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NCT01780935: OCTAVE

Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration

Completed Phase 3 Results posted Last updated 14 August 2017
What this trial tests

Phase 3 trial testing Ranibizumab in Neovascular Age-related Macular Degeneration in 671 participants. Completed in 9 July 2015.

Timeline
3 June 2013
Primary endpoint
9 July 2015
9 July 2015

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment671
Start date3 June 2013
Primary completion9 July 2015
Estimated completion9 July 2015
Sites92 locations across Italy, Colombia, Finland, Panama, Ireland, Guatemala, Netherlands, Sweden

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

50 and older, any sex, with Neovascular Age-related Macular Degeneration. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Average Best-corrected Visual Acuity (BCVA) (Letters) Change up to Month 12 Primary · up to Month 12

Visual acuity (VA) was assessed during every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like VA testing charts at a testing distance of 4 meters. This outcome measure describes the difference between the Visual Acuity averaged up to Month 12 Level of VA (Letters) of the Study Eye.

GroupValue95% CI
RBZ 0.5 mg: VA Only (Group I)0.1± 6.79
RBZ 0.5 mg: VA and/or OCT (Group II)1.0± 7.25
Change From Baseline in Visual Acuity (Letters) of the Study Eye up to Month 12 Secondary · up to Month 12

Visual acuity (VA) was assessed using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like VA testing charts at a testing distance of 4 meters. This outcome measure describes the difference between the Visual Acuity averaged from Baseline to Month 12 Level of VA (Letters) of the Study Eye.

GroupValue95% CI
RBZ 0.5 mg: VA Only (Group I)6.7± 13.48
RBZ 0.5 mg: VA and/or OCT (Group II)8.3± 13.53

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RBZ 0.5 mg: VA Only (Group I)
Serious: 30/334 (9%)
Deaths:
RBZ 0.5 mg: VA and/or OCT (Group II)
Serious: 45/336 (13%)
Deaths:

Serious adverse events (93 terms)

ReactionSystemRBZ 0.5 mg: VA Only (Group…RBZ 0.5 mg: VA and/or OCT …
Femoral neck fractureInjury, poisoning and procedural complications
Atrial fibrillationCardiac disorders
PneumoniaInfections and infestations
Lower respiratory tract infectionInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
Ovarian cystReproductive system and breast disorders
HypertensionVascular disorders
LymphadenopathyBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Atrioventricular block completeCardiac disorders
Cardiac failureCardiac disorders
Cardiac failure congestiveCardiac disorders
Cardiogenic shockCardiac disorders
Cardiopulmonary failureCardiac disorders
Cardiovascular insufficiencyCardiac disorders
Mitral valve incompetenceCardiac disorders
Myocardial ischaemiaCardiac disorders
VertigoEar and labyrinth disorders
Vertigo positionalEar and labyrinth disorders
Choroidal haemorrhage (Study eye)Eye disorders
Optic ischaemic neuropathy (Fellow untreated eye)Eye disorders
Retinal artery embolism (Study eye)Eye disorders
Visual acuity reduced (Study eye)Eye disorders
Colitis ischaemicGastrointestinal disorders
Other adverse events (16 terms — click to expand)

ReactionSystemRBZ 0.5 mg: VA Only (Group…RBZ 0.5 mg: VA and/or OCT …
NasopharyngitisInfections and infestations
Intraocular pressure increased (Study eye)Investigations
Conjunctival haemorrhage (Study eye)Eye disorders
HypertensionVascular disorders
InfluenzaInfections and infestations
Dry eye (Study eye)Eye disorders
Eye pain (Study eye)Eye disorders
Back painMusculoskeletal and connective tissue disorders
Vitreous floaters (Study eye)Eye disorders
Choroidal neovascularisation (Fellow untreated eye)Eye disorders
Dry eye (Fellow untreated eye)Eye disorders
Neovascular age-related macular degeneration (Fellow untreated eye)Eye disorders
BronchitisInfections and infestations
Urinary tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Femoral neck fracture, Atrial fibrillation, Pneumonia, Lower respiratory tract infection, Osteoarthritis, Syncope, Ovarian cyst, Hypertension.

Data from ClinicalTrials.gov NCT01780935 adverse events section.

Sponsor's own description

This study will evaluate and compare two individualized ranibizumab treatment regimens in patients with neovascular (wet) AMD aiming to achieve and to maintain a maximum visual function benefit, while aiming to avoid unnecessary intravitreal injections. The results will be used to generate further recommendations on functional and anatomical monitoring of the disease and timing of treatment administration for patients with neovascular AMD. In this context, the study will investigate the utility of optical coherence tomography (OCT) to aid retreatment decisions with ranibizumab.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Multi-modal representation learning in retinal imaging using self-supervised learning for enhanced clinical predictions.
    Sükei E, Rumetshofer E, Schmidinger N, Mayr A, et al · · 2024 · cited 10× · PMID 39500979 · DOI 10.1038/s41598-024-78515-y
  2. Functional versus functional and anatomical criteria-guided ranibizumab treatment in patients with neovascular age-related macular degeneration - results from the randomized, phase IIIb OCTAVE study.
    Staurenghi G, Garweg JG, Gerendas BS, Macfadden W, et al · · 2020 · cited 9× · PMID 31918685 · DOI 10.1186/s12886-019-1251-6
  3. Automated Fovea Detection in Spectral Domain Optical Coherence Tomography Scans of Exudative Macular Disease.
    Wu J, Waldstein SM, Montuoro A, Gerendas BS, et al · · 2016 · cited 7× · PMID 27660636 · DOI 10.1155/2016/7468953
  4. Use of Imaging Modalities in Real Life: Impact on Visual Acuity Outcomes of Ranibizumab Treatment for Neovascular Age-Related Macular Degeneration in Germany.
    Wachtlin J, Spital G, Schmitz-Valckenberg S, Liakopoulos S, et al · · 2020 · cited 6× · PMID 32724669 · DOI 10.1155/2020/8024258
  5. Functional versus functional and anatomical criteria-guided ranibizumab treatment in patients with neovascular age-related macular degeneration – results from the randomized, phase IIIb OCTAVE study
    Staurenghi G, Garweg JG, Gerendas BS, Macfadden W, et al · · 2019 · DOI 10.21203/rs.2.9419/v4

Verify or expand the search:

Other trials of Ranibizumab

Trials testing the same drug.

Other recruiting trials for Neovascular Age-related Macular Degeneration

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01780935.

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