Trial Outcomes & Findings for A Phase II Study of RBM-007 Alone and RBM-007 With Eylea® in Subjects With Wet Age-related Macular Degeneration (NCT NCT04200248)

NCT ID: NCT04200248

Last Updated: 2023-06-08

Results Overview

Mean change in Best Corrected Visual Acuity from Baseline to Week 16

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

94 participants

Primary outcome timeframe

Week 16

Results posted on

2023-06-08

Participant Flow

Participant milestones

Participant milestones
Measure
Sham + RBM-007
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Overall Study
STARTED
32
31
31
Overall Study
COMPLETED
29
28
28
Overall Study
NOT COMPLETED
3
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Sham + RBM-007
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Overall Study
Personal reasons
0
0
1
Overall Study
Discontinued prior to treatment
3
3
2

Baseline Characteristics

Data presented for population treated (8 subjects discontinued before treatment)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sham + RBM-007
n=32 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=31 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=31 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Total
n=94 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=32 Participants
3 Participants
n=31 Participants
0 Participants
n=31 Participants
4 Participants
n=94 Participants
Age, Categorical
>=65 years
31 Participants
n=32 Participants
28 Participants
n=31 Participants
31 Participants
n=31 Participants
90 Participants
n=94 Participants
Age, Continuous
80.41 years
STANDARD_DEVIATION 7.47 • n=32 Participants
75.32 years
STANDARD_DEVIATION 8.64 • n=31 Participants
78.52 years
STANDARD_DEVIATION 7.07 • n=31 Participants
78.1 years
STANDARD_DEVIATION 7.96 • n=94 Participants
Sex: Female, Male
Female
21 Participants
n=32 Participants
15 Participants
n=31 Participants
18 Participants
n=31 Participants
54 Participants
n=94 Participants
Sex: Female, Male
Male
11 Participants
n=32 Participants
16 Participants
n=31 Participants
13 Participants
n=31 Participants
40 Participants
n=94 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=32 Participants
2 Participants
n=31 Participants
2 Participants
n=31 Participants
6 Participants
n=94 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=32 Participants
29 Participants
n=31 Participants
29 Participants
n=31 Participants
88 Participants
n=94 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Race (NIH/OMB)
Asian
1 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
1 Participants
n=94 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
1 Participants
n=94 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Race (NIH/OMB)
White
30 Participants
n=32 Participants
31 Participants
n=31 Participants
31 Participants
n=31 Participants
92 Participants
n=94 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=32 Participants
0 Participants
n=31 Participants
0 Participants
n=31 Participants
0 Participants
n=94 Participants
Region of Enrollment
United States
32 participants
n=32 Participants
31 participants
n=31 Participants
31 participants
n=31 Participants
94 participants
n=94 Participants
Best corrected visual acuity
60.24 Letter seen
STANDARD_DEVIATION 13.00 • n=29 Participants • Data presented for population treated (8 subjects discontinued before treatment)
66.71 Letter seen
STANDARD_DEVIATION 10.81 • n=28 Participants • Data presented for population treated (8 subjects discontinued before treatment)
61.52 Letter seen
STANDARD_DEVIATION 13.83 • n=29 Participants • Data presented for population treated (8 subjects discontinued before treatment)
62.78 Letter seen
STANDARD_DEVIATION 13.13 • n=86 Participants • Data presented for population treated (8 subjects discontinued before treatment)
Central subfield thickness (macula)
452.07 Microns
STANDARD_DEVIATION 138.24 • n=29 Participants • Data presented for population treated (8 subjects discontinued before treatment)
398.04 Microns
STANDARD_DEVIATION 124.01 • n=28 Participants • Data presented for population treated (8 subjects discontinued before treatment)
437.55 Microns
STANDARD_DEVIATION 129.34 • n=29 Participants • Data presented for population treated (8 subjects discontinued before treatment)
429.58 Microns
STANDARD_DEVIATION 131.20 • n=86 Participants • Data presented for population treated (8 subjects discontinued before treatment)
Macular volume
9.03 mm^3
STANDARD_DEVIATION 0.23 • n=29 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
8.84 mm^3
STANDARD_DEVIATION 0.23 • n=28 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
9.00 mm^3
STANDARD_DEVIATION 0.23 • n=29 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
8.96 mm^3
STANDARD_DEVIATION 0.23 • n=86 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
Fibrosis
27 Participants
n=29 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
27 Participants
n=28 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
28 Participants
n=29 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)
82 Participants
n=86 Participants • Measure Analysis Population Description: Data presented for population treated (8 subjects discontinued before treatment)

PRIMARY outcome

Timeframe: Week 16

Population: Data presented for population treated (8 subjects discontinued before treatment)

Mean change in Best Corrected Visual Acuity from Baseline to Week 16

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=29 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=28 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Visual Acuity - Continuous
-6.1 Letters seen
Standard Error 1.70
-1.6 Letters seen
Standard Error 1.75
2.4 Letters seen
Standard Error 1.69

SECONDARY outcome

Timeframe: Week 16

Population: Data presented for population treated (8 subjects discontinued before treatment)

Percentage of patients gaining \>= 15 letters as measured by Best Corrected Visual Acuity from Baseline at Week 16

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=29 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=28 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Visual Acuity - Categorical
0 Participants
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Week 16

Population: Data presented for population treated (8 subjects discontinued before treatment)

Change from Baseline in Central Subfield Thickness by spectral domain optical coherence tomography at Week 16

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=29 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=28 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Macular Thickness Change
36.5 microns
Standard Error 12.60
-5.8 microns
Standard Error 12.89
-16.1 microns
Standard Error 12.55

SECONDARY outcome

Timeframe: Week 16

Population: Data presented for population treated (8 subjects discontinued before treatment)

Change from Baseline in macular volume by spectral domain optical coherence tomography at Week 16

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=29 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=28 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Macular Volume Change
0.748 mm^3
Standard Error 0.120
0.0095 mm^3
Standard Error 0.124
-0.010 mm^3
Standard Error 0.120

SECONDARY outcome

Timeframe: Week 16

Population: Data presented for population treated (8 subjects discontinued before treatment)

Change from Baseline in sub-retinal hyper-reflective material by spectral domain optical coherence tomography at Week 16

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=29 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=28 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Fibrosis Change
Better
3 Participants
8 Participants
9 Participants
Fibrosis Change
Not better
26 Participants
20 Participants
20 Participants

SECONDARY outcome

Timeframe: Week 20

Population: Data presented for population treated (8 subjects discontinued before treatment)

Ocular examination (biomicroscopy and ophthalmoscopy) at Week 20 - Number of participants with additional corneal abnormalities

Outcome measures

Outcome measures
Measure
Sham + RBM-007
n=28 Participants
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=29 Participants
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 Participants
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Safety - Ocular
Additional corneal abnormalities
9 Participants
11 Participants
10 Participants
Safety - Ocular
No additional corneal abnormalities
19 Participants
18 Participants
19 Participants

Adverse Events

Sham + RBM-007

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

RBM-007 + Aflibercept

Serious events: 2 serious events
Other events: 17 other events
Deaths: 0 deaths

Sham + Aflibercept

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sham + RBM-007
n=28 participants at risk
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=29 participants at risk
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 participants at risk
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Eye disorders
Iritis
7.1%
2/28 • Number of events 2 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
Eye disorders
Vitritis
7.1%
2/28 • Number of events 2 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
0.00%
0/29 • 20 Weeks
Eye disorders
Eye pain
3.6%
1/28 • Number of events 1 • 20 Weeks
0.00%
0/29 • 20 Weeks
0.00%
0/29 • 20 Weeks
Eye disorders
Neovascular age-related macular degeneration
0.00%
0/28 • 20 Weeks
0.00%
0/29 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
Eye disorders
Vision blurred
0.00%
0/28 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
0.00%
0/29 • 20 Weeks
Eye disorders
Endophthalmitis
0.00%
0/28 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
0.00%
0/29 • 20 Weeks

Other adverse events

Other adverse events
Measure
Sham + RBM-007
n=28 participants at risk
Sham + RBM-007 intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Sham: Sham intravitreal injection
RBM-007 + Aflibercept
n=29 participants at risk
RBM-007 + Aflibercept intravitreal injection RBM-007 Injectable Solution: RBM-007 Injectable Solution Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use
Sham + Aflibercept
n=29 participants at risk
Sham + Aflibercept intravitreal injection Aflibercept: EYLEA® (aflibercept) Injection, for Intravitreal Use Sham: Sham intravitreal injection
Eye disorders
Eye disorders
46.4%
13/28 • Number of events 13 • 20 Weeks
51.7%
15/29 • Number of events 15 • 20 Weeks
27.6%
8/29 • Number of events 8 • 20 Weeks
Eye disorders
Conjunctival haemorrhage
17.9%
5/28 • Number of events 5 • 20 Weeks
20.7%
6/29 • Number of events 6 • 20 Weeks
10.3%
3/29 • Number of events 3 • 20 Weeks
Eye disorders
Dry eye
14.3%
4/28 • Number of events 4 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
Eye disorders
Eye irritation
7.1%
2/28 • Number of events 2 • 20 Weeks
6.9%
2/29 • Number of events 2 • 20 Weeks
3.4%
1/29 • Number of events 1 • 20 Weeks
Eye disorders
Eye pain
7.1%
2/28 • Number of events 2 • 20 Weeks
0.00%
0/29 • 20 Weeks
0.00%
0/29 • 20 Weeks

Additional Information

Dr. Yoshikazu Nakamura

Ribomic, Inc.

Phone: 81-3-3440-3303

Results disclosure agreements

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

Restriction type: LTE60