CClinicalTrials.gg
CompletedNCT02390531ROP1Updated Nov 3, 2022Results posted

Phase 1 Trial of Bevacizumab Treatment for Severe Retinopathy of Prematurity

A Phase 1 interventional study of Bevacizumab in Retinopathy of Prematurity, sponsored by Jaeb Center for Health Research. Completed at 11 sites in United States. Open to participants aged Up to 6 Months. Per ClinicalTrials.gov, last updated 2022-11-03.

Sponsored by Jaeb Center for Health Research · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
Up to 6 Months
Sex
All
01

Study summary

The purpose of this study is to find a dose of intravitreal bevacizumab that is lower than currently used for severe retinopathy of prematurity (ROP), is effective in this study, and can be tested in future larger studies.

Read the detailed description

Despite promising initial results using empirical doses of bevacizumab based on half the adult dose for treatment of acute severe ROP, little is known about lower doses of bevacizumab for ROP. An increasing number of ophthalmologists are treating premature infants with severe ROP using bevacizumab. Given the potential systemic and ocular adverse effects of intravitreal bevacizumab injections, determining a lower effective dose of bevacizumab is an important next step. The proposed study will test progressively lower doses to find a dose to take forward to a future larger study.

02

Conditions studied

  • Retinopathy of Prematurity

Keywords

  • Retinopathy of Prematurity
  • Bevacizumab
  • ROP
03

In context

Retinal Diseases

815 studies on the registry are indexed under Retinal Diseases; 105 are open to participants now.

This study's enrollment of 120 is above the median of 60 across 500 interventional studies indexed under Retinal Diseases.

Browse Retinal Diseases studies →

Lead sponsor

Jaeb Center for Health Research is the lead sponsor of 126 studies on the registry; 17 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 14 (88%) have results posted.

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

04

Who can participate

Ages eligible
Up to 6 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Type 1 ROP; defined as:

    • Zone I, any stage ROP with plus disease, or
    • Zone I, stage 3 ROP without plus disease, or
    • Zone II, stage 2 or 3 ROP with plus disease
  2. No previous treatment for ROP in the study eye; no previous bevacizumab treatment in the non-study eye

Exclusion criteria

Exclusion Criteria:

The following exclusions apply to the study eye:

  1. Nasolacrimal duct obstruction
  2. Major ocular anomalies (e.g., cataract, coloboma)
  3. Any opacity that precludes an adequate view of the retina

If purulent ocular discharge is present in either eye, then the infant is ineligible.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Bevacizumab 0.250 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.125 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.063 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.031 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.016 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.008 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.004 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

  • Experimental
    Bevacizumab 0.002 mg

    Dosage of injected Bevacizumab to be studied

    Drug: Bevacizumab

Interventions

  • DrugBevacizumab

    Varying dosages in 10µl

    Also known as: Avastin

06

What researchers measure

Primary outcomes

  1. Number of Participants With Successful Treatment of ROP

    Success is defined as improvement\* by the 4-day exam and no recurrence of type 1 ROP or severe neovascularization requiring additional treatment within 4 weeks of injection. \* For infants with plus disease, improvement by the 4-day post-injection exam is defined as plus disease no longer being present. For infants with type 1 ROP without plus disease (i.e., zone I, stage 3), improvement by the 4-day post-injection exam is defined as: (1) a significant reduction in severity and/or extent of extraretinal neovascularization, and, (2) if pre-plus was present pre-injection, reduction in the degree of abnormal vascular dilation and/or tortuosity. A dose will be considered effective if it successfully treats at least 80% of subjects.

    Time frame: 4 weeks post-injection

Secondary outcomes

  1. Distribution of VEGF Levels

    The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of vascular endothelial growth factor (VEGF) and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated.

    Time frame: 2 weeks post-injection

  2. Distribution of VEGF Levels

    The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated.

    Time frame: 4 weeks post-injection

  3. Distribution of Avastin Levels

    The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated, and a 95% confidence interval calculated for the change.

    Time frame: 2 weeks post-injection

  4. Distribution of Avastin Levels

    The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated, and a 95% confidence interval calculated for the change.

    Time frame: 4 weeks post-injection

  5. Number of Study Eyes Requiring Additional Treatment/s for ROP

    12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: 12-month corrected age

  6. Any Adverse Events or Complications Since the 4-week Exam

    12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: 12-month corrected age

  7. Visual Fixation Status at 12 Months

    12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: 12-month corrected age

  8. Proportion of Infants for Whom at Least One Event Was Reported

    Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: Enrollment to 12-month corrected age

  9. Proportion of Infants With an Adverse Event Thought by Investigator to be Related to Study Drug

    Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: Enrollment to 12-month corrected age

  10. Count of Infants for Whom at Least One Serious Adverse Event Was Reported

    Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method.

    Time frame: Enrollment to 12-month corrected age

  11. Number of Infant Deaths

    Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: Enrollment to 12-month corrected age

  12. Number of Infants With 24-Month Extended Follow Up Exam

    A subset of infants enrolled in ROP1 will have extended follow up consisting of one additional office exam with developmental testing. This testing will provide a cross-sectional evaluation of visual acuity, refractive error, and development at the adjusted age 24-month visit. 24-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 24 months.

    Time frame: 24-month corrected age

  13. Number of Fellow Eyes Requiring Additional Treatment/s for ROP

    12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

    Time frame: 12-month corrected age

07

Results

Posted Nov 3, 2022

Participant flow

Original reported enrollment was 121, however upon further review 2 patient identifiers were found to be the same patient, incorrectly enrolled twice, bringing the correct count to 120.

Participant flow — Overall Study
MilestoneBevacizumab (0.250 mg)Bevacizumab (0.125 mg)Bevacizumab (0.063 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Started111624101491224
Completed11142491391023
Not completed02011021
Withdrew: Death02010001
Withdrew: Protocol violation00001020

Outcome measures

PrimaryNumber of Participants With Successful Treatment of ROP

Success is defined as improvement\* by the 4-day exam and no recurrence of type 1 ROP or severe neovascularization requiring additional treatment within 4 weeks of injection. \* For infants with plus disease, improvement by the 4-day post-injection exam is defined as plus disease no longer being present. For infants with type 1 ROP without plus disease (i.e., zone I, stage 3), improvement by the 4-day post-injection exam is defined as: (1) a significant reduction in severity and/or extent of extraretinal neovascularization, and, (2) if pre-plus was present pre-injection, reduction in the degree of abnormal vascular dilation and/or tortuosity. A dose will be considered effective if it successfully treats at least 80% of subjects.

Time frame:
4 weeks post-injection
Reported as:
Count of participants · Participants
Number of Participants With Successful Treatment of ROP
ParticipantsBevacizumab
0.250 mg Bevacizumab11
0.125 mg Bevacizumab14
0.063 mg Bevacizumab21
0.031 mg Bevacizumab9
0.016 mg Bevacizumab13
0.008 mg Bevacizumab9
0.004 mg Bevacizumab9
0.002 mg Bevacizumab17
SecondaryDistribution of VEGF Levels

The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of vascular endothelial growth factor (VEGF) and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated.

Time frame:
2 weeks post-injection
Reported as:
Count of participants · Participants
Distribution of VEGF Levels
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.0125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Any increase in VEGF00402041
Decrease in VEGF by 1% to <25%20110000
Decrease in VEGF by 25% to <50%42211001
Decrease in VEGF by greater than or equal to 50%38966503
SecondaryDistribution of VEGF Levels

The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated.

Time frame:
4 weeks post-injection
Reported as:
Count of participants · Participants
Distribution of VEGF Levels
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.0125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Any increase in VEGF10212143
Decrease in VEGF by 1% to <25%21101000
Decrease in VEGF by 25% to <50%32311100
Decrease in VEGF by greater than or equal to 50%37744402
SecondaryDistribution of Avastin Levels

The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated, and a 95% confidence interval calculated for the change.

Time frame:
2 weeks post-injection
Reported as:
Median · ng/mL
Distribution of Avastin Levels
ng/mLBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Distribution of Avastin Levels364 (264 to 424)231 (167 to 324)292 (111 to 379)167 (98 to 274)79 (66 to 95)———
SecondaryDistribution of Avastin Levels

The parents of each infant enrolled in the study will be given the option to participate in a study to measure levels of VEGF and Avastin in the plasma. Participants in this optional study will have blood collected for analysis The distribution of VEGF and Avastin levels (median, range, and quartiles) will be described before injection, and at 2 weeks and 4 weeks post-injection. For each dosage level, at 2, and 4-weeks post-injection, the change from pre-injection will be calculated, and a 95% confidence interval calculated for the change.

Time frame:
4 weeks post-injection
Reported as:
Median · ng/mL
Distribution of Avastin Levels
ng/mLBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Distribution of Avastin Levels281 (242 to 401)196 (118 to 258)254 (254 to 427)115 (81 to 275)67 (54 to 99)———
SecondaryNumber of Study Eyes Requiring Additional Treatment/s for ROP

12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
12-month corrected age
Reported as:
Count of participants · Participants
Number of Study Eyes Requiring Additional Treatment/s for ROP
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Additional Treatment Needed : Severe ROP: Initial Treatment Failure00300012
Additional Treatment Needed : Severe ROP: Early Reactivation00000004
Additional Treatment Needed : Severe ROP: Late Reactivation24504330
Additional Treatment Needed : Persistent Avascular Retina32338219
No Additional Treatment681361458
SecondaryAny Adverse Events or Complications Since the 4-week Exam

12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
12-month corrected age
Reported as:
Count of participants · Participants
Any Adverse Events or Complications Since the 4-week Exam
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Any Adverse Events or Complications Since the 4-week Exam43414159
SecondaryVisual Fixation Status at 12 Months

12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
12-month corrected age
Reported as:
Count of participants · Participants
Visual Fixation Status at 12 Months
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Central Fixation in Both Eyes9131661181012
Central Fixation in One Eye00000001
No Central Fixation in either eye10002002
SecondaryProportion of Infants for Whom at Least One Event Was Reported

Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
Enrollment to 12-month corrected age
Reported as:
Count of participants · Participants
Proportion of Infants for Whom at Least One Event Was Reported
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Proportion of Infants for Whom at Least One Event Was Reported645151511
SecondaryProportion of Infants With an Adverse Event Thought by Investigator to be Related to Study Drug

Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
Enrollment to 12-month corrected age
Reported as:
Count of participants · Participants
Proportion of Infants With an Adverse Event Thought by Investigator to be Related to Study Drug
ParticipantsBevacizumab (0.250 mg)Bevacizumab (0.125 mg)Bevacizumab (0.063 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Proportion of Infants With an Adverse Event Thought by Investigator to be Related to Study Drug00001100
SecondaryCount of Infants for Whom at Least One Serious Adverse Event Was Reported

Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. For each dosage level, an estimate and 95% confidence interval of the proportions will be obtained using the exact binomial method.

Time frame:
Enrollment to 12-month corrected age
Reported as:
Count of participants · Participants
Count of Infants for Whom at Least One Serious Adverse Event Was Reported
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Count of Infants for Whom at Least One Serious Adverse Event Was Reported42311054
SecondaryNumber of Infant Deaths

Adverse events reported at any time during the study will be tabulated for all enrolled infants and coded using the MedRA system. 12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
Enrollment to 12-month corrected age
Reported as:
Count of participants · Participants
Number of Infant Deaths
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Number of Infant Deaths02221001
SecondaryNumber of Infants With 24-Month Extended Follow Up Exam

A subset of infants enrolled in ROP1 will have extended follow up consisting of one additional office exam with developmental testing. This testing will provide a cross-sectional evaluation of visual acuity, refractive error, and development at the adjusted age 24-month visit. 24-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 24 months.

Time frame:
24-month corrected age
Reported as:
Count of participants · Participants
Number of Infants With 24-Month Extended Follow Up Exam
ParticipantsBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Number of Infants With 24-Month Extended Follow Up Exam68157116512
SecondaryNumber of Fellow Eyes Requiring Additional Treatment/s for ROP

12-month corrected age calculated as the estimated date of confinement (EDC), or due date, plus 12 months

Time frame:
12-month corrected age
Reported as:
Count of participants · Participants
Number of Fellow Eyes Requiring Additional Treatment/s for ROP
ParticipantsBevacizumab (0.625 mg)Bevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)
Additional Treatment Needed : Severe ROP: Initial Treatment Failure00300121
Additional Treatment Needed : Severe ROP: Early Reactivation00000001
Additional Treatment Needed : Severe ROP: Late Reactivation23502222
Additional Treatment Needed : Persistent Avascular Retina33227228
No Additional Treatment581141356

Adverse events

Collected over 1 Year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Bevacizumab (0.25 mg)0/11 (0%)1/11 (9.1%)4/11 (36.4%)
Bevacizumab (0.125 mg)3/16 (18.8%)3/16 (18.8%)3/16 (18.8%)
Bevacizumab (0.0625 mg)2/24 (8.3%)3/24 (12.5%)4/24 (16.7%)
Bevacizumab (0.031 mg)2/10 (20%)1/10 (10%)1/10 (10%)
Bevacizumab (0.016 mg)1/14 (7.1%)1/14 (7.1%)4/14 (28.6%)
Bevacizumab (0.008 mg)0/9 (0%)1/9 (11.1%)1/9 (11.1%)
Bevacizumab (0.004 mg)0/12 (0%)5/12 (41.7%)5/12 (41.7%)
Bevacizumab (0.002 mg)1/24 (4.2%)4/24 (16.7%)9/24 (37.5%)
Most frequent serious events
Showing 10 of 42
Most frequent serious events
EventBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Respiratory DistressRespiratory, thoracic and mediastinal disorders0/110/160/240/100/140/94/122/24
Bronchopulmonary dysplasiaRespiratory, thoracic and mediastinal disorders0/113/163/241/100/140/90/121/24
Infantile apnoeaRespiratory, thoracic and mediastinal disorders0/112/160/240/100/140/90/120/24
Upper respiratory tract infectionInfections and infestations0/110/163/241/100/140/90/120/24
Enterococcal infectionInfections and infestations0/110/160/240/100/141/90/121/24
Small Intestine PerforationGastrointestinal disorders0/110/160/240/100/141/90/120/24
BronchiolitisInfections and infestations0/110/160/241/100/140/91/121/24
DysphagiaGastrointestinal disorders0/110/160/241/100/140/90/120/24
Hepatic FailureGastrointestinal disorders0/110/160/241/100/140/90/120/24
Pyloric stenosisGastrointestinal disorders0/110/160/241/100/140/90/120/24
Most frequent other events
Showing 10 of 58
Most frequent other events
EventBevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)
Any Adverse EventEye disorders4/113/164/241/104/141/95/129/24
Feeding IntoleranceGastrointestinal disorders2/110/161/240/100/140/90/120/24
Retinal DetachmentEye disorders2/110/160/240/101/140/90/121/24
Retinal HaemorrhageEye disorders0/110/160/240/102/141/90/121/24
Gastroesophageal reflux diseaseGastrointestinal disorders0/112/161/240/100/140/91/120/24
Supraventricular extrasystolesCardiac disorders0/110/160/240/100/141/90/120/24
ThrombocytopeniaBlood and lymphatic system disorders0/110/160/240/100/141/90/120/24
Congenital coronary artery malformationCardiac disorders0/110/160/241/100/140/90/120/24
Conjunctival haemorrhageEye disorders0/111/162/241/100/140/91/121/24
ConjunctivitisEye disorders0/111/160/241/100/140/90/120/24

Baseline characteristics

Age, Continuous
Age, Continuous(Weeks)Bevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)Total
Gestational age at enrollment24.81 ± 1.4925.21 ± 2.2224.82 ± 1.4224.73 ± 1.1224.48 ± 1.1424.63 ± 1.4824.45 ± 1.2325.14 ± 2.0224.84 ± 1.61
Sex: Female, Male
Sex: Female, Male(Participants)Bevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)Total
Female641243731049
Male51212611291471
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Bevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)Total
White7101229371565
Black/African American2234222219
Hispanic or Latino2332212217
Asian002111005
Native Hawaiian/Other Pacific Islander000000101
American Indian/Alaskan Native000000022
More than 1 race013000004
Unknown/Not Reported001102037
Birth Weight
Birth Weight(grams)Bevacizumab (0.25 mg)Bevacizumab (0.125 mg)Bevacizumab (0.0625 mg)Bevacizumab (0.031 mg)Bevacizumab (0.016 mg)Bevacizumab (0.008 mg)Bevacizumab (0.004 mg)Bevacizumab (0.002 mg)Total
Mean726.27 ± 219.23801.31 ± 514.35652.08 ± 156.88680.60 ± 167.17677.93 ± 147.02539.44 ± 133.19624.67 ± 155.14722.00 ± 357.65686.97 ± 281.43
08

Study locations

11 sites
  • The Emory Eye Center
    Atlanta, Georgia 30322, United States
  • Riley Hospital for Children
    Indianapolis, Indiana 46202, United States
  • Wilmer Institute
    Baltimore, Maryland 21287, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Duke University Eye Center
    Durham, North Carolina 27710, United States
  • Cincinnati Children's Hospital
    Cincinnati, Ohio 45229, United States
  • Pediatric Ophthalmology Associates, Inc.
    Columbus, Ohio 43205, United States
  • Dean A. McGee Eye Institute, University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
  • Texas Children's Hospital - Dept. Of Ophthalmology
    Houston, Texas 77030, United States
  • University of Utah Moran Eye Center
    Salt Lake City, Utah 84132, United States
  • Virginia Pediatric Eye Center
    Norfolk, Virginia 23502, United States
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References and documents

Publications

  • Wallace DK, Kraker RT, Freedman SF, Crouch ER, Hutchinson AK, Bhatt AR, Rogers DL, Yang MB, Haider KM, VanderVeen DK, Siatkowski RM, Dean TW, Beck RW, Repka MX, Smith LE, Good WV, Hartnett ME, Kong L, Holmes JM; Pediatric Eye Disease Investigator Group (PEDIG). Assessment of Lower Doses of Intravitreous Bevacizumab for Retinopathy of Prematurity: A Phase 1 Dosing Study. JAMA Ophthalmol. 2017 Jun 1;135(6):654-656. doi: 10.1001/jamaophthalmol.2017.1055. PubMed 28448664 ↗
  • Kraker RT, Wallace DK, Beck RW, Saunders CT, Lorenzi E, Melia BM, Li Z; Pediatric Eye Disease Investigator Group. Choice of Dose Level for a Randomized Clinical Trial of Low-Dose Bevacizumab vs Laser for Type 1 Retinopathy of Prematurity. JAMA Ophthalmol. 2021 Oct 1;139(10):1143-1144. doi: 10.1001/jamaophthalmol.2021.3192. PubMed 34410311 ↗
  • Wallace DK, Dean TW, Hartnett ME, Kong L, Smith LE, Hubbard GB, McGregor ML, Jordan CO, Mantagos IS, Bell EF, Kraker RT; Pediatric Eye Disease Investigator Group. A Dosing Study of Bevacizumab for Retinopathy of Prematurity: Late Recurrences and Additional Treatments. Ophthalmology. 2018 Dec;125(12):1961-1966. doi: 10.1016/j.ophtha.2018.05.001. Epub 2018 Jun 7. PubMed 29887334 ↗
  • Crouch ER, Kraker RT, Wallace DK, Holmes JM, Repka MX, Collinge JE, Bremer DL, Gray ME, Smith HA, Steinkuller PG; Writing Committee for Pediatric Eye Disease Investigator Group. Secondary 12-Month Ocular Outcomes of a Phase 1 Dosing Study of Bevacizumab for Retinopathy of Prematurity. JAMA Ophthalmol. 2020 Jan 1;138(1):14-20. doi: 10.1001/jamaophthalmol.2019.4488. PubMed 31697304 ↗
  • Wallace DK, Kraker RT, Freedman SF, Crouch ER, Bhatt AR, Hartnett ME, Yang MB, Rogers DL, Hutchinson AK, VanderVeen DK, Haider KM, Siatkowski RM, Dean TW, Beck RW, Repka MX, Smith LE, Good WV, Kong L, Cotter SA, Holmes JM; Pediatric Eye Disease Investigator Group (PEDIG). Short-term Outcomes After Very Low-Dose Intravitreous Bevacizumab for Retinopathy of Prematurity. JAMA Ophthalmol. 2020 Jun 1;138(6):698-701. doi: 10.1001/jamaophthalmol.2020.0334. PubMed 32324197 ↗

Study documents

  • Study protocol · Apr 17, 2018
  • Statistical analysis plan · Mar 16, 2020
  • Informed consent form · Apr 13, 2018

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

Individual participant data

Plan to share: Yes — In accordance with the NIH data sharing policy, a de-identified database is placed in the public domain on the PEDIG public website after the completion of each protocol and publication of the primary manuscript.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02390531
Lead sponsor
Jaeb Center for Health Research
Collaborators
Pediatric Eye Disease Investigator Group, National Eye Institute (NEI)
Responsible party
Sponsor
First posted
Mar 17, 2015
Start date
Apr 28, 2015
Primary completion
Jun 4, 2019
Completion
May 11, 2021
Results posted
Nov 3, 2022
Last update
Nov 3, 2022

Study contacts

David K Wallace, MD, MPH
study chair · Indiana University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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