A Study to Test Whether BI 764524 Helps People With an Eye Condition Called Diabetic Retinopathy
CRIMSON: A Multicentre, Randomised, Sham-controlled (and Active Controlled in the USA), Double-masked, 72-week Trial to Study the Safety, Tolerability, Pharmacokinetics, and Efficacy of 3 Dosing Regimens of Intravitreal BI 764524 in Patients With Moderate to Severe Non-proliferative Diabetic Retinopathy
This study is open to adults with diabetic retinopathy. People who have non-proliferative diabetic retinopathy of moderate or high severity can join the study.
The purpose of this study is to find out whether a medicine called BI 764524 helps people with diabetic retinopathy. The study also aims to find a suitable treatment plan for BI 764524. Participants are put into 5 groups by chance. Participants in groups 1, 2, and 3 get BI 764524. Over 1 year, they get a different number of injections of the same dose of BI 764524 injected into 1 eye. During some visits, participants may get a sham control, which is done like an eye injection but without a needle, so that participants will not know how many injections of BI 764524 they received. Participants in group 4 only get a sham control. Participants in group 5 (only in the USA) get aflibercept or sham injections during some visits. Aflibercept is a medicine already used to treat diabetic retinopathy.
Participants are in the study for one and a half years. During this time, they visit the study site at least 16 times. During this time, doctors regularly do eye exams and visual tests to assess the severity of participants' eye condition. After 1 year of treatment, researchers look at the number of participants with eye improvements. To do so, they compare eye damage and certain severe eye problems between the groups of participants. The doctors also regularly check participants' health and take note of any unwanted effects.
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 Contact
Study Contact
- Name: Boehringer Ingelheim
- Phone Number: 1-800-243-0127
- Email: clintriage.rdg@boehringer-ingelheim.com
Study Locations
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Bonn, Germany, 53127
- Universitätsklinikum Bonn AöR
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Mainz, Germany, 55131
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
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Neubrandenburg, Germany, 17036
- Diakonie Klinikum Dietrich Bonhoeffer GmbH
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Tübingen, Germany, 72076
- Universitätsklinikum Tübingen
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Ulm, Germany, 89075
- Universitatsklinikum Ulm
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Budapest, Hungary, 1085
- Semmelweis University
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Budapest, Hungary, 1204
- Jahn Ferenc Del-Pest Hospital
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Budapest, Hungary, 1133
- Budapest Retina Associations Kft.
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Debrecen, Hungary, 4032
- University Debrecen Hospital
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Pécs, Hungary, 7621
- Nozologen Kft.
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Zala, Hungary, 8900
- Zala Megyei Szent Rafael Korhaz
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Florence, Italy, 50134
- Azienda Ospedaliero Universitaria Careggi
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Milan, Italy, 20132
- Ospedale San Raffaele S.r.l.
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Milan, Italy, 20122
- Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
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Naples, Italy, 80131
- Azienda Ospedaliera Universitaria "Federico II"
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Rozzano, Italy, 20089
- Istituto Clinico Humanitas
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Torrette Di Ancona, Italy, 60123
- Ospedali Riuniti di Ancona
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Akita, Japan, 010-8543
- Akita University Hospital
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Amagasaki-shi, Japan, 660-8550
- Hyogo Prefectural Amagasaki General Medical Center
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Fukuoka, Japan, 812-0011
- Hayashi Eye Hospital
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Fukushima, Japan, 960-1295
- Fukushima Medical University Hospital
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Hachioji-shi, Japan, 193-0998
- Tokyo Medical University Hachioji Medical Center
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Kagawa, Kita-gun, Japan, 761-0793
- Kagawa University Hospital
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Kagoshima, Japan, 890-8520
- Kagoshima University Hospital
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Kashihara, Japan, 634-8522
- Nara Medical University Hospital
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Kobe, Japan, 650-0017
- Kobe University Hospital
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Matsumoto-shi, Japan, 390-8621
- Shinshu University Hospital
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Meguro-ku, Japan, 152-8902
- National Hospital Organization Tokyo Medical Center
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Nagakute, Japan, 480-1195
- Aichi Medical University Hospital
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Nishinomiya, Japan, 663-8501
- Hyogo College of Medicine Hospital
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Tokyo, Japan, 113-8431
- Juntendo University Hospital
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Bydgoszcz, Poland, 85-631
- Klinika Okulistyczna
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Olsztyn, Poland, 10-424
- Centrum Diagnostyki i Mikrochirurgii Oka-Lens Sp. z o.o.
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Warsaw, Poland, 01-258
- Warsaw Ophthalmology Hospital
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Wałbrzych, Poland, 58-304
- Centrum Medyczne Piasta 47 sp. z o.o.
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Wroclaw, Poland, 50-981
- 4. Military Clinical Hospital with Polyclinic SP ZOZ
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Arecibo, Puerto Rico, 00612
- Emanuelli Research & Development Center
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Barcelon, Spain, 08907
- Hospital Universitari de Bellvitge
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Madrid, Spain, 28040
- Hospital Clinico San Carlos
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
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Sant Cugat Del Vallés, Spain, 08195
- Hospital Universitari General de Catalunya
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Valencia, Spain, 46014
- Hospital General Universitario de Valencia
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Colchester, United Kingdom, CO4 5JL
- Colchester Hospital
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Liverpool, United Kingdom, L7 8XP
- Royal Liverpool University Hospital
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London, United Kingdom, SE5 9RS
- King's College Hospital
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London, United Kingdom, EC1V 2PD
- Moorfields Eye Hospital
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London, United Kingdom, NW1 5QH
- Western Eye Hospital
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London, United Kingdom
- Central Middlesex Hospital
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Newcastle upon Tyne, United Kingdom, NE1 4LP
- Royal Victoria Infirmary
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Arizona
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Phoenix, Arizona, United States, 85020
- Associated Retina Consultants, Ltd.
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California
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Bakersfield, California, United States, 93309
- California Retina Consultants-Bakersfield-65523
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Beverly Hills, California, United States, 90211
- Retina-Vitreous Associates Medical Group
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Campbell, California, United States, 95008
- Retinal Diagnostic Center
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Encino, California, United States, 91436
- The Retina Partners
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Glendale, California, United States, 91204
- Lugene Eye Institute
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Huntington Beach, California, United States, 92647
- Retina Associates of Southern California
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Palo Alto, California, United States, 94303
- Byers Eye Institute
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Pasadena, California, United States, 91107
- California Eye Specialists Medical Group Inc
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Sacramento, California, United States, 95841
- Retinal Consultants Medical Group
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Sacramento, California, United States, 95825
- Retinal Consultants Medical Group
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Santa Maria, California, United States, 93454
- California Retina Consultants-Santa Maria-65510
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Walnut Creek, California, United States, 94598
- Bay Area Retina Associates - Walnut Creek
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Colorado
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Lakewood, Colorado, United States, 80228
- Colorado Retina Associates
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Connecticut
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Waterford, Connecticut, United States, 06385
- Retina Group of New England, PC
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Florida
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Jacksonville, Florida, United States, 32216
- Florida Retina Institute
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Lakeland, Florida, United States, 33805
- Florida Retina Consultants
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Stuart, Florida, United States, 34994
- East Florida Eye Institute
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Winter Haven, Florida, United States, 33880
- Center for Retina and Macular Disease
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Hawaii
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‘Aiea, Hawaii, United States, 96701
- Retina Consultants Of Hawaii
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Maine
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Portland, Maine, United States, 04101
- Maine Eye Center
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Maryland
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Hagerstown, Maryland, United States, 21740
- Cumberland Valley Retina Consultants
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Mississippi
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Southaven, Mississippi, United States, 38671
- Deep Blue Retina Clinical Research PLLC
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New Jersey
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Teaneck, New Jersey, United States, 07666
- NJRetina
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New York
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Great Neck, New York, United States, 11021
- Long Island Vitreoretinal Consultants
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Liverpool, New York, United States, 13088
- Retina Vitreous Surgeons of Central NY, PC
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Ohio
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Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center
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Oregon
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Portland, Oregon, United States, 97225
- EyeHealth Northwest
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South Carolina
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Ladson, South Carolina, United States, 29456
- Charleston Neuroscience Institute - Ladson
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Tennessee
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Nashville, Tennessee, United States, 37203
- Tennessee Retina
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Texas
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Austin, Texas, United States, 78705
- Retina Research Center, PLLC
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Austin, Texas, United States, 78705
- Austin Retina Associates
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Austin, Texas, United States, 78750
- Austin Clinical Research, LLC
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Katy, Texas, United States, 77494
- Retina Consultants of Texas
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McAllen, Texas, United States, 78503
- Valley Retina Institute, PA
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Round Rock, Texas, United States, 78681
- Austin Retina Associates
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San Antonio, Texas, United States, 78240
- Medical Center Ophthalmology Associates
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San Antonio, Texas, United States, 78240
- Retina Consultants of Texas
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Schertz, Texas, United States, 78154
- Retina Consultants of Texas - Schertz
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Utah
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Salt Lake City, Utah, United States, 84107
- Retina Associates of Utah
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
General inclusion criteria
- Diagnosis of diabetes mellitus (DM) under regular treatment with Haemoglobin A1c (HbA1c) (glycated haemoglobin) (HbA1c) <12%; DM should be under regular investigation by a trained specialist as per local standard of care prior to and during the trial
- Age ≥18 years at time of signing Informed Consent Form (ICF)
Ocular inclusion criteria: study eye
Moderate to severe non-proliferative diabetic retinopathy (NPDR) (Diabetic Retinopathy Severity Scale (DRSS) level 43 to 53) as assessed by Ultra-widefield colour fundus photography (UWF-CFP) images (within the 7-field grid) and confirmed by the central reading centre (CRC) at screening. Patient staged at DRSS level of 43 based on UWF-CFP images can be included only if:
- They are participating in the standard 7-field CFP sub-study of the trial, and
- They are staged as DRSS level of 47 to 53 on standard 7-field CFP imaging, as confirmed by the CRC at screening.
- Ultra-widefield fluorescein angiography (UWF-FA) image gradable for presence of retinal non-perfusion (RNP) as confirmed by the CRC at screening
- Visual acuity: best corrected visual acuity (BCVA) letter score of ≥49 letters (approximate Snellen equivalent of 20/100 or better) using ETDRS chart at starting distance of 4 meter (m) at screening and reconfirmed at baseline
- Sufficiently clear ocular media, adequate pupillary dilation, and fixation to permit quality fundus imaging
Main exclusion criteria in study eye:
- Evidence of active retinal neovascularisation (NV) on clinical exam and/or UWF-CFP images within the 7-field grid, confirmed by the CRC grading.
The following are permitted if, based on the assessment of the investigator, do not require acute treatment:
- Small neovascular lesions within the ETDRS 7-field that are detected only on UWF-FA, but not on clinical exam or UWF-CFP
Neovascularisations outside of the ETDRS 7-field on ultra-widefield imaging
- Evidence of active NV of the iris (small iris tufts are not an exclusion) or in the anterior chamber angle
- Prior pan-retinal photocoagulation (PRP). Peripheral scatter or targeted laser treatment in up to 1 quadrant outside the ETDRS 7-field area is permitted if it was performed at least 6 months prior to Day 1
- CI-DME, defined as central subfield thickness (CST) ≥320 micrometer (μm) as measured by Heidelberg Spectralis optical coherence tomography (OCT) and confirmed by central reading centre (CRC) at screening (equivalent measurements from other OCT machines may be accepted); participants with a CST of 320-330 μm can be included if, in the opinion of the investigator, the participant is not expected to require treatment for CI-DME during the duration of the study (e.g. no profound impact on BCVA, stable CST, etc.). CST must be re-confirmed at baseline. A CRC confirmation of the baseline CST is not required.
- Previous treatment in the study eye for NPDR and/or diabetic macular edema (DME) with intravitreal (IVT) anti-vascular endothelial growth factor (VEGF) (including anti-VEGF/Ang2) or short acting corticosteroid drugs (e.g. triamcinolone) within 6 months prior to Day 1 or >4 treatments within the last 18 months (referred to elsewhere as 'previous IVT treatment').
- Any previous IVT treatment other than anti-VEGF and short-acting steroids. Previous dexamethasone IVT drug delivery system (Ozurdex) or fluocinolone acetonide intravitreal implant (Iluvien) is not allowed
- Refractive error of more than -8 dioptres of myopia (spherical equivalent) in the study eye. For patients having undergone refractive or cataract surgery in the study eye, either the pre-operative refractive error or the axial length measurement should be used, at the investigator's discretion. Axial length should be less than 26 mm
- Any concurrent or past ocular condition in the study eye which, in the judgement of the investigator, could:
- Require medical or surgical intervention during the study period to prevent or treat vision loss (e.g. advanced cataract, history of retinal detachment or macular hole (Stage 3 or 4) in the study eye)
- Could likely contribute to a significant loss of BCVA during the study period if left untreated (e.g. advanced epiretinal membrane and/or vitreomacular traction, active or history of optic neuritis in either eye)
- Contraindicate the use of the investigational drug, or may render the patient at high risk for treatment complications (e.g. active infectious or non-infectious conjunctivitis/keratitis in either eye; history of recurrent infectious or inflammatory ocular disease in either eye (e.g. uveitis)
- May affect interpretation of the study results (e.g. central atrophy of the retinal pigment epithelium or photoreceptors; age-related macular degeneration, hereditary retinal degenerative diseases, myopic macular degeneration, past, current or planned use of medications known to be toxic to the retina, lens or optic nerve (e.g. deferoxamine, chloroquine/hydroxychloroquine, chlorpromazine, phenothiazines, tamoxifen, nicotinic acid, and ethambutol); history of central serous chorioretinopathy, ischemic optic neuropathy or retinal vascular occlusion
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: BI 764524
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BI 764524
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Sham Comparator: Sham comparator to BI 764524
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Sham comparator to BI 764524
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Active Comparator: Aflibercept (Eylea®) - US only
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Aflibercept (Eylea®) - US only
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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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Occurrence of a ≥2-step improvement compared with baseline in Diabetic Retinopathy Severity Scale (DRSS) level in the study eye at Week 52 as assessed by Ultra-widefield colour fundus photography (UWF-CFP) images (within the 7-field grid)
Time Frame: At baseline and at Week 52
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The DRSS is a scale which can take on the following discrete values: 10, 20, 35, 43, 47, 53, 61, 65, 71, 75, 81, 85. Here 10 means "No retinopathy" and 85 means "Advanced proliferative diabetic retinopathy, with posterior fundus obscured, or centre of macula detached". Thus, a higher score means symptoms get worse. |
At baseline and at Week 52
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Absolute change from baseline of best corrected visual acuity (BCVA) [early treatment diabetic retinopathy study (ETDRS) letters] in the study eye at Week 52
Time Frame: At baseline and at Week 52
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The BCVA score is the number of letters read correctly by the patient.
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At baseline and at Week 52
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Occurrence of proliferative diabetic retinopathy (PDR) and/or anterior segment neovascularisation (NV) in the study eye between baseline and Week 52
Time Frame: At baseline and at Week 52
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At baseline and at Week 52
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Occurrence of drug-related adverse events (AEs) between baseline and end of study (EOS)
Time Frame: up to 72 weeks
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up to 72 weeks
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Occurrence of ocular AEs in the study eye between baseline and EOS
Time Frame: up to 72 weeks
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up to 72 weeks
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Occurrence of ocular AEs of special interest in the study eye between baseline and EOS
Time Frame: up to 72 weeks
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up to 72 weeks
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Absolute change from baseline of central subfield thickness (CST) [μm], as assessed by spectral domain optical coherence tomography (SD-OCT), in the study eye at Week 52
Time Frame: At baseline and at Week 52
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μm= micrometer
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At baseline and at Week 52
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Development of centre-involved diabetic macular edema (CI-DME) in the study eye between baseline and Week 52
Time Frame: At baseline and at Week 52
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At baseline and at Week 52
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Occurrence of vision threatening complications (VTC)s defined as proliferative diabetic retinopathy (PDR) and/or anterior segment neovascularisation (NV), or development of CI-DME, in the study eye between baseline and Week 52
Time Frame: At baseline and at Week 52
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At baseline and at Week 52
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Occurrence of a ≥2-step worsening of Diabetic Retinopathy Severity Scale (DRSS) in the study eye between baseline and Week 52 as assessed by UWF-CFP images (within the 7-field grid)
Time Frame: At baseline and at Week 52
|
The DRSS is a scale which can take on the following discrete values: 10, 20, 35, 43, 47, 53, 61, 65, 71, 75, 81, 85. Here 10 means "No retinopathy" and 85 means "Advanced proliferative diabetic retinopathy, with posterior fundus obscured, or centre of macula detached". Thus, a higher score means symptoms get worse. |
At baseline and at Week 52
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- Endocrine System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Diabetes Mellitus
- Eye Diseases
- Diabetic Angiopathies
- Diabetes Complications
- Retinal Diseases
- Diabetic Retinopathy
- Antineoplastic Agents
- Physiological Effects of Drugs
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- aflibercept
Other Study ID Numbers
Other Study ID Numbers
- 1436-0007
- 2023-508891-12-00 (Registry Identifier: CTIS)
- U1111-1299-0915 (Registry Identifier: Universal Trial Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Once the criteria in section "Time Frame" are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement".
Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
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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