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Abicipar pegol

Phase 3

Macular Degeneration | Small molecule | Ophthalmology |AbbVie Inc.|Last Updated: Aug 3, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials7
Total Enrollment2,103
FDA Designations
No designations recorded
Clinical Trials (7)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02462486Safety and Efficacy of Abicipar Pegol in Participants With Neovascular Age-related Macular DegenerationPHASE3 COMPLETED 949Jun 25, 2015Jun 6, 2019Jul 30, 2020187 United States, Australia +14
NCT02462928A Safety and Efficacy Study of Abicipar Pegol in Participants With Neovascular Age-related Macular DegenerationPHASE3 COMPLETED 939Jun 25, 2015Jun 19, 2019Jul 28, 2020151 United States, Argentina +15
NCT03539549A Study to Evaluate Abicipar Pegol for Safety and Treatment Effect in Participants With Neovascular Age-related Macular Degeneration (AMD)PHASE2 COMPLETED 124May 25, 2018Feb 27, 2019Aug 3, 202037 United States
NCT02181504A Study of Abicipar Pegol in Japanese Patients With Neovascular Age-related Macular DegenerationPHASE2 COMPLETED 25Sep 1, 2014Dec 1, 2015Apr 25, 201711 Japan
NCT02181517A Study of Abicipar Pegol in Patients With Neovascular Age-related Macular DegenerationPHASE2 COMPLETED 25Jul 1, 2014Mar 1, 2015May 17, 20161 United States
NCT03335852Safety and Pharmacokinetics of Abicipar Pegol Intravitreal Injections in Japanese Patients With Neovascular AMDPHASE1 COMPLETED 11Nov 28, 2017Oct 8, 2018Nov 1, 20185 Japan
NCT02859766Safety and Pharmacokinetics of Abicipar Pegol Intravitreal Injections in Patients With Neovascular AMDPHASE1 COMPLETED 30Dec 7, 2016Oct 20, 2017Feb 8, 201818 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Stable Vision at Week 52
Baseline to Week 52

Stable vision was defined as vision loss of fewer than 15 letters in Best-corrected Visual Acuity (BCVA) from baseline. BCVA is measured using an eye chart and is reported as the number of letters read correctly using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. The percentage of participants with a BCVA loss of fewer than 15 letters are reported. Study eye was defined as the eye that meets the entry criteria. If both the eyes met all of the entry criteria, the eye with worse BCVA at baseline (Day 1) was selected. If BCVA values for both eyes were identical then participant had to select the non-dominant eye, or else right eye was selected as study eye.

Percentage of Participants With Stable Vision
Baseline (Day 1) to Week 28

Stable vision was defined as a loss of fewer than 15 letters in Best Corrected Visual Acuity (BCVA) compared to baseline. BCVA was measured using an eye chart and is reported as the number of letters read correctly using the Early Treatment of Diabetic Retinopathy Study (ETDRS) Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. The study eye was defined as the eye that meets the entry criteria. If both eyes met the entry criteria, the eye with the worse BCVA at baseline (Day 1) was selected as the study eye. If both eyes had same BCVA values at baseline (Day 1), then the participant had to select their non-dominant eye for treatment, or else the right eye was selected as the study eye.

Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye
Baseline, Week 16

BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase (positive number change from baseline) in the number of letters read correctly means that vision has improved and a decrease (negative number change from baseline) in the number of letters read correctly means that vision has worsened.

Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye at Week 16 Using the Early Treatment Diabetic Retinopathy Study (ETDRS) Scale
Baseline, Week 16

BCVA is measured using an eye chart and is reported as the number of letters read correctly using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

Peak Serum Concentration (CMax) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Serum Concentration Immediately before Next Dose (Ctrough) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Time to Cmax (Tmax) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Terminal Elimination Half-Life (t1/2) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Area Under the Serum Concentration-Time Curve from Zero to the End of the Dosing Interval "tau" (AUC0-tau) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Area Under the Serum Concentration-Time Curve from Zero to Infinity (AUC0-inf) for Free and VEGF-Bound Abicipar
Baseline to Week 20
Secondary Endpoints
Mean Change From Baseline in Best-corrected Visual Acuity (BCVA) in the Study Eye at Week 52
Baseline to Week 52
Mean Change From Baseline in Central Retinal Thickness (CRT) in the Study Eye at Week 52
Baseline to Week 52
Percentage of Participants With BCVA Gain of More Than 15 Letters From Baseline in the Study Eye at Week 52
Baseline to Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Abicipar Pegol 2 mg (2Q8)EXPERIMENTALAbicipar pegol 2 mg was administered to the study eye by intravitreal injection on Day 1, Week 4, and Week 8, followed by injections every 8 weeks through Week 96. Scheduled visits occurred every 4 weeks. To maintain masking, sham was administered to the study eye at scheduled visits where abicipar was not administered.
Abicipar Pegol 2 mg (2Q12)EXPERIMENTALAbicipar pegol 2 mg was administered to the study eye by intravitreal injection on Day 1, Week 4, and Week 12, followed by injections every 12 weeks through Week 96. Scheduled visits occurred every 4 weeks. To maintain masking, sham was administered to the study eye at scheduled visits where abicipar was not administered.
Ranibizumab (rQ4)ACTIVE_COMPARATORRanibizumab (Lucentis®) was administered to the study eye by intravitreal injection every 4 weeks from Day 1 through Week 96.
Ranibizumab 0.5 mg (rQ4)ACTIVE_COMPARATORRanibizumab (Lucentis®) 0.5 mg was administered to the study eye by intravitreal injection every 4 weeks (rQ4) from Day 1 through Week 96.
Abicipar pegol 2 mgEXPERIMENTALAbicipar pegol 2 mg administered to the study eye by intravitreal injection on Day 1 and Weeks 4, 8, 16, and 24.
abicipar pegol 1 mgEXPERIMENTALAbicipar pegol 1 mg administered to the study eye by intravitreal injection at day 1, weeks 4 and 8, followed by a sham procedure at weeks 12 and 16.
ranibizumab 0.5 mgACTIVE_COMPARATORRanibizumab (Lucentis®) 0.5 mg administered to the study eye by intravitreal injection every 4 weeks from day 1 through week 16.
Abicipar pegolEXPERIMENTALAbicipar pegol 2 mg administered to the study eye by intravitreal injection
Abicipar Pegol_Repeat DoseEXPERIMENTALTreatment Group 1: Abicipar pegol 2 mg administered to the study eye by intravitreal injection, 3 injections 4 weeks apart. \[Day 1, Weeks 4 and 8\]
Abicipar Pegol_Single DoseEXPERIMENTALTreatment Group 2: Abicipar pegol 2 mg administered to the study eye by intravitreal injection on Day 1.
Interventions
NameTypeDescription
Abicipar PegolDRUGAbicipar pegol intravitreal injection.
RanibizumabDRUGRanibizumab intravitreal injection.
Sham ProcedureOTHERSham injection.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites187

Inclusion Criteria: * Diagnosis of age-related macular degeneration in at least 1 eye * Best corrected visual acuity of 20/40 to 20/320 in the study eye * Best corrected visual acuity of 20/200 or better in the non-study eye Exclusion Criteria: * History of vitrectomy, macular surgery, or glaucom...

Countries:United StatesAustraliaBrazilCanadaDenmarkHungaryItalyJapanNetherlandsPeruPolandRussiaSouth AfricaTaiwanTurkey (Türkiye)United KingdomArgentinaAustriaChileColombiaCzechiaFranceGermanyHong KongIsraelLatviaNew ZealandPhilippinesSingaporeSouth KoreaSpainSwitzerland
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