PMID- 34185587 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 2325-8179 (Electronic) IS - 2325-8160 (Linking) VI - 52 IP - 6 DP - 2021 Jun TI - Safety and Efficacy of Intravitreal Risuteganib for Non-Exudative AMD: A Multicenter, Phase 2a, Randomized, Clinical Trial. PG - 327-335 LID - 10.3928/23258160-20210528-05 [doi] AB - BACKGROUND AND OBJECTIVE: To evaluate the safety and efficacy of 1.0 mg risuteganib in subjects with nonexudative age-related macular degeneration (AMD). PATIENTS AND METHODS: This was a phase 2a, prospective, double-masked, sham-controlled study. Eyes with nonexudative (dry) AMD and Early Treatment Diabetic Retinopathy Study (ETDRS) best-corrected visual acuity (BCVA) between 20/40 and 20/200 were included. Subjects were randomized to intravitreal 1.0 mg risuteganib or sham injection. At Week 16, subjects in the risuteganib group received a second 1.0-mg dose and the sham group crossed over to receive a dose of 1.0 mg risuteganib and were evaluated at Week 28. The primary endpoint was proportion of subjects with 8 letters ETDRS or more BCVA gain from baseline to Week 28 in the risuteganib group versus baseline to Week 12 for the sham group. BCVA was tested and subjects were observed for adverse events (AEs) every 4 weeks until completion of the study at 32 weeks. RESULTS: Forty-five subjects (risuteganib, n = 29; sham, n = 16) were enrolled in the study, of whom 39 (risuteganib, n = 25; sham, n = 14) completed the study and were included in the per protocol efficacy analysis. At baseline, mean age was 78.8 and 75.9 years and mean BCVA was 67.1 and 64.4 letters in the sham and risuteganib groups, respectively. The primary endpoint was met by 48% of the risuteganib group at Week 28 and 7% of the sham group at Week 12 (P = .013). Of the risuteganib subjects, 20% gained 15 letters or more at Week 28, whereas no patients in the sham group at Week 12 achieved this visual acuity gain. The only ocular treatment-related treatment-emergent AE was vitreous floaters, which spontaneously recovered without sequelae. No drug-related serious AE was reported. CONCLUSIONS: Risuteganib demonstrated significant BCVA improvement in patients with non-exudative AMD. No drug-related AEs were seen during a 32-week observation period. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:327-335.]. FAU - Boyer, David S AU - Boyer DS FAU - Gonzalez, Victor H AU - Gonzalez VH FAU - Kunimoto, Derek Y AU - Kunimoto DY FAU - Maturi, Raj K AU - Maturi RK FAU - Roe, Richard H AU - Roe RH FAU - Singer, Michael A AU - Singer MA FAU - Xavier, Samantha AU - Xavier S FAU - Kornfield, Julie A AU - Kornfield JA FAU - Kuppermann, Baruch D AU - Kuppermann BD FAU - Quiroz-Mercado, Hugo AU - Quiroz-Mercado H FAU - Aubel, Janine AU - Aubel J FAU - Karageozian, Hampar L AU - Karageozian HL FAU - Park, John Y AU - Park JY FAU - Karageozian, Vicken H AU - Karageozian VH FAU - Karageozian, Lisa AU - Karageozian L FAU - Sarayba, Melvin A AU - Sarayba MA FAU - Kaiser, Peter K AU - Kaiser PK LA - eng SI - ClinicalTrials.gov/NCT03626636 PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20210601 PL - United States TA - Ophthalmic Surg Lasers Imaging Retina JT - Ophthalmic surgery, lasers & imaging retina JID - 101599215 RN - 0 (Angiogenesis Inhibitors) SB - IM MH - *Angiogenesis Inhibitors/therapeutic use MH - *Diabetic Retinopathy/drug therapy MH - Double-Blind Method MH - Humans MH - Intravitreal Injections MH - Prospective Studies MH - Treatment Outcome MH - Visual Acuity EDAT- 2021/06/30 06:00 MHDA- 2021/11/25 06:00 CRDT- 2021/06/29 17:12 PHST- 2021/06/29 17:12 [entrez] PHST- 2021/06/30 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] AID - 10.3928/23258160-20210528-05 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging Retina. 2021 Jun;52(6):327-335. doi: 10.3928/23258160-20210528-05. Epub 2021 Jun 1.