratory criteria] is confirmatory. Refer to the SPM for more information.
  • Study Compliance: Subject is able and willing to comply with the study requirements and is able and willing to attend all scheduled visits.
  • Liver function tests: Subject has liver chemistry values that are within normal limits or clinically insignificant as evidenced by serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<2xULN; alkaline phosphatase and bilirubin \<1.5xULN (isolated bilirubin >1.5xULN is acceptable, if bilirubin is fractionated and direct bilirubin is \< 35%).
  • QT interval: Subject has a QTcF value \< 450 msec, or \< 480 msec for subjects with Bundle Branch Block. [Note: subjects with paced rhythms may be considered pending discussion with the medical monitor.]

Exclusion criteria

Exclusion Criteria:

Subjects meeting any of the following criteria must not be enrolled in the study:

Study Eye:

  • Additional eye disease in the study eye that could compromise best-corrected visual acuity (e.g. glaucoma with documented visual field loss, clinically significant diabetic retinopathy, ischemic optic neuropathy, infection or retinitis pigmentosa)
  • CNV in the study eye due to other causes unrelated to age-related macular degeneration
  • Presence of retinal angiomatous proliferation (RAP) in the study eye, as determined by the investigator (confirmation by indocyanine green angiography is not required)
  • Geographic atrophy involving the center of the fovea in the study eye
  • Anterior segment and vitreous abnormalities in the study eye that would preclude adequate observation of the fundus for photographs, fluorescein angiography and spectral-domain OCT
  • Vitreous, subretinal or retinal hemorrhage in the study eye that is unrelated to AMD
  • Presence of an RPE tear in the study eye
  • Aphakia or total absence of the posterior capsule (Yttrium aluminum garnet (YAG) capsulotomy permitted) in the study eye
  • History of vitrectomy in the study eye
  • Intraocular surgery in the study eye within 3 months prior to treatment
  • Any previous treatment in the study eye for neovascular AMD, approved or investigational

Fellow Eye:

  • Current intravitreal anti-VEGF therapy in the fellow eye
  • Best-corrected visual acuity score by electronic ETDRS \< 56 letters in the fellow eye at screening

Concurrent Conditions or Concomitant Medications:

  • Subject has uncontrolled glaucoma (intraocular pressure > 25 mmHg) despite treatment with anti-glaucoma medication.
  • A known, positive test for Hepatitis B surface antigen or Hepatitis C antibody within 3 months of screening
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
  • Active bleeding disorder or a history of hemoptysis, cerebral or clinically significant gastrointestinal hemorrhage within 6 months of screening
  • Significant uncontrolled or unstable cardiovascular, nervous system, pulmonary, renal, endocrine, or gastrointestinal disease for example:
  • Uncontrolled diabetes mellitus, with hemoglobin A1c (HbA1c) > 10%
  • Myocardial infarction or stroke within 6 months of screening
  • Major surgery within 3 months of screening
  • Clinically relevant thyroid disease
  • Uncontrolled hypertension:

Systolic blood pressure > 160 mmHg Diastolic blood pressure > 100 mmHg Note: Initiation or adjustment of antihypertensive medications is permitted prior to study entry provided the referenced criteria are met (See Section 4.4.3).

  • Subject has a history within the past 2 years of alcohol or substance abuse, or psychiatric disorder likely to confound the efficacy or safety assessments.
  • Known HIV infection
  • Within 6 months prior to the Screening Visit, use of any systemically administered anti angiogenic agent (e.g., bevacizumab, sunitinib, cetuximab, sorafenib, pazopanib), approved or investigational
  • Within 6 months prior to the Screening Visit, use of medications known to be toxic to the retina, lens or optic nerve (e.g. desferoximine, chloroquine/hydrochloroquine, chlorpromazine, phenothiazines, tamoxifen, and ethambutol)
  • Use of systemic steroids (>10 mg prednisone or equivalent/day) within 14 days of the start of treatment
  • Use of prohibited medications within the restricted timeframe relative to the start of study medication (See Section 5.5.2)
  • Use of an investigational drug within 30 days of screening
  • History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation
  • A condition or situation, which, in the opinion of the investigator, may result in significant risk to the patient, confound the study results or interfere significantly with participation
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    pazopanib eye drops

    pazopanib topical ocular administration

    Drug: pazopanib eye drops

Interventions

  • Drugpazopanib eye drops

    10 mg/mL (1 drop) four times daily

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Central Retinal Lesion Thickness (CRT) as Measured by Optical Coherence Tomography (OCT) at Day 29

    CRT was the distance between the inner limiting membrane of the retina and the inner border of the retinal pigment epithelium/choriocapillaris band, inclusive of sub retinal fluid, measured in the central 1 millimeter (mm) of the Cube scan. OCT assessments were performed using SPECTRALIS spectral domain OCT. Images were evaluated by investigator for safety monitoring, and by a central reading center for eligibility determination and pharmacodynamics (PD) effects. Observed case (OC) data set was used for analysis in this analysis dataset, a missing assessment at any scheduled time point was considered unevaluable, was not imputed and was not included in data analysis. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Week 0) and Day 29

  2. Change From Baseline in Best Correct Visual Acuity (BCVA) as Measured by the Number of Letters Determined by Electronic Early Treatment Diabetic Retinopathy [ETDRS] Study Visual Acuity (EVA) at Day 29

    BCVA was measured in the study eye using the EVA chart starting at a test distance of 4 meters. The BCVA score is the number of letters read correctly by the participant. A decrease in the BCVA score indicates a worsening of vision while higher scores indicates improvement of VA. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Day -3 to -1) and Day 29

Secondary outcomes

  1. Change From Baseline in Central Retinal Lesion Thickness (CRLT) Over Time

    CRLT was the manual measurement of the distance between the inner limiting membrane of the retina and the inner border of the choriocapillaris, inclusive of subretinal or sub-retinal pigment epithelium fluid collections and of the thickness of any observable choroidal neovascular membrane or scar tissue, evaluated in the central 1 mm of the Cube scan. OCT assessments were performed using SPECTRALIS spectral domain OCT. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Week -3 to -1) Up to Follow-up (Day 102)

  2. Change From Baseline in Intraretinal (IR) or Subretinal (SR) Fluid Thickness, Intraretinal Cysts or Serous Retinal Pigment Epithelial Detachment (PED Thickness) Over Time

    OCT was used for the determination of retinal morphology changes in the study eye which included assessments of SR fluid (an exudate between the retina and choroid from various sources including the vitreous cavity, subarachnoid space, or abnormal vessels) and PED (retinal pigment epithelium separates from the underlying Bruch's membrane due to the presence of blood, serous exudate, drusen, or a neovascular membrane). Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Week -3 to -1) Up to Follow-up (Day 102)

  3. Change From Baseline in BCVA Over Time

    BCVA was measured in the study eye using the EVA chart starting at a test distance of 4 meters. The BCVA score is the number of letters read correctly by the participant. A decrease in the BCVA score indicates a worsening of vision while higher scores indicates improvement of VA. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Week -3 to -1) Up to Follow-up (Day 102)

  4. Change From Baseline in the Area of Choroidal Neovascular (CNV) Size and CNV Total Lesion Complex Size as Measured by Fluorescein Angiography (FA) at Day 29

    CNV was the measurement of the combined classic and occult neovascular lesion including areas of classic neovascularization, late staining of undetermined origin and fibrovascular PED. CNV total lesion complex size was the measurement of the entire lesion including classic and occult neovascular components as well as contagious blood and/or blocked fluorescence and/or serous PED. FA uses fundus photography (FP) to capture images of injected dye circulating throughout the retinal blood vessels to assess leaking, swelling/circulation problems caused by various eye diseases like diabetic retinopathy and wet macular degeneration. A fluorescein angiogram was obtained at Day 29. Images were evaluated by investigator for eligibility and by a central reading center for determination of PD effect. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

    Time frame: Baseline (Day -3 to -1) and Day 29

  5. Number of Participants With Change in Charactertsics (Atrophy, Pigment, SR Hemorrhage, IR Hemorrhage, SR Fluid and Fibrosis) as Measured by FP

    Fundus photography involves capturing of images of the center of the very back inner wall of the eye - the retina, optic nerve, macula and main retinal blood vessels. The parameters assessment were heme SR hemorrhage (absence or presence at the location), heme IR hemorrhage (absence or presence at the location), SR fluid (absence or presence at location), fibrosis (absence or presence at location), atrophy (absence or presence of atrophic changes) and pigment (absence or presence at location). A protocol set of fundus photographs were obtained at Day 29. Images were read by the investigator for eligibility determination, and by a central reading center for determination of PD effect. Data has been presented for number of participants with changes in eye characteristics in the study eye at Day 29.

    Time frame: Day 29

  6. Number of Participants Who Received Rescue Medication

    At any time during the study, including the follow-up period, rescue treatment (standard of care) was given based on the clinical judgment of the investigator. Rescue treatment was to be strongly considered for participants whose center subfield thickness had increased by \>50 microns from the lowest value on study or whose BCVA decreased by more than 5 letters compared to baseline and who also had persistent fluid by OCT. Data has been reported for the number of participants with their percentages who required any rescue medication administration until follow-up.

    Time frame: Up to follow-up (Day 102)

  7. Number of Participants With Ocular Adverse Events (AEs), Non-ocular AEs, Serious Ocular AEs and Serious Non-ocular AEs

    An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury.

    Time frame: Until Follow-up (Day 102)

  8. Number of Participants With Values of Potential Clinical Concern for Ocular Assessments on General Ophthalmic Examination

    A complete eye examination was performed to include the following: Examination of eyelids and lashes (including meibomian glands), Pupil, motility and confrontation visual field examination, Slit lamp evaluation of anterior ocular structures (including conjunctiva, tear film, cornea with fluorescein staining, anterior chamber, iris, lens, and anterior vitreous), Intraocular pressure (IOP) measurement and Dilated Fundus Examination (Indirect ophthalmoscopy and slit lamp biomicroscopy). Data has been presented in a consolidated format for the total number of participants with values of potential clinical concern for complete ophthalmic examinations until Day 102.

    Time frame: Up to Follow-up (Day 102)

  9. Number of Participants With Vital Sign Data of Potential Clinical Concern

    Vital sign assessments included systolic blood pressure, diastolic blood pressure and heart rate. The potential clinical concern range for systolic blood pressure was \<85 and \>160 millimeters of mercury, diastolic blood pressure \<45 and \> 100 millimeters of mercury, heart rate \<40 and \>110 beats per minute. Data has been presented in a consolidated format for the total number of participants with values of potential clinical concern for systolic blood pressure, diastolic blood pressure and heart rate until Day 102.

    Time frame: Up to Follow-up (Day 102)

  10. Number of Participants With Clinical Chemistry and Hematology Data of Potential Clinical Concern

    Clinical chemistry parameters included albumin, alkaline phosphatase, alanine amino transferase, aspartate amino transferase, direct bilirubin, total bilirubin, calcium, chloride, carbon dioxide, creatinine, thyroxine (T3 free), gamma glutamyl transferase, glucose, potassium, sodium, total protein, total T3, urea, uric acid while hematology included basophils, eosinophils, hemoglobin, hematocrit, lymphocytes, mean corpuscle hemoglobin concentration, mean corpuscle hemoglobin, mean corpuscle volume, monocytes, segmented neutrophils, total neutrophils, platelet count, red blood cell count, reticulocytes and white blood cell count. The potential clinical concern ranges were as follows: glucose-low \<3 and high \>9 millimoles per liter (mmol/L), carbon dioxide-low \<18 and high \>34 mmol/L, lymphocyte-low \<0.8 giga per liter (G/L) and platelet count was \<100 and high \>550 G/L. Data has been presented for the number of participants with values high and low of potential clinical concern.

    Time frame: Up to Follow-up (Day 102)

  11. Number of Participants With Abnormal Urinalysis Data by Urine Microscopy and Dipstick Analysis

    Urinalysis measurements included assessments for red blood cells and white blood cells via microscopic examination while assessments for urine protein by standard dipstick analysis. Data has been presented for the number of participants with abnormal urinalysis results.

    Time frame: Up to Follow-up (Day 102)

  12. Summary of Plasma Pazonib Concentration

    Throughout the study, 1 to 4 blood samples (2 mL) were collected from each participants for the analysis of plasma pazopanib concentrations between 0.55 to 10.83 hours post-dose on Weeks 2, 3, 4, 6 (unplanned), 8 (unplanned) and 12. The concentrations from the three blood samples per participant were averaged and then the values were averaged through all the participants. Blood samples were collected without restriction for the time interval between blood draw and the last dose of pazopanib eye drops.

    Time frame: Up to Week 12

07

Results

Posted Aug 21, 2017

Participant flow

This study was conducted at 10 sites in the United States, Germany and France from 7 July 2011 was early terminated on 22 Mar 2012 and completed on 16 April 2012. The study was terminated due to lack of efficacy.

Participant flow — Overall Study
MilestonePazopanib 10 mg/mL QID
Started19
Completed5
Not completed14
Withdrew: Protocol-defined stopping criteria9
Withdrew: Study closed/terminated5

Outcome measures

PrimaryChange From Baseline in Central Retinal Lesion Thickness (CRT) as Measured by Optical Coherence Tomography (OCT) at Day 29

CRT was the distance between the inner limiting membrane of the retina and the inner border of the retinal pigment epithelium/choriocapillaris band, inclusive of sub retinal fluid, measured in the central 1 millimeter (mm) of the Cube scan. OCT assessments were performed using SPECTRALIS spectral domain OCT. Images were evaluated by investigator for safety monitoring, and by a central reading center for eligibility determination and pharmacodynamics (PD) effects. Observed case (OC) data set was used for analysis in this analysis dataset, a missing assessment at any scheduled time point was considered unevaluable, was not imputed and was not included in data analysis. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Week 0) and Day 29
Reported as:
Mean · Microns
Change From Baseline in Central Retinal Lesion Thickness (CRT) as Measured by Optical Coherence Tomography (OCT) at Day 29
MicronsPazopanib 10 mg/mL QID
Change From Baseline in Central Retinal Lesion Thickness (CRT) as Measured by Optical Coherence Tomography (OCT) at Day 2937.91 ± 89.692
PrimaryChange From Baseline in Best Correct Visual Acuity (BCVA) as Measured by the Number of Letters Determined by Electronic Early Treatment Diabetic Retinopathy [ETDRS] Study Visual Acuity (EVA) at Day 29

BCVA was measured in the study eye using the EVA chart starting at a test distance of 4 meters. The BCVA score is the number of letters read correctly by the participant. A decrease in the BCVA score indicates a worsening of vision while higher scores indicates improvement of VA. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Day -3 to -1) and Day 29
Reported as:
Mean · Count of letters
Change From Baseline in Best Correct Visual Acuity (BCVA) as Measured by the Number of Letters Determined by Electronic Early Treatment Diabetic Retinopathy [ETDRS] Study Visual Acuity (EVA) at Day 29
Count of lettersPazopanib 10 mg/mL QID
Change From Baseline in Best Correct Visual Acuity (BCVA) as Measured by the Number of Letters Determined by Electronic Early Treatment Diabetic Retinopathy [ETDRS] Study Visual Acuity (EVA) at Day 290.07 ± 9.973
SecondaryChange From Baseline in Central Retinal Lesion Thickness (CRLT) Over Time

CRLT was the manual measurement of the distance between the inner limiting membrane of the retina and the inner border of the choriocapillaris, inclusive of subretinal or sub-retinal pigment epithelium fluid collections and of the thickness of any observable choroidal neovascular membrane or scar tissue, evaluated in the central 1 mm of the Cube scan. OCT assessments were performed using SPECTRALIS spectral domain OCT. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Week -3 to -1) Up to Follow-up (Day 102)
Reported as:
Mean · Microns
Change From Baseline in Central Retinal Lesion Thickness (CRLT) Over Time
MicronsPazopanib 10 mg/mL QID
CRLT at Week 1-3.97 ± 93.420
CRLT at Week 2-6.39 ± 93.420
CRLT at Week 315.15 ± 86.646
CRLT at Week 431.72 ± 88.289
CRLT at Week 651.22 ± 84.679
CRLT at Week 815.48 ± 82.304
CRLT at Week 12-1.57 ± 75.216
CRLT at Follow-up-8.42 ± 91.346
SecondaryChange From Baseline in Intraretinal (IR) or Subretinal (SR) Fluid Thickness, Intraretinal Cysts or Serous Retinal Pigment Epithelial Detachment (PED Thickness) Over Time

OCT was used for the determination of retinal morphology changes in the study eye which included assessments of SR fluid (an exudate between the retina and choroid from various sources including the vitreous cavity, subarachnoid space, or abnormal vessels) and PED (retinal pigment epithelium separates from the underlying Bruch's membrane due to the presence of blood, serous exudate, drusen, or a neovascular membrane). Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Week -3 to -1) Up to Follow-up (Day 102)
Reported as:
Mean · Microns
Change From Baseline in Intraretinal (IR) or Subretinal (SR) Fluid Thickness, Intraretinal Cysts or Serous Retinal Pigment Epithelial Detachment (PED Thickness) Over Time
MicronsPazopanib 10 mg/mL QID
SR fluid thickness at Week 1-34.79 ± 70.781
SR fluid thickness at Week 2-29.32 ± 71.654
SR fluid thickness at Week 3-0.22 ± 67.074
SR fluid thickness at Week 45.69 ± 67.938
SR fluid thickness at Week 628.05 ± 67.192
SR fluid thickness at Week 835.25 ± 64.689
SR fluid thickness at Week 121.72 ± 57.734
SR fluid thickness at Follow-up8.43 ± 70.329
PED thickness at Week 14.01 ± 56.669
PED thickness at Week 24.47 ± 56.669
PED thickness at Week 314.00 ± 53.040
PED thickness at Week 47.16 ± 54.843
PED thickness at Week 637.93 ± 49.035
PED thickness at Week 836.57 ± 46.786
PED thickness at Week 12-32.68 ± 46.509
PED thickness at Follow-up-19.04 ± 56.214
SecondaryChange From Baseline in BCVA Over Time

BCVA was measured in the study eye using the EVA chart starting at a test distance of 4 meters. The BCVA score is the number of letters read correctly by the participant. A decrease in the BCVA score indicates a worsening of vision while higher scores indicates improvement of VA. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Week -3 to -1) Up to Follow-up (Day 102)
Reported as:
Mean · Letters
Change From Baseline in BCVA Over Time
LettersPazopanib 10 mg/mL QID
Week 10.26 ± 11.015
Week 20.26 ± 11.015
Week 3-1.47 ± 9.927
Week 40.07 ± 9.973
Week 61.76 ± 9.345
Week 80.63 ± 8.912
Week 12-0.85 ± 8.069
Follow-up-5.49 ± 10.388
SecondaryChange From Baseline in the Area of Choroidal Neovascular (CNV) Size and CNV Total Lesion Complex Size as Measured by Fluorescein Angiography (FA) at Day 29

CNV was the measurement of the combined classic and occult neovascular lesion including areas of classic neovascularization, late staining of undetermined origin and fibrovascular PED. CNV total lesion complex size was the measurement of the entire lesion including classic and occult neovascular components as well as contagious blood and/or blocked fluorescence and/or serous PED. FA uses fundus photography (FP) to capture images of injected dye circulating throughout the retinal blood vessels to assess leaking, swelling/circulation problems caused by various eye diseases like diabetic retinopathy and wet macular degeneration. A fluorescein angiogram was obtained at Day 29. Images were evaluated by investigator for eligibility and by a central reading center for determination of PD effect. Baseline was defined as the assessments performed between Day -3 to -1. Change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization value at Day 29.

Time frame:
Baseline (Day -3 to -1) and Day 29
Reported as:
Mean · millimeter square
Change From Baseline in the Area of Choroidal Neovascular (CNV) Size and CNV Total Lesion Complex Size as Measured by Fluorescein Angiography (FA) at Day 29
millimeter squarePazopanib 10 mg/mL QID
CNV Size at Week 41.38 ± 2.902
CNV total lesion complex size at Week 41.37 ± 2.892
SecondaryNumber of Participants With Change in Charactertsics (Atrophy, Pigment, SR Hemorrhage, IR Hemorrhage, SR Fluid and Fibrosis) as Measured by FP

Fundus photography involves capturing of images of the center of the very back inner wall of the eye - the retina, optic nerve, macula and main retinal blood vessels. The parameters assessment were heme SR hemorrhage (absence or presence at the location), heme IR hemorrhage (absence or presence at the location), SR fluid (absence or presence at location), fibrosis (absence or presence at location), atrophy (absence or presence of atrophic changes) and pigment (absence or presence at location). A protocol set of fundus photographs were obtained at Day 29. Images were read by the investigator for eligibility determination, and by a central reading center for determination of PD effect. Data has been presented for number of participants with changes in eye characteristics in the study eye at Day 29.

Time frame:
Day 29
Reported as:
Count of participants · Participants
Number of Participants With Change in Charactertsics (Atrophy, Pigment, SR Hemorrhage, IR Hemorrhage, SR Fluid and Fibrosis) as Measured by FP
ParticipantsPazopanib 10 mg/mL QID
Atrophy at Week 40
Pigment at Week 412
Heme (SR) at Week 410
Heme (IR) at Week 41
SR fluid at Week 413
Fibrosis at Week 41
SecondaryNumber of Participants Who Received Rescue Medication

At any time during the study, including the follow-up period, rescue treatment (standard of care) was given based on the clinical judgment of the investigator. Rescue treatment was to be strongly considered for participants whose center subfield thickness had increased by \>50 microns from the lowest value on study or whose BCVA decreased by more than 5 letters compared to baseline and who also had persistent fluid by OCT. Data has been reported for the number of participants with their percentages who required any rescue medication administration until follow-up.

Time frame:
Up to follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants Who Received Rescue Medication
ParticipantsPazopanib 10 mg/mL QID
Number of Participants Who Received Rescue Medication9
SecondaryNumber of Participants With Ocular Adverse Events (AEs), Non-ocular AEs, Serious Ocular AEs and Serious Non-ocular AEs

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury.

Time frame:
Until Follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants With Ocular Adverse Events (AEs), Non-ocular AEs, Serious Ocular AEs and Serious Non-ocular AEs
ParticipantsPazopanib 10 mg/mL QID
Any Ocular AE8
Any Ocular SAE0
Any Non-Ocular AE9
Any Non-Ocular SAE0
SecondaryNumber of Participants With Values of Potential Clinical Concern for Ocular Assessments on General Ophthalmic Examination

A complete eye examination was performed to include the following: Examination of eyelids and lashes (including meibomian glands), Pupil, motility and confrontation visual field examination, Slit lamp evaluation of anterior ocular structures (including conjunctiva, tear film, cornea with fluorescein staining, anterior chamber, iris, lens, and anterior vitreous), Intraocular pressure (IOP) measurement and Dilated Fundus Examination (Indirect ophthalmoscopy and slit lamp biomicroscopy). Data has been presented in a consolidated format for the total number of participants with values of potential clinical concern for complete ophthalmic examinations until Day 102.

Time frame:
Up to Follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants With Values of Potential Clinical Concern for Ocular Assessments on General Ophthalmic Examination
ParticipantsPazopanib 10 mg/mL QID
Number of Participants With Values of Potential Clinical Concern for Ocular Assessments on General Ophthalmic Examination0
SecondaryNumber of Participants With Vital Sign Data of Potential Clinical Concern

Vital sign assessments included systolic blood pressure, diastolic blood pressure and heart rate. The potential clinical concern range for systolic blood pressure was \<85 and \>160 millimeters of mercury, diastolic blood pressure \<45 and \> 100 millimeters of mercury, heart rate \<40 and \>110 beats per minute. Data has been presented in a consolidated format for the total number of participants with values of potential clinical concern for systolic blood pressure, diastolic blood pressure and heart rate until Day 102.

Time frame:
Up to Follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants With Vital Sign Data of Potential Clinical Concern
ParticipantsPazopanib 10 mg/mL QID
Systolic blood pressure2
Diastolic blood pressure0
Heart rate0
SecondaryNumber of Participants With Clinical Chemistry and Hematology Data of Potential Clinical Concern

Clinical chemistry parameters included albumin, alkaline phosphatase, alanine amino transferase, aspartate amino transferase, direct bilirubin, total bilirubin, calcium, chloride, carbon dioxide, creatinine, thyroxine (T3 free), gamma glutamyl transferase, glucose, potassium, sodium, total protein, total T3, urea, uric acid while hematology included basophils, eosinophils, hemoglobin, hematocrit, lymphocytes, mean corpuscle hemoglobin concentration, mean corpuscle hemoglobin, mean corpuscle volume, monocytes, segmented neutrophils, total neutrophils, platelet count, red blood cell count, reticulocytes and white blood cell count. The potential clinical concern ranges were as follows: glucose-low \<3 and high \>9 millimoles per liter (mmol/L), carbon dioxide-low \<18 and high \>34 mmol/L, lymphocyte-low \<0.8 giga per liter (G/L) and platelet count was \<100 and high \>550 G/L. Data has been presented for the number of participants with values high and low of potential clinical concern.

Time frame:
Up to Follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants With Clinical Chemistry and Hematology Data of Potential Clinical Concern
ParticipantsPazopanib 10 mg/mL QID
Glucose high1
Carbon dioxide low2
Lymphocyte low1
Platelet count low1
SecondaryNumber of Participants With Abnormal Urinalysis Data by Urine Microscopy and Dipstick Analysis

Urinalysis measurements included assessments for red blood cells and white blood cells via microscopic examination while assessments for urine protein by standard dipstick analysis. Data has been presented for the number of participants with abnormal urinalysis results.

Time frame:
Up to Follow-up (Day 102)
Reported as:
Count of participants · Participants
Number of Participants With Abnormal Urinalysis Data by Urine Microscopy and Dipstick Analysis
ParticipantsPazopanib 10 mg/mL QID
Red blood cells 3-5 at Week 21
Red blood cells 0-1 at Week 41
Red blood cells 1-3 at Week 41
Red blood cells 25-50 at Week 41
Red blood cells 1-3 at Follow-up1
Red blood cells 5-10 at Follow-up2
White blood cells 3-5 at Week 21
White blood cells 1-3 at Week 41
White blood cells 5-10 at Week 41
White blood cells 10-15 at Follow-up1
White blood cells 50-100 at Follow-up1
Urine protein 2+ at Week 41
Urine protein 1+ at Week 121
Urine protein 2+ at Week 121
Urine protein 1+ at Follow-up1
Urine protein 3+ at Follow-up1
SecondarySummary of Plasma Pazonib Concentration

Throughout the study, 1 to 4 blood samples (2 mL) were collected from each participants for the analysis of plasma pazopanib concentrations between 0.55 to 10.83 hours post-dose on Weeks 2, 3, 4, 6 (unplanned), 8 (unplanned) and 12. The concentrations from the three blood samples per participant were averaged and then the values were averaged through all the participants. Blood samples were collected without restriction for the time interval between blood draw and the last dose of pazopanib eye drops.

Time frame:
Up to Week 12
Reported as:
Mean · nanograms per milliliter
Summary of Plasma Pazonib Concentration
nanograms per milliliterPazopanib 10 mg/mL QID
Week 2279.0 ± 171.66
Week 3323.9 ± 216.77
Week 4360.5 ± 215.80
Week 6498.0 ± NA
Week 8150.0 ± NA
Week 12255.3 ± 170.06

Adverse events

Collected over Up to Follow-up (Day 102). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pazopanib 10 mg/mL QID0/19 (0%)0/19 (0%)17/19 (89.5%)
Most frequent other events
Showing 10 of 22
Most frequent other events
EventPazopanib 10 mg/mL QID
Instillation site painGeneral disorders3/19
Age-related macular degenerationEye disorders2/19
Macular oedemaEye disorders1/19
Ocular HypertensionEye disorders1/19
Retinal haemorrhageEye disorders1/19
Vitreous floatersEye disorders1/19
NauseaGastrointestinal disorders1/19
Oesophageal obstructionGastrointestinal disorders1/19
Tooth infectionInfections and infestations1/19
Urinary tract infectionInfections and infestations1/19

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Pazopanib 10 mg/mL QID
Mean76.3 ± 6.65
Sex: Female, Male
Sex: Female, Male(Participants)Pazopanib 10 mg/mL QID
Female14
Male5
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Pazopanib 10 mg/mL QID
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White19
More than one race0
Unknown or Not Reported0
08

Study locations

15 sites
  • GSK Investigational Site
    Phoenix, Arizona 85014, United States
  • GSK Investigational Site
    Miami, Florida 33143, United States
  • GSK Investigational Site
    Winter Haven, Florida 33880, United States
  • GSK Investigational Site
    Decatur, Georgia 30030, United States
  • GSK Investigational Site
    Boston, Massachusetts 02114, United States
  • GSK Investigational Site
    Grand Rapids, Michigan 49525, United States
  • GSK Investigational Site
    Cleveland, Ohio 44195, United States
  • GSK Investigational Site
    Austin, Texas 78705, United States
  • GSK Investigational Site
    Houston, Texas 77030, United States
  • GSK Investigational Site
    Paris cedex 10, 75475, France
  • GSK Investigational Site
    Paris cedex 12, 75571, France
  • GSK Investigational Site
    Muenchen, Bayern 80336, Germany
  • GSK Investigational Site
    Bonn, Nordrhein-Westfalen 53127, Germany
  • GSK Investigational Site
    Muenster, Nordrhein-Westfalen 48145, Germany
  • GSK Investigational Site
    Leipzig, Sachsen 04103, Germany
09

References and documents

Publications

  • Singh R, Wurzelmann JI, Ye L, Henderson L, Hossain M, Trivedi T, Kelly DS. Clinical evaluation of pazopanib eye drops in healthy subjects and in subjects with neovascular age-related macular degeneration. Retina. 2014 Sep;34(9):1787-95. doi: 10.1097/IAE.0000000000000179. PubMed 24896137 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 21, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01362348
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 30, 2011
Start date
Jul 7, 2011
Primary completion
Apr 16, 2012
Completion
Apr 16, 2012
Results posted
Aug 21, 2017
Last update
Sep 21, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

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