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NCT01976312: Camellia

Ranibizumab Intravitreal Injections Versus Sham Control in Patients With Central Retinal Vein Occlusion (CRVO)

Completed Phase 3 Results posted Last updated 30 May 2017
What this trial tests

Phase 3 trial testing Sham injection in Central Retinal Vein Occlusion in 252 participants. Completed in 14 March 2016.

Timeline
12 November 2013
Primary endpoint
14 March 2016
14 March 2016

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment252
Start date12 November 2013
Primary completion14 March 2016
Estimated completion14 March 2016
Sites34 locations across Hong Kong, Taiwan, Indonesia, Vietnam, Philippines, China, India

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Central Retinal Vein Occlusion. 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 Change in Visual Acuity (Letters) From Baseline to Month 1 Through Month 3 Primary · Baseline, 3 Months

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 3 and compared to Baseline.

GroupValue95% CI
Ranibizumab 0.5 mg11.3± 10.77
Sham Injection-2.7± 13.92
Average Change of Best Corrected Visual Acuity (BCVA) From Baseline to Month 1 Through Month 12 Secondary · Baseline, 12 months

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 12 and compared to Baseline

GroupValue95% CI
Ranibizumab 0.5 mg12.4± 11.43
Sham Injection3.2± 14.62
Best Corrected Visual Acuity (BCVA) Change From Baseline Over Time Secondary · Month 1 to 12 months

Visual acuity (VA) was assessed on both eyes 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 visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes the change in visual acuity at each visit compared to baseline

Month 1
GroupValue95% CI
Ranibizumab 0.5 mg9.6± 10.2
Sham Injection-0.9± 12.17
Month 2
GroupValue95% CI
Ranibizumab 0.5 mg11.6± 12.39
Sham Injection-3.4± 16.04
Month 3
GroupValue95% CI
Ranibizumab 0.5 mg12.6± 12.01
Sham Injection-3.8± 17.02
Month 4
GroupValue95% CI
Ranibizumab 0.5 mg10.7± 12.56
Sham Injection2.8± 15.26
Month 5
GroupValue95% CI
Ranibizumab 0.5 mg11.7± 12.62
Sham Injection3.9± 15.26
Month 6
GroupValue95% CI
Ranibizumab 0.5 mg12.3± 13.10
Sham Injection3.8± 17.20
Month 7
GroupValue95% CI
Ranibizumab 0.5 mg12.9± 13.36
Sham Injection5.0± 16.71
Month 8
GroupValue95% CI
Ranibizumab 0.5 mg12.4± 14.01
Sham Injection6.0± 16.01
Change From Baseline in Central-Sub-Field- Thickness (CSFT) Over Time Secondary · Month 1 to month 12

OCT (optical coherence tomography) was used to assess CSFT (Central Sub-Field Thickness) representing the average retinal thickness of the circular area within 1 mm diameter around the foveal center.

Month 1
GroupValue95% CI
Ranibizumab 0.5 mg-393.7± 275.13
Sham Injection-13.3± 207.55
Month 2
GroupValue95% CI
Ranibizumab 0.5 mg-412.6± 297.50
Sham Injection-7.9± 196.65
Month 3
GroupValue95% CI
Ranibizumab 0.5 mg-433.3± 290.84
Sham Injection-84.4± 274.98
Month 4
GroupValue95% CI
Ranibizumab 0.5 mg-367.8± 305.26
Sham Injection-364.8± 250.48
Month 5
GroupValue95% CI
Ranibizumab 0.5 mg-407.0± 309.58
Sham Injection-369.6± 273.92
Month 6
GroupValue95% CI
Ranibizumab 0.5 mg-426.6± 294.63
Sham Injection-372.3± 301.24
Month 7
GroupValue95% CI
Ranibizumab 0.5 mg-421.5± 316.14
Sham Injection-392.7± 288.74
Month 8
GroupValue95% CI
Ranibizumab 0.5 mg-398.9± 299.67
Sham Injection-405.2± 289.49
Number of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over Time Secondary · Month 1 to month 12

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters.

Month 1 Gain of >=5 letters
GroupValue95% CI
Ranibizumab 0.5 mg141
Sham Injection17
Month 1 Gain of >=10 letters
GroupValue95% CI
Ranibizumab 0.5 mg94
Sham Injection6
Month 1 Gain of >=15 letters
GroupValue95% CI
Ranibizumab 0.5 mg56
Sham Injection2
Month 1 Gain of >=30 letters
GroupValue95% CI
Ranibizumab 0.5 mg3
Sham Injection0
Month 2 Gain of >=5 letters
GroupValue95% CI
Ranibizumab 0.5 mg150
Sham Injection18
Month 2 Gain of >=10 letters
GroupValue95% CI
Ranibizumab 0.5 mg119
Sham Injection11
Month 2 Gain of >=15 letters
GroupValue95% CI
Ranibizumab 0.5 mg74
Sham Injection3
Month 2 Gain of >=30 letters
GroupValue95% CI
Ranibizumab 0.5 mg9
Sham Injection0
Number of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over Time Secondary · Month 1 to 12 months

Visual acuity (VA) was assessed at 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 visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes for each post-baseline month whether or not a patient lost less than 15 letters of VA as compared with baseline.

Month 1, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg185
Sham Injection57
Month 2, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg182
Sham Injection53
Month 3, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg182
Sham Injection51
Month 4, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg179
Sham Injection55
Month 5, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg182
Sham Injection56
Month 6, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg180
Sham Injection53
Month 7, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg181
Sham Injection55
Month 8, Loss of < 15 letters
GroupValue95% CI
Ranibizumab 0.5 mg177
Sham Injection55
The Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to Baseline Secondary · Month 3,6 and 12

The VFQ-25 consists of 25 vision related questions across 11 vision related subscales, including general vision, ocular pain, near activities, distance activities, social function, mental health, role difficulties, dependency, driving, color vision and peripheral vision, and a general health rating. Items are converted to a 0-100 scale on each subscale and for the composite score where higher scores represents better functioning.

Month 3
GroupValue95% CI
Ranibizumab 0.5 mg4.4± 12.54
Sham Injection0.1± 13.78
Month 6
GroupValue95% CI
Ranibizumab 0.5 mg6.7± 15.02
Sham Injection2.9± 13.33
Month 12
GroupValue95% CI
Ranibizumab 0.5 mg8.2± 13.70
Sham Injection3.2± 15.34

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ranibizumab 0.5 mg
Serious: 11/190 (6%)
Deaths:
Sham With Ranibizumab 0.5 mg
Serious: 5/56 (9%)
Deaths:
Sham Without Ranibizumab 0.5 mg
Serious: 1/5 (20%)
Deaths:

Serious adverse events (17 terms)

ReactionSystemRanibizumab 0.5 mgSham With Ranibizumab 0.5 mgSham Without Ranibizumab 0…
Angle closure glaucomaEye disorders
Acute myocardial infarctionCardiac disorders
Left ventricular dysfunctionCardiac disorders
KeratitisEye disorders
Macular fibrosisEye disorders
Gastric ulcerGastrointestinal disorders
EndophthalmitisInfections and infestations
Herpes zosterInfections and infestations
Urinary tract infectionInfections and infestations
Wrist fractureInjury, poisoning and procedural complications
Diabetes mellitusMetabolism and nutrition disorders
Inflammatory pseudotumourNeoplasms benign, malignant and unspecified (incl cysts and polyps)
SchwannomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Haemorrhage intracranialNervous system disorders
Transient ischaemic attackNervous system disorders
Mediastinal cystRespiratory, thoracic and mediastinal disorders
Pulmonary arterial hypertensionRespiratory, thoracic and mediastinal disorders
Other adverse events (67 terms — click to expand)

ReactionSystemRanibizumab 0.5 mgSham With Ranibizumab 0.5 mgSham Without Ranibizumab 0…
NasopharyngitisInfections and infestations
Conjunctival haemorrhageEye disorders
Upper respiratory tract infectionInfections and infestations
HypertensionVascular disorders
Intraocular pressure increasedInvestigations
Ocular hyperaemiaEye disorders
Vision blurredEye disorders
Visual acuity reducedEye disorders
ConjunctivitisInfections and infestations
Dry eyeEye disorders
CoughRespiratory, thoracic and mediastinal disorders
Retinal haemorrhageEye disorders
PharyngitisInfections and infestations
Eye irritationEye disorders
Eye painEye disorders
Eye swellingEye disorders
Ocular hypertensionEye disorders
DiarrhoeaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Conjunctival hyperaemiaEye disorders
Macular oedemaEye disorders
Vitreous floatersEye disorders
GastritisGastrointestinal disorders
Diabetes mellitusMetabolism and nutrition disorders
AsthenopiaEye disorders
Conjunctival oedemaEye disorders
Eye pruritusEye disorders
GlaucomaEye disorders
Iris neovascularisationEye disorders
Lacrimation increasedEye disorders
Macular fibrosisEye disorders
Retinal ischaemiaEye disorders
Retinal vein occlusionEye disorders
Vitreal cellsEye disorders
ConstipationGastrointestinal disorders
MalaiseGeneral disorders
ArthritisMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Angle closure glaucoma, Acute myocardial infarction, Left ventricular dysfunction, Keratitis, Macular fibrosis, Gastric ulcer, Endophthalmitis, Herpes zoster.

Data from ClinicalTrials.gov NCT01976312 adverse events section.

Sponsor's own description

Provide efficacy and safety data on intravitreal injections of ranibizumab 0.5 mg in patients with visual impairment due to macular edema secondary to CRVO

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Sham injection

Trials testing the same drug.

Other recruiting trials for Central Retinal Vein Occlusion

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

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Data sources for this page

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/NCT01976312.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing