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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06176352
Registration number
NCT06176352
Ethics application status
Date submitted
11/12/2023
Date registered
19/12/2023
Titles & IDs
Public title
A Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Choroidal Neovascularization Secondary to Pathologic Myopia
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Scientific title
A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Choroidal Neovascularization Secondary to Pathologic Myopia
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Secondary ID [1]
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2023-506707-25-00
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Secondary ID [2]
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CR44829
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Universal Trial Number (UTN)
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Trial acronym
POYANG
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Choroidal Neovascularization Secondary to Pathologic Myopia
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Cardiovascular
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Other cardiovascular diseases
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Blood
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Haematological diseases
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Faricimab
Treatment: Drugs - Ranibizumab
Treatment: Surgery - Sham Procedure
Experimental: Arm A: Faricimab - All participants randomly assigned to Arm A will receive faricimab 6 mg at Day 1. Once every 4 weeks (Q4W) after Day 1, participants will receive treatment with faricimab on a pro re nata (PRN) basis dependent on prespecified retreatment criteria.
Active comparator: Arm B: Ranibizumab - All participants randomly assigned to Arm B will receive ranibizumab 0.5 mg at Day 1. Once every 4 weeks (Q4W) after Day 1, participants will receive treatment with ranibizumab on a pro re nata (PRN) basis dependent on prespecified retreatment criteria.
Treatment: Drugs: Faricimab
Faricimab 6 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.
Treatment: Drugs: Ranibizumab
Ranibizumab 0.5 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.
Treatment: Surgery: Sham Procedure
The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. Participants will undergo the sham procedure at study visits where no study drug is to be administered, in order to maintain masking.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Surgery
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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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Change from Baseline in Best-Corrected Visual Acuity (BCVA) Averaged Over Weeks 4, 8, and 12
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Assessment method [1]
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Timepoint [1]
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Baseline and Average of Weeks 4, 8, and 12
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Secondary outcome [1]
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Change from Baseline in BCVA Over Time
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Assessment method [1]
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Timepoint [1]
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From Baseline through Week 48
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Secondary outcome [2]
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Percentage of Participants Gaining =15 Letters in BCVA from Baseline Averaged Over Weeks 4, 8, and 12
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Assessment method [2]
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Timepoint [2]
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Baseline and Average of Weeks 4, 8, and 12
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Secondary outcome [3]
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Percentage of Participants Gaining =15 Letters in BCVA from Baseline Over Time
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Assessment method [3]
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Timepoint [3]
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From Baseline through Week 48
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Secondary outcome [4]
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Percentage of Participants Avoiding a Loss of =15 Letters in BCVA from Baseline Over Time
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Assessment method [4]
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Timepoint [4]
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From Baseline through Week 48
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Secondary outcome [5]
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Percentage of Participants Gaining =15 Letters in BCVA from Baseline or Achieving a BCVA of =84 Letters Over Time
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Assessment method [5]
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Timepoint [5]
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From Baseline through Week 48
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Secondary outcome [6]
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Percentage of Participants with BCVA Snellen Equivalent of 20/40 or Better Over Time
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Assessment method [6]
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Timepoint [6]
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From Baseline through Week 48
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Secondary outcome [7]
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Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse Over Time
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Assessment method [7]
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Timepoint [7]
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From Baseline through Week 48
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Secondary outcome [8]
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Percentage of Participants Only Receiving One Injection From Baseline to Weeks 12, 24, and 48
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Assessment method [8]
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Timepoint [8]
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From Baseline to Weeks 12, 24, and 48
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Secondary outcome [9]
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Number of Intravitreal Injections Received From Baseline to Weeks 12, 24, and 48
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Assessment method [9]
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Timepoint [9]
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From Baseline to Weeks 12, 24, and 48
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Secondary outcome [10]
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Change from Baseline in Central Subfield Thickness (CST) of the Study Eye Averaged Over Weeks 4, 8, and 12
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Assessment method [10]
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Timepoint [10]
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Baseline and Average of Weeks 4, 8, and 12
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Secondary outcome [11]
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Change from Baseline in CST of the Study Eye Over Time
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Assessment method [11]
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Timepoint [11]
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From Baseline through Week 48
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Secondary outcome [12]
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Change from Baseline in Total Area of the Choroidal Neovascularization Lesion at Weeks 12 and 48
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Assessment method [12]
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Timepoint [12]
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Baseline, Weeks 12 and 48
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Secondary outcome [13]
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Change from Baseline in Total Area of the Choroidal Neovascularization Leakage at Weeks 12 and 48
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Assessment method [13]
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Timepoint [13]
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Baseline, Weeks 12 and 48
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Secondary outcome [14]
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Percentage of Participants with Absence of Macular Leakage at Weeks 12 and 48
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Assessment method [14]
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Timepoint [14]
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Weeks 12 and 48
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Secondary outcome [15]
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Incidence and Severity of Ocular Adverse Events
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Assessment method [15]
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Timepoint [15]
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From first dose until 35 days after the last dose of study treatment (up to 48 weeks)
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Secondary outcome [16]
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Incidence and Severity of Non-Ocular Adverse Events
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Assessment method [16]
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Timepoint [16]
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From first dose until 35 days after the last dose of study treatment (up to 48 weeks)
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Secondary outcome [17]
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Prevalence of Anti-Drug Antibodies (ADAs) at Baseline and Incidence of ADAs During the Study
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Assessment method [17]
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Timepoint [17]
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At Baseline and from first dose until end of study (up to 48 weeks)
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Eligibility
Key inclusion criteria
1. Treatment-naïve choroidal neovascularization (CNV) secondary to myopia
2. Diagnosis of active myopic CNV in the study eye:
1. Presence of high myopia, worse than -6 diopters of spherical equivalence
2. Antero-posterior elongation measurement greater than or equal to 26.0 mm
3. Presence of posterior changes compatible with pathologic myopia (e.g., tessellated fundus, lacquer cracks, etc.)
4. Presence of active leakage from CNV on FFA (determined by Central Reading Centre [CRC])
5. Presence of intraretinal or subretinal fluid or increase of CST on OCT (determined by CRC)
3. BCVA of 78 to 24 letters, inclusive (20/32 to 20/320 approximate Snellen equivalent), using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol on Day 1
4. Overtly healthy as determined by medical evaluation that includes medical history, physical examination, and laboratory tests
5. Ability to comply with the study protocol, in the Investigator's judgment
6. Other protocol-defined inclusion criteria apply
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Minimum age
18
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. Any major illness or major surgical procedure within 1 month before screening
2. Pregnancy or breastfeeding, or intention to become pregnant during the study or within 3 months after the final study treatment administration
3. Uncontrolled blood pressure (systolic >180 millimetres of mercury [mmHg], diastolic >100 mmHg)
4. Stroke (cerebral vascular accident) or myocardial infarction within 6 months prior to Day 1
5. History of systemic or ocular disease that would contraindicate treatment with the investigational drug or comparator
6. Uncontrolled glaucoma in study eye
7. Any prior or concomitant treatment for CNV or vitreomacular-interface abnormalities, including, but not restricted to, intravitreal, periocular or laser interventions in study eye
8. Prior or concomitant periocular or intravitreal pharmacological treatment, including anti-VEGF medication, for other retinal diseases (e.g. geography atrophy, nAMD, DME etc.) in study eye
9. Other protocol-defined exclusion criteria apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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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
Recruiting
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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
6/03/2024
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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
1/11/2026
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Actual
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Sample size
Target
280
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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South West Retina - Liverpool
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Recruitment hospital [2]
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Strathfield Retina Clinic - Strathfield
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Recruitment hospital [3]
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Sydney Eye Hospital - Sydney
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Recruitment hospital [4]
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Sydney Retina Clinic and Day Surgery - Sydney
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Recruitment hospital [5]
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Centre For Eye Research Australia - East Melbourne
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Recruitment hospital [6]
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Retina Specialists Victoria - Rowville
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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2135 - Strathfield
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Recruitment postcode(s) [3]
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2000 - Sydney
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Recruitment postcode(s) [4]
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3002 - East Melbourne
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Recruitment postcode(s) [5]
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3178 - Rowville
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Beijing City
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Country [2]
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China
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State/province [2]
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Beijing
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China
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State/province [3]
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Changchun
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Country [4]
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China
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State/province [4]
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Guangzhou City
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China
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State/province [5]
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Harbin
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China
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State/province [6]
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Qingdao
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China
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State/province [7]
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Shanghai City
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China
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State/province [8]
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Shanghai
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China
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State/province [9]
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Shenyang
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China
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State/province [10]
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Taiyuan City
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China
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State/province [11]
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Tianjin City
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China
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State/province [12]
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Wenzhou City
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China
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State/province [13]
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Wuhan
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China
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State/province [14]
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Wuxi
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China
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State/province [15]
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Xi'an City
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France
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State/province [16]
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Creteil
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France
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State/province [17]
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Ecully
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France
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Lyon cedex
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France
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Marseille
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France
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Nantes
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France
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Paris Cedex 19
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France
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Paris
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France
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St Cyr Sur Loire
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France
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Strasbourg
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Germany
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Freiburg
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Germany
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Göttingen
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Germany
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Köln
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Germany
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München
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Germany
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Münster
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Germany
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Sulzbach
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Hong Kong
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Hong Kong
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Hong Kong
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Mongkok
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Italy
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State/province [33]
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Abruzzo
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Italy
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Campania
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Italy
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State/province [35]
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Lazio
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Italy
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State/province [36]
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Lombardia
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Italy
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Puglia
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Italy
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State/province [38]
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Veneto
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Country [39]
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Korea, Republic of
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State/province [39]
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Daegu
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Korea, Republic of
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State/province [40]
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Seoul
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Poland
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State/province [41]
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?ód?
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Poland
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State/province [42]
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Bydgoszcz
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Poland
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State/province [43]
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Gliwice
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Poland
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State/province [44]
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Katowice
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Poland
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State/province [45]
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Krakow
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Poland
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State/province [46]
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Lublin
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Poland
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State/province [47]
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Olsztyn
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Poland
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Pozna?
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Singapore
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Singapore
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Spain
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Madrid
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Spain
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Navarra
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Spain
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State/province [52]
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Cordoba
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Country [53]
0
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Taiwan
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State/province [53]
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New Taipei City
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Taiwan
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State/province [54]
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Taipei
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Country [55]
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Taiwan
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State/province [55]
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Zhongzheng Dist.
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hoffmann-La Roche
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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
This is a Phase III, multicenter, randomized, double-masked, active comparator-controlled study evaluating the efficacy and safety of faricimab in patients with myopic choroidal neovascularization (CNV). This non-inferiority study will compare 6.0 mg faricimab versus 0.5 mg ranibizumab administered at a pro-re-nata (PRN) dosing regimen after an initial active IVT treatment administration at randomization (Day 1).
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Trial website
https://clinicaltrials.gov/study/NCT06176352
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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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Clinical Trials
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Address
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Hoffmann-La Roche
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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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Reference Study ID Number: CR44829 https://forpatients.roche.com/
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Address
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Country
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Phone
0
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888-662-6728 (U.S. Only)
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Fax
0
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Email
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[email protected]
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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?
For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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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?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06176352