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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04597632
Registration number
NCT04597632
Ethics application status
Date submitted
1/10/2020
Date registered
22/10/2020
Titles & IDs
Public title
An Extension Study Assessing the Efficacy and Safety of Brolucizumab in a Treat-to-Control Regimen in Patients With Neovascular Age-related Macular Degeneration Who Have Completed the CRTH258A2303 (TALON) Study
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Scientific title
A 56-week Phase IIIb/IV, Open-label, One-arm Extension Study to Assess the Efficacy and Safety of Brolucizumab 6 mg in a Treat-to-Control Regimen With Maximum Treatment Intervals up to 20 Weeks for the Treatment of Patients With Neovascular Age-related Macular Degeneration Who Have Completed the CRTH258A2303 (TALON) Study
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Secondary ID [1]
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2020-002349-40
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Secondary ID [2]
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CRTH258A2303E1
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Universal Trial Number (UTN)
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Trial acronym
TALON Ext
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neovascular Age-related Macular Degeneration
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - brolucizumab
Experimental: brolucizumab 6 mg - Participants received brolucizumab 6 mg/0.05 mL solution by intravitreal injection in a Treat-to-Control regimen with injection intervals from 4 up to 20 weeks. Intervals could have changed in steps of 4 weeks at a time per investigators' decisions determined by the disease activity.
Treatment: Drugs: brolucizumab
brolucizumab 6 mg/0.05 mL solution for intravitreal injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Duration of the Last Interval With no Disease Activity up to Week 56 - Study Eye
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Assessment method [1]
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Number of subjects in every 4 weeks (q4w), every 8 weeks (q8w), every 12 weeks (q12w) and every 20 weeks (q20w) intervals at last interval with no disease activity up to Week 56. Last interval with no disease activity (number of weeks): Number of subjects at 20/16/12/8/4-weeks intervals up to Week 56 for the study eye in the extension study
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Timepoint [1]
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Up to Week 56
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Primary outcome [2]
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Average Change in BCVA From Baseline to Week 52 and Week 56 for the Study Eye
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Assessment method [2]
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Best-Corrected Visual Acuity (BCVA) was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual Function of the study eye was assessed using the ETDRS protocol. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning.
The average change in BCVA from Baseline of the extension study at Week 52 and Week 56 was estimated by an analysis of variance (ANOVA) with baseline age categories, baseline BCVA categories and treatment arm in the core study included as fixed effects. Last observation carried forward (LOCF) was used to impute missing BCVA values.
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Timepoint [2]
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Extension study baseline, average of Week 52 and Week 56
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Secondary outcome [1]
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Average Change in Central Subfield Thickness (CSFT) From Baseline to Week 52 and Week 56 - Study Eye
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Assessment method [1]
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Central Subfield Thickness (µm): Analysis of Variance (ANOVA) results for the average change from extension study Baseline at Week 52 and Week 56 for the study eye in the extension study by core study treatment arm.
Central Subfield Thickness was assessed by Spectral domain optical coherence tomography (SD-OCT) from the central reading center.
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Timepoint [1]
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Extension study baseline, average of Week 52 and Week 56
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Secondary outcome [2]
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Number (%) of Subjects With Presence of IRF and/or SRF, and Sub-RPE Fluid in the Study Eye at Week 52 and Week 56 Overall and by Core Study Treatment Arm
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Assessment method [2]
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Intraretinal Fluid (IRF) and Subretinal Fluid (SRF) status in the central subfield as assessed by Spectral Domain Ocular Coherence Tomography (SD-OCT): Number (%) of subjects with presence of IRF and/or SRF, and sub-Retinal Pigment Epithelium (RPE) fluid in the study eye at Week 52 and Week 56 overall and by core study treatment arm
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Timepoint [2]
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Weeks 52 and 56
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Secondary outcome [3]
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Last Interval With no Disease Activity (Number of Weeks): Number (%) of Subjects at 20/16/12/8/4-weeks Intervals up to Week 56 for the Study Eye in the Extension Study by Core Study Randomized Treatment Arm
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Assessment method [3]
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Duration of the last interval with no disease activity up to Week 52 by core study treatment arm.
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Timepoint [3]
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up to Week 56
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Secondary outcome [4]
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Maximal Interval With no Disease Activity (Number of Weeks): Number (%) of Subjects at 20/16/12/8/4-weeks Intervals up to Week 56 for the Study Eye in the Extension Study
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Assessment method [4]
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Duration of the maximal intervals with no disease activity up to Week 52 by core study treatment arm.
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Timepoint [4]
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up to Week 56
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Secondary outcome [5]
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Number (%) of Subjects With Change in Duration of Last Interval With no Disease Activity Between Baseline of the Extension Study and Week 56 by Core Study Treatment Arm
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Assessment method [5]
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Change in last interval with no disease activity
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Timepoint [5]
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Extension study baseline, up to Week 56
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Secondary outcome [6]
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Treatment-emergent Ocular Adverse Events (Greater Than or Equal to 1.0%) by Preferred Term for the Study Eye
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Assessment method [6]
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An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study.
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Timepoint [6]
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Adverse events are reported from the first dose of study-drug until the end of treatment at week 52, plus 4 weeks safety follow-up, for a maximum timeframe of approximately 56 weeks.
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Secondary outcome [7]
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Treatment-emergent Non-ocular Adverse Events (Greater Than or Equal to 2%) by Preferred Term
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Assessment method [7]
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An adverse event (AE) is any untoward medical occurrence (e.g. any unfavorable and unintended sign \[including abnormal laboratory findings\], symptom or disease) in a clinical investigation participant after providing written informed consent for participation in the study.
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Timepoint [7]
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Adverse events are reported from the first dose of study-drug until the end of treatment at week 52, plus 4 weeks safety follow-up, for a maximum timeframe of approximately 56 weeks.
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Eligibility
Key inclusion criteria
1. Signed informed consent
2. Successfully completed TALON core study at week 64 (End of Study)
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Medical condition or personal circumstance which precludes study participation or compliance with study procedures, as assessed by the Investigator
2. Discontinued study treatment in the core study
3. Anti-VEGF treatment is futile in the study eye, in the Investigator's opinion.
4. Pregnant or nursing (lactating) women
5. Women of child-bearing potential not using highly effective methods of contraception
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
16/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
28/03/2023
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Sample size
Target
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Accrual to date
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Final
248
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Novartis Investigative Site - Albury
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Recruitment hospital [2]
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Novartis Investigative Site - Hurstville
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Recruitment hospital [3]
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Novartis Investigative Site - Parramatta
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Recruitment hospital [4]
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Novartis Investigative Site - Sydney
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Recruitment hospital [5]
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Novartis Investigative Site - Glen Waverley
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Recruitment hospital [6]
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Novartis Investigative Site - Rowville
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Recruitment hospital [7]
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Novartis Investigative Site - Nedlands
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Recruitment postcode(s) [1]
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2640 - Albury
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Recruitment postcode(s) [2]
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2220 - Hurstville
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Recruitment postcode(s) [3]
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2150 - Parramatta
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Recruitment postcode(s) [4]
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2000 - Sydney
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Recruitment postcode(s) [5]
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3150 - Glen Waverley
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Recruitment postcode(s) [6]
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3179 - Rowville
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Recruitment postcode(s) [7]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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Florida
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United States of America
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Indiana
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United States of America
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Minnesota
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United States of America
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Tennessee
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Belgium
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State/province [6]
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Hasselt
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Czechia
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State/province [7]
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CZE
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Czechia
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State/province [8]
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Praha 10
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Czechia
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Praha
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France
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Indre Et Loire
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France
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Rhone
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France
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Bordeaux
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France
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Creteil
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France
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Marseille
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France
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Montauban
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France
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Nantes Cedex 1
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France
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Paris cedex 10
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France
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Paris
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France
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Rueil Malmaison
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Germany
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Freiburg
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Germany
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Leipzig
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Germany
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Mainz
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Israel
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Jerusalem
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Israel
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Ramat Gan
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Israel
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Zerifin
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Italy
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PG
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Korea, Republic of
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Gyeonggi Do
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Korea, Republic of
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Seocho Gu
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Korea, Republic of
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Busan
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Daegu
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Seoul
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Malaysia
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State/province [32]
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Melaka Malaysia
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Malaysia
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State/province [33]
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Selangor
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Netherlands
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Den Bosch
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Netherlands
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Nijmegen
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Portugal
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Porto
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Portugal
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Vila Franca de Xira
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Spain
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Cataluna
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Spain
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Catalunya
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Spain
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Navarra
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Spain
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Valencia
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Spain
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Barcelona
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Spain
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Cordoba
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Spain
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Zaragoza
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Sweden
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Oerebro
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Sweden
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Vasteras
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Switzerland
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Binningen
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Taiwan
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State/province [48]
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Taipei
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Country [49]
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Taiwan
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State/province [49]
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Taoyuan
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this extension study was to evaluate the efficacy and safety of brolucizumab used in a Treat-to-Control-regimen for treatment of patients with neovascular age-related macular degeneration who have completed the CRTH258A2303 (TALON) study. The main objective was to assess brolucizumab's potential for long durability up to 20 weeks. All eligible participants were treated with brolucizumab regardless of their treatment in the TALON study. The study period was 56 weeks including post-treatment follow-up.
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Trial website
https://clinicaltrials.gov/study/NCT04597632
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on https://www.clinicalstudydatarequest.com/.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.clinicalstudydatarequest.com/
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/32/NCT04597632/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/32/NCT04597632/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04597632