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ESBA1008

Phase 2

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

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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials3
Total Enrollment656
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01849692ESBA1008 Microvolume StudyPHASE2 COMPLETED 107Jun 1, 2013Jan 1, 2015Mar 24, 2016 -
NCT01796964Efficacy and Safety Study of ESBA1008 Versus EYLEA®PHASE2 COMPLETED 173Mar 1, 2013Aug 1, 2014Feb 9, 2016 -
NCT01304693ESBA1008 Safety, Tolerability and Effects in Wet Age-Related Macular Degeneration (AMD) PatientsPHASE1 COMPLETED 376Oct 1, 2010Mar 1, 2013Jul 17, 2014 -
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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 — 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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