Trial Condition(s):

Macular degeneration

Regorafenib eye drops: Investigation of efficacy and safety in neovascular age related macular degeneration (DREAM)

Bayer Identifier:

15984

ClinicalTrials.gov Identifier:

NCT02222207

EudraCT Number:

2012-003763-22

EU CT Number:

Not Available

Terminated/Withdrawn

Trial Purpose

Part A (Phase IIa):
Primary objectives:
The study part A is designed to investigate whether the use of regorafenib eye drops can help patients with neovascular (wet) Age-Related Macular Degeneration (wAMD) to see better after 4 weeks and 12 weeks after inclusion into this study.
Secondary objectives:
The study will also evaluate the safety and tolerability of the regorafenib eye drops.

Part B (Phase IIb):
Primary objectives:
The study part B is designed to investigate:
- how often the regorafenib eye drops need to be given per day
- whether the use of regorafenib eye drops can help patients with neovascular (wet) Age-Related Macular Degeneration (wAMD) to see better after 4 weeks and 12 weeks after inclusion into this study.
Secondary objectives:
The study will also evaluate how the different dosings of regorafenib eye drops affect patients vision, the safety and the tolerability.

Inclusion Criteria
- Able to read (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent or a family member) and able to understand the informed consent form (ICF)
 - Men and women ≥ 50 years of age
 - Active primary subfoveal CNV (Choroidal neovascularization) lesions secondary to AMD (Age-related macular degeneration), including juxtafoveal lesions that affect the fovea as evidenced by FA (Fluorescein angiography) in the study eye and reviewed by the central reading center
 - The area of CNV must occupy at least 50% of total lesion in the study eye, as determined by FA review at the central reading center
 - Evidence of intraretinal and/or subretinal fluid on OCT (Optical coherence tomography)
 - Early Treatment Diabetic Retinopathy Study BCVA of 73 to 25 letters (20/40 to 20/320 Snellen equivalent) in the study eye
 - Willing, committed, and able to return for all clinic visits and complete all study related procedures 
 - Women of childbearing potential and men must agree to use adequate contraception when sexually active.  This applies since signing of the ICF until one month after the EOS (end of study) visit. The definition of adequate contraception will be based on the judgment of the investigator.
Exclusion Criteria
- Concurrent disease in the study eye, other than AMD (e.g., corneal diseases and dystrophies, conjunctival diseases, eye lid abnormalities, or any other diseases of the cornea and macula, or optic nerve abnormality) that could compromise visual acuity, likely require medical or surgical intervention during the study period, would limit the potential to gain or lose vision during study treatment, or could otherwise confound interpretation of the results
 - Total lesion size (including neovascularization, scar, blood) > 12 disc areas (30.5 mm2) as assessed by FA
 - Only one functional eye, even if that eye is otherwise eligible for the study
 - Prior ocular or systemic treatment or surgery for neovascular AMD in the study eye except dietary supplements or vitamins
 - Prior treatment with any systemic anti-VEGF (Vascular endothelial growth factor) agent
 - Use of systemic or ocular treatment with an investigational drug within 12 weeks prior to start of study treatment
 - Any other condition that would require frequent chronic co-administration of other topical eye medications that would interfere with study drug administration (e.g. contact lens)
 - Symptoms or conditions consistent with contraindications listed in the current local label for ranibizumab
 - Participation in an investigational study within 30 days prior to start of study treatment that involved treatment with any drug (excluding vitamins and minerals) or device
 - Lactating women and women of child-bearing potential with either a positive pregnancy test result or no pregnancy test at screening are excluded. Postmenopausal women must be amenorrheic for at least 12 months in order not to be considered of child bearing potential.

Trial Summary

Enrollment Goal
52
Trial Dates
black-arrow
Phase
2
Could I receive a placebo?
Yes
Products
Regorafenib, ophthalmic oily suspension (BAY73-4506)
Accepts Healthy Volunteers
No

Where to Participate

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Investigative Site

Praha 4, Czech Republic, 140 00

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Completed
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Bern, Switzerland, 3010

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Completed
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Wien, Austria, 1090

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Terminated
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Wien, Austria, 1130

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Terminated
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Hamburg, Germany, 20251

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Completed
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Bonn, Germany, 53105

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Terminated
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Münster, Germany, 48145

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Terminated
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München, Germany, 81675

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Terminated
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Berlin, Germany, 12203

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Completed
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Petah Tikva, Israel, 4941492

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Completed
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Rehovot, Israel, 7610001

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Completed
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Tel Aviv, Israel, 6423906

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Terminated
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Jerusalem, Israel, 9112001

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Terminated
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Haifa, Israel, 3109601

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Completed
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Haifa, Israel, 3436212

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Completed
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Kfar Saba, Israel, 4428164

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Terminated
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Zerifin, Israel, 6093000

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Completed
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Beer Sheva, Israel, 8410101

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Terminated
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Sevilla, Spain, 41013

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Completed
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Valencia, Spain, 46015

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Terminated
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L'Hospitalet de Llobregat, Spain, 08907

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Sevilla, Spain, 41071

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San Cugat del Vallès, Spain, 08190

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Completed
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Albacete, Spain, 02006

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Valladolid, Spain, 47012

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Completed
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Barcelona, Spain, 08035

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Completed
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Budapest, Hungary, 1133

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Completed
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Budapest, Hungary, 1106

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Completed
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Budapest, Hungary, 1082

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Completed
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Debrecen, Hungary, 4032

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Completed
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Paris, France, 75557

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Completed
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BOREDAUX, France, 33076

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Completed
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Lyon, France, 69003

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Completed
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Praha 2, Czech Republic, 128 08

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Completed
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Praha 7, Czech Republic, 170 00

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Completed
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Hradec Kralove, Czech Republic, 500 05

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Completed
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Dresden, Germany, 01307

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Terminated
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Dresden, Germany, 01067

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Terminated
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Valencia, Spain, 46014

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Terminated
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Vitacura, Chile, 7650710

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Terminated
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Santiago, Chile, 8380456

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Terminated
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Bogota, Colombia, 0

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Terminated
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Trencin, Slovakia, 91171

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Terminated
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Bratislava, Slovakia, 85107

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Zilina, Slovakia, 01207

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Ruzomberok, Slovakia, 03426

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Terminated
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Pecs, Hungary, 7621

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Completed
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Miami, United States, 33143

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Terminated
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Louisville, United States, 40207

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Terminated
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Austin, United States, 78705

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Terminated
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Asheville, United States, 28803

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Terminated
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Winter Haven, United States, 33880

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Terminated
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Greenville, United States, 29605

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Terminated
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Wichita, United States, 67226

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Terminated
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Eunice, United States, 70535

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Terminated
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Campbell, United States, 95008

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Terminated
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Laguna Hills, United States, 92653

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Terminated
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Sarasota, United States, 34239

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Terminated
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Beverly Hills, United States, 90211

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Terminated
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Leawood, United States, 66211

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Terminated
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Grand Rapids, United States, 49525

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Terminated
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Decatur, United States, 30030

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Terminated
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Milano, Italy, 20157

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Terminated
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Ancona, Italy, 60126

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Terminated
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Padova, Italy, 35128

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Terminated
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Roma, Italy, 00133

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Milano, Italy, 20122

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Terminated
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Roma, Italy, 00198

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Terminated
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Barakaldo, Spain, 48903

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Terminated
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Osorno, Chile, 5311138

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Terminated
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Metropolitana, Chile, 7510168

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Zürich, Switzerland, 8063

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Terminated
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Seoul, South Korea, 137-701

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Terminated
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Seongnam-si, South Korea, 463-707

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Terminated
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Seoul, South Korea, 135-710

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Seoul, South Korea, 03080

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Terminated
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Stuart, United States, 34994

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Terminated
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Costa Mesa, United States, 92626

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Terminated
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Westmead, Australia, 2145

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Terminated
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Parramatta, Australia, 2150

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Terminated
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Strathfield, Australia, 2135

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Sydney, Australia, 2000

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Terminated
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Kowloon, Hong Kong, China

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Terminated
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Hong Kong, Hong Kong, China

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Terminated
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Plantation, United States, 33324

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Terminated
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Tucson, United States, 85704

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Terminated
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Temple, United States, 76508

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Fort Myers, United States, 33912

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Terminated
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Santa Ana, United States, 92705

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Terminated
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Golden, United States, 80401

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Terminated
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Zilina, Slovakia, 01008

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Terminated
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London, Canada, N6A 4V2

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Terminated
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Calgary, Canada, T2H 0C8

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Terminated
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New Albany, United States, 47150

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Terminated
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Arcadia, United States, 91007

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Terminated
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Teaneck, United States, 07666

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Terminated
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Mountain View, United States, 94040

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Terminated
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Milano, Italy, 20132

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Terminated
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Firenze, Italy, 50134

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Terminated
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Udine, Italy, 33100

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Terminated
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Halifax, Canada, B3H 2Y9

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Terminated
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Edmonton, Canada, T5H 0X5

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Terminated
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Vancouver, Canada, V5Z 3N9

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Terminated
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Seoul, South Korea, 05505

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Terminated
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Lausanne, Switzerland, 1004

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Terminated
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Nedlands, Australia, 6009

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Terminated
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Incheon, South Korea, 405-760

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Terminated
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Bologna, Italy, 40138

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Terminated
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Sassari, Italy, 07100

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Terminated
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Tübingen, Germany, 72076

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Terminated
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Mainz, Germany, 55131

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Terminated
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Köln, Germany, 50937

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Terminated
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Leipzig, Germany, 04103

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Terminated
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München, Germany, 81377

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Terminated
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Busan, South Korea, 49241

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Terminated
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Investigative Site

Mississauga, Canada, L4W 1W9

Status
Terminated
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Montreal, Canada, H4P 2S4

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Terminated
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Investigative Site

Ramat Gan, Israel, 5262000

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Terminated
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Investigative Site

Afula, Israel, 1834111

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Terminated
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Investigative Site

Rapid City, United States, 57701

Status
Terminated
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Investigative Site

Houston, United States, 77030

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Terminated
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Investigative Site

West Mifflin, United States, 15122

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Terminated
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McAllen, United States, 78503

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Terminated
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Charlottesville, United States, 22908

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Terminated
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San Antonio, United States, 78240

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Terminated
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The Woodlands, United States, 77384

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Terminated
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Boston, United States, 02114

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Terminated
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Florissant, United States, 63031

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Terminated
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Montreal, Canada, H1T 2M4

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Terminated
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Nagasaki, Japan, 852-8511

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Terminated
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Nara, Japan, 630-8305

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Terminated
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Osaka, Japan, 533-0024

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Terminated
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Sapporo, Japan, 060-8604

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Terminated
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Kumamoto, Japan, 860-0027

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Terminated
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Yamato, Japan, 242-0001

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Terminated
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Itabashi-ku, Japan, 173-0015

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Terminated
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Ota-ku, Japan, 143-0013

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Terminated
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Chofu, Japan, 182-0024

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Terminated
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Investigative Site

Taito-ku, Japan, 111-0051

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Terminated
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Osaka, Japan, 530-0001

Status
Terminated
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Investigative Site

Yokohama, Japan, 222-0011

Status
Terminated
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Investigative Site

Himeji, Japan, 671-1227

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Terminated
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Iga, Japan, 518-0842

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Terminated
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Sapporo, Japan, 004-0041

Status
Terminated
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Inba-gun, Japan, 285-0922

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Terminated
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Investigative Site

Miyako-gun, Japan, 800-0344

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Terminated
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Fukuoka, Japan, 812-0011

Status
Terminated
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Investigative Site

Boynton Beach, United States, 33426

Status
Terminated
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Investigative Site

Sherbrooke, Canada, J1J 2B8

Status
Terminated

Trial Design