A non-inferiority design was used to conduct a randomized, double-blind, parallel-controlled multi-center study. A total of 488 subjects with neovascular (wet) age-related macular degeneration (w-AMD) were planned to be enrolled. Qualified subjects were divided into experimental group and control group in a 1:1 ratio, and stratified randomized according to the letter value of baseline period and whether the eyes had received anti-VEGF drug treatment. The experimental group received BAT5906 injection. The control group received Lucentis® treatment. Only 1 eye per subject was included in this study.
A non-inferiority design was used to conduct a randomized, double-blind, parallel-controlled multi-center study. A total of 488 subjects with neovascular (wet) age-related macular degeneration (w-AMD) were planned to be enrolled. Qualified subjects were divided into experimental group and control group in a 1:1 ratio, and stratified randomized according to the letter value of baseline period and whether the eyes had received anti-VEGF drug treatment. The experimental group received BAT5906 injection. The control group received Lucentis® treatment. Only 1 eye per subject was included in this study. The administration regimen was as follows: once every 4 weeks, 4mg BAT5906 or 0.5mg Lucentis® were injected intravitreal each time, the treatment period of the study was 48 weeks, a total of 13 administration times, the last follow-up was conducted at the 52nd week, the last visit did not require treatment, only efficacy and safety assessment, and blood samples were collected as required. Ophthalmic examination, vital signs, physical examination, and laboratory examination were performed for efficacy and safety assessment according to the test procedures specified in the protocol, and blood samples were collected for immunogenicity indicators. Change in best corrected visual acuity (BCVA) from baseline was assessed by ETDRS visual acuity chart at 4-week intervals. The primary efficacy measure was the change in BCVA from baseline at 52 weeks. Secondary efficacy measures were the change in best corrected visual acuity (BCVA) of the target eye from baseline and the change in macular fovea thickness (CRT) from baseline at weeks 12, 24, 36 and 48. Blood samples were collected according to the time points specified in the program, and the serum anti-drug antibody (ADA) was detected. Titer analysis and neutralizing antibody (Nab) analysis were performed on the samples confirmed as positive by ADA. A non-inferiority design was used to conduct a randomized, double-blind, parallel-controlled multi-center study. A total of 488 subjects with neovascular (wet) age-related macular degeneration (w-AMD) were planned to be enrolled. Qualified subjects were divided into experimental group and control group in a 1:1 ratio, and stratified randomized according to the letter value of baseline period and whether the eyes had received anti-VEGF drug treatment. The experimental group received BAT5906 injection. The control group received Lucentis® treatment. Only 1 eye per subject was included in this study. The administration regimen was as follows: once every 4 weeks, 4mg BAT5906 or 0.5mg Lucentis® were injected intravitreal each time, the treatment period of the study was 48 weeks, a total of 13 administration times, the last follow-up was conducted at the 52nd week, the last visit did not require treatment, only efficacy and safety assessment, and blood samples were collected as required. Ophthalmic examination, vital signs, physical examination, and laboratory examination were performed for efficacy and safety assessment according to the test procedures specified in the protocol, and blood samples were collected for immunogenicity indicators. Change in best corrected visual acuity (BCVA) from baseline was assessed by ETDRS visual acuity chart at 4-week intervals. The primary efficacy measure was the change in BCVA from baseline at 52 weeks. Secondary efficacy measures were the change in best corrected visual acuity (BCVA) of the target eye from baseline and the change in macular fovea thickness (CRT) from baseline at weeks 12, 24, 36 and 48. Blood samples were collected according to the time points specified in the program, and the serum anti-drug antibody (ADA) was detected. Titer analysis and neutralizing antibody (Nab) analysis were performed on the samples confirmed as positive by ADA.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
488
4.0 mg/eye/time, 50 μl, intravitreal injection
0.5 mg/eye/time, 50 μl, intravitreal injection
Affiliated Hospital of Inner Mongolia Medical University
Beijing, China
Beijing Chao Yang Hospital
Beijing, China
Beijing Hospital
Beijing, China
China-Japan Friendship Hospital
Beijing, China
Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
Beijing, China
Peking University People's Hospital
The change in the BCVA value
Compared to baseline, two groups of subjects studied the value of changes in ocular 52nd week BCVA
Time frame: Week 52
The change in the BCVA value
Compared to baseline, two groups of subjects studied the changes in bcVA at weeks 12, 24, 36, and 48 of the eye
Time frame: at weeks 12, 24, 36, and 48
BCVA increased the proportion of subjects with >10, >15, ≥30 words
Compared with baseline, the proportion of subjects with 30 words of BCVA in the 24th and 52nd weeks of the study eye was improved \> 10, \>15, ≥ 30 words;
Time frame: in the 24th and 52nd weeks
BCVA reduced the proportion of subjects < 10, < 15 words
Compared with baseline, the proportion of subjects in both groups who studied eye bcVA at weeks 24 and 52 decreased \<10, \< 15 words
Time frame: at weeks 24 and 52
Changes in the thickness of the macular fovea (CRT).
Changes in the thickness of the macular fovea (CRT) at weeks 12, 24, 36, 48, and 52 were studied in both groups of subjects compared to baseline
Time frame: at weeks 12, 24, 36, 48, and 52
Vital signs
Number of participants with abnormal vital signs
Time frame: Weeks 1 to 52
physical examination
Number of participants with abnormal physical examination findings
Time frame: Weeks 1 to 52
Laboratory tests
Number of participants with abnormal laboratory test results
Time frame: Weeks 1 to 52
electrocardiogram( ECG )
Number of participants with abnormal ECG readings
Time frame: Weeks 1 to 52
Antibiotic antibodies (ADA)
Resistance antibody (ADA) situation in the subject
Time frame: Weeks 1 to 52
Adverse events(AE)
Ocular and non-ocular adverse events (AE) and serious adverse events (SAE)
Time frame: Weeks 1 to 52
Adverse events of particular concern (possible adverse reactions to the eye)
Endophthalmia, increased intraocular pressure, subconjunctival hemorrhage, ocular foreign body sensation, visual impairment, corneal abrasions, lens damage, retinal detachment, retinal artery occlusion, etc.; Possible systemic adverse effects include non-ocular bleeding, increased blood pressure, and thromboembolic events
Time frame: Weeks 1 to 52
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Beijing, China
Xiangya Hospital of Central South University
Changsha, China
The First Affiliated Hospital of Army Medical University (Southwest Hospital)
Chongqing, China
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, China
First Affiliated Hospital of Fujian Medical University
Fujian, China
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