- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05407636
Pivotal 2 Study of RGX-314 Gene Therapy in Participants With nAMD (ASCENT)
A Randomized, Partially Masked, Controlled, Phase 3 Clinical Study to Evaluate the Efficacy and Safety of RGX-314 Gene Therapy in Participants With nAMD
Study Overview
Status
Intervention / Treatment
Detailed Description
This randomized, partially masked, controlled, Phase 3 clinical study will evaluate the efficacy and safety of ABBV-RGX-314 gene therapy in participants with nAMD. The study will evaluate 2 dose levels of RGX-314 gene therapy relative to an active comparator. The primary endpoint of this study is mean change in best-corrected visual acuity (BCVA) of ABBV-RGX-314 relative to aflibercept. Approximately 714 participants who meet the inclusion/exclusion criteria, will be enrolled into one of 3 arms.
A bilateral treatment substudy conducted at US sites is an open-label, partially randomized, parallel arm study to evaluate the safety and efficacy of subretinal ABBV-RGX-314 administered bilaterally in participants who have bilateral nAMD. Previously treated crossover participants from the control arm of the main study who crossed over and received ABBV-RGX-314 in the study eye will receive the same ABBV-RGX-314 dose in the contralateral eye (ie, same dose as in the study eye), while newcomers (participants who have not been randomized in an ABBV-RGX-314 study) and untreated crossover participants (ongoing control participants in the main study who have completed Week 54 but have not crossed over to receive ABBV-RGX-314 in the main study) will be randomized in a 2:1 ratio to receive ABBV-RGX-314 Dose 1 or ABBV-RGX-314 Dose 2 in both eyes. Up to 15 participants who qualify for the substudy will be enrolled and followed for a minimum of 50 weeks.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Alberta
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Calgary, Alberta, Canada, T2H 0C8
- Calgary Retina Consultants /ID# 258997
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Edmonton, Alberta, Canada, T5H 0X5
- Alberta Retina Consultants /ID# 265599
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British Columbia
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New Westminster, British Columbia, Canada, V3L 5H1
- Retina Surgical Associates /ID# 270958
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Vancouver, British Columbia, Canada, V5Z 3N9
- University of British Columbia - Eye Care Centre, Vancouver General Hospital /ID# 266014
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Ontario
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Etobicoke, Ontario, Canada, M8X 2X3
- Vitreous Retina Macula Specialists of Toronto /ID# 258299
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Ottawa, Ontario, Canada, K1H 8L6
- Ottawa Hospital Research Institute /ID# 258998
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Ottawa, Ontario, Canada, K2B 7E9
- Retina Centre of Ottawa /ID# 259659
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Toronto, Ontario, Canada, M3C 0G9
- Toronto Retina Institute /ID# 265602
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Toronto, Ontario, Canada, M4N 3M5
- Sunnybrook Research Institute /ID# 270690
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Quebec
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Québec, Quebec, Canada, G1R 2J6
- CHU de Quebec-Universite Laval /ID# 258996
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Montauban, France, 82017
- Clinique Honoré Cave /ID# 262225
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Paris, France, 75010
- AP-HP - Groupe Hospitalier 10e - Hopital Lariboisiere /ID# 262406
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Alpes-Maritimes
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Nice, Alpes-Maritimes, France, 06001
- Centre Hospitalier Universitaire de Nice - Hopital Pasteur /ID# 262418
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Auvergne-Rhône-Alpes
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Lyon, Auvergne-Rhône-Alpes, France, 69004
- Hôpital de la Croix Rousse - Groupement Hospitalier Nord /ID# 262409
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Cote-d Or
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Dijon, Cote-d Or, France, 21000
- CHU Dijon /ID# 262410
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Occitanie
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Toulouse, Occitanie, France, 31059
- Chu De Toulouse - Hopital Pierre Paul Ricquet /ID# 262411
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Paris
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Paris, Paris, France, 75679
- Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 262415
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Pays de la Loire Region
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Nantes, Pays de la Loire Region, France, 44000
- Centre Hospitalier Universitaire de Nantes, Hotel Dieu -HME /ID# 262408
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Provence-Alpes-Côte d'Azur Region
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Marseille, Provence-Alpes-Côte d'Azur Region, France, 13008
- Clinique Juge /ID# 262417
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Val-de-Marne
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Créteil, Val-de-Marne, France, 94000
- Centre Hosp Intercommunal de Creteil /ID# 262407
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Hamburg, Germany, 20246
- Universitaetsklinikum Hamburg-Eppendorf /ID# 262493
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Püttlingen, Germany, 66346
- Knappschaftsklinikum Saar /ID# 262496
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Baden-Wurttemberg
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Freiburg im Breisgau, Baden-Wurttemberg, Germany, 79106
- Universitaetsklinikum Freiburg /ID# 262495
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Ulm, Baden-Wurttemberg, Germany, 89081
- Universitaetsklinikum Ulm /ID# 262494
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North Rhine-Westphalia
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Bonn, North Rhine-Westphalia, Germany, 53127
- Universitaetsklinikum Bonn /ID# 262498
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Münster, North Rhine-Westphalia, Germany, 48149
- Universitaetsklinikum Muenster /ID# 262499
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Rhineland-Palatinate
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Ludwigshafen am Rhein, Rhineland-Palatinate, Germany, 67063
- Klinikum Ludwigshafen /ID# 262497
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Budapest, Hungary, 1133
- Budapest Retina Intezet /ID# 262647
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Pécs, Hungary, 7621
- Ganglion Orvosi Központ /ID# 264550
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Hajdú-Bihar
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Debrecen, Hajdú-Bihar, Hungary, 4032
- Debreceni Egyetem-Klinikai Kozpont /ID# 262646
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Bari, Italy, 70124
- A.O.U. Consorziale Policlinico di Bari /ID# 262500
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Chieti, Italy, 67100
- ASL 2 Abruzzo Lanciano-Vasto-Chieti /ID# 263923
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Udine, Italy, 33100
- ASU FC - P.O. Universitario Santa Maria della Misericordia /ID# 263036
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Ferrara
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Cona, Ferrara, Italy, 44124
- Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale S.Anna /ID# 262896
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Milano
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Milan, Milano, Italy, 20132
- IRCCS Ospedale San Raffaele /ID# 263035
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Milan, Milano, Italy, 20157
- ASST Fatebenefratelli Sacco /ID# 263273
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Napoli
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Naples, Napoli, Italy, 80138
- Azienda Ospedaliera Universitaria Luigi Vanvitelli /ID# 264074
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Roma
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Rome, Roma, Italy, 00168
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS-Università Cattolica /ID# 263037
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Rome, Roma, Italy, 00184
- IRCCS Fondazione G.B. Bietti per lo studio e la ricerca in Oftalmologia- ONLUS /ID# 262897
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Verona
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Negrar, Verona, Italy, 37024
- IRCCS Ospedale Sacro Cuore Don Calabria /ID# 263536
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Aichi-ken
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Nagoya, Aichi-ken, Japan, 466-8560
- Nagoya University Hospital /ID# 267350
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Fukushima
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Fukushima, Fukushima, Japan, 960-1295
- Fukushima Medical University Hospital /ID# 258411
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Hyōgo
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Kobe, Hyōgo, Japan, 650-0047
- Kobe City Eye Hospital /ID# 256948
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Nishinomiya-shi, Hyōgo, Japan, 663-8501
- Hyogo Medical University Hospital /ID# 257893
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Kagoshima-ken
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Kagoshima, Kagoshima-ken, Japan, 890-8520
- Kagoshima University Hospital /ID# 257053
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Kyoto
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Kyoto, Kyoto, Japan, 606-8507
- Kyoto University Hospital /ID# 267351
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Miyazaki
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Miyazaki, Miyazaki, Japan, 889-1692
- University of Miyazaki Hospital /ID# 262879
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Shiga
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Ōtsu, Shiga, Japan, 520-2192
- Shiga University of Medical Science /ID# 266862
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8431
- Juntendo University Hospital /ID# 258715
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Arecibo, Puerto Rico, 00612
- Emanuelli Research & Development Center LLC /ID# 256231
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Barcelona, Spain, 08028
- Institut Clínic d'Oftalmologia (ICOF). Hospital Clínic d'Oftalmologia. /ID# 262644
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Barcelona, Spain, 08035
- Instituto de Microcirugía Ocular /ID# 262642
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Barcelona, Spain, 08041
- Hospital Santa Creu i Sant Pau /ID# 262637
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre /ID# 262636
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Madrid, Spain, 28046
- Clinica Baviera /ID# 270146
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A Coruna
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Santiago de Compostela, A Coruna, Spain, 15706
- Complejo Hospitalario Universitario de Santiago (CHUS) /ID# 262632
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spain, 08907
- Hospital Universitari de Bellvitge /ID# 262641
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Cordoba
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Córdoba, Cordoba, Spain, 14012
- Hospital Arruzafa /ID# 262634
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Las Palmas
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Las Palmas de Gran Canaria, Las Palmas, Spain, 35016
- Complejo Hospitalario Universitario Insular-Materno Infantil de Gran Canaria /ID# 262633
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Madrid
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Majadahonda, Madrid, Spain, 28222
- Hospital Universitario Puerta de Hierro - Majadahonda /ID# 262635
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Bradford, United Kingdom, BD9 6RJ
- Bradford Royal Infirmary /ID# 273164
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Bristol, United Kingdom, BS1 2LX
- Bristol Eye Hospital /ID# 271619
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Liverpool, United Kingdom, L7 8XP
- Liverpool University Hospitals NHS Foundation Trust /ID# 262305
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Manchester, United Kingdom, M9 2AA
- Manchester University NHS Foundation Trust /ID# 262404
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Newcastle upon Tyne, United Kingdom, NE1 4LP
- Royal Victoria Infirmary /ID# 277368
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Sunderland, United Kingdom, SR2 9HP
- Sunderland Eye Infirmary /ID# 271620
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Buckinghamshire
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Aylesbury, Buckinghamshire, United Kingdom, HP21 8AL
- Stoke Mandeville Hospital /ID# 277343
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England
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London, England, United Kingdom, NW1 5QH
- Western Eye Hospital /ID# 271621
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Gloucestershire
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Gloucester, Gloucestershire, United Kingdom, GL1 3NN
- Gloucestershire Royal Hospital /ID# 277362
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Greater London
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London, Greater London, United Kingdom, EC1V 2PD
- Moorfields Eye Hospital /ID# 263038
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London, Greater London, United Kingdom, W1G 7LB
- The Retina Clinic London /ID# 262304
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Hampshire
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Southampton, Hampshire, United Kingdom, SO16 6YD
- University Hospital Southampton NHS Foundation Trust /ID# 262307
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Oxfordshire
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Oxford, Oxfordshire, United Kingdom, OX3 9DU
- Oxford University Hospitals NHS Foundation Trust /ID# 262306
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West Yorkshire
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Leeds, West Yorkshire, United Kingdom, LS9 7TF
- Leeds Teaching Hospital /ID# 277366
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Arizona
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Phoenix, Arizona, United States, 85016
- Barnet Dulaney Eye Center-Phoenix /ID# 256340
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Phoenix, Arizona, United States, 85053
- Retinal Research Institute /ID# 256238
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Scottsdale, Arizona, United States, 85255-4134
- Retina Macula Institute of Arizona /ID# 271026
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California
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Bakersfield, California, United States, 93309-1677
- California Retina Consultants - Bakersfield /ID# 256240
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Beverly Hills, California, United States, 90211
- Retina Vitreous Assoc Med Grp /ID# 256246
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Campbell, California, United States, 95008
- Retinal Diagnostic Center /ID# 256262
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Encino, California, United States, 91436
- The Retina Partners - Encino /ID# 259660
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Fullerton, California, United States, 92835
- Retina Consultants of Orange County /ID# 256267
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La Jolla, California, United States, 92093
- Jacobs Retina Center at UCSD/ID# 256320
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Oxnard, California, United States, 93036
- California Retina Consultants - Oxnard - North Ventura Road /ID# 262883
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Palo Alto, California, United States, 94303
- Byers Eye Institute Stanford /ID# 262853
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Poway, California, United States, 92064-2530
- Retina Consultants of San Diego /ID# 256258
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Riverside, California, United States, 92505
- Kaiser Permanente - Riverside Medical Center /ID# 262413
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Sacramento, California, United States, 95817
- UC Davis Health Eye Center
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Sacramento, California, United States, 95841
- Retinal Consultants Medical Group, Inc. - Greenback /ID# 256353
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Santa Ana, California, United States, 92705
- Orange County Retina Medical Group /ID# 256286
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Torrance, California, United States, 90503
- Macula Retina Vitreous Center - Torrance /ID# 270247
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Walnut Creek, California, United States, 94598
- Bay Area Retina Associates - Walnut Creek - Lennon Lane /ID# 268513
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Retina Consultants of Southern Colorado /ID# 256285
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Durango, Colorado, United States, 81303
- Southwest Retina Research Center /ID# 256261
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Lakewood, Colorado, United States, 80228
- Colorado Retina Associates /ID# 256378
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Longmont, Colorado, United States, 80503
- Advanced Vision Research Institute /ID# 256380
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Connecticut
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Manchester, Connecticut, United States, 06042-3556
- Retina Consultants, P.C. /ID# 273610
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Florida
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Deerfield Beach, Florida, United States, 33064
- Rand Eye Institute /ID# 256337
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Fort Myers, Florida, United States, 33912-7125
- National Ophthalmic Research Institute /ID# 256344
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Gainesville, Florida, United States, 32607
- Vitreoretinal Associates, P.A. /ID# 256266
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Lakeland, Florida, United States, 33805
- Florida Retina Consultants /ID# 256321
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Orlando, Florida, United States, 32806-1101
- Florida Retina Institute - Orlando /ID# 256373
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Pensacola, Florida, United States, 32503
- Retina Specialty Institute /ID# 256268
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Plantation, Florida, United States, 33324
- Fort Lauderdale Eye Institute /ID# 266011
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St. Petersburg, Florida, United States, 33711-1141
- Retina Vitreous Associates of Florida - St. Petersburg /ID# 256279
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Winter Haven, Florida, United States, 33880
- Center for Retina and Macular Disease /ID# 256335
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Georgia
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Marietta, Georgia, United States, 30060
- Georgia Retina - Marietta /ID# 256264
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Hawaii
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‘Aiea, Hawaii, United States, 96701
- Retina Consultants of Hawaii /ID# 256278
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Illinois
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Chicago, Illinois, United States, 60611-2987
- Northwestern Memorial Hospital - Department of Ophthalmology /ID# 256379
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Lemont, Illinois, United States, 60439
- University Retina and Macula Associates /ID# 256288
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Oak Forest, Illinois, United States, 60452
- University Retina and Macula Associates /ID# 256287
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Oak Park, Illinois, United States, 60304
- Illinois Retina Associates - Oak Park /ID# 256375
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Springfield, Illinois, United States, 62702
- Springfield Clinic - First /ID# 256371
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Indiana
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Indianapolis, Indiana, United States, 46290
- Retina Partners Midwest, PC /ID# 256277
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New Albany, Indiana, United States, 47150
- John-Kenyon American Eye Institute -New Albany /ID# 256283
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Iowa
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West Des Moines, Iowa, United States, 50266
- Wolfe Eye Clinic - West Des Moines /ID# 256314
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Kansas
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Lenexa, Kansas, United States, 66215
- Retina Associates - Lenexa /ID# 258296
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Maine
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Portland, Maine, United States, 04101
- Maine Eye Center - Marginal Way Campus /ID# 256391
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Maryland
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Baltimore, Maryland, United States, 21204
- Retina Specialists /ID# 256392
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Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital /ID# 256236
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Hagerstown, Maryland, United States, 21740-5965
- Mid Atlantic Retina Specialists - Hagerstown /ID# 256310
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Massachusetts
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Boston, Massachusetts, United States, 02114
- MA Eye & Ear Infirmary /ID# 262430
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Boston, Massachusetts, United States, 02114
- Ophthalmic Consultants of Boston /ID# 256233
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Worcester, Massachusetts, United States, 01605
- Vitreo Retinal Associates - Worcester /ID# 266008
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Michigan
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Grand Blanc, Michigan, United States, 48439
- Retina Associates of Michigan /ID# 256393
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Royal Oak, Michigan, United States, 48073
- Associated Retinal Consultants /ID# 256269
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Minnesota
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Edina, Minnesota, United States, 55435
- VitreoRetinal Surgery PLLC DBA Retina Consultants of Minnesota /ID# 256272
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Rochester, Minnesota, United States, 55905-0001
- Mayo Clinic - Rochester /ID# 258295
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Mississippi
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Madison, Mississippi, United States, 39110-2028
- Mississippi Retina Associates /ID# 270934
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Missouri
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Chesterfield, Missouri, United States, 63017
- Mid America Surgery Center /ID# 258993
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Columbia, Missouri, United States, 65212
- University of Missouri Hospital /ID# 262474
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St Louis, Missouri, United States, 63108
- Washington University School of Medicine - St. Louis /ID# 256383
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Nevada
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Reno, Nevada, United States, 89502
- Sierra Eye Associates /ID# 256239
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New Jersey
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Bloomfield, New Jersey, United States, 07003
- Envision Ocular, LLC /ID# 256367
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Little Silver, New Jersey, United States, 07739
- Monmouth Retina Consultants /ID# 275895
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New York
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New York, New York, United States, 10032
- Columbia University of New York - Edward S. Harkness Eye Institute /ID# 256342
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Rochester, New York, United States, 14620
- Retina Associates of Western New York /ID# 256374
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North Carolina
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Asheville, North Carolina, United States, 28803
- Asheville Eye Associates- Retina Division /ID# 256355
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Durham, North Carolina, United States, 27710
- Duke University Medical Center /ID# 256245
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Hickory, North Carolina, United States, 28602
- Graystone Eye /ID# 256424
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Ohio
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Cincinnati, Ohio, United States, 45242-5664
- Cincinnati Eye Institute /ID# 256247
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Cleveland, Ohio, United States, 44130
- Retina Associates of Cleveland-Middleburg Heights /ID# 256280
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic - Cleveland /ID# 256282
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Columbus, Ohio, United States, 43210
- Ohio State University /ID# 256275
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Dublin, Ohio, United States, 43016
- Midwest Retina /ID# 276644
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Oklahoma
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Edmond, Oklahoma, United States, 73013
- Retina Vitreous Center, Research /ID# 256284
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104-5502
- University of Pennsylvania /ID# 258995
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Philadelphia, Pennsylvania, United States, 19107
- Mid Atlantic Retina /ID# 256232
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center /ID# 258994
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South Carolina
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Beaufort, South Carolina, United States, 29902-6216
- Charleston Neuroscience Institute - Beaufort /ID# 256385
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Charleston, South Carolina, United States, 29414-5896
- Charleston Neurosciences Institute /ID# 256351
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Florence, South Carolina, United States, 29501
- Palmetto Retina Center-Florence /ID# 256244
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Ladson, South Carolina, United States, 29414-5896
- Charleston Neurosciences Institute /ID# 256336
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South Dakota
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Rapid City, South Dakota, United States, 57701
- Black Hills Regional Eye Institute /ID# 262872
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Tennessee
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Chattanooga, Tennessee, United States, 37421
- Southeastern Retina Associates - Chattanooga /ID# 258992
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Germantown, Tennessee, United States, 38138
- Charles Retina Institute /ID# 256237
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Johnson City, Tennessee, United States, 37604
- Southeastern Retina Associates - Johnson City /ID# 256396
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Nashville, Tennessee, United States, 37203-1513
- Tennessee Retina - Nashville /ID# 256388
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Nashville, Tennessee, United States, 37232-0011
- Vanderbilt University Medical Center /ID# 256372
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Texas
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Abilene, Texas, United States, 79606-1224
- Retina Research Institute of Texas /ID# 256263
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Austin, Texas, United States, 78705
- Austin Research Center for Retina /ID# 256265
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Austin, Texas, United States, 78750-2298
- Austin Clinical Research, LLC /ID# 256274
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Bellaire, Texas, United States, 77401
- Retina Consultants of Texas - Bellaire /ID# 256377
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Burleson, Texas, United States, 76028
- Star Retina - Burleson /ID# 256376
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Dallas, Texas, United States, 75231
- Texas Retina Associates /ID# 256259
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Fort Worth, Texas, United States, 76104
- Texas Retina Associates - Fort Worth /ID# 256326
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Round Rock, Texas, United States, 78681
- Austin Retina Associates - Round Rock /ID# 256387
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San Antonio, Texas, United States, 78240
- Retina Associates of South Texas
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San Antonio, Texas, United States, 78240-1655
- Retina Consultants of Texas/ID# 259661
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San Antonio, Texas, United States, 78251
- Retina Consultants of Texas /ID# 256382
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Southlake, Texas, United States, 76092
- Retina Center Of Texas (Rct) - Southlake /ID# 256281
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Utah
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Murray, Utah, United States, 84107
- Rocky Mountain Retina Consultants /ID# 256369
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Salt Lake City, Utah, United States, 84107
- Retina Associates of Utah /ID# 256276
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Virginia
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Lynchburg, Virginia, United States, 24502
- Piedmont Eye Center /ID# 256386
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Norfolk, Virginia, United States, 23502
- Wagner Kapoor Research Institute - Norfolk /ID# 256260
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Richmond, Virginia, United States, 23235
- Retina Institute of Virginia /ID# 256394
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Roanoke, Virginia, United States, 24019
- Vistar Eye Center /ID# 271024
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Washington
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Bellevue, Washington, United States, 98004
- Pacific Northwest Retina /ID# 258999
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Silverdale, Washington, United States, 98383
- Retina Center NW, PLLC /ID# 256395
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Spokane, Washington, United States, 99204
- Spokane Eye Clinic /ID# 256338
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Wisconsin
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La Crosse, Wisconsin, United States, 54601
- Gundersen Health System - La Crosse Medical Center /ID# 276012
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 50 years and ≤ 89 years
- An ETDRS BCVA letter score between ≤ 78 and ≥ 40 in the study eye
- Diagnosis of subfoveal choroidal neovascularization (CNV) secondary to AMD in the study eye previously treated with anti-VEGF
- Must be pseudophakic (at least 12 weeks postcataract surgery) in the study eye
- Willing and able to provide written, signed informed consent for this study
- Participants must have demonstrated a meaningful response to anti-VEGF therapy at study entry
Inclusion Criteria (Bilateral Treatment Substudy)*:
- An ETDRS BCVA letter score between ≤ 83 and ≥ 40 in both eyes
- Diagnosis of subfoveal choroidal neovascularization (CNV) secondary to AMD in both eyes
- Must be pseudophakic (at least 12 weeks postcataract surgery) in both eyes
- Willing and able to provide written, signed informed consent for this study
- Newcomers must have active disease in the study eye; crossover participants must have active disease in the eye not treated in the main study
Exclusion Criteria:
- CNV or macular edema in the study eye secondary to any causes other than AMD
- Subfoveal fibrosis or atrophy in the study eye
- Any condition in the investigator's opinion that could limit VA improvement in the study eye
- Advanced glaucoma or history of secondary glaucoma in the study eye
- Myocardial infarction, cerebrovascular accident, or transient ischemic attack within the past 6 months
- History of intraocular surgery in the study eye within 12 weeks prior to randomization
- History of intravitreal therapy in the study eye, such as intravitreal steroid injection or investigational medicinal product, other than an intravitreal therapy for AMD, in the 6 months prior to Week -6
- Prior treatment with gene therapy
Exclusion Criteria (Bilateral Treatment Substudy)*:
- CNV or macular edema in either eye secondary to any causes other than AMD
- Subfoveal fibrosis or atrophy in either eye
- Any condition in the investigator's opinion that could limit VA improvement in either eye
- Advanced glaucoma or history of secondary glaucoma in either eye
- Myocardial infarction, cerebrovascular accident, or transient ischemic attack within the past 6 months
- History of intraocular surgery in either eye within 12 weeks prior to randomization
- History of intravitreal therapy in the study eye, such as intravitreal steroid injection or investigational medicinal product, other than an intravitreal therapy for AMD, in the 6 months prior to Week -6.
- Prior treatment with gene therapy (*) For previously treated crossover participants, criteria apply to the eye not treated in the main study only.
Note: Other inclusion/exclusion criteria apply
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Control Arm
Aflibercept administered via intravitreal injection approximately every 8 weeks
|
2.0 mg (0.05 mLsolution) administered by intravitreal injection approximately every 8 weeks after 3 monthly injections
Other Names:
|
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Experimental: ABBV-RGX-314 Dose 1
ABBV-RGX-314 Dose 1 administered via subretinal delivery one time.
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AAV8 vector containing a transgene for anti-VEGF Fab (Dose 1)
Other Names:
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Experimental: ABBV-RGX-314 Dose 2
ABBV-RGX-314 Dose 2 administered via subretinal delivery one time.
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AAV8 vector containing a transgene for anti-VEGF Fab (Dose 2)
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Bilateral Treatment Substudy: Incidence of ocular AEs and any SAEs
Time Frame: Week 50
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AEs and SAEs through Week 50
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Week 50
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Mean change from baseline in Best Corrected Visual Acuity (BCVA)
Time Frame: At Week 54
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To evaluate the noninferiority of ABBV-RGX-314 relative to aflibercept in mean change from Baseline BCVA at Week 54
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At Week 54
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Bilateral Treatment Substudy: Mean change from Baseline in CRT at assessed time points
Time Frame: Through Week 50
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Mean change in CRT as measured by SD-OCT
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Through Week 50
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Bilateral Treatment Substudy: Supplemental anti-VEGF injection annualized rate
Time Frame: Through Week 50
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Supplemental anti-VEGF injection annualized rate
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Through Week 50
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Bilateral Treatment Substudy: Mean number of supplemental anti-VEGF injections
Time Frame: Through Week 50
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Mean supplemental anti-VEGF injections
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Through Week 50
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Bilateral Treatment Substudy: Aqueous humor and serum ABBV-RGX-314 TP concentrations
Time Frame: Week 26, Week 34, Week 50
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Aqueous humor and serum ABBV-RGX-314 TP concentrations
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Week 26, Week 34, Week 50
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Bilateral Treatment Substudy: Proportion of participants with 0, ≤ 1, ≤ 2, and ≤ 3 supplemental anti-VEGF injections
Time Frame: Through Week 50
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Proportion of participants with 0, ≤ 1, ≤ 2, and ≤ 3 supplemental anti-VEGF injections
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Through Week 50
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Incidences of ocular and overall AEs
Time Frame: Through Week 54
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To evaluate the safety and tolerability of ABBV-RGX-314 through Week 54
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Through Week 54
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Proportion of participants with improved BCVA
Time Frame: Week 54
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on BCVA
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Week 54
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Proportion of participants with worsened BCVA
Time Frame: Week 54
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on BCVA
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Week 54
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Proportion of participants (1) gaining or losing greater than 0 letters; (2) maintaining vision compared with baseline as per BCVA
Time Frame: Week 54
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on BCVA
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Week 54
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Mean change from baseline in BCVA for participants who received 0 or more supplemental anti-VEGF injection (ABBV-RGX- 314 randomized participants)
Time Frame: Week 54
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on BCVA
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Week 54
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Mean change from Week 54 to Week 108 in BCVA (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Week 54 to Week 108
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on BCVA
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Week 54 to Week 108
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Mean change in central retinal thickness (CRT) as measured by SD-OCT
Time Frame: Through Week 108
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on CRT as measured by SD-OCT
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Through Week 108
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Mean change in central point thickness (CPT) as measured by SD-OCT
Time Frame: Through Week 108
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To evaluate the effect of ABBV-RGX-314 relative to aflibercept on CPT as measured by SD-OCT
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Through Week 108
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Mean number of supplemental anti-VEGF injections from Baseline through Week 54 (ABBV-RGX-314 randomized participants) and from Week 54 through Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Proportion of participants with 0, 1, 2, and 3 supplemental injections through Week 54 (ABBV-RGX-314 randomized participants) and from Week 54 through Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Proportion of participants with ≤ 1, ≤ 2, and ≤ 3 supplemental injections through Week 54 (ABBV-RGX-314 randomized participants) and from Week 54 through Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Proportion of participants that received 1 or 2 injections through Week 54 (ABBV-RGX-314 randomized participants) and from Week 54 through Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Proportion of participants with a reduction of ≥ 50% in anti-VEGF injection annualized rate through Week 54 compared with the prior year (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 54
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Proportion of participants with a reduction of ≥ 75% in anti-VEGF injection annualized rate through Week 54 compared with the prior year (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 54
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Percent reduction in anti-VEGF injection annualized rate through Week 54 compared with the prior year (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 54
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Supplemental anti-VEGF injection annualized rate through Week 54 (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 54
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Percent reduction in anti-VEGF injection annualized rate after Week 58 through Week 108 relative to the year prior to study (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Supplemental anti-VEGF injection annualized rate after Week 58 through Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Time to first supplemental anti- VEGF injection after the Week 2 injection (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 54
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Time to first supplemental anti-VEGF injection after the Week 58 injection (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess the need for supplemental anti-VEGF therapy in participants treated with ABBV-RGX-314
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Through Week 108
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Mean change from Baseline in NEI VFQ-25 (composite score) at Week 54 and (control arm participants who cross over to ABBV-RGX-314) Week 108
Time Frame: Week 54 and Week 108
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To evaluate patient-reported visual function and treatment satisfaction using PRO questionnaires
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Week 54 and Week 108
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Mean change from Baseline in MacTSQ (composite score) at Week 54 and (control arm participants who cross over to ABBV-RGX-314) Week 108
Time Frame: Week 54 and Week 108
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To evaluate patient-reported visual function and treatment satisfaction using PRO questionnaires
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Week 54 and Week 108
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Aqueous humor ABBV-RGX-314 TP concentrations at Week -2, Week 14, Week 38, and Week 54 (ABBV-RGX-314 randomized participants)
Time Frame: Through Week 54
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To assess aqueous humor and serum TP concentrations prior to and after ABBV-RGX-314 administration
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Through Week 54
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Aqueous humor ABBV-RGX-314 TP concentrations at Week 54, Week 74, Week 90, and Week 108 (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Through Week 108
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To assess aqueous humor and serum TP concentrations prior to and after ABBV-RGX-314 administration
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Through Week 108
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Serum ABBV-RGX-314 TP concentrations (at select sites)
Time Frame: Through Week 54
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To assess aqueous humor and serum TP concentrations prior to and after ABBV-RGX-314 administration
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Through Week 54
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Immunogenicity measurements (ABBV-RGX-314 randomized participants)
Time Frame: Week -2, Week 14, Week 38, and Week 54
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Immunogenicity measurements (serum antibodies to AAV8 and serum antibodies to ABBVRGX- 314 TP)
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Week -2, Week 14, Week 38, and Week 54
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Immunogenicity measurements (control arm participants who cross over to ABBV-RGX-314)
Time Frame: Week 54, Week 74, Week 90, and Week 108
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Immunogenicity measurements (serum antibodies to AAV8 and serum antibodies to ABBV-RGX- 314 TP)
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Week 54, Week 74, Week 90, and Week 108
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Bilateral Treatment Substudy: Incidence of nonocular AEs and any AESIs
Time Frame: Week 50
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To evaluate the safety and tolerability of bilateral treatment of ABBV-RGX-314 gene therapy
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Week 50
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Bilateral Treatment Substudy: Mean change from Baseline in BCVA at assessed time points
Time Frame: Week 50
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BCVA measured by ETDRS
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Week 50
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Bilateral Treatment Substudy: Immunogenicity measurements (serum anti-ABBV-RGX-314 TP antibodies, serum anti-AAV8 antibodies) and enzyme-linked immunospot at assessed time points
Time Frame: Week 50
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Immunogenicity measurements
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Week 50
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Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- Gene Therapy
- Eye Diseases
- AMD
- Ranibizumab
- Antineoplastic Agents
- Aflibercept
- Physiological Effects of Drugs
- Age-Related Macular Degeneration
- Retinal Diseases
- Macular Degeneration
- wet AMD
- Choroidal Neovascularization
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Anti-VEGF therapy
- Retinal Degeneration
- Wet Macular Degeneration
- Neovascular Age-Related Macular Degeneration
- Growth Substances
- Growth Inhibitors
- Anti-vascular endothelial grown factory therapy
Additional Relevant MeSH Terms
- Pathologic Processes
- Eye Diseases, Hereditary
- Uveal Diseases
- Choroid Diseases
- Metaplasia
- Neovascularization, Pathologic
- Pathological Conditions, Signs and Symptoms
- Retinal Diseases
- Eye Diseases
- Retinal Degeneration
- Macular Degeneration
- Choroidal Neovascularization
- Wet Macular Degeneration
- Antineoplastic Agents
- Physiological Effects of Drugs
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- aflibercept
Other Study ID Numbers
- RGX-314-3101
- M23-409 (Other Identifier: AbbVie)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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