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ESBA1008

Phase 2

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

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment656

FDA Designations

No designations recorded

Clinical trial landscape

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 an investigational monoclonal antibody being developed for exudative age-related macular degeneration (wet AMD), a condition that causes vision loss due to abnormal blood vessel growth in the eye. It is administered as an intravitreal injection and is currently in clinical development, though it has not been approved by regulatory authorities.

Who makes ESBA1008?

ESBA1008 is being developed by Alcon Inc., a company traded on the New York Stock Exchange under the ticker symbol ALC. Alcon is a global medical device and pharmaceutical company focused on eye care, and it is conducting clinical trials to evaluate ESBA1008 for the treatment of wet age-related macular degeneration.

What phase is ESBA1008 in?

ESBA1008 is in Phase 2 clinical development. It has completed three clinical trials, including a Phase 1 safety study and two Phase 2 efficacy and safety studies. The drug remains investigational and has not received FDA approval, as it is still being evaluated for safety and effectiveness in patients with wet AMD.

What clinical trials is ESBA1008 in?

ESBA1008 has completed three clinical trials: NCT01304693, a Phase 1 safety and tolerability study in wet AMD patients; NCT01796964, a Phase 2 study comparing ESBA1008 to EYLEA (aflibercept); and NCT01849692, a Phase 2 microvolume study. All trials were completed and enrolled a total of 656 patients.

Is ESBA1008 the same as EYLEA?

No, ESBA1008 is not the same as EYLEA. ESBA1008 is an investigational monoclonal antibody developed by Alcon, while EYLEA (aflibercept) is an approved treatment for wet AMD. In a Phase 2 clinical trial (NCT01796964), ESBA1008 was directly compared to EYLEA to evaluate its efficacy and safety.

How does ESBA1008 work?

ESBA1008 is a monoclonal antibody designed to target and neutralize a specific protein involved in the development of abnormal blood vessels in the eye, which is a key driver of wet age-related macular degeneration. By blocking this target, ESBA1008 aims to reduce vascular leakage and prevent vision loss in affected patients.