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RTH258/Brolucizumab

Phase 3

Neovascular Age Related Macular Degeneration | Small molecule | Ophthalmology |Novartis AG|Last Updated: Nov 7, 2024

Success Probability

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Trial Design

UNCONTROLLED
Total Trials2
Total Enrollment244

FDA Designations

No designations recorded

Clinical trial landscape

RTH258/Brolucizumab · 3 trials · 2 indications

Phase 3 3
NCT04239027A Study to Assess the Effects of Brolucizumab in Adult Patients With Neovascular Age Related Macular DegenerationNeovascular Age Related Macular Degeneration
COMPLETED210 Analytics
NCT04264819Study of Brolucizumab in Adult Patients With Suboptimal Anatomically Controlled Neovascular Age-related Macular DegenerationNeovascular Age-Related Macular Degeneration
COMPLETED295 Analytics
NCT03930641Study of the Safety of Brolucizumab 6 mg in Prefilled Syringe in Patients With Neovascular Age Related Macular DegenerationNeovascular Age Related Macular Degeneration
COMPLETED34 Analytics
PHASE3COMPLETED
A Study to Assess the Effects of Brolucizumab in Adult Patients With Neovascular Age Related Macular Degeneration
Neovascular Age Related Macular DegenerationUnlock trial analytics
PHASE3COMPLETED
Study of Brolucizumab in Adult Patients With Suboptimal Anatomically Controlled Neovascular Age-related Macular Degeneration
Neovascular Age-Related Macular DegenerationUnlock trial analytics
PHASE3COMPLETED
Study of the Safety of Brolucizumab 6 mg in Prefilled Syringe in Patients With Neovascular Age Related Macular Degeneration
Neovascular Age Related Macular DegenerationUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage Change in Choroidal Neovascularization (CNV) Lesion Area Measured by Optical Coherence Tomography-Angiograph (OCT-A) From Baseline to Week 12
Baseline, Week 12

OCT-A is a dye-less angiographic procedure based on split-spectrum-decorrelation-amplitude angiography. It enables the capture of scattered intra-vessel particles (mainly erythrocyte cells) at all levels of the retinal and inner-choroidal vasculature, thus providing 3-D imaging of the retinal circulation. The literature suggests that OCT-A is a good marker for assessing anti-VEGF therapeutic response, especially lesion size. Inter-Quartile Range = q1 - q3.

Number of Patients With no Disease Activity at Week 16 in the Study Eye
Week 16

Disease activity criteria were assessed by the Investigator based on whether neovascular age-related macular degeneration (nAMD) was still active or had been re-activated. The disease was defined as active if at least one of the following criteria was observed: * Best-corrected visual acuity (BCVA) decrease ≥ 5 letters from the best value since Baseline due to disease activity * Any significant increase in central retinal thickness (CRT) * Retinal hemorrhage * Intraretinal fluid or sub-retinal fluid (SRF) due to disease activity (degenerative cysts allowed) * Increase of sub-retinal pigmented epithelium (RPE) fluid These criteria were for guidance only, Investigators could define disease activity based on their own assessment.

The Safety of Brolucizumab 6 mg Delivered in Prefilled Syringe in Patients With Neovascular Age Related Macular Degeneration
Up to Day 31

The safety is defined as the incidence of ocular and non-ocular adverse events

Secondary Endpoints

Percentage Change in Choroidal Neovascularization (CNV) Lesion Area Measured by Optical Coherence Tomography-Angiograph (OCT-A) From Baseline to Week 48
Baseline, Weeks 4, 8, 48
Change in Choroidal Neovascularization (CNV) Lesion Area Measured by Optical Coherence Tomography-Angiograph (OCT-A) From Baseline to Week 48
Baseline, Weeks 4, 8, 12, 48
Presence of Choroidal Neovascularization (CNV) Lesion Area Measured by Optical Coherence Tomography-Angiograph (OCT-A) From Baseline to Week 48
Baseline, Week 48
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RTH258/BrolucizumabEXPERIMENTALThis is a single-arm study in which all patients will be treated with brolucizumab 6mg: 3 loading injections (at Screening/Baseline, Week 4 and Week 8), followed by maintenance treatment from Week 16/Week 20 up to Week 40/Week 44.
RTH258EXPERIMENTALbrolucizumab 6 mg in a prefilled syringe

Interventions

NameTypeDescription
RTH258/BrolucizumabDRUGBrolucizumab is a new generation of anti-VEGF (vascular endothelial growth factor). All patients were treated with brolucizumab 6mg: 3 loading injections (at Screening/Baseline, Week 4 and Week 8), followed by maintenance treatment every 8 weeks (Q8W) or every 12 weeks (Q12W) depending on disease activity from Week 16/Week20 to Week 40/Week 44. Brolucizumab was administered by an intravitreal (IVT) injection to the study. eye.
RTH258DRUG6 mg in prefilled syringe
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites40

INCLUSION Criteria: 1. Patients must provide written informed consent before any study related procedures are performed. 2. Patients must be 50 years of age or older at Screening/Baseline. Study eye: 3. Active CNV lesions secondary to AMD that affect the central subfield, including retinal angi...

Countries:FranceUnited States
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Frequently asked questions about RTH258/Brolucizumab

What is RTH258/Brolucizumab used for?

RTH258/Brolucizumab is used for neovascular age-related macular degeneration (nAMD), a chronic eye disease that causes vision loss due to abnormal blood vessel growth under the retina. It is being developed as a treatment for this condition and has been studied in adult patients aged 50 years and older.

How does RTH258/Brolucizumab work?

RTH258/Brolucizumab is a small molecule designed to target and inhibit vascular endothelial growth factor (VEGF), a protein that promotes the growth of abnormal blood vessels in the eye. By blocking VEGF, it aims to reduce vessel leakage and swelling, potentially improving vision in patients with neovascular age-related macular degeneration.

Who makes RTH258/Brolucizumab?

RTH258/Brolucizumab is being developed by Novartis AG, a multinational pharmaceutical company listed on the stock exchange under the ticker symbol NVS. Novartis is responsible for the clinical development and potential commercialization of this drug for neovascular age-related macular degeneration.

What phase is RTH258/Brolucizumab in?

RTH258/Brolucizumab is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 trials have been completed, but the drug remains under investigation for its safety and efficacy in treating neovascular age-related macular degeneration.

What clinical trials is RTH258/Brolucizumab in?

RTH258/Brolucizumab has been studied in three completed Phase 3 trials: NCT03930641, NCT04239027, and NCT04264819. These trials evaluated the drug's safety and effects in patients with neovascular age-related macular degeneration, with enrollments of 34, 210, and 295 participants respectively, conducted in the United States and France.

Is RTH258/Brolucizumab the same as brolucizumab?

Yes, RTH258/Brolucizumab is the same as brolucizumab. The name RTH258 is an investigational code, while brolucizumab is the generic name. Both refer to the same drug being developed by Novartis for neovascular age-related macular degeneration.