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NCT02713204: ONYX

Anti-angiOpoeitin 2 Plus Anti-vascular eNdothelial Growth Factor as a therapY for Neovascular Age Related Macular Degeneration: Evaluation of a fiXed Combination Intravitreal Injection

Completed Phase 2 Results posted Last updated 7 May 2019
What this trial tests

Phase 2 trial testing REGN910-3 in Neovascular Age-Related Macular Degeneration in 365 participants. Completed in 3 October 2017.

Timeline
31 March 2016
Primary endpoint
3 October 2017
3 October 2017

Quick facts

Lead sponsorRegeneron Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment365
Start date31 March 2016
Primary completion3 October 2017
Estimated completion3 October 2017
Sites87 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Regeneron 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.

Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 12 Primary · At Week 12

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. Best Corrected Visual Acuity (BCVA) score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracti

GroupValue95% CI
REGN910-3 (3 mg:2 mg)5.2± 10.51
REGN910-3 (6 mg:2 mg)5.6± 10.59
Aflibercept (IAI) 2 mg5.4± 9.85
Change From Baseline in Best Corrected Visual Acuity (BCVA) Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 36 Primary · At Week 36

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at 4 meters. BCVA score was measured using an eye chart and was reported as the number of letters read correctly at a testing distance of 4 meters using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. Change from baseline calculated by subtracting baseline value from observed

GroupValue95% CI
REGN910-3 (3 mg:2 mg)5.9± 11.95
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q86.0± 12.00
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q126.4± 12.24
Aflibercept 2(IAI) mg Q4 to Aflibercept (IAI) 2 mg Q86.9± 12.49
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q124.2± 12.50
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q82.9± 12.16
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 12 Secondary · At Week 12

Central Sub-field Retinal Thickness (CST) was assessed using Spectral Domain Optical Coherence Tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from last observation carried forward (LOCF) post-baseline value at Week 12.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-182.2± 172.73
REGN910-3 (6 mg:2 mg)-200.0± 152.82
Aflibercept (IAI) 2 mg-178.6± 138.85
Change From Baseline in Central Sub-field Retinal Thickness (CST) Measured by Spectral Domain Optical Coherence Tomography (SD-OCT) at Week 36 Secondary · At Week 36

CST was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from baseline indicated improvement. Change from baseline calculated by subtracting baseline value from LOCF post-baseline value at Week 36.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-174.6± 165.22
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q8-216.6± 187.40
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q12-181.3± 148.71
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q8-198.4± 155.72
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q12-169.7± 129.74
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q8-187.3± 161.72
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 12 Secondary · At Week 12

Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm\^2); lower values represent better outcomes.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-2.2± 5.59
REGN910-3 (6 mg:2 mg)-3.5± 5.34
Aflibercept (IAI) 2 mg-3.7± 6.22
Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 36 Secondary · At Week 36

Choroidal neovascularization (CNV) was evaluated using fluorescein angiography (FA).CNV area values measured in square millimeters (mm\^2); lower values represent better outcomes.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-3.7± 5.04
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q8-4.1± 6.09
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q12-4.9± 5.58
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q8-4.3± 6.55
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q12-5.1± 5.60
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q8-5.3± 5.19
Change From Baseline in Total Lesion Area at Week 12 Secondary · At Week 12

Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm\^2); lower values represent better outcomes.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-2.0± 6.10
REGN910-3 (6 mg:2 mg)-3.5± 5.45
Aflibercept (IAI) 2 mg-3.4± 6.48
Change From Baseline in Total Lesion Area at Week 36 Secondary · At Week 36

Total lesion area was evaluated using fluorescein angiography (FA). Lesion area values measured in square millimeters (mm\^2); lower values represent better outcomes.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)-3.0± 5.91
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q8-3.9± 5.79
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q12-4.7± 5.35
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q8-3.9± 6.67
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q12-4.7± 5.43
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q8-5.3± 5.20
Proportion of Participants With No Retinal and/or Subretinal Fluid at Week 12 Secondary · At Week 12

Retinal and/or subretinal fluid was assessed using intraretinal fluid (IRF) cystoid edema and subretinal fluid (SRF) in the center subfield on optical coherence tomography (OCT). If answers were "no" to both measurements, there was no retinal and/or subretinal fluid (Dry); if "yes" to any of the 2 measurements, there was retinal and/or subretinal fluid (Not Dry); other than the previous 2 cases, retinal and/or subretinal fluid was undetermined.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)0.49
REGN910-3 (6 mg:2 mg)0.51
Aflibercept (IAI) 2 mg0.44
Proportion of Participants With No Retinal and/or Subretinal Fluid From Baseline Through Week 36 Secondary · Baseline through Week 36

Retinal and/or subretinal fluid was assessed using intraretinal fluid (IRF) cystoid edema and subretinal fluid (SRF) in the center subfield on OCT. If answers were "no" to both measurements, there was no retinal and/or subretinal fluid (Dry); if "yes" to any of the 2 measurements, there was retinal and/or subretinal fluid (Not Dry); other than the previous 2 cases, retinal and/or subretinal fluid was undetermined.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)0.54
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q80.49
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q120.53
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q80.42
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q120.53
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q80.47
Time to No Retinal and/or Subretinal Fluid Through Week 36 Secondary · Baseline through Week 36

Kaplan-Meier estimated time to no retinal and/or subretinal fluid through week 36 (days). Retinal and/or subretinal fluid was assessed using intraretinal fluid (IRF) cystoid edema and subretinal fluid (SRF). If answers were "no" to both measurements, there was no retinal and/or subretinal fluid (Dry); if "yes" to any of the 2 measurements, there was retinal and/or subretinal fluid (Not Dry); other than the previous 2 cases, retinal and/or subretinal fluid was undetermined.

GroupValue95% CI
REGN910-3 (3 mg:2 mg)105.6± 11.06
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q880.9± 9.02
REGN910-3 (6 mg:2 mg) Q4 to REGN910-3 (6 mg:2 mg) Q1284.9± 8.01
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q8106.4± 11.04
Aflibercept (IAI) 2 mg Q4 to Aflibercept (IAI) 2 mg Q1296.5± 11.27
Aflibercept (IAI) 2 mg Q4 to REGN910-3 (6 mg:2 mg) Q8107.1± 10.05

Adverse events — posted to ClinicalTrials.gov

Time frame: Timeframe for AE reporting. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

REGN910-3 3 mg:2 mg
Serious: 11/60 (18%)
Deaths: 1/60
REGN910-3 6 mg:2 mg
Serious: 20/122 (16%)
Deaths: 2/122
IAI 2 mg
Serious: 30/183 (16%)
Deaths: 7/183
IAI 2mg to REGN910-3
Serious: 8/58 (14%)
Deaths: 3/58

Serious adverse events (64 terms)

ReactionSystemREGN910-3 3 mg:2 mgREGN910-3 6 mg:2 mgIAI 2 mgIAI 2mg to REGN910-3
PneumoniaInfections and infestations
Acute myocardial infarctionCardiac disorders
CellulitisInfections and infestations
SepsisInfections and infestations
FallInjury, poisoning and procedural complications
Hip fractureInjury, poisoning and procedural complications
Rib fractureInjury, poisoning and procedural complications
Metastases to boneNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular accidentNervous system disorders
Chronic kidney diseaseRenal and urinary disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Atrioventricular blockCardiac disorders
Cardiac failureCardiac disorders
Cardiac failure congestiveCardiac disorders
Cardio-Respiratory arrestCardiac disorders
Coronary artery diseaseCardiac disorders
Pericardial effusionCardiac disorders
Supraventricular tachycardiaCardiac disorders
VertigoEar and labyrinth disorders
Corneal oedemaEye disorders
Dry age-related macular degenerationEye disorders
IritisEye disorders
Macular holeEye disorders
Retinal degenerationEye disorders
Other adverse events (9 terms — click to expand)

ReactionSystemREGN910-3 3 mg:2 mgREGN910-3 6 mg:2 mgIAI 2 mgIAI 2mg to REGN910-3
HypertensionVascular disorders
Retinal haemorrhageEye disorders
Dry eyeEye disorders
Vitreous detachmentEye disorders
Urinary tract infectionInfections and infestations
Neovascular age-related macular degenerationEye disorders
Atrial fibrillationCardiac disorders
Upper respiratory tract infectionInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Pneumonia, Acute myocardial infarction, Cellulitis, Sepsis, Fall, Hip fracture, Rib fracture, Metastases to bone.

Data from ClinicalTrials.gov NCT02713204 adverse events section.

Sponsor's own description

The primary objective of the study is to compare the efficacy of intravitreal (IVT)-administered REGN910-3 compared to intravitreal aflibercept injection (IAI).

Publications & conference data

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

  1. Retinal and choroidal angiogenesis: a review of new targets.
    Cabral T, Mello LGM, Lima LH, Polido J, et al · · 2017 · cited 114× · PMID 28835854 · DOI 10.1186/s40942-017-0084-9
  2. Recent Advances in Age-Related Macular Degeneration Therapies.
    Fabre M, Mateo L, Lamaa D, Baillif S, et al · · 2022 · cited 68× · PMID 36014339 · DOI 10.3390/molecules27165089
  3. Sustained delivery of acriflavine from the suprachoroidal space provides long term suppression of choroidal neovascularization.
    Hackett SF, Fu J, Kim YC, Tsujinaka H, et al · · 2020 · cited 38× · PMID 32172031 · DOI 10.1016/j.biomaterials.2020.119935
  4. The Role of Angiopoietins in Neovascular Diabetes-Related Retinal Diseases.
    Collazos-Alemán JD, Gnecco-González S, Jaramillo-Zarama B, Jiménez-Mora MA, et al · · 2022 · cited 23× · PMID 36331711 · DOI 10.1007/s13300-022-01326-9
  5. Intravitreal Nesvacumab (Anti-Angiopoietin-2) Plus Aflibercept in Neovascular AMD: Phase 2 ONYX Randomized Trial.
    Heier JS, Ho AC, Boyer DS, Csaky K, et al · · 2023 · cited 10× · PMID 37008402 · DOI 10.1177/24741264221126061
  6. Communication Of Cancer Cells And Lymphatic Vessels In Cancer: Focus On Bladder Cancer.
    Wu ZS, Ding W, Cai J, Bashir G, et al · · 2019 · cited 5× · PMID 31632067 · DOI 10.2147/ott.s219111
  7. Rethinking the potential and necessity of drug delivery systems in neovascular age-related macular degeneration therapy.
    Huang X, Zhang L, Fu Y, Zhang M, et al · · 2023 · cited 3× · PMID 37288355 · DOI 10.3389/fbioe.2023.1199922

Verify or expand the search:

Other trials of REGN910-3

Trials testing the same drug.

Other recruiting trials for Neovascular Age-Related Macular Degeneration

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Other Regeneron 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/NCT02713204.

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