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CompletedNCT02288559Updated Sep 25, 2019Results posted

A Study of Lampalizumab Intravitreal Injections Administered Every Two Weeks or Every Four Weeks to Participants With Geographic Atrophy

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

Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Geographic Atrophy
03

In context

Geographic Atrophy

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 →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  • Complement Factor I (CFI) profile biomarker-positive result
  • Women of child bearing potential and men should remain abstinent or use contraceptive methods

Exclusion criteria

Exclusion Criteria:

  • History of vitrectomy surgery, submacular surgery, or other surgical intervention for AMD in study eye
  • Previous subfoveal focal laser photocoagulation in study eye
  • Laser photocoagulation in the study eye
  • Prior treatment with external-beam radiation therapy or transpupillary thermotherapy in study eye
  • Previous intravitreal drug administration in study eye. A single intraoperative administration of a corticosteroid during cataract surgery at least 3 months prior to screening is permitted
  • Previous cell-based intraocular treatment in study eye
  • Intraocular surgery in study eye
  • Uncontrolled glaucoma and history of glaucoma-filtering surgery in study eye
  • History of corneal transplant in study eye
  • GA in either eye due to causes other than AMD
  • Proliferative diabetic retinopathy in either eye
  • Active or history of neovascular (wet) AMD in either eye
  • History of idiopathic or autoimmune-associated uveitis, ocular or intraocular conditions, and infectious or inflammatory ocular disease
  • Active uveitis and infectious conjunctivitis, keratitis, scleritis or endophthalmitis
  • Previous systemic treatment with complement inhibitor and with inhibitors/modulators of visual cycle
  • Previous expression vector mediated intraocular treatments
  • Uncontrolled blood pressure and atrial fibrillation
  • Medical conditions associated with clinically significant risk for bleeding-
  • Predisposition or history of increased risk for infection
  • Active malignancy within the previous 12 months except for appropriately treated carcinoma in situ of cervix, resolved non-melanoma skin carcinoma, and prostate cancer with a Gleason score of less than or equal to 6, and a stable prostate-specific antigen for greater than or equal to (>/=) 12 months
  • History of severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of lampalizumab injection
  • Women of child bearing potential must have a negative serum pregnancy test within 28 days prior to initiation of study treatment
  • Previous participation in other studies of investigational drugs
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
96 participants (actual)

Study arms

  • Experimental
    Lampalizumab: Open-label Safety Run-In

    Participants will receive 10 milligrams (mg) lampalizumab intravitreally Q2W during the safety run-in period.

    Drug: Lampalizumab

  • Experimental
    Q2W Lampalizumab: Randomized Treatment

    Participants will receive 10 mg dose of lampalizumab intravitreally Q2W during the 24-week treatment period.

    Drug: Lampalizumab

  • Experimental
    Q4W Lampalizumab: Randomized Treatment

    Participants will receive 10 mg dose of lampalizumab intravitreally Q4W during the 24-week treatment period.

    Drug: Lampalizumab

  • Sham comparator
    Sham: Randomized Treatment

    Participants randomized to control arms will receive sham injections, that mimics intravitreal injection of lampalizumab.

    Other: Sham

Interventions

  • OtherSham

    Sham injection will be administered as a matching intravitreal injection of lampalizumab.

  • DrugLampalizumab

    10 mg dose of lampalizumab administered intravitreally

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

07

Results

Posted Feb 19, 2019

Participant flow

Participant flow — Overall Study
MilestoneSham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4W
Started10114622
Completed9103520
Not completed11112
Withdrew: Adverse event1150
Withdrew: Death0010
Withdrew: Lost to follow-up0001
Withdrew: Withdrawal by subject0021
Withdrew: Reason not specified0030

Outcome measures

PrimaryChange 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
Reported as:
Mean · mm^2
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 24
mm^2Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4W
Change From Baseline in Geographic Atrophy (GA) Area, as Assessed by Fundus Autofluorescence (FAF) at Week 240.614 ± 0.1881.121 ± 0.1791.049 ± 0.0940.911 ± 0.123
Statistical analysis
  • Sham Q2W vs Lampalizumab Q2W · Mixed-Effect Model Repeated Measures · p = 0.0428 · Difference in adjusted means: 0.435 · 80% CI 0.162 to 0.707MMRM analysis variables: treatment group, visit, treatment-by-visit interaction, baseline GA area, and BCVA ETDRS chart Snellen equivalent category.
  • Sham Q4W vs Lampalizumab Q4W · MMRM · p = 0.3361 · Difference in adjusted means: -0.210 · 80% CI -0.491 to 0.071MMRM analysis variables: treatment group, visit, treatment-by-visit interaction, baseline GA area, and BCVA ETDRS chart Snellen equivalent category.
SecondarySerum 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
Reported as:
Geometric mean · ng/mL
Serum Concentrations of Lampalizumab (Q2W)
ng/mLLampalizumab Q2W
Day 1 (Predose)NA ± NA
Day 1 (Postdose)1.31 ± NA
Week 255.5 ± 89.1
Week 463.6 ± 69.4
Week 864.4 ± 83.7
Week 1678.2 ± 68.0
Week 2462.7 ± 141.4
Early Termination4.92 ± 1070.9
Unscheduled predose0.500 ± NA
Unscheduled postdose0.500 ± NA
SecondarySerum 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
Reported as:
Geometric mean · ng/mL
Serum Concentrations of Lampalizumab (Q4W)
ng/mLLampalizumab Q4W
Day 1 (Predose)NA ± NA
Day 1 (Postdose)2.08 ± NA
Week 48.52 ± 114.3
Week 810.3 ± 84.1
Week 168.66 ± 88.0
Week 249.92 ± 102.0
Early Termination14.1 ± NA
SecondaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants With Ocular Adverse Events (AEs)
percentage of participantsSham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4W
Percentage of Participants With Ocular Adverse Events (AEs)60.09.163.063.6
SecondaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants With Systemic (Non-ocular) Adverse Events
percentage of participantsSham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4W
Percentage of Participants With Systemic (Non-ocular) Adverse Events40.063.652.250.0
SecondaryPercentage 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
Reported as:
Number · percentage of participants
Percentage of Participants With Anti-Lampalizumab Antibodies
percentage of participantsSham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4W
Treatment-induced ADA0011
Treatment-enhanced ADA0000

Adverse events

Collected over Baseline up to approximately 30 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lampalizumab Q2W2/46 (4.3%)7/46 (15.2%)21/46 (45.7%)
Lampalizumab Q4W0/22 (0%)3/22 (13.6%)13/22 (59.1%)
Sham Q2W0/10 (0%)0/10 (0%)7/10 (70%)
Sham Q4W0/11 (0%)1/11 (9.1%)7/11 (63.6%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventLampalizumab Q2WLampalizumab Q4WSham Q2WSham Q4W
Non-hodgkins lymphoma recurrentNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/460/220/101/11
PresyncopeNervous system disorders0/460/220/101/11
Postural orthostatic tachycardia syndromeCardiac disorders0/461/220/100/11
InfluenzaInfections and infestations0/461/220/100/11
FallInjury, poisoning and procedural complications1/461/220/100/11
Embolic strokeNervous system disorders0/461/220/100/11
ScleritisEye disorders1/460/220/100/11
UveitisEye disorders1/460/220/100/11
Cardiac arrestCardiac disorders1/460/220/100/11
Myocardial infarctionCardiac disorders1/460/220/100/11
Most frequent other events
Showing 10 of 37
Most frequent other events
EventLampalizumab Q2WLampalizumab Q4WSham Q2WSham Q4W
Conjunctival haemorrhageEye disorders12/466/223/101/11
Eye painEye disorders6/463/220/100/11
Vitreous detachmentEye disorders2/463/220/100/11
Viral upper respiratory tract infectionInfections and infestations4/463/221/100/11
Deafness unilateralEar and labyrinth disorders0/460/221/100/11
Vitreous floatersEye disorders3/462/221/100/11
PhotopsiaEye disorders1/460/221/100/11
Posterior capsule opacificationEye disorders1/460/221/100/11
Retinal haemorrhageEye disorders1/460/221/100/11
Borderline glaucomaEye disorders0/460/221/100/11

Baseline characteristics

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
Age, Continuous(years)Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4WTotal
Mean73.4 ± 4.478.2 ± 7.778.3 ± 8.080.1 ± 7.778.2 ± 7.7
Sex: Female, Male
Sex: Female, Male(Participants)Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4WTotal
Female7825949
Male32181336
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4WTotal
Hispanic or Latino00101
Not Hispanic or Latino1010422284
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4WTotal
American Indian or Alaska Native01001
Asian10102
White99422282
Geographic Atrophy Area, as Assessed by Fundus Autofluorescence (FAF)
Geographic Atrophy Area, as Assessed by Fundus Autofluorescence (FAF)(millimeter square (mm^2))Sham Q2WSham Q4WLampalizumab Q2WLampalizumab Q4WTotal
Mean7.034 ± 2.7476.891 ± 3.0508.755 ± 4.0597.172 ± 4.1927.923 ± 3.894
08

Study locations

36 sites
  • Barnet Dulaney Perkins Eye Center
    Mesa, Arizona 85206, United States
  • University of Arizona; Banner University Medical, Department of Opthalmology
    Tucson, Arizona 85711, United States
  • Northwest Arkansas Retina Associates
    Springdale, Arkansas 72764, United States
  • Retinal Diagnostic Center
    Campbell, California 95008, United States
  • The Retina Partners
    Encino, California 91436, United States
  • Loma Linda University
    Loma Linda, California 92354, United States
  • San Diego Retina Associates
    Oceanside, California 92056, United States
  • West Coast Retina Medical Group
    San Francisco, California 94109, United States
  • California Retina Consultants
    Santa Barbara, California 93103, United States
  • Colorado Retina Associates, PC
    Golden, Colorado 80401, United States
  • Florida Eye Microsurgical Inst
    Boynton Beach, Florida 33426, United States
  • National Ophthalmic Research Institute
    Fort Myers, Florida 33912, United States
  • Florida Eye Associates
    Melbourne, Florida 32901, United States
  • Retina Care Specialists
    Palm Beach Gardens, Florida 33410, United States
  • Retina Specialty Institute
    Pensacola, Florida 32503, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Wolfe Eye Clinic
    West Des Moines, Iowa 50266, United States
  • Elman Retina Group
    Baltimore, Maryland 21237, United States
  • Vitreoretinal Surgery
    Edina, Minnesota 55435, United States
  • The Retina Institute
    Saint Louis, Missouri 63128, United States
  • Sierra Eye Associates
    Reno, Nevada 89502, United States
  • Eye Associates of New Mexico
    Albuquerque, New Mexico 87102, United States
  • Western Carolina Retinal Associate PA
    Asheville, North Carolina 28803, United States
  • Char Eye Ear &Throat Assoc
    Charlotte, North Carolina 28210, United States
  • Cincinnati Eye Institute
    Cincinnati, Ohio 45242, United States
  • Retina Assoc of Cleveland Inc
    Cleveland, Ohio 44122, United States
  • Dean McGee Eye Institute
    Oklahoma City, Oklahoma 73099, United States
  • Retina Cons of Charleston
    Charleston, South Carolina 29414, United States
  • Carolina Retina Center PA
    Columbia, South Carolina 29223, United States
  • Charles Retina Institution
    Germantown, Tennessee 38138, United States
  • Southeastern Retina Associates
    Knoxville, Tennessee 37923, United States
  • Tennessee Retina PC.
    Nashville, Tennessee 37203, United States
  • W Texas Retina Consultants PA
    Abilene, Texas 79606, United States
  • Texas Retina Associates
    Dallas, Texas 75231, United States
  • Retina Specialists
    DeSoto, Texas 75115, United States
  • Wagner Macula & Retina Center
    Norfolk, Virginia 23451, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 24, 2015

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02288559
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Nov 11, 2014
Start date
Mar 30, 2015
Primary completion
Jun 2, 2017
Completion
Jun 2, 2017
Results posted
Feb 19, 2019
Last update
Sep 25, 2019

Study contacts

Clinical Trials
study director · Hoffmann-La Roche

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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