Trial Outcomes & Findings for Investigator Sponsored Trial of Polypoidal Choroidal Vasculopathy (PCV) Evaluation Assessing High-Dose Ranibizumab Prospectively (PEARL2) (NCT NCT01884597)

NCT ID: NCT01884597

Last Updated: 2017-10-09

Results Overview

Mean change in best corrected visual acuity (BCVA), as assessed by the number of letters read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) eye chart at a starting test distance of 4 meters from Baseline to Month 12.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

24 participants

Primary outcome timeframe

From Baseline to Month 12

Results posted on

2017-10-09

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Overall Study
STARTED
5
3
16
Overall Study
COMPLETED
4
2
15
Overall Study
NOT COMPLETED
1
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Overall Study
Adverse Event
0
0
1
Overall Study
Lack of Efficacy
1
0
0
Overall Study
Death
0
1
0

Baseline Characteristics

Investigator Sponsored Trial of Polypoidal Choroidal Vasculopathy (PCV) Evaluation Assessing High-Dose Ranibizumab Prospectively (PEARL2)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Total
n=21 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
4 Participants
n=7 Participants
Age, Categorical
>=65 years
3 Participants
n=99 Participants
1 Participants
n=107 Participants
13 Participants
n=206 Participants
17 Participants
n=7 Participants
Age, Continuous
75.75 years
STANDARD_DEVIATION 13.72 • n=99 Participants
71.00 years
STANDARD_DEVIATION 19.80 • n=107 Participants
77.47 years
STANDARD_DEVIATION 8.37 • n=206 Participants
77.17 years
STANDARD_DEVIATION 2.2 • n=7 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
0 Participants
n=107 Participants
5 Participants
n=206 Participants
7 Participants
n=7 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
2 Participants
n=107 Participants
10 Participants
n=206 Participants
14 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=99 Participants
2 Participants
n=107 Participants
15 Participants
n=206 Participants
21 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Region of Enrollment
United States
4 participants
n=99 Participants
2 participants
n=107 Participants
15 participants
n=206 Participants
21 participants
n=7 Participants

PRIMARY outcome

Timeframe: From Baseline to Month 12

Mean change in best corrected visual acuity (BCVA), as assessed by the number of letters read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) eye chart at a starting test distance of 4 meters from Baseline to Month 12.

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
BCVA
-3.50 number of letters read correctly
Standard Deviation 21.52
29.50 number of letters read correctly
Standard Deviation 24.75
8.60 number of letters read correctly
Standard Deviation 12.57

PRIMARY outcome

Timeframe: Baseline to M24

Mean change in best corrected visual acuity (BCVA), as assessed by the number of letters read correctly on the ETDRS eye chart at a starting test distance of 4 meters from Baseline to Month 24

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
BCVA
-5.75 number of letters read correctly
Standard Deviation 24.58
23.5 number of letters read correctly
Standard Deviation 44.54
5.13 number of letters read correctly
Standard Deviation 15.98

SECONDARY outcome

Timeframe: Monthly

Incidence and severity of ocular adverse events, as identified by eye examination (including visual acuity testing)

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Ocular Adverse Events (AE)
0 Ocular adverse events
0 Ocular adverse events
0 Ocular adverse events

SECONDARY outcome

Timeframe: Monthly

Incidence and severity of other adverse events, as identified by physical examination, subject reporting, and changes in vital signs

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Systemic AEs
0 Number of Participants with Systemic AEs
0 Number of Participants with Systemic AEs
1 Number of Participants with Systemic AEs

SECONDARY outcome

Timeframe: at Baseline, Day 14, Month 1, Month 3, Month 6, Month 9 , Month 12, Month 15, Month 18, Month 21 and Month 24

Best corrected visual acuity (BCVA), as assessed by the number of letters read correctly on the ETDRS eye chart at a starting test distance of 4 meters, at Baseline, Day 14, Month 1, Month 3, Month 6, Month 9 , Month 12, Month 15, Month 18, Month 21 and Month 24

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
BCVA
Baseline
55.00 number of letters read correctly
Standard Deviation 19.06
50.00 number of letters read correctly
Standard Deviation 28.28
62.80 number of letters read correctly
Standard Deviation 17.11
BCVA
Day 14
52.00 number of letters read correctly
Standard Deviation 18.92
52.50 number of letters read correctly
Standard Deviation 24.75
64.07 number of letters read correctly
Standard Deviation 18.47
BCVA
Month 1
47.00 number of letters read correctly
Standard Deviation 27.83
70.00 number of letters read correctly
Standard Deviation 8.49
65.67 number of letters read correctly
Standard Deviation 16.60
BCVA
Month 3
48.50 number of letters read correctly
Standard Deviation 32.60
78.50 number of letters read correctly
Standard Deviation 6.36
69.13 number of letters read correctly
Standard Deviation 18.19
BCVA
Month 6
47.50 number of letters read correctly
Standard Deviation 31.65
82.50 number of letters read correctly
Standard Deviation 4.95
69.33 number of letters read correctly
Standard Deviation 15.43
BCVA
Month 9
51.75 number of letters read correctly
Standard Deviation 32.90
72.50 number of letters read correctly
Standard Deviation 2.12
71.67 number of letters read correctly
Standard Deviation 9.64
BCVA
Month 12
51.50 number of letters read correctly
Standard Deviation 33.16
79.50 number of letters read correctly
Standard Deviation 3.54
71.40 number of letters read correctly
Standard Deviation 10.66
BCVA
Month 15
48.00 number of letters read correctly
Standard Deviation 34.97
80.50 number of letters read correctly
Standard Deviation 0.71
70.80 number of letters read correctly
Standard Deviation 10.35
BCVA
Month 18
48.00 number of letters read correctly
Standard Deviation 32.38
83.00 number of letters read correctly
Standard Deviation 4.24
69.93 number of letters read correctly
Standard Deviation 10.91
BCVA
Month 21
50.00 number of letters read correctly
Standard Deviation 33.34
67.50 number of letters read correctly
Standard Deviation 9.19
68.533 number of letters read correctly
Standard Deviation 12.14
BCVA
Month 24
49.25 number of letters read correctly
Standard Deviation 31.92
73.50 number of letters read correctly
Standard Deviation 16.26
67.93 number of letters read correctly
Standard Deviation 13.08

SECONDARY outcome

Timeframe: Baseline, Day 14, Month 1-24

Population: Patient in Cohort 2 missed several visits.

Optical Coherence Tomography (OCT) central macular and peripapillary thickness

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Macular Edema
Baseline
370.25 microns
Standard Deviation 148.14
347.50 microns
Standard Deviation 194.45
282.47 microns
Standard Deviation 44.55
Macular Edema
Day 14
265.00 microns
Standard Deviation 69.58
251.00 microns
Standard Deviation 65.05
235.07 microns
Standard Deviation 35.45
Macular Edema
Month 1
276.25 microns
Standard Deviation 22.56
228.00 microns
Standard Deviation 24.04
216.67 microns
Standard Deviation 33.47
Macular Edema
Month 2
252.50 microns
Standard Deviation 15.46
218.50 microns
Standard Deviation 14.85
212.20 microns
Standard Deviation 33.06
Macular Edema
Month 3
244.25 microns
Standard Deviation 12.18
220.00 microns
Standard Deviation 12.73
216.29 microns
Standard Deviation 33.50
Macular Edema
Month 4
238.25 microns
Standard Deviation 16.60
224.00 microns
Standard Deviation 15.56
214.36 microns
Standard Deviation 26.33
Macular Edema
Month 5
245.75 microns
Standard Deviation 20.95
224.50 microns
Standard Deviation 12.02
215.53 microns
Standard Deviation 40.77
Macular Edema
Month 6
232.75 microns
Standard Deviation 24.70
224.00 microns
Standard Deviation 9.90
211.47 microns
Standard Deviation 36.32
Macular Edema
Month 7
234.00 microns
Standard Deviation 19.29
223.00 microns
Standard Deviation 12.73
215.67 microns
Standard Deviation 30.90
Macular Edema
Month 8
233.00 microns
Standard Deviation 16.79
232.00 microns
Standard Deviation NA
One patient missed a visit.
209.67 microns
Standard Deviation 34.01
Macular Edema
Month 9
229.75 microns
Standard Deviation 17.93
222.50 microns
Standard Deviation 9.19
203.29 microns
Standard Deviation 31.04
Macular Edema
Month 10
217.00 microns
Standard Deviation 7.00
233.00 microns
Standard Deviation NA
One patient missed a visit
215.80 microns
Standard Deviation 30.05
Macular Edema
Month 11
223.25 microns
Standard Deviation 19.87
228.50 microns
Standard Deviation 12.02
206.93 microns
Standard Deviation 32.04
Macular Edema
Month 12
225.00 microns
Standard Deviation 18.22
226.50 microns
Standard Deviation 9.19
207.80 microns
Standard Deviation 29.33
Macular Edema
Month 13
221.67 microns
Standard Deviation 17.16
222.00 microns
Standard Deviation 15.56
209.71 microns
Standard Deviation 39.34
Macular Edema
Month 14
244.50 microns
Standard Deviation 34.32
223.00 microns
Standard Deviation 15.56
211.27 microns
Standard Deviation 32.19
Macular Edema
Month 15
220.25 microns
Standard Deviation 17.56
228.50 microns
Standard Deviation 12.02
210.20 microns
Standard Deviation 29.27
Macular Edema
Month 16
220.25 microns
Standard Deviation 20.71
227.5 microns
Standard Deviation 10.61
212.00 microns
Standard Deviation 31.18
Macular Edema
Month 17
219.75 microns
Standard Deviation 22.51
238 microns
Standard Deviation NA
One patient missed a visit
209.29 microns
Standard Deviation 31.94
Macular Edema
Month 18
237075 microns
Standard Deviation 57.72
230.50 microns
Standard Deviation 14.85
213.67 microns
Standard Deviation 32.73
Macular Edema
Month 19
218.33 microns
Standard Deviation 24.54
231.5 microns
Standard Deviation 9.19
217.08 microns
Standard Deviation 41.69
Macular Edema
Month 20
216.00 microns
Standard Deviation 25.97
237 microns
Standard Deviation NA
Patient missed a visit
217.93 microns
Standard Deviation 36.11
Macular Edema
Month 21
214 microns
Standard Deviation 23.83
218.5 microns
Standard Deviation 17.68
209.07 microns
Standard Deviation 32.46
Macular Edema
Month 22
211.5 microns
Standard Deviation 27.01
239.50 microns
Standard Deviation 12.02
212.13 microns
Standard Deviation 36.50
Macular Edema
Month 23
209.25 microns
Standard Deviation 28.92
244.50 microns
Standard Deviation 21.92
216.08 microns
Standard Deviation 33.64
Macular Edema
Month 24
214.25 microns
Standard Deviation 22.65
231.00 microns
Standard Deviation 1.41
215.27 microns
Standard Deviation 38.83

SECONDARY outcome

Timeframe: Baseline, Months 6, 12, 24

Decrease and/or resolution in the branching vascular network of the PCV complex as measured by mean size of the branched vascular network (BVN) on ICG and fluorescein angiography Decrease and/or resolution of the polyps of the PCV complex as measured on ICG and fluorescein angiography

Outcome measures

Outcome measures
Measure
Cohort 1
n=15 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=4 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
PCV Anatomic Changes
Baseline (BVN)
0 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 6 (BVN)
0 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
1 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 12 (BVN)
2 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
1 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 24 (BVN)
1 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
2 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Baseline (PCV)
0 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
0 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 6 (PCV)
3 Participants with PCV Anatomic Changes
2 Participants with PCV Anatomic Changes
8 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 12 (PCV)
2 Participants with PCV Anatomic Changes
1 Participants with PCV Anatomic Changes
8 Participants with PCV Anatomic Changes
PCV Anatomic Changes
Month 24 (PCV)
4 Participants with PCV Anatomic Changes
2 Participants with PCV Anatomic Changes
9 Participants with PCV Anatomic Changes

SECONDARY outcome

Timeframe: Baseline, Months 6, 12, 24

Decrease in subretinal hemorrhage or exudates as measured by mean size as noted on fundus photography and clinic exam

Outcome measures

Outcome measures
Measure
Cohort 1
n=4 Participants
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=2 Participants
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 Participants
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 2.0mg/0.05ml ranibizumab, 0.05ml injected intravitreally, monthly ranibizumab: 1 mg/0.1 ml ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Fundus Clinical Findings
Baseline
0 Participants with Fundus Findings
0 Participants with Fundus Findings
0 Participants with Fundus Findings
Fundus Clinical Findings
Month 6
1 Participants with Fundus Findings
2 Participants with Fundus Findings
8 Participants with Fundus Findings
Fundus Clinical Findings
Month 12
1 Participants with Fundus Findings
2 Participants with Fundus Findings
8 Participants with Fundus Findings
Fundus Clinical Findings
Month 24
1 Participants with Fundus Findings
2 Participants with Fundus Findings
8 Participants with Fundus Findings

Adverse Events

Cohort 1

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 3

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1
n=4 participants at risk
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=3 participants at risk;n=2 participants at risk
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 20mg ranibizumab vials, 0.05ml injected intravitreally, monthly ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 participants at risk
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 20mg ranibizumab vials, 0.05ml injected intravitreally, monthly ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Respiratory, thoracic and mediastinal disorders
Pneumonia
25.0%
1/4 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/2 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/15 • Adverse event data include events starting on day 0 and ending at month 24.

Other adverse events

Other adverse events
Measure
Cohort 1
n=4 participants at risk
24 months of monthly, intravitreal injections of ranibizumab 1.0mg ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 2
n=3 participants at risk;n=2 participants at risk
6-months of monthly, intravitreal injections of ranibizumab 2.0mg followed by 18 months of monthly, intravitreal injections of ranibizumab 1.0mg high-dose ranibizumab: 20mg ranibizumab vials, 0.05ml injected intravitreally, monthly ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
Cohort 3
n=15 participants at risk
12 monthly, intravitreal injections of 2.0mg ranibizumab followed by 12 monthly, intravitreal injections of 1.0mg ranibizumab high-dose ranibizumab: 20mg ranibizumab vials, 0.05ml injected intravitreally, monthly ranibizumab: 3 mg ranibizumab, liquid, vials, 0.1ml injected intravitreally monthly
General disorders
Flu-like symptoms
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
General disorders
Rash
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 2 • Adverse event data include events starting on day 0 and ending at month 24.
Infections and infestations
Ear Infection
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
General disorders
Body ache, fever, hives
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
Investigations
Bone Marrow Tap
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
Nervous system disorders
Peripheral Neuropathy
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
Surgical and medical procedures
Stent Placement for artery blockage
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
6.7%
1/15 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
Infections and infestations
Sinusitis
0.00%
0/4 • Adverse event data include events starting on day 0 and ending at month 24.
33.3%
1/3 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/15 • Adverse event data include events starting on day 0 and ending at month 24.
Respiratory, thoracic and mediastinal disorders
Pneumonia
25.0%
1/4 • Number of events 1 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/3 • Adverse event data include events starting on day 0 and ending at month 24.
0.00%
0/15 • Adverse event data include events starting on day 0 and ending at month 24.

Additional Information

Gregg Kokame, MD

Retina Consultants of Hawaii, Inc.

Phone: (808) 487-8928

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place