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CompletedNCT02510794LADDERUpdated May 6, 2021Results posted

Study of the Efficacy and Safety of the Ranibizumab Port Delivery System for Sustained Delivery of Ranibizumab in Patients With Subfoveal Neovascular Age-Related Macular Degeneration

A Phase 2 interventional study of Ranibizumab in Macular Degeneration, sponsored by Genentech, Inc.. Completed at 50 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2021-05-06.

Sponsored by Genentech, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
225
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

This is a Phase II multicenter, dose-ranging, randomized, active treatment (monthly ITV injection)-controlled study to evaluate the efficacy, safety, and pharmacokinetics of ranibizumab delivered through the Implant using three ranibizumab formulation arms (10 mg/mL, 40 mg/mL, and 100 mg/mL) compared with the control arm (0.5-mg monthly ITV injections of 10-mg/mL formulation) in participants with subfoveal neovascular age-related macular degeneration (nAMD).

02

Conditions studied

  • Macular Degeneration
03

In context

Macular Degeneration

1,474 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.

This study's enrollment of 225 is above the median of 51 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration 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
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Newly diagnosed with wet AMD within 9 months of screening visit
  • Participant must have received at least 2 prior ITV anti-vascular endothelial growth factor (VEGF) injections. However, the most recent anti-VEGF injection must have been ranibizumab and must have occurred at least 7 days prior to the screening visit
  • Demonstrated response to prior ITV anti-VEGF treatment
  • Best Corrected Visual Acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS) charts of 20/20-20/200 Snellen equivalent

Exclusion criteria

Exclusion Criteria:

  • Treatment with ITV anti-VEGF agents other than ranibizumab within 1 month prior to the randomization visit in either eye
  • Study eye treatment with ITV anti-VEGF agents other than ranibizumab within 1 month prior to the randomization visit
  • History of laser photocoagulation, Visudyne®, ITV corticosteroid injection, vitrectomy surgery, submacular surgery, device implantation, or other surgical intervention for AMD in the study eye
  • Prior participation in a clinical trial involving anti-angiogenic drugs, other than ranibizumab, in either eye within 2 months of the randomization visit
  • Subretinal hemorrhage in the study eye that involves the center of the fovea
  • Subfoveal fibrosis, or atrophy in the study eye
  • Choroidal neovascularization (CNV) in either eye due to other causes, such as ocular histoplasmosis, trauma, or pathologic myopia
  • Uncontrolled ocular hypertension or glaucoma in the study eye
  • History of glaucoma-filtering surgery, tube shunts, or microinvasive glaucoma surgery in the study eye
  • Uncontrolled blood pressure
  • Uncontrolled atrial fibrillation within 3 months of informed consent
  • History of myocardial infarction or stroke within the last 3 months prior to informed consent
  • History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of ranibizumab or placement of the Implant, that might affect interpretation of the results of the study or renders the participant at high risk of treatment complications
  • Use of oral corticosteroids
  • Current treatment for any active systemic infection
  • Use of anticoagulants, anti-platelets (other than aspirin), or medications known to exert similar effects
  • Active malignancy within 12 months of randomization
  • History of allergy to fluorescein
  • Previous participation in any non-ocular (systemic) disease studies of investigational drugs within 1 month preceding the informed consent (excluding vitamins and minerals)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
225 participants (actual)

Study arms

  • Experimental
    Port Delivery System with Ranibizumab 10mg/mL

    Participants had the Implant (prefilled with approximately 20 μL of 10-mg/mL ,approximately 0.2 mg dose, of ranibizumab) surgically inserted in the study eye at the Day 1 visit following their randomization visit. Starting at the Month 1 visit, participants were evaluated monthly for the need for Implant refill with the 10-mg/mL formulation of ranibizumab according to their randomization as per protocol-specified refill criteria.

    Drug: Ranibizumab

  • Experimental
    Port Delivery System with Ranibizumab 40mg/mL

    Participants had the Implant (prefilled with approximately 20 μL of 40-mg/mL, approximately 0.8 mg dose, of ranibizumab) surgically inserted in the study eye at the Day 1 visit following their randomization visit. Starting at the Month 1 visit, participants were evaluated monthly for the need for Implant refill with the 40-mg/mL formulation of ranibizumab according to their randomization as per protocol-specified refill criteria.

    Drug: Ranibizumab

  • Experimental
    Port Delivery System with Ranibizumab 100mg/mL

    Participants had the Implant (prefilled with approximately 20 μL of 100-mg/mL, approximately 2 mg dose, of ranibizumab) surgically inserted in the study eye at the Day 1 visit following their randomization visit. Starting at the Month 1 visit, participants were evaluated monthly for the need for Implant refill with the 100-mg/mL formulation of ranibizumab according to their randomization as per protocol-specified refill criteria.

    Drug: Ranibizumab

  • Active comparator
    Intravitreal Injection with Ranibizumab 0.5mg

    Participants received ranibizumab 0.5 mg monthly ITV injections of 10 mg/mL formulation at Day 1 and every month thereafter.

    Drug: Ranibizumab

Interventions

  • DrugRanibizumab

    Ranibizumab will be administered at dose of 0.5 mg monthly ITV injections of 10-mg/mL formulation or delivered through the implant with three different formulations.

    Also known as: Lucentis®

06

What researchers measure

Primary outcomes

  1. Time Until a Participant First Requires the Implant Refill According to Protocol-Defined Refill Criteria

    Protocol-Defined Refill Criteria At 1 month after initial fill: * Decrease of ≥ 10 letters in BCVA at the current visit compared with the baseline BCVA, due to nAMD disease activity OR * Increase in CFT of ≥ 100 um at the current visit compared with the baseline CFT, due to nAMD disease activity OR * Presence of new macular hemorrhage, due to nAMD disease activity For subsequent assessments: * Increase in CFT of ≥ 75 μm on SD-OCT at the current visit compared with the average CFT over the last 2 available measurements, due to nAMD disease activity OR * Increase in CFT of ≥ 100 um from the lowest CFT measurement on study, due to nAMD disease activity OR * Decrease of ≥ 5 letters in BCVA at the current visit compared with the average BCVA over the last 2 available measurements, due to nAMD disease activity OR * Decrease of ≥ 10 letters from best recorded BCVA on study, due to nAMD disease activity OR * Presence of new macular hemorrhage, due to nAMD disease activity

    Time frame: Baseline up to approximately 38 months

Secondary outcomes

  1. Change From Baseline in Best Corrected Visual Acuity (BCVA) Averaged At Month 9 and 10

    Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning.

    Time frame: Baseline, Months 9, 10

  2. Change From Baseline in BCVA Over Time

    Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning.

    Time frame: Baseline up to Month 10

  3. Adjusted Average Change From Baseline in BCVA Over Time (MMRM Analysis)

    Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning. Here, the adjusted mean from MMRM analysis is presented).

    Time frame: Baseline up to Month 10

  4. Change From Baseline in Central Foveal Thickness (CFT) Over Time as Assessed on Spectral Domain-Optical Coherence Tomography (SD-OCT)

    Central foveal thickness (CFT) is defined as the retinal thickness in the center of the fovea

    Time frame: Baseline up to Month 9

  5. Number of Implant Clogging at Month 9

    Removed implants identified as meeting serum PK criteria for possible clogging were assessed via lab-based investigation (in vitro drug release testing) to determine whether there was any implant clogging.

    Time frame: Month 9

  6. Observed Maximum Serum Concentration (Cmax) of Ranibizumab

    The serum pharmacokinetics of ranibizumab were characterized by estimating Cmax between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

    Time frame: Predose (0 hour) on Day 1 up to 38 months

  7. Area Under the Concentration-Time Curve From Dosing to Last Observation (AUClast) of Ranibizumab

    AUCLast is defined as area under the concentration-time curve from dosing (implant or refill) to last observation before next refill or exiting the study. The serum pharmacokinetics of ranibizumab were characterized by estimating AUC between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

    Time frame: Predose (0 hour) on Day 1 up to approximately 38 months (detailed timeframe is provided in description field)

  8. Time to Maximum Concentration (Tmax) of Ranibizumab

    The serum pharmacokinetics of ranibizumab were characterized by estimating Tmax between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

    Time frame: Predose (0 hour) on Day 1 up to 38 months

  9. Terminal Half-Life (t1/2) of Ranibizumab

    The serum pharmacokinetics of ranibizumab were characterized by estimating t1/2 between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

    Time frame: Predose (0 hour) on Day 1 up to 38 months

  10. Observed Steady-State Serum Concentration at the End of a Dosing Interval (Ctrough) of Ranibizumab

    Time frame: Predose (0 hour) on Day 1 up to 38 months

  11. Number of Participants With Ocular and Non-Ocular Adverse Events (AEs) and Serious AEs (SAEs)

    Time frame: Baseline up to approximately Month 38

  12. Percentage of Participants With Positive Serum Antibodies to Ranibizumab

    Time frame: Baseline up to 38 months

07

Results

Posted May 6, 2021

Participant flow

Participants with subfoveal neovascularization secondary to AMD diagnosed within 9 months and treated with ITV anti-VEGF agents were enrolled in the study. Written informed consent was obtained before initiation of any study-related procedures. A participant's screening occurred no sooner than 7 days following administration of the last ITV ranibizumab treatment to the study eye. The screening visit was followed by the randomization visit.

Participant flow — Overall Study
MilestonePort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Started59626341
Completed51565636
Not completed8675
Withdrew: Adverse event0100
Withdrew: Death1211
Withdrew: Lack of efficacy3110
Withdrew: Participant moved out of the area0001
Withdrew: Physician decision3000
Withdrew: Protocol violation0010
Withdrew: Withdrawal by subject1243

Outcome measures

PrimaryTime Until a Participant First Requires the Implant Refill According to Protocol-Defined Refill Criteria

Protocol-Defined Refill Criteria At 1 month after initial fill: * Decrease of ≥ 10 letters in BCVA at the current visit compared with the baseline BCVA, due to nAMD disease activity OR * Increase in CFT of ≥ 100 um at the current visit compared with the baseline CFT, due to nAMD disease activity OR * Presence of new macular hemorrhage, due to nAMD disease activity For subsequent assessments: * Increase in CFT of ≥ 75 μm on SD-OCT at the current visit compared with the average CFT over the last 2 available measurements, due to nAMD disease activity OR * Increase in CFT of ≥ 100 um from the lowest CFT measurement on study, due to nAMD disease activity OR * Decrease of ≥ 5 letters in BCVA at the current visit compared with the average BCVA over the last 2 available measurements, due to nAMD disease activity OR * Decrease of ≥ 10 letters from best recorded BCVA on study, due to nAMD disease activity OR * Presence of new macular hemorrhage, due to nAMD disease activity

Time frame:
Baseline up to approximately 38 months
Reported as:
Median · Months
Time Until a Participant First Requires the Implant Refill According to Protocol-Defined Refill Criteria
MonthsPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mL
Time Until a Participant First Requires the Implant Refill According to Protocol-Defined Refill Criteria8.7 (6.93 to 9.00)13.0 (11.76 to 24.61)15.8 (12.06 to 20.63)
SecondaryChange From Baseline in Best Corrected Visual Acuity (BCVA) Averaged At Month 9 and 10

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning.

Time frame:
Baseline, Months 9, 10
Reported as:
Mean · Units on scale
Change From Baseline in Best Corrected Visual Acuity (BCVA) Averaged At Month 9 and 10
Units on scalePort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Change From Baseline in Best Corrected Visual Acuity (BCVA) Averaged At Month 9 and 10-3.3 (-5.6 to -1.0)-0.3 (-2.5 to 1.8)5.0 (2.8 to 7.2)3.2 (0.6 to 5.8)
SecondaryChange From Baseline in BCVA Over Time

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning.

Time frame:
Baseline up to Month 10
Reported as:
Mean · Units on scale
Change From Baseline in BCVA Over Time
Units on scalePort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Month 1-6.6 (-11.0 to -2.3)-4.7 (-8.8 to -0.6)-4.9 (-9.1 to -0.6)2.4 (-2.6 to 7.5)
Month 2-2.4 (-4.3 to -0.6)-1.4 (-3.2 to 0.4)1.6 (-0.2 to 3.5)2.0 (-0.2 to 4.2)
Month 3-0.7 (-2.4 to 1.0)-0.6 (-2.2 to 1.0)2.4 (0.8 to 4.1)2.7 (0.7 to 4.7)
Month 4-1.4 (-3.4 to 0.7)-1.1 (-3.0 to 0.8)3.1 (1.1 to 5.1)1.9 (-0.4 to 4.3)
Month 5-1.3 (-3.4 to 0.8)-0.6 (-2.5 to 1.4)3.8 (1.8 to 5.8)3.0 (0.6 to 5.3)
Month 6-0.4 (-3.0 to 2.3)-1.7 (-4.3 to 0.8)3.8 (1.2 to 6.4)2.7 (-0.4 to 5.7)
Month 7-0.9 (-3.2 to 1.4)-1.8 (-4.0 to 0.3)3.9 (1.7 to 6.1)3.5 (0.9 to 6.1)
Month 8-2.4 (-4.7 to -0.1)-1.2 (-3.3 to 1.0)4.0 (1.8 to 6.2)3.3 (0.7 to 5.9)
Month 9-3.3 (-5.7 to -0.9)-0.5 (-2.7 to 1.7)5.0 (2.7 to 7.3)3.9 (1.1 to 6.6)
Month 10-3.3 (-5.7 to -1.0)-0.2 (-2.4 to 2.0)5.1 (2.8 to 7.3)2.5 (-0.2 to 5.2)
SecondaryAdjusted Average Change From Baseline in BCVA Over Time (MMRM Analysis)

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. The minimum score possible is 0 and maximum possible is 100. A higher score represents better functioning. Here, the adjusted mean from MMRM analysis is presented).

Time frame:
Baseline up to Month 10
Reported as:
Mean · Units on scale
Adjusted Average Change From Baseline in BCVA Over Time (MMRM Analysis)
Units on scalePort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Adjusted Average Change From Baseline in BCVA Over Time (MMRM Analysis)-7.5 ± 74.0-8.5 ± 59.129.7 ± 54.721.3 ± 65.1
SecondaryChange From Baseline in Central Foveal Thickness (CFT) Over Time as Assessed on Spectral Domain-Optical Coherence Tomography (SD-OCT)

Central foveal thickness (CFT) is defined as the retinal thickness in the center of the fovea

Time frame:
Baseline up to Month 9
Reported as:
Mean · microns
Change From Baseline in Central Foveal Thickness (CFT) Over Time as Assessed on Spectral Domain-Optical Coherence Tomography (SD-OCT)
micronsPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Month 116.5 (4.1 to 29.0)7.2 (-4.5 to 18.9)-2.9 (-15.1 to 9.2)2.5 (-11.7 to 16.7)
Month 219.8 (6.9 to 32.7)11.9 (-0.3 to 24.1)-1.8 (-14.5 to 10.9)1.5 (-13.3 to 16.4)
Month 324.9 (11.5 to 38.3)7.3 (-5.5 to 20.0)6.4 (-6.8 to 19.6)-7.3 (-22.9 to 8.3)
Month 431.0 (15.8 to 46.1)4.1 (-10.3 to 18.5)1.9 (-13.2 to 16.9)-1.7 (-19.2 to 15.9)
Month 530.9 (16.1 to 45.7)0.4 (-13.6 to 14.5)8.0 (-6.7 to 22.9)4.0 (-13.0 to 21.1)
Month 631.9 (15.6 to 48.1)2.1 (-13.1 to 17.3)5.9 (-10.0 to 21.7)-2.0 (-20.4 to 16.4)
Month 739.9 (25.6 to 54.3)0.7 (-12.5 to 14.0)-4.3 (-18.3 to 9.6)-9.8 (-25.9 to 6.3)
Month 842.8 (26.4 to 59.1)3.1 (-12.1 to 18.3)5.1 (-10.6 to 20.8)-2.4 (-20.8 to 16.1)
Month 954.8 (37.1 to 72.4)-0.7 (-16.9 to 15.5)-1.7 (-18.5 to 15.1)-6.3 (-26.1 to 13.4)
SecondaryNumber of Implant Clogging at Month 9

Removed implants identified as meeting serum PK criteria for possible clogging were assessed via lab-based investigation (in vitro drug release testing) to determine whether there was any implant clogging.

Time frame:
Month 9
Reported as:
Number · Participants
Number of Implant Clogging at Month 9
ParticipantsPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mL
Number of Implant Clogging at Month 9000
SecondaryObserved Maximum Serum Concentration (Cmax) of Ranibizumab

The serum pharmacokinetics of ranibizumab were characterized by estimating Cmax between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

Time frame:
Predose (0 hour) on Day 1 up to 38 months
Reported as:
Geometric mean · pg/mL
Observed Maximum Serum Concentration (Cmax) of Ranibizumab
pg/mLPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Interval following implant insertion before first refill105.52 ± 258.0220.87 ± 46.41080.69 ± 272.5—
All Dose Intervals91.47 ± 187.2297.61 ± 115.21131.01 ± 256.6—
SecondaryArea Under the Concentration-Time Curve From Dosing to Last Observation (AUClast) of Ranibizumab

AUCLast is defined as area under the concentration-time curve from dosing (implant or refill) to last observation before next refill or exiting the study. The serum pharmacokinetics of ranibizumab were characterized by estimating AUC between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

Time frame:
Predose (0 hour) on Day 1 up to approximately 38 months (detailed timeframe is provided in description field)
Reported as:
Geometric mean · ng∙day/mL
Area Under the Concentration-Time Curve From Dosing to Last Observation (AUClast) of Ranibizumab
ng∙day/mLPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Interval following implant insertion before first refill5.89 ± 225.128.39 ± 107.690.83 ± 64.7—
All Dose Intervals3.43 ± 176.822.93 ± 96.966.12 ± 71.4—
SecondaryTime to Maximum Concentration (Tmax) of Ranibizumab

The serum pharmacokinetics of ranibizumab were characterized by estimating Tmax between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

Time frame:
Predose (0 hour) on Day 1 up to 38 months
Reported as:
Median · days
Time to Maximum Concentration (Tmax) of Ranibizumab
daysPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Interval following implant insertion before first refill11.45 (0 to 688.1)12.87 (0 to 86.0)29.01 (0.8 to 180.3)—
All Dose Intervals4.87 (0 to 688.1)6.71 (0 to 91.1)6.97 (0.8 to 180.3)—
SecondaryTerminal Half-Life (t1/2) of Ranibizumab

The serum pharmacokinetics of ranibizumab were characterized by estimating t1/2 between dose intervals. Estimates for these parameters were tabulated and summarized by descriptive statistics.

Time frame:
Predose (0 hour) on Day 1 up to 38 months
Reported as:
Geometric mean · days
Terminal Half-Life (t1/2) of Ranibizumab
daysPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Interval following implant insertion before first refill168.20 ± 163.388.30 ± 46.7119.07 ± 128.4—
All Dose Intervals162.36 ± 129.3118.87 ± 76.2143.87 ± 171.4—
SecondaryObserved Steady-State Serum Concentration at the End of a Dosing Interval (Ctrough) of Ranibizumab
Time frame:
Predose (0 hour) on Day 1 up to 38 months
Reported as:
Geometric mean · pg/mL
Observed Steady-State Serum Concentration at the End of a Dosing Interval (Ctrough) of Ranibizumab
pg/mLPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
Interval following implant insertion before first refill14.96 ± 76.461.64 ± 95.8129.63 ± 149.2—
All Dose Intervals11.58 ± 65.7105.07 ± 77.462.19 ± 345.2—
SecondaryNumber of Participants With Ocular and Non-Ocular Adverse Events (AEs) and Serious AEs (SAEs)
Time frame:
Baseline up to approximately Month 38
Reported as:
Count of participants · Participants
Number of Participants With Ocular and Non-Ocular Adverse Events (AEs) and Serious AEs (SAEs)
ParticipantsPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLRanibizumab PD All ParticipantsIntravitreal Injection With Ranibizumab 0.5mg
Participants with ocular SAEs in study eye764170
Participants with ocular AEs in study eye56585216626
Participants with non-ocular SAEs81613374
Participants with non-ocular AEs46525215036
SecondaryPercentage of Participants With Positive Serum Antibodies to Ranibizumab
Time frame:
Baseline up to 38 months
Reported as:
Number · Percentage of Participants
Percentage of Participants With Positive Serum Antibodies to Ranibizumab
Percentage of ParticipantsPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLRanibizumab PD All ParticipantsIntravitreal Injection With Ranibizumab 0.5mg
Participants with a positive sample at time of entry into the study (Baseline)10.35.05.16.80
Participants positive for Treatment Emergent ADA (Post-baseline)6.914.515.312.314.6

Adverse events

Collected over Baseline up to approximately Month 38. Non-serious events are listed at a 0.05% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Port Delivery System With Ranibizumab 10mg/mL1/58 (1.7%)14/58 (24.1%)57/58 (98.3%)
Port Delivery System With Ranibizumab 40mg/mL2/62 (3.2%)19/62 (30.6%)59/62 (95.2%)
Port Delivery System With Ranibizumab 100mg/mL1/59 (1.7%)17/59 (28.8%)58/59 (98.3%)
Intravitreal Injection With Ranibizumab 0.5mg1/41 (2.4%)4/41 (9.8%)35/41 (85.4%)
Most frequent serious events
Showing 10 of 81
Most frequent serious events
EventPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
PNEUMONIAInfections and infestations2/584/620/591/41
VITREOUS HAEMORRHAGEEye disorders3/582/622/590/41
SEPSISInfections and infestations0/583/620/590/41
RHEGMATOGENOUS RETINAL DETACHMENTEye disorders2/581/622/590/41
CHRONIC OBSTRUCTIVE PULMONARY DISEASERespiratory, thoracic and mediastinal disorders2/580/620/590/41
BRONCHITISInfections and infestations0/580/622/590/41
ATRIAL FIBRILLATIONCardiac disorders0/582/620/590/41
HIATUS HERNIAGastrointestinal disorders0/582/620/590/41
INFLUENZAInfections and infestations0/582/620/590/41
CEREBROVASCULAR ACCIDENTNervous system disorders0/582/621/590/41
Most frequent other events
Showing 10 of 76
Most frequent other events
EventPort Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mg
CONJUNCTIVAL HAEMORRHAGEEye disorders41/5844/6237/598/41
CONJUNCTIVAL HYPERAEMIAEye disorders18/5813/6214/590/41
EYE PAINEye disorders12/5812/6215/595/41
VITREOUS FLOATERSEye disorders13/589/6212/594/41
IRITISEye disorders8/5813/627/590/41
NASOPHARYNGITISInfections and infestations12/588/629/596/41
CATARACTEye disorders3/585/6212/595/41
HEADACHENervous system disorders9/588/6211/591/41
VITREOUS DETACHMENTEye disorders7/586/624/597/41
SINUSITISInfections and infestations2/585/629/597/41

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Port Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mgTotal
<=18 years00000
Between 18 and 65 years879731
>=65 years51555434194
Age, Continuous
Age, Continuous(Years)Port Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mgTotal
Mean74.6 ± 8.475.0 ± 8.573.8 ± 8.171.9 ± 8.874.0 ± 8.4
Sex: Female, Male
Sex: Female, Male(Participants)Port Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mgTotal
Female37394228146
Male2223211379
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Port Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mgTotal
Hispanic or Latino333110
Not Hispanic or Latino56566039211
Unknown or Not Reported03014
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Port Delivery System With Ranibizumab 10mg/mLPort Delivery System With Ranibizumab 40mg/mLPort Delivery System With Ranibizumab 100mg/mLIntravitreal Injection With Ranibizumab 0.5mgTotal
American Indian or Alaska Native00101
Asian00202
Native Hawaiian or Other Pacific Islander00000
Black or African American10001
White58616041220
More than one race00000
Unknown or Not Reported01001
08

Study locations

50 sites
  • Barnet Dulaney Perkins Eye Center
    Mesa, Arizona 85206, United States
  • Retinal Research Institute, LLC
    Phoenix, Arizona 85014, United States
  • Associated Retina Consultants
    Phoenix, Arizona 85020, United States
  • The Retina Partners
    Encino, California 91436, United States
  • Jacobs Retina center at the Shiley eye Institute UCSD
    La Jolla, California 92037, United States
  • Jules Stein Eye Institute/ UCLA
    Los Angeles, California 90095-7000, United States
  • N CA Retina Vitreous Assoc
    Mountain View, California 94040, United States
  • Retinal Consultants Med Group
    Sacramento, California 95825, United States
  • West Coast Retina Medical Group
    San Francisco, California 94109, United States
  • UCSF; Ophthalmology
    San Francisco, California 94143, United States
  • Orange County Retina Med Group
    Santa Ana, California 92705, United States
  • California Retina Consultants
    Santa Barbara, California 93103, United States
  • Retina Consultants of Southern
    Colorado Springs, Colorado 80909, United States
  • Colorado Retina Associates, PC
    Lakewood, Colorado 80228, United States
  • Florida Eye Microsurgical Inst
    Boynton Beach, Florida 33426, United States
  • National Ophthalmic Research Institute
    Fort Myers, Florida 33912, United States
  • Retina Specialty Institute
    Pensacola, Florida 32503, United States
  • Retina Vitreous Assoc of FL
    Saint Petersburg, Florida 33711, United States
  • Retina Associates of Florida, LLC
    Tampa, Florida 33609, United States
  • Southeast Retina Center
    Augusta, Georgia 30909, United States
  • Illinois Retina Associates
    Joliet, Illinois 60435, United States
  • Wolfe Eye Clinic
    West Des Moines, Iowa 50266, United States
  • Retina Associates of Kentucky
    Lexington, Kentucky 40509, United States
  • Paducah Retinal Center
    Paducah, Kentucky 42001, United States
  • Johns Hopkins Med; Wilmer Eye Inst
    Baltimore, Maryland 21287, United States
  • Retina Group of Washington
    Chevy Chase, Maryland 20815, United States
  • Retina Specialists
    Towson, Maryland 21204, United States
  • Vitreo-Retinal Associates, PC
    Worcester, Massachusetts 01605, United States
  • Foundation for Vision Research
    Grand Rapids, Michigan 49546, United States
  • Vitreoretinal Surgery
    Edina, Minnesota 55435, United States
  • Sierra Eye Associates
    Reno, Nevada 89502, United States
  • Retina Center of New Jersey
    Bloomfield, New Jersey 07003, United States
  • Mid Atlantic Retina - Wills Eye Hospital
    Cherry Hill, New Jersey 08034, United States
  • Eye Associates of New Mexico
    Albuquerque, New Mexico 87102, United States
  • University of New Mexico; School of Med
    Albuquerque, New Mexico 87131, United States
  • Retina Assoc of Western NY
    Rochester, New York 14620, United States
  • Char Eye Ear &Throat Assoc
    Charlotte, North Carolina 28210, United States
  • Cincinnati Eye Institute
    Cincinnati, Ohio 45242, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Retina Northwest
    Portland, Oregon 97221, United States
  • Oregon HSU; Casey Eye Institute
    Portland, Oregon 97239, United States
  • Palmetto Retina Center
    Florence, South Carolina 29501, United States
  • Charles Retina Institute
    Germantown, Tennessee 38138, United States
  • Tennessee Retina PC.
    Nashville, Tennessee 37203, United States
  • Texas Retina Associates
    Arlington, Texas 76012, United States
  • Retina Research Center
    Austin, Texas 78750, United States
  • Retina Consultants of Texas
    Bellaire, Texas 77401, United States
  • Med Center Ophthalmology Assoc
    San Antonio, Texas 78240, United States
  • Retina Associates of Utah
    Salt Lake City, Utah 84107, United States
  • Wagner Macula & Retina Center
    Norfolk, Virginia 23502, United States
09

References and documents

Publications

  • Wykoff CC, Campochiaro PA, Pieramici DJ, Khanani AM, Gune S, Maia M, Kagedal M, Ding HT, Maass KF. Pharmacokinetics of the Port Delivery System with Ranibizumab in the Ladder Phase 2 Trial for Neovascular Age-Related Macular Degeneration. Ophthalmol Ther. 2022 Oct;11(5):1705-1717. doi: 10.1007/s40123-022-00532-9. Epub 2022 Jun 27. PubMed 35759124 ↗
  • Yohe S, Maass KF, Horvath J, Rea J, Barteselli G, Ranade SV. In-vitro characterization of ranibizumab release from the Port Delivery System. J Control Release. 2022 May;345:101-107. doi: 10.1016/j.jconrel.2022.03.005. Epub 2022 Mar 4. PubMed 35248647 ↗

Study documents

  • Study protocol · Feb 7, 2018
  • Statistical analysis plan · Jun 21, 2018

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 May 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02510794
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Jul 29, 2015
Start date
Sep 28, 2015
Primary completion
Apr 10, 2018
Completion
Mar 28, 2019
Results posted
May 6, 2021
Last update
May 6, 2021

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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