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NCT03386474

Study of Safety and Efficacy of Brolucizumab 6 mg Drug Product Intended for Commercialization in Patients With nAMD

Completed Phase 3 Results posted Last updated 5 January 2021
What this trial tests

Phase 3 trial testing Brolucizumab 6 mg in Neovascular Age-related Macular Degeneration in 151 participants. Completed in 6 September 2018.

Timeline
15 January 2018
Primary endpoint
6 September 2018
6 September 2018

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment151
Start date15 January 2018
Primary completion6 September 2018
Estimated completion6 September 2018
Sites65 locations across Puerto Rico, United States

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.

Number of Participants With Ocular and Non-Ocular Treatment Emergent Adverse Events Primary · Up to Week 24

Number of participants with ocular and non-ocular treatment emergent events with the new formulation brolucizumab 6 mg in this extension trial up to week 24 vs. the corresponding last 6 months of brolucizumab treatment in the Core trial \>= 2%. Safety assessment of the new formulation brolucizumab 6 mg was based on a within-patient comparison with the last 6 months of corresponding Core safety data. Missing brolucizumab data were imputed using last observation carried forward (LOCF).

Ocular AEs
GroupValue95% CI
Brolucizumab - Overall Extension Study20
Brolucizumab Overall Last 6 Months From Core Study25
Non-Ocular AEs
GroupValue95% CI
Brolucizumab - Overall Extension Study51
Brolucizumab Overall Last 6 Months From Core Study50
Change of Loss in BCVA of 15 Letters or More From Extension Baseline at Each Post-baseline Visit Secondary · Extension Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24

Best-corrected visual acuity for the study eye was tested at all study visits in a sitting position using the Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing protocol at an initial testing distance of 4 meters. Outcome measure was prespecified for brolucizumab arm only. Neither patient selection process nor expected sample sizes supported a valid comparison between aflibercept and brolucizumab. The aflibercept arm was included only to maintain the masking in the extension trial. Data presented descriptively for only brolucizumab in line with study objective. No formal

exWeek 4 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study2
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study2
exWeek 8 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study4
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study4
exWeek 12 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study4
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study4
exWeek 16 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study6
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study6
exWeek 20 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study4
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study4
exWeek 24 (>=15 letters loss)
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study3
Brolucizumab 6 mg - 6 mg in Core Study0
Brolucizumab - Overall Extension Study3
Change in BCVA From Extension Baseline at Each Post-baseline Visit Secondary · Extension baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24

Best-corrected visual acuity for the study eye was tested at all study visits in a sitting position using the Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing protocol at an initial testing distance of 4 meters. Outcome measure was prespecified for brolucizumab arm only. Neither the patient selection process nor expected sample sizes supported a valid comparison between aflibercept and brolucizumab. The aflibercept arm was included only to maintain the masking in the extension trial. Data was presented descriptively for only brolucizumab in line with the study objective

exWeek 4
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-1.3± 6.26
Brolucizumab 6 mg - 6 mg in Core Study0.5± 3.81
Brolucizumab - Overall Extension Study-0.5± 5.42
exWeek 8
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-1.7± 6.90
Brolucizumab 6 mg - 6 mg in Core Study-0.4± 4.29
Brolucizumab - Overall Extension Study-1.2± 5.96
exWeek 12
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-2.7± 7.73
Brolucizumab 6 mg - 6 mg in Core Study-0.3± 5.17
Brolucizumab - Overall Extension Study-1.7± 6.84
exWeek 16
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-3.9± 8.42
Brolucizumab 6 mg - 6 mg in Core Study0.8± 5.36
Brolucizumab - Overall Extension Study-1.9± 7.63
exWeek 20
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-3.4± 7.66
Brolucizumab 6 mg - 6 mg in Core Study0.5± 7.34
Brolucizumab - Overall Extension Study-1.8± 7.75
exWeek 24
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-2.0± 8.17
Brolucizumab 6 mg - 6 mg in Core Study0.3± 6.79
Brolucizumab - Overall Extension Study-1.0± 7.67
Patients With Positive q12w Treatment Status at Week 20 Secondary · Week 20

The estimate for the proportion of patients with a positive q12w treatment status at Week 24 was derived from Kaplan Meier time-to-event analyses for the event 'first q8w-need'. The outcome of the Kaplan-Meier analysis was estimated probability for maintaining on q12w up to the Disease Activity Assessment (DAA) at exWeek 20. Outcome measure was prespecified for brolucizumab arm only. Neither the patient selection process nor expected sample sizes supported a valid comparison between aflibercept and brolucizumab. The aflibercept arm was included only to maintain the masking in the extension tri

GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study63.3
Brolucizumab 6 mg- 6 mg in Core Study63.1
Brolucizumab - Overall Extension Study63.3
Change in Central Sub-Field Thickness (CSFT) From Extension Baseline at Each Post-baseline Visit Secondary · Extension Baseline, Week 4, Week 8, Week 12, Week 16, Week 20, Week 24

Measurement of the central subfield thickness of the retina was assessed using Optical Coherence Tomography (OCT) at each visit for the study eye. Outcome measure was prespecified for brolucizumab arm only. Neither the patient selection process nor expected sample sizes supported a valid comparison between aflibercept and brolucizumab. The aflibercept arm was included only to maintain the masking in the extension trial. Data was presented descriptively for only brolucizumab in line with the study objective. No formal hypothesis testing was planned. Missing brolucizumab data were imputed using

exWeek 4
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-19.2± 39.29
Brolucizumab 6 mg- 6 mg in Core Study-17.5± 40.76
Brolucizumab - Overall Extension Study-18.5± 39.74
exWeek 8
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-6.3± 25.47
Brolucizumab 6 mg- 6 mg in Core Study-18.9± 31.74
Brolucizumab - Overall Extension Study-11.6± 28.82
exWeek 12
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-17.9± 43.07
Brolucizumab 6 mg- 6 mg in Core Study-28.9± 48.80
Brolucizumab - Overall Extension Study-22.5± 45.66
exWeek 16
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-7.8± 31.94
Brolucizumab 6 mg- 6 mg in Core Study-11.7± 39.83
Brolucizumab - Overall Extension Study-9.4± 35.35
exWeek 20
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-10.1± 59.04
Brolucizumab 6 mg- 6 mg in Core Study-15.3± 46.20
Brolucizumab - Overall Extension Study-12.3± 53.84
exWeek 24
GroupValue95% CI
Brolucizumab 6 mg - 3 mg in Core Study-19.8± 37.67
Brolucizumab 6 mg- 6 mg in Core Study-24.6± 42.10
Brolucizumab - Overall Extension Study-21.8± 39.47
Percentage of Subjects With Positive Anti-drug Antibody (ADA) Status for Brolucuzumab 6 mg in Extension Secondary · Extension Baseline, Week 8, Week 16, Week 24

Positive integrated anti-drug antibodies (ADA) status is defined as induced ADA status with ADA negative at pre-dose and a post-dose titer value of greater than or equal to 30 at any time point or boosted ADA status with ADA positive at pre-dose and a post-dose titer value increase by more than 3-fold (1 dilution) at any time point. Outcome measure was prespecified for brolucizumab arm only. Neither the patient selection process nor expected sample sizes supported a valid comparison between aflibercept and brolucizumab. The aflibercept arm was included only to maintain the masking in the exten

GroupValue95% CI
Brolucizumab - Overall Extension Study54

Adverse events — posted to ClinicalTrials.gov

Time frame: From first treatment in the extension study, through study completion, to an average of 24 weeks. Adverse events and serious adverse events were collected for the maximum actual duration of treatment exposure and follow up for a participant per the protocol for approximately 6 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Brolucizumab 6mg Overall Extension Study
Serious: 7/107 (7%)
Deaths: 1/107
Brolucizumab Overall Last 6 Months Core Study
Serious: 7/107 (7%)
Deaths: 0/107
Aflibercept 2 mg
Serious: 10/43 (23%)
Deaths: 0/43

Serious adverse events (31 terms)

ReactionSystemBrolucizumab 6mg Overall E…Brolucizumab Overall Last …Aflibercept 2 mg
SyncopeNervous system disorders
Anaemia macrocyticBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Left ventricular failureCardiac disorders
Retinal artery occlusion - Study eyeEye disorders
Retinal vein occlusion - Study eyeEye disorders
Multiple organ dysfunction syndromeGeneral disorders
PyrexiaGeneral disorders
Bile duct stoneHepatobiliary disorders
Cholecystitis acuteHepatobiliary disorders
CholelithiasisHepatobiliary disorders
InfluenzaInfections and infestations
Necrotising fasciitisInfections and infestations
OsteomyelitisInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Accidental overdoseInjury, poisoning and procedural complications
Femur fractureInjury, poisoning and procedural complications
Patella fractureInjury, poisoning and procedural complications
Pubis fractureInjury, poisoning and procedural complications
MalnutritionMetabolism and nutrition disorders
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (5 terms — click to expand)

ReactionSystemBrolucizumab 6mg Overall E…Brolucizumab Overall Last …Aflibercept 2 mg
Urinary tract infectionInfections and infestations
NasopharyngitisInfections and infestations
Cataract - Fellow eyeEye disorders
Neovascular age-related macular degeneration - Fellow eyeEye disorders
HaematuriaRenal and urinary disorders

Most-reported serious reactions: Syncope, Anaemia macrocytic, Lymphadenopathy, Cardiac failure congestive, Left ventricular failure, Retinal artery occlusion - Study eye, Retinal vein occlusion - Study eye, Multiple organ dysfunction syndrome.

Data from ClinicalTrials.gov NCT03386474 adverse events section.

Sponsor's own description

The purpose of this extension study was to assess the safety and efficacy of the new formulation of brolucizumab 6 mg ophthalmic solution when given to the same patients who received brolucizumab in the core trial CRTH258A2301 (also known as CRTH258-C002). The medical condition treated in the core and extension trials was neo-vascular age-related macular degeneration (nAMD).

Publications & conference data

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

  1. A comprehensive comparison between camelid nanobodies and single chain variable fragments.
    Asaadi Y, Jouneghani FF, Janani S, Rahbarizadeh F. · · 2021 · cited 123× · PMID 34863296 · DOI 10.1186/s40364-021-00332-6
  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. The Efficacy and Safety of Brolucizumab for the Treatment of nAMD: A Systematic Review and Meta-Analysis.
    Chuan J, Liu L, Feng Y, Wang M, et al · · 2022 · cited 2× · PMID 35645802 · DOI 10.3389/fphar.2022.890732
  4. Efficacy and safety of Brolucizumab for neovascular age-related macular degeneration: a systematic review and meta-analysis.
    Dou R, Jiang J. · · 2024 · PMID 38915383 · DOI 10.7717/peerj.17561

Verify or expand the search:

Other trials of Brolucizumab 6 mg

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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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/NCT03386474.

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