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ESBA1008

Phase 3

Exudative Age-Related Macular Degeneration | Monoclonal antibody | Ophthalmology |Alcon Inc.|Trials Updated: Mar 24, 2016

ESBA1008 development status

Highest phase Phase 3 run by Novartis Pharmaceuticals (NCT03930641)
Phase scored for ALCPhase 2
Registered trials 1 across 1 sponsor since Apr 2019

ESBA1008 target and mechanism

ModalityMonoclonal antibody

Also known as ESBA1008 solution, RTH258

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment656

FDA Designations

No designations recorded

ESBA1008 clinical trials

ESBA1008 · 3 trials · 1 indication

Phase 2 2Phase 1 1
NCT01849692ESBA1008 Microvolume StudyExudative Age-Related Macular Degeneration
COMPLETED107 Analytics
NCT01796964Efficacy and Safety Study of ESBA1008 Versus EYLEA®Exudative Age-Related Macular Degeneration
COMPLETED173 Analytics
PHASE2COMPLETED
ESBA1008 Microvolume Study
Exudative Age-Related Macular DegenerationUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety Study of ESBA1008 Versus EYLEA®
Exudative Age-Related Macular DegenerationUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Responders Based on CSFT and BCVA Outcomes at Day 14 and Day 28
Baseline, Day 14, Day 28

A subject was considered a responder if at least 3 out of the following 4 criteria were fulfilled in comparison to baseline: * Greater than or equal to 4 letter gain in BCVA at Day 14 * Greater than or equal to 4 letter gain in BCVA at Day 28 * Greater than or equal to 80 micron decrease in CSFT at Day 14 * Greater than or equal to 80 micron decrease in CSFT at Day 28. BCVA was measured by the number of letters read out of a possible 70 letters on the ETDRS chart. One eye (study eye) contributed to the analysis.

Best-Corrected Visual Acuity (BCVA) Change From Baseline (No. of Letters) to Week 12
Baseline (Day 0), Week 12

This outcome measure was used to compare the ESBA1008 and EYLEA groups in regards to fluctuations in treatment effect during the maintenance phase with 8-week treatment cycles (ie, to evaluate treatment effect stability during the maintenance phase). BCVA (with spectacles or other visual corrective devices) using Early Treatment Diabetic Retinopathy Study (ETDRS) testing was reported in letters read correctly. Improvement of BCVA was defined as an increase (gain) in letters read from the baseline assessment. One eye (study eye) contributed to the analysis.

Change From Baseline at Month 1 in Central Subfield Thickness (CSFT) as Measured by Spectral Domain Ocular Coherence Tomography (SD-OCT)
Baseline, Month 1

CSFT is a retinal thickness measurement and was measured with SD-OCT. A thickening of the retina is characteristic of wet AMD, and a reduction in CSFT may indicate an improvement in ocular health. One eye (ie, study eye) contributed to the mean.

Secondary Endpoints

Change From Baseline in BCVA, Cohort 1
Baseline, Day 7, Day 14, Day 28, Day 42, Day 56
Change From Baseline in BCVA, Cohort 2
Baseline, Day 7, Day 14, Day 28, Day 42, Day 56
Change From Baseline in BCVA, Cohort 3
Baseline, Day 7, Day 14, Day 28, Day 42, Day 56
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ESBA1008 1.2 mg/10 μLEXPERIMENTALCohort 1: One intravitreal injection on Day 0, followed by one intravitreal (IVT) injection of ESBA1008 6 mg/50 μL on Day 28
ESBA1008 1 mg/8.3 μLEXPERIMENTALCohort 2: One intravitreal infusion on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
ESBA1008 0.6 mg/10 μLEXPERIMENTALCohort 3: One intravitreal injection on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
ESBA1008 0.5 mg/8.3 μLEXPERIMENTALCohort 4: One intravitreal infusion on Day 0, followed by one intravitreal injection of ESBA1008 6 mg/50 μL on Day 28
Ranibizumab 0.5 mg in 50 μLACTIVE_COMPARATORCohorts 1-4: One intravitreal injection on Day 0, followed by another intravitreal injection on Day 28
ESBA1008EXPERIMENTALESBA1008 solution, 7 intravitreal (IVT) injections, as specified in protocol
EYLEAACTIVE_COMPARATORAflibercept, 8 intravitreal (IVT) injections, as specified in protocol
LUCENTISACTIVE_COMPARATORRanibizumab 0.5 mg, single intravitreal injection

Interventions

NameTypeDescription
ESBA1008 solutionDRUGIntravitreal injection or infusion
RanibizumabDRUGIntravitreal injection
AfliberceptDRUGFor intravitreal (IVT) injection
Ranibizumab 0.5 mgBIOLOGICALAdministered as a single intravitreal injection
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Sign informed consent document; * Able to make the required study visits and follow instructions; * Age-related macular degeneration in the study eye; * Visual acuity within protocol-specified range; * 340 μm minimal central subfield thickness (CSFT; Spectralis Equivalent) * O...

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Frequently asked questions about ESBA1008

What is ESBA1008 used for?

ESBA1008 is being developed for the treatment of exudative age-related macular degeneration, also known as wet AMD. It is an investigational monoclonal antibody administered as an ophthalmic solution. All clinical testing to date has enrolled patients with this form of macular degeneration.

Who is developing ESBA1008?

ESBA1008 is being developed by Alcon Inc., which trades under the ticker ALC. Alcon is an eye care company, and ESBA1008 is part of its ophthalmology pipeline. The program has completed three clinical trials in patients with exudative age-related macular degeneration.

What phase is ESBA1008 in?

ESBA1008 is in Phase 2 development. Three trials have been completed, including two Phase 2 studies and one Phase 1 study, with no trials currently active. It is an investigational therapy and has not been approved for commercial use.

What clinical trials has ESBA1008 been studied in?

ESBA1008 has been evaluated in three completed trials: NCT01849692, a Phase 2 microvolume study with 107 patients; NCT01796964, a Phase 2 efficacy and safety study versus EYLEA with 173 patients; and NCT01304693, a Phase 1 safety and tolerability study with 376 patients. All enrolled adults with exudative age-related macular degeneration.

Is ESBA1008 the same as ESBA1008 solution?

Yes. ESBA1008 solution is another name for ESBA1008, the investigational monoclonal antibody being developed by Alcon Inc. for exudative age-related macular degeneration. Both names refer to the same ophthalmic product candidate.

How was ESBA1008 studied in its clinical trials?

The ESBA1008 trials were randomized, double-blind, and active-controlled, with a combined enrollment of 656 patients across three completed studies. Participants were adults aged 50 years and older with exudative age-related macular degeneration. One Phase 2 trial compared ESBA1008 directly against EYLEA.