Vascular Endothelial Growth Factor (VEGF) Trap-Eye: Investigation of Efficacy and Safety in Central Retinal Vein Occlusion (CRVO) (GALILEO)
A Randomized, Double-masked, Sham-controlled Phase 3 Study of the Efficacy, Safety and Tolerability of Repeated Intravitreal Administration of VEGF Trap-Eye in Subjects With Macular Edema Secondary to Central Retinal Vein Occlusion (CRVO)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Chatswood, New South Wales, Australia, 2067
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Parramatta, New South Wales, Australia, 2150
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Sydney, New South Wales, Australia, 2000
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Westmead, New South Wales, Australia, 2145
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Victoria
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East Melbourne, Victoria, Australia, 3002
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Western Australia
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Nedlands, Western Australia, Australia, 6009
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Innsbruck, Austria, 6020
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Linz, Austria, 4021
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Wien, Austria, 1090
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Bordeaux, France, 33000
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Dijon, France, 21033
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Marseille, France, 13008
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Paris, France, 75015
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Cedex 1
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Nantes, Cedex 1, France, 44093
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Cedex 12
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Paris, Cedex 12, France, 75557
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Berlin, Germany, 13353
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Hamburg, Germany, 20251
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Baden-Württemberg
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Freiburg, Baden-Württemberg, Germany, 79106
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Heidelberg, Baden-Württemberg, Germany, 69120
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Tübingen, Baden-Württemberg, Germany, 72076
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Bayern
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München, Bayern, Germany, 81675
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Regensburg, Bayern, Germany, 93053
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Hessen
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Darmstadt, Hessen, Germany, 64297
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Frankfurt, Hessen, Germany, 60596
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Marburg, Hessen, Germany, 35037
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Niedersachsen
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Göttingen, Niedersachsen, Germany, 37075
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Nordrhein-Westfalen
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Aachen, Nordrhein-Westfalen, Germany, 52074
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Bonn, Nordrhein-Westfalen, Germany, 53105
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Essen, Nordrhein-Westfalen, Germany, 45122
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Köln, Nordrhein-Westfalen, Germany, 50924
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Münster, Nordrhein-Westfalen, Germany, 48145
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Rheinland-Pfalz
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Ludwigshafen, Rheinland-Pfalz, Germany, 67063
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Mainz, Rheinland-Pfalz, Germany, 55131
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Saarland
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Homburg, Saarland, Germany, 66421
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Sachsen
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Chemnitz, Sachsen, Germany, 09116
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Dresden, Sachsen, Germany, 01307
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Dresden, Sachsen, Germany, 06067
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Leipzig, Sachsen, Germany, 04103
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Schleswig-Holstein
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Kiel, Schleswig-Holstein, Germany, 24105
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Lübeck, Schleswig-Holstein, Germany, 23538
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Budapest, Hungary, 1106
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Budapest, Hungary, 1133
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Budapest, Hungary, 1089
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Debrecen, Hungary, 4032
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Veszprem, Hungary, 8200
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Zalaegerszeg, Hungary, H-8900
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Ancona, Italy, 60126
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Bari, Italy, 70124
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Catania, Italy, 95123
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Firenze, Italy, 50134
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Milano, Italy, 20122
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Milano, Italy, 20132
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Milano, Italy, 20157
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Padova, Italy, 35128
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Roma, Italy, 00133
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Roma, Italy, 00198
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Torino, Italy, 10122
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Kyoto, Japan, 606-8507
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Aichi
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Nagoya, Aichi, Japan, 466-8560
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Nagoya, Aichi, Japan, 467-8602
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Chiba
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Urayasu, Chiba, Japan, 279-0021
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Osaka
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Suita, Osaka, Japan, 565-0871
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Tokyo
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Chiyoda-ku, Tokyo, Japan, 101-8309
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Incheon, Korea, Republic of, 405-760
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Seoul, Korea, Republic of, 137-701
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Seoul, Korea, Republic of
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Seoul, Korea, Republic of, 138-736
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Seoul, Korea, Republic of, 110 744
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Gyeonggido
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Seongnam-si, Gyeonggido, Korea, Republic of, 463-707
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Riga, Latvia, 1002
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Riga, Latvia, 1050
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Singapore, Singapore, 119074
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Singapore, Singapore, 168751
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Center-involved macular edema secondary to central retinal vein occlusion (CRVO) for no longer than 9 months with mean central subfield thickness ≥ 250 μm on optical coherence tomography (OCT)
- Adults ≥ 18 years
- Early treatment diabetic retinopathy study (ETDRS) best corrected visual acuity (BCVA) of 20/40 to 20/320 (73 to 24 letters) in the study eye
Exclusion Criteria:
- Any prior treatment with anti-VEGF agents in the study eye (Pegaptanib sodium, anecortave acetate, bevacizumab, ranibizumab, etc.) or previous administration of systemic anti-angiogenic medications
- Prior panretinal laser photocoagulation or macular laser photocoagulation in the study eye
- CRVO disease duration > 9 months from date of diagnosis
- Previous use of intraocular corticosteroids in the study eye or use of periocular corticosteroids in the study eye within the 3 months prior to Day 1
- Iris neovascularization, vitreous hemorrhage, traction retinal detachment, or preretinal fibrosis involving the macula in either the study eye or fellow eye
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
Participants received a 2 mg dose of Intravitreal Aflibercept Injection (IAI) administered every 4 weeks from Day 1 through Week 20, later as often as every 4 weeks depending on the study retreatment criteria from Week 24 through Week 48.
Follow-up phase: Participants on IAI, who continued the study, received 2 mg dose of IAI depending on the study retreatment criteria at Week 60 and 68.
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Intravitreal injection.
Weeks 0 to 20 of Aflibercept Injection every 4 weeks; Weeks 24 to 52 every 4 weeks PRN (pro re nata, on demand); plus additional on Week 60 and 68.
Sham treatment.
Weeks 0 to 52 sham treatment every 4 weeks; plus additional on Week 60 and 68.
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Sham Comparator: Sham treatment
Participants received sham treatment administered every 4 weeks from Day 1 through Week 52.
Follow-up phase: Participants on sham treatment, who switched to Intravitreal Aflibercept Injection (IAI), received a 2 mg dose of IAI at week 52 and depending on the study retreatment criteria at Week 60 and 68.
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Sham treatment.
Weeks 0 to 52 sham treatment every 4 weeks; plus additional on Week 60 and 68.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants Who Gained at Least 15 Letters in BCVA as Measured by ETDRS Letter Score Compared With Baseline at Week 24 With Discontinued Participants Before Week 24 Evaluated as Failures
Time Frame: Baseline and Week 24
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Defined study baseline range of Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score of 73 to 24 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.
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Baseline and Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in BCVA as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 24 - Last Observation Carried Forward (LOCF)
Time Frame: Baseline and Week 24
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Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 24 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
However, because this was assessed at the screening visit, subjects may have had a higher BCVA recorded at the baseline visit and would not have been excluded from the study.
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Baseline and Week 24
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Change From Baseline in Central Retinal Thickness (CRT) at Week 24 - LOCF
Time Frame: Baseline and Week 24
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Baseline and Week 24
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Percentage of Participants Who Developed Neovascularization During the First 24 Weeks
Time Frame: From baseline until Week 24
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Formation of blood vessels in the anterior segment, optic disc, or elsewhere in the fundus up to Week 24
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From baseline until Week 24
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Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score at Week 24 - LOCF
Time Frame: Baseline and Week 24
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The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome.
The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100.
To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight
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Baseline and Week 24
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Change From Baseline in European Five-dimensional Health Scale (EQ-5D) Score at Week 24 - LOCF
Time Frame: Baseline and Week 24
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EQ-5D is a quality of life questionnaire based on a scale from -0.594 (worst) to 1.00 (best).
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Baseline and Week 24
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Holz FG, Roider J, Ogura Y, Korobelnik JF, Simader C, Groetzbach G, Vitti R, Berliner AJ, Hiemeyer F, Beckmann K, Zeitz O, Sandbrink R. VEGF Trap-Eye for macular oedema secondary to central retinal vein occlusion: 6-month results of the phase III GALILEO study. Br J Ophthalmol. 2013 Mar;97(3):278-84. doi: 10.1136/bjophthalmol-2012-301504. Epub 2013 Jan 7. Erratum In: Br J Ophthalmol. 2015 Dec;99(12):1746.
- Korobelnik JF, Holz FG, Roider J, Ogura Y, Simader C, Schmidt-Erfurth U, Lorenz K, Honda M, Vitti R, Berliner AJ, Hiemeyer F, Stemper B, Zeitz O, Sandbrink R; GALILEO Study Group. Intravitreal Aflibercept Injection for Macular Edema Resulting from Central Retinal Vein Occlusion: One-Year Results of the Phase 3 GALILEO Study. Ophthalmology. 2014 Jan;121(1):202-208. doi: 10.1016/j.ophtha.2013.08.012. Epub 2013 Sep 29.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Eye Diseases
- Retinal Diseases
- Embolism and Thrombosis
- Venous Thrombosis
- Thrombosis
- Retinal Vein Occlusion
- Physiological Effects of Drugs
- Antineoplastic Agents
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Aflibercept
Other Study ID Numbers
Other Study ID Numbers
- 14130
- 2009-010973-19 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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