A Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy (CANBERRA)
A Randomized, Double-Masked, 48-Week, Parallel-Group, Placebo-Controlled, Proof-of-Concept Study to Investigate the Efficacy and Safety of RG7774 in Patients With Diabetes Mellitus Type 1 or Type 2 With Treatment-Naive Diabetic Retinopathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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New South Wales
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Sydney, New South Wales, Australia, 2000
- Sydney Eye Hospital
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Sydney, New South Wales, Australia, 2000
- Sydney Retina Clinic and Day Surgery
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Victoria
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East Melbourne, Victoria, Australia, 3002
- Centre For Eye Research Australia
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Rowville, Victoria, Australia, 3178
- Retina Specialists Victoria
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?ód?, Poland, 91-321
- Centrum Medyczne Julianow; Zeglarska
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Katowice, Poland, 40-594
- Gabinet Okulistyczny Prof Edward Wylegala
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Krakow, Poland, 31-070
- Centrum Medyczne UNO-MED
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Olsztyn, Poland, 10-424
- Centrum Diagnostyki i Mikrochirurgii Oka LENS
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Rybnik, Poland, 44-203
- LensClinic
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Arecibo, Puerto Rico, 00612
- Emanuelli Research and Development Center LLC
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Banska Bystrica, Slovakia, 974 01
- Fakultna nemocnica s poliklinikou F.D. Roosevelta
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Bratislava, Slovakia, 826 06
- Klinika Oftalmológie LFUK a UNB
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Bratislava, Slovakia, 851 07
- O?ná klinika UNB a SZU
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Košice, Slovakia, 040 11
- 3F s.r.o
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Trencin, Slovakia, 911 71
- Fakultna nemocnica Trencin
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Zilina, Slovakia, 012 07
- Fakultna nemocnica s poliklinikou Zilina; Ocne oddelenie
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Barcelona, Spain, 08036
- Hospital Clinic I Provincial
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Barcelona, Spain, 08025
- Hospital Dos de Maig
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Barcelona, Spain, 8021
- Clinica Barraquer
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Valladolid, Spain, 47012
- Pio del Rio Hortega University Hospital
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Zaragoza, Spain, 50009
- Miguel Servet University Hospital
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Barcelona
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Hospitalet De Llobregat, Barcelona, Spain, 8907
- Hospital Universitari de Bellvitge; Servicio de Oftalmologia
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San Cugat Del Valles, Barcelona, Spain, 08195
- Hospital General de Catalunya
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Madrid
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Majadahonda, Madrid, Spain, 28222
- Hospital Universitario Puerta de Hierro
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Belfast, United Kingdom, BT12 6BA
- Royal Victoria Hospital; Outpatients Department
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Colchester, Essex, United Kingdom, CO4 5JL
- Colchester General Hospital
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Guilford, United Kingdom, GU2 7XX
- Royal Surrey County Hospital; Eye Clinic Research office
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Hull, United Kingdom, HU3 2JZ
- Hull University Teaching Hospitals NHS Trust
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Liverpool, United Kingdom, L7 8XP
- Royal Liverpool University Hospital
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Nottingham, United Kingdom, NG7 2UH
- Nottingham University Hospitals NHS Trust
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Sunderland, United Kingdom, SR2 9HP
- Sunderland Eye Infirmary
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Arizona
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Phoenix, Arizona, United States, 85016
- Arizona Retina and Vitreous Consultants
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Tucson, Arizona, United States, 85710
- Retina Associates Tucson
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California
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Arcadia, California, United States, 91006
- Win Retina
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Glendale, California, United States, 91204
- Global Research Management
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Torrance, California, United States, 90502
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Retina Consultants of Southern Colorado PC
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Connecticut
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Waterford, Connecticut, United States, 06385
- Retina Group of New England
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Florida
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Deerfield Beach, Florida, United States, 33064
- Rand Eye
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Lakeland, Florida, United States, 33805
- Florida Retina Consultants
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Melbourne, Florida, United States, 32901
- Florida Eye Associates
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Miami, Florida, United States, 33143
- Medeye Associates
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Pensacola, Florida, United States, 32503
- Retina Specialty Institute
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Saint Petersburg, Florida, United States, 33711
- Retina Vitreous Assoc of FL
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Georgia
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Augusta, Georgia, United States, 30909
- Southeast Retina Center
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Marietta, Georgia, United States, 30060
- Marietta Eye Clinic
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Illinois
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Elmhurst, Illinois, United States, 60126
- Retina Associated Ltd
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Oak Forest, Illinois, United States, 60452
- University Retina and Macula Associates, PC
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Maryland
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Hagerstown, Maryland, United States, 21740
- Cumberland Valley Retina PC
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Michigan
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Ann Arbor, Michigan, United States, 48105
- University of Michigan, Kellogg Eye Center
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Mississippi
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Southaven, Mississippi, United States, 38671
- Deep Blue Retina PLLC
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Nevada
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Reno, Nevada, United States, 89502
- Sierra Eye Associates
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New Jersey
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Bloomfield, New Jersey, United States, 07003
- Envision Ocular, LLC
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New Mexico
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Albuquerque, New Mexico, United States, 87109
- Eye Associates of New Mexico
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New York
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East Syracuse, New York, United States, 13057
- Velocity Clinical Research
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Oceanside, New York, United States, 11572
- Ophthalmic Consultants of Long Island
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North Carolina
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Charlotte, North Carolina, United States, 28210
- Charlotte Eye Ear Nose and Throat Associates
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Oregon
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Portland, Oregon, United States, 97225
- EyeHealth Northwest
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Pennsylvania
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Erie, Pennsylvania, United States, 16507
- Erie Retinal Surgery
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South Carolina
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Ladson, South Carolina, United States, 29456
- Charleston Neuroscience Institute
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Tennessee
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Chattanooga, Tennessee, United States, 37421
- Southeastern Retina Associates Chattanooga
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Germantown, Tennessee, United States, 38138
- Charles Retina Institute
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Texas
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Abilene, Texas, United States, 79606
- Retina Res Institute of Texas
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Austin, Texas, United States, 78750
- Austin Clinical Research LLC
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San Antonio, Texas, United States, 78215
- San Antonio Eye Center
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The Woodlands, Texas, United States, 77384-4167
- Retina Consultants of Texas
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The Woodlands, Texas, United States, 77384
- Retinal Consultants of Houston
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Willow Park, Texas, United States, 76087
- Strategic Clinical Research Group, LLC
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Able and willing to provide written informed consent and to comply with the study protocol according to International Conference of Harmonization (ICH) and local regulations
- Male and female patients of at least 18 years of age
- Treatment naïve with moderately severe to severe NPDR defined as ETDRS DRSS 47 or 53
- Patients are eligible with and without DME in either eye
- BCVA score at screening of at least 70 letters in study eyes without DME and at least 75 letters in case DME is present
- Clear ocular media and adequate pupillary dilation to allow acquisition of good quality retinal images.
- Diagnosis of diabetes mellitus (DM) type 1 or type 2
- Hemoglobin A1c (HbA1c) </= 12%.
- A female is eligible to participate if she is not pregnant, not breastfeeding
Exclusion Criteria
Ocular criteria for study eye:
- Prior treatment for DR or other retinal diseases with any approved or investigational therapy, including but not limited to intravitreal steroids, intravitreal anti-VEGF, light therapy, periocular pharmacological intervention, and laser (e.g. focal, grid, micropulse, or pan-retinal)
- Uncontrolled glaucoma
- Any concurrent intraocular condition (e.g. retinal detachment, dense cataract, epiretinal membrane with traction, or vitreomacular traction, etc.) that in the opinion of the Investigator could reduce the potential for improvement, require medical surgical intervention or may confound the visual and functional assessment and interpretation of study results
Concurrent ocular conditions in either eye:
- Any active ocular infection
- Any active intraocular inflammation
General Criteria:
- Previous systemic use of anti-VEGF drugs within 6 months prior to screening
- Complications of diabetes such as end-stage renal disease or liver disease
- Currently untreated diabetes mellitus or previously untreated patients who initiated oral or injectable anti-diabetic medication within 3 months prior to screening
- Uncontrolled blood pressure ([BP] defined as systolic > 180mmHg and/or diastolic >100 mmHg while patient at rest)
- History of concurrent cardio-vascular disease not considered well controlled by the Investigator
- Any major illness or major surgical procedure within one month before screening
- History of or currently active other diseases, metabolic dysfunction, physical examination finding, malignancies not considered cured, or clinical laboratory findings giving reasonable suspicion of a condition that contraindicated the use of the investigational medicinal drug or that might affect interpretation of the results of the study or renders the patient at high risk for treatment complications in the opinion of the investigator
- Known hypersensitivity to any of the excipients of the drug used, fluorescein dye or dilating eye drops
- Use of systemic medications known to be toxic to the lens, retina or optic nerve (e.g., deferoxamine, chloroquine/hydroxychloroquine, tamoxifen, phenothiazines and ethambutol) used during the 6-month period prior to screening or likely need to be used
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Group A
Participants will receive an oral dose of placebo matched to RG7774 once daily (QD)
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Participants will receive oral placebo matched to RG7774
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Experimental: Group B
Participants will receive a low oral dose of RG7774 QD
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Participants will receive oral RG7774
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Experimental: Group C
Participants will receive a high oral dose of RG7774 QD
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Participants will receive oral RG7774
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of Participants With >/= 2-Step Improvement in the Early Treatment Diabetic Retinopathy Study (ETDRS) DR Severity Scale (DRSS) From Baseline at Week 36 Measured in the Study Eye
Time Frame: Week 36
|
The ETDRS DRSS is a standardized grading test to measure diabetic retinopathy progression, where higher scores indicate a higher risk of vision loss.
The DRSS ranges from level 10 (no diabetic retinopathy) to level 85 (advanced diabetic retinopathy)
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Week 36
|
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Percentage of Participants With Adverse Events (AEs)
Time Frame: Up to 1 year (baseline through follow-up period)
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Up to 1 year (baseline through follow-up period)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time-to-Event for Vision-Threatening DR in the Study Eye
Time Frame: Up to Day 277
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Vision-threatening DR was defined as anterior segment neovascularization (ASNV), new proliferative diabetic retinopathy (PDR), new diabetic macular edema (DME), and pre-existing DME requiring treatment.
Time-to-event was defined as the time where 50% of the population develops a DR vision-threatening event.
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Up to Day 277
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Incidence of New Anterior Segment Neovascularization (ASNV), New Proliferative Diabetic Retinopathy (PDR), New Diabetic Macular Edema (DME), and Pre-Existing DME Requiring Intervention in the Study Eye
Time Frame: Week 36
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This is a descriptive summary of the incidence of new ASNV, new PDR, new DME, and pre-existing DME, all of which indicate disease progression.
Each row presents the proportion of participants amongst the overall population for each event.
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Week 36
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Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye at Week 36
Time Frame: Baseline; Week 36
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BCVA was measured by a qualified VA examiner prior to pupil dilation using modified ETDRS Charts 1, 2, and R. The adjusted mean is reported for each group.
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Baseline; Week 36
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BP41321
- 2019-002067-10 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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