A Phase 2 interventional study of Sham and Lampalizumab in Geographic Atrophy, sponsored by Genentech, Inc.. Completed at 36 sites in United States. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2019-09-25.
Sponsored by Genentech, Inc. · Phase 2, Interventional, and Treatment
This multicenter, randomized, single-masked, sham injection-controlled study will investigate the exposure-response and safety of lampalizumab administered intravitreally every 2 weeks (Q2W) or every 4 weeks (Q4W) for 24 weeks in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). A safety run-in assessment will be conducted prior to initiating enrollment in the randomized study.
173 studies on the registry are indexed under Geographic Atrophy; 44 are open to participants now.
This study's enrollment of 96 is above the median of 60 across 131 interventional studies indexed under Geographic Atrophy.
Browse Geographic Atrophy studies →Genentech, Inc. is the lead sponsor of 507 studies on the registry; 23 are open to participants now.
Of its 90 completed or terminated interventional studies of FDA-regulated products, 50 (56%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive 10 milligrams (mg) lampalizumab intravitreally Q2W during the safety run-in period.
Drug: Lampalizumab
Participants will receive 10 mg dose of lampalizumab intravitreally Q2W during the 24-week treatment period.
Drug: Lampalizumab
Participants will receive 10 mg dose of lampalizumab intravitreally Q4W during the 24-week treatment period.
Drug: Lampalizumab
Participants randomized to control arms will receive sham injections, that mimics intravitreal injection of lampalizumab.
Other: Sham
Sham injection will be administered as a matching intravitreal injection of lampalizumab.
10 mg dose of lampalizumab administered intravitreally
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24
GA or the death of photoreceptors and surrounding cells in the retina, is a common condition in participants with age-related macular degeneration (AMD). The death of these photoreceptors results in lesions that cause vision loss. The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of geographic atrophy lesion area (worsening; disease progression). BCVA=best corrected visual acuity; ETDRS=Early Treatment Diabetic Retinopathy Scale.
Time frame: Baseline, Week 24
Serum Concentrations of Lampalizumab (Q2W)
Lower than reportable (LTR) results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of lower limit of quantification (LLOQ) (0.5 nanograms per milliliter (ng/mL)).
Time frame: Baseline (Day 1, predose and postdose), Weeks 2,4,8,16 and 24, early termination, unscheduled predose and postdose
Serum Concentrations of Lampalizumab (Q4W)
LTR results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of LLOQ (0.5 ng/mL).
Time frame: Baseline (Day 1, predose and postdose), Weeks 4,8,16 and 24, early termination
Percentage of Participants With Ocular Adverse Events (AEs)
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region.
Time frame: Baseline up to approximately 30 weeks
Percentage of Participants With Systemic (Non-ocular) Adverse Events
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Non-ocular AEs were the systemic events.
Time frame: Baseline up to approximately 30 weeks
Percentage of Participants With Anti-Lampalizumab Antibodies
Having treatment-induced anti-drug antibodies (ADAs) was defined as being ADA-negative at baseline and ADA-positive at any post-baseline timepoint. Having treatment-enhanced ADAs was defined as being ADA-positive at baseline with titer values increased by 0.6 titer units at any post-baseline timepoint.
Time frame: Baseline up to approximately 30 weeks
| Milestone | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W |
|---|---|---|---|---|
| Started | 10 | 11 | 46 | 22 |
| Completed | 9 | 10 | 35 | 20 |
| Not completed | 1 | 1 | 11 | 2 |
| Withdrew: Adverse event | 1 | 1 | 5 | 0 |
| Withdrew: Death | 0 | 0 | 1 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 0 | 2 | 1 |
| Withdrew: Reason not specified | 0 | 0 | 3 | 0 |
GA or the death of photoreceptors and surrounding cells in the retina, is a common condition in participants with age-related macular degeneration (AMD). The death of these photoreceptors results in lesions that cause vision loss. The change in GA lesion area was measured by FAF and analysis of FAF images was performed by the central reading center. A positive change from baseline indicates an increase in size of geographic atrophy lesion area (worsening; disease progression). BCVA=best corrected visual acuity; ETDRS=Early Treatment Diabetic Retinopathy Scale.
| mm^2 | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W |
|---|---|---|---|---|
| Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24 | 0.614 ± 0.188 | 1.121 ± 0.179 | 1.049 ± 0.094 | 0.911 ± 0.123 |
Lower than reportable (LTR) results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of lower limit of quantification (LLOQ) (0.5 nanograms per milliliter (ng/mL)).
| ng/mL | Lampalizumab Q2W |
|---|---|
| Day 1 (Predose) | NA ± NA |
| Day 1 (Postdose) | 1.31 ± NA |
| Week 2 | 55.5 ± 89.1 |
| Week 4 | 63.6 ± 69.4 |
| Week 8 | 64.4 ± 83.7 |
| Week 16 | 78.2 ± 68.0 |
| Week 24 | 62.7 ± 141.4 |
| Early Termination | 4.92 ± 1070.9 |
| Unscheduled predose | 0.500 ± NA |
| Unscheduled postdose | 0.500 ± NA |
LTR results on pre-dose sample were set to 0, and LTR results on post-dose sample were set to half of LLOQ (0.5 ng/mL).
| ng/mL | Lampalizumab Q4W |
|---|---|
| Day 1 (Predose) | NA ± NA |
| Day 1 (Postdose) | 2.08 ± NA |
| Week 4 | 8.52 ± 114.3 |
| Week 8 | 10.3 ± 84.1 |
| Week 16 | 8.66 ± 88.0 |
| Week 24 | 9.92 ± 102.0 |
| Early Termination | 14.1 ± NA |
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Ocular AEs are the events which are localized in the ocular region.
| percentage of participants | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W |
|---|---|---|---|---|
| Percentage of Participants With Ocular Adverse Events (AEs) | 60.0 | 9.1 | 63.0 | 63.6 |
An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether considered related to the medicinal product, any new disease or exacerbation of an existing disease, recurrence of an intermittent medical condition, or any deterioration in a laboratory value or other clinical test. Non-ocular AEs were the systemic events.
| percentage of participants | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W |
|---|---|---|---|---|
| Percentage of Participants With Systemic (Non-ocular) Adverse Events | 40.0 | 63.6 | 52.2 | 50.0 |
Having treatment-induced anti-drug antibodies (ADAs) was defined as being ADA-negative at baseline and ADA-positive at any post-baseline timepoint. Having treatment-enhanced ADAs was defined as being ADA-positive at baseline with titer values increased by 0.6 titer units at any post-baseline timepoint.
| percentage of participants | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W |
|---|---|---|---|---|
| Treatment-induced ADA | 0 | 0 | 1 | 1 |
| Treatment-enhanced ADA | 0 | 0 | 0 | 0 |
Collected over Baseline up to approximately 30 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Lampalizumab Q2W | 2/46 (4.3%) | 7/46 (15.2%) | 21/46 (45.7%) |
| Lampalizumab Q4W | 0/22 (0%) | 3/22 (13.6%) | 13/22 (59.1%) |
| Sham Q2W | 0/10 (0%) | 0/10 (0%) | 7/10 (70%) |
| Sham Q4W | 0/11 (0%) | 1/11 (9.1%) | 7/11 (63.6%) |
| Event | Lampalizumab Q2W | Lampalizumab Q4W | Sham Q2W | Sham Q4W |
|---|---|---|---|---|
| Non-hodgkins lymphoma recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/46 | 0/22 | 0/10 | 1/11 |
| PresyncopeNervous system disorders | 0/46 | 0/22 | 0/10 | 1/11 |
| Postural orthostatic tachycardia syndromeCardiac disorders | 0/46 | 1/22 | 0/10 | 0/11 |
| InfluenzaInfections and infestations | 0/46 | 1/22 | 0/10 | 0/11 |
| FallInjury, poisoning and procedural complications | 1/46 | 1/22 | 0/10 | 0/11 |
| Embolic strokeNervous system disorders | 0/46 | 1/22 | 0/10 | 0/11 |
| ScleritisEye disorders | 1/46 | 0/22 | 0/10 | 0/11 |
| UveitisEye disorders | 1/46 | 0/22 | 0/10 | 0/11 |
| Cardiac arrestCardiac disorders | 1/46 | 0/22 | 0/10 | 0/11 |
| Myocardial infarctionCardiac disorders | 1/46 | 0/22 | 0/10 | 0/11 |
| Event | Lampalizumab Q2W | Lampalizumab Q4W | Sham Q2W | Sham Q4W |
|---|---|---|---|---|
| Conjunctival haemorrhageEye disorders | 12/46 | 6/22 | 3/10 | 1/11 |
| Eye painEye disorders | 6/46 | 3/22 | 0/10 | 0/11 |
| Vitreous detachmentEye disorders | 2/46 | 3/22 | 0/10 | 0/11 |
| Viral upper respiratory tract infectionInfections and infestations | 4/46 | 3/22 | 1/10 | 0/11 |
| Deafness unilateralEar and labyrinth disorders | 0/46 | 0/22 | 1/10 | 0/11 |
| Vitreous floatersEye disorders | 3/46 | 2/22 | 1/10 | 0/11 |
| PhotopsiaEye disorders | 1/46 | 0/22 | 1/10 | 0/11 |
| Posterior capsule opacificationEye disorders | 1/46 | 0/22 | 1/10 | 0/11 |
| Retinal haemorrhageEye disorders | 1/46 | 0/22 | 1/10 | 0/11 |
| Borderline glaucomaEye disorders | 0/46 | 0/22 | 1/10 | 0/11 |
Modified intent-to-treat (mITT) population included participants who were randomly assigned to study treatment and had at least one post-baseline geographic atrophy (GA) area measurement.
| Age, Continuous(years) | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W | Total |
|---|---|---|---|---|---|
| Mean | 73.4 ± 4.4 | 78.2 ± 7.7 | 78.3 ± 8.0 | 80.1 ± 7.7 | 78.2 ± 7.7 |
| Sex: Female, Male(Participants) | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W | Total |
|---|---|---|---|---|---|
| Female | 7 | 8 | 25 | 9 | 49 |
| Male | 3 | 2 | 18 | 13 | 36 |
| Race/Ethnicity, Customized(Participants) | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 1 | 0 | 1 |
| Not Hispanic or Latino | 10 | 10 | 42 | 22 | 84 |
| Race/Ethnicity, Customized(Participants) | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 1 | 0 | 0 | 1 |
| Asian | 1 | 0 | 1 | 0 | 2 |
| White | 9 | 9 | 42 | 22 | 82 |
| Geographic Atrophy Area, as Assessed by Fundus Autofluorescence (FAF)(millimeter square (mm^2)) | Sham Q2W | Sham Q4W | Lampalizumab Q2W | Lampalizumab Q4W | Total |
|---|---|---|---|---|---|
| Mean | 7.034 ± 2.747 | 6.891 ± 3.050 | 8.755 ± 4.059 | 7.172 ± 4.192 | 7.923 ± 3.894 |
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Genentech, Inc.