A Study to Compare SB11 (Proposed Ranibizumab Biosimilar) to Lucentis in Subjects With Neovascular Age-related Macular Degeneration (AMD)

Sponsor
Samsung Bioepis Co., Ltd. (Industry)
Overall Status
Completed
CT.gov ID
NCT03150589
Collaborator
(none)
705
75
2
20.9
9.4
0.5

Study Details

Study Description

Brief Summary

This is a randomised, double-masked, parallel group, multicentre study to evaluate the efficacy, safety, pharmacokinetics and immunogenicity of SB11 compared to Lucentis® in subjects with neovascular AMD.

Condition or Disease Intervention/Treatment Phase
  • Drug: SB11 (Proposed ranibizumab biosimilar)
  • Drug: Lucentis (ranibizumab)
Phase 3

Detailed Description

Subjects will be randomised in a 1:1 ratio to receive either SB11 or Lucentis® (administered via intravitreal (ITV) 0.5 mg every 4 weeks). Investigational Products (IP) (SB11 or Lucentis®) will be administered up to Week 48, and the last assessment will be done at Week 52.

Study Design

Study Type:
Interventional
Actual Enrollment :
705 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase III Randomised, Double-masked, Parallel Group, Multicentre Study to Compare the Efficacy, Safety, Pharmacokinetics and Immunogenicity Between SB11 and Lucentis® in Subjects With Neovascular Age-related Macular Degeneration
Actual Study Start Date :
Mar 14, 2018
Actual Primary Completion Date :
May 24, 2019
Actual Study Completion Date :
Dec 9, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: SB11 (Proposed ranibizumab biosimilar)

Drug: SB11 (Proposed ranibizumab biosimilar)
SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks

Active Comparator: Lucentis (ranibizumab)

Drug: Lucentis (ranibizumab)
Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Best Corrected Visual Acuity (BCVA) [Baseline and Week 8]

    The VA was assessed using original series ETDRS charts or 2702 series number charts.

  2. Change From Baseline in Central Subfield Thickness (CST) [Baseline and Week 4]

    The average retinal thickness in the central 1-mm area in the ETDRS grid (CST) was evaluated using (Optical Coherence Tomography) OCT

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  1. Age ≥ 50 years

  2. Newly diagnosed, active subfoveal choroid neovascularisation (CNV) lesion secondary to AMD in the study eye

  3. BCVA of 20/40 to 20/200 in the study eye

  4. Written informed consent form

Exclusion Criteria:
  1. Any previous ITV anti-vascular endothelial growth factor (anti-VEGF) treatment to treat neovascular AMD in either eye

  2. Presence of CNV in either eye due to other causes, such as ocular histoplasmosis, trauma, multifocal choroiditis, angioid streaks, history of choroidal rupture or pathologic myopia

  3. Any concurrent macular abnormality other than AMD in the study eye

Contacts and Locations

Locations

Site City State Country Postal Code
1 Retina consultants San Diego Poway California United States 92064
2 Retina Consultants of Southern Colorado Colorado Springs Colorado United States 80909
3 Retina Consultants Fort Myers Florida United States 33912
4 Southeast Retina Center Augusta Georgia United States 30909
5 Retina Consultants of Hawaii 'Aiea Hawaii United States 96701
6 Raj K. Maturi, MD, PC Indianapolis Indiana United States 46280
7 Retina Center of New Jersey, LLC Bloomfield New Jersey United States 07003
8 NJ Retina Toms River New Jersey United States 08755-8063
9 LIVR Great Neck New York United States 11021
10 Long Island Vitreoretinal Consultants Hauppauge New York United States 11788
11 Retina Associates of Western NY Rochester New York United States 14620
12 Retina Vitreous Surgeons fo Central NY, PC Syracuse New York United States 13224
13 Retina Associates of Cleveland Middleburg Heights Ohio United States 44130
14 Charleston Neuroscience Institute Ladson South Carolina United States 29414
15 Black Hills Regional Eye Institute Rapid City South Dakota United States 57701
16 Retina Research Institute of Texas Abilene Texas United States 79606
17 Austin Restina Associates Austin Texas United States 78705
18 Retina consultants of Houston Conroe Texas United States 77030
19 Retina Consultants of Houston Houston Texas United States 77030
20 University Hospital Brno Brno Czechia
21 University Hospital Hradec Kralove Hradec Králové Czechia
22 University Hospital Olomouc Olomouc Czechia
23 University Hopsital Ostrava Ostrava Czechia
24 Fakultni nemocnice Kralovske Vinohrady Praha 10 Czechia
25 Axon Clinical s.r.o. Praha 5 Czechia
26 Augenärzte am St. Franziskus-Hospital Münster Münster Munster Germany
27 Charite Berlin Germany
28 Universitaetsklinikum Bonn Bonn Germany
29 Klinikum Chemnitz gGmbH Chemnitz Germany
30 Uni Düsseldorf Duesseldorf Germany
31 University Medical Center, Freiburg Freiburg Germany
32 Uni Göttingen Goettigen Germany
33 TU Munich Muenchen Germany
34 MVZ ADTC Siegburg GmbH Siegburg Germany
35 University of Tuebingen STZ eyetrial at the Department of Ophthalmology Tuebingen Germany
36 Ganglion Orvosi Kozpont Pécs Pecs Hungary
37 Bajcsy-Zsilinszky Korhaz es Rendelointezet Budapest Hungary
38 Budapest Retina Associates Ltd. Budapest Hungary
39 Jahn Ferenc Del-pesti Korhaz es Rendelointezet Budapest Hungary
40 Magyar Honvedseg Egeszsegugyi Kozpont Budapest Hungary
41 Peterfy Sandor utcai Korhaz-Rendelointezet es Baleseti Kozpont Budapest Hungary
42 Semmelweis Egyetem Szemeszeti Klinika Budapest Hungary
43 Debreceni Egyetem Klinikai Kozpont, Szemklinika Debrecen Hungary
44 Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont Szeged Hungary
45 Markusovszky Egyetemi Oktatokorhaz Szombathely Hungary
46 Medilink Hospital Ahmedabad India
47 PGIMER Chandigarh India
48 Shankara Netralaya Chennai India
49 Aravind Eye Hospital Coimbatore India
50 Shroff eye Hospital Mumbai India
51 Regional Institute of Opthalmology Trivandrum India
52 Pusan National University Hospital Busan Korea, Republic of
53 Yeungnam University Hospital Daegu Korea, Republic of
54 Seoul National University Bundang Hospital Seongnam-si Korea, Republic of
55 Asan Medical Center Seoul Korea, Republic of
56 Samsung Medical Center Seoul Korea, Republic of
57 Seoul National University Hospital Seoul Korea, Republic of
58 The Catholic University of Korea, Seoul St. Mary's Hospital Seoul Korea, Republic of
59 Centrum Medyczne UNO-MED. Tarnów Tarnow Poland
60 Szpital Specjalistyczny im Sokołowskiego Oddzial Okulistyczny Wałbrzych Walbrzych Poland
61 Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego, Klinika Okulistyki Wrocław Wroclaw Poland
62 Oftalmika ul. Modrzewiowa 15 85-631 Bydgoszcz Bydgoszcz Poland
63 Specjalistyczna Praktyka Lekarska Prof. E. Wylęgała Katowice Poland
64 Centrum Medyczne UNO-MED. Kraków Poland
65 Centrum Diagnostyki i Mikrochirurgii Oka LENS Olsztyn Poland
66 "State Autonomous Iinstitution of Healthcare "Republican clinical ophthalmological hospital of MoH of Republic of Tatarstan" Kazan Russian Federation
67 Deputy Director of The S.N.Fyodorov Eye Microsurgery State Institution Complex Moscow Russian Federation
68 Federal State Budget Scientific Institution "Scientific Research Institute of Eye Diseases" Moscow Russian Federation
69 Federal State Autonomous Institution "Intersectoral research and technical complex "Eye Microsurgery" named after acad. S.N. Fyodorov" of Ministry of Health of Russian Federation Novosibirsk Russian Federation
70 Federal State Educational Institution of High Professional Education "1st Saint-Petersburg State Medical University n.a. academic I.P. Pavlov" of Ministry of Healthcare of Russian Federation Saint Petersburg Russian Federation
71 SBEI HPE "Samara State Medical University" of the MoH of the RF Samara Russian Federation
72 Queens University Belfast Belfast United Kingdom
73 Bristol Eye Hospital Bristol United Kingdom
74 Frimley Park Hospital Frimley United Kingdom
75 Moorfields Eye Hospital London United Kingdom

Sponsors and Collaborators

  • Samsung Bioepis Co., Ltd.

Investigators

  • Principal Investigator: Se Joon Woo, Seoul National University Bundang Hospital, South Korea

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Samsung Bioepis Co., Ltd.
ClinicalTrials.gov Identifier:
NCT03150589
Other Study ID Numbers:
  • SB11-G31-AMD
First Posted:
May 12, 2017
Last Update Posted:
May 21, 2021
Last Verified:
Apr 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Arm/Group Description SB11 (Proposed ranibizumab biosimilar): SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks Lucentis (ranibizumab): Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks
Period Title: Overall Study
STARTED 351 354
COMPLETED 307 327
NOT COMPLETED 44 27

Baseline Characteristics

Arm/Group Title SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab) Total
Arm/Group Description SB11 (Proposed ranibizumab biosimilar): SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks Lucentis (ranibizumab): Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks Total of all reporting groups
Overall Participants 351 354 705
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
74.4
(8.00)
73.8
(8.92)
74.1
(8.48)
Sex: Female, Male (Count of Participants)
Female
202
57.5%
201
56.8%
403
57.2%
Male
149
42.5%
153
43.2%
302
42.8%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
51
14.5%
52
14.7%
103
14.6%
Native Hawaiian or Other Pacific Islander
1
0.3%
0
0%
1
0.1%
Black or African American
0
0%
0
0%
0
0%
White
297
84.6%
300
84.7%
597
84.7%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
2
0.6%
2
0.6%
4
0.6%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Best Corrected Visual Acuity (BCVA)
Description The VA was assessed using original series ETDRS charts or 2702 series number charts.
Time Frame Baseline and Week 8

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Arm/Group Description SB11 (Proposed ranibizumab biosimilar): SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks Lucentis (ranibizumab): Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks
Measure Participants 346 348
Least Squares Mean (Standard Error) [letters]
6.26
(0.51)
7.08
(0.51)
2. Primary Outcome
Title Change From Baseline in Central Subfield Thickness (CST)
Description The average retinal thickness in the central 1-mm area in the ETDRS grid (CST) was evaluated using (Optical Coherence Tomography) OCT
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
Per-Protocol Set for CST
Arm/Group Title SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Arm/Group Description SB11 (Proposed ranibizumab biosimilar): SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks Lucentis (ranibizumab): Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks
Measure Participants 342 338
Least Squares Mean (Standard Error) [μm]
-108.40
(4.65)
-100.05
(4.64)

Adverse Events

Time Frame From the time the subject signed the written informed consent until Week 52 (EOS Visit) or ET Visit
Adverse Event Reporting Description All AEs (ocular or non-ocular) were recorded.
Arm/Group Title SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Arm/Group Description SB11 (Proposed ranibizumab biosimilar): SB11 (proposed ranibizumab biosimilar) 0.5mg via intravitreal injection every 4 weeks Lucentis (ranibizumab): Lucentis (ranibizumab) 0.5mg via intravitreal injection every 4 weeks
All Cause Mortality
SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/350 (0%) 0/354 (0%)
Serious Adverse Events
SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 52/350 (14.9%) 52/354 (14.7%)
Blood and lymphatic system disorders
Anaemia 1/350 (0.3%) 1 1/354 (0.3%) 1
Cardiac disorders
Atrial fibrillation 4/350 (1.1%) 4 3/354 (0.8%) 3
Cardiac failure congestive 2/350 (0.6%) 2 2/354 (0.6%) 2
Angina pectoris 1/350 (0.3%) 1 1/354 (0.3%) 1
Coronary artery disease 1/350 (0.3%) 1 0/354 (0%) 0
Left ventricular failure 1/350 (0.3%) 1 0/354 (0%) 0
Myocardial ischaemia 1/350 (0.3%) 1 0/354 (0%) 0
Angina unstable 0/350 (0%) 0 1/354 (0.3%) 1
Bradycardia 0/350 (0%) 0 1/354 (0.3%) 1
Ear and labyrinth disorders
Vestibular disorder 1/350 (0.3%) 1 0/354 (0%) 0
Eye disorders
Retinal haemorrhage 3/350 (0.9%) 4 1/354 (0.3%) 1
Cataract 2/350 (0.6%) 2 0/354 (0%) 0
Visual acuity reduced 2/350 (0.6%) 3 1/354 (0.3%) 1
Age-related macular degeneration 1/350 (0.3%) 1 0/354 (0%) 0
Iridocyclitis 1/350 (0.3%) 1 0/354 (0%) 0
Macular oedema 1/350 (0.3%) 1 1/354 (0.3%) 1
Retinal pigment epithelial tear 1/350 (0.3%) 1 0/354 (0%) 0
Subretinal fluid 1/350 (0.3%) 1 1/354 (0.3%) 1
Uveitis 1/350 (0.3%) 1 0/354 (0%) 0
Vitreous haemorrhage 1/350 (0.3%) 1 0/354 (0%) 0
Vitritis 1/350 (0.3%) 1 0/354 (0%) 0
Cataract subcapsular 0/350 (0%) 0 1/354 (0.3%) 1
Choroidal neovascularisation 0/350 (0%) 0 1/354 (0.3%) 1
Macular degeneration 0/350 (0%) 0 2/354 (0.6%) 2
Retinal artery occlusion 0/350 (0%) 0 2/354 (0.6%) 2
Gastrointestinal disorders
Gastric ulcer haemorrhage 0/350 (0%) 0 1/354 (0.3%) 1
Inguinal hernia 0/350 (0%) 0 1/354 (0.3%) 1
Intra-abdominal haemorrhage 0/350 (0%) 0 1/354 (0.3%) 1
Pancreatitis acute 0/350 (0%) 0 2/354 (0.6%) 2
Small intestinal obstruction 0/350 (0%) 0 1/354 (0.3%) 1
General disorders
Death 1/350 (0.3%) 1 2/354 (0.6%) 2
Hepatobiliary disorders
Bile duct stone 1/350 (0.3%) 1 0/354 (0%) 0
Cholelithiasis 1/350 (0.3%) 1 1/354 (0.3%) 1
Cholecystitis 0/350 (0%) 0 1/354 (0.3%) 1
Infections and infestations
Endophthalmitis 2/350 (0.6%) 2 0/354 (0%) 0
Pneumonia 1/350 (0.3%) 1 1/354 (0.3%) 1
Pneumonia bacterial 1/350 (0.3%) 1 0/354 (0%) 0
Urinary tract infection 1/350 (0.3%) 1 1/354 (0.3%) 1
Bacterial colitis 0/350 (0%) 0 1/354 (0.3%) 1
Cystitis 0/350 (0%) 0 2/354 (0.6%) 2
Diverticulitis intestinal haemorrhagic 0/350 (0%) 0 1/354 (0.3%) 1
Hepatitis C 0/350 (0%) 0 1/354 (0.3%) 1
Infection 0/350 (0%) 0 1/354 (0.3%) 1
Meningitis aseptic 0/350 (0%) 0 1/354 (0.3%) 1
Pulmonary tuberculosis 0/350 (0%) 0 1/354 (0.3%) 1
Sepsis 0/350 (0%) 0 1/354 (0.3%) 1
Injury, poisoning and procedural complications
Anaemia postoperative 1/350 (0.3%) 1 0/354 (0%) 0
Ankle fracture 1/350 (0.3%) 1 0/354 (0%) 0
Femoral neck fracture 1/350 (0.3%) 1 2/354 (0.6%) 2
Hand fracture 1/350 (0.3%) 1 0/354 (0%) 0
Humerus fracture 1/350 (0.3%) 1 0/354 (0%) 0
Pneumothorax traumatic 1/350 (0.3%) 1 0/354 (0%) 0
Postoperative ileus 1/350 (0.3%) 1 0/354 (0%) 0
Joint dislocation 0/350 (0%) 0 1/354 (0.3%) 1
Lower limb fracture 0/350 (0%) 0 1/354 (0.3%) 1
Radius fracture 0/350 (0%) 0 1/354 (0.3%) 1
Spinal compression fracture 0/350 (0%) 0 1/354 (0.3%) 1
Subdural haematoma 0/350 (0%) 0 1/354 (0.3%) 1
Upper limb fracture 0/350 (0%) 0 1/354 (0.3%) 1
Metabolism and nutrition disorders
Dehydration 1/350 (0.3%) 1 0/354 (0%) 0
Musculoskeletal and connective tissue disorders
Spinal osteoarthritis 1/350 (0.3%) 1 0/354 (0%) 0
Arthralgia 0/350 (0%) 0 1/354 (0.3%) 1
Back pain 0/350 (0%) 0 1/354 (0.3%) 1
Myalgia 0/350 (0%) 0 1/354 (0.3%) 1
Neck pain 0/350 (0%) 0 1/354 (0.3%) 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic lymphocytic leukaemia 1/350 (0.3%) 1 0/354 (0%) 0
Colon cancer 1/350 (0.3%) 1 0/354 (0%) 0
Endometrial adenocarcinoma 1/350 (0.3%) 1 0/354 (0%) 0
Lung adenocarcinoma 1/350 (0.3%) 1 0/354 (0%) 0
Mantle cell lymphoma 1/350 (0.3%) 1 0/354 (0%) 0
Pancreatic carcinoma 1/350 (0.3%) 1 0/354 (0%) 0
Prostate cancer 1/350 (0.3%) 1 1/354 (0.3%) 1
Schwannoma 1/350 (0.3%) 1 0/354 (0%) 0
Squamous cell carcinoma of lung 1/350 (0.3%) 1 0/354 (0%) 0
Uterine cancer 1/350 (0.3%) 1 0/354 (0%) 0
Breast cancer female 0/350 (0%) 0 1/354 (0.3%) 1
Plasma cell myeloma 0/350 (0%) 0 1/354 (0.3%) 1
Nervous system disorders
Cerebral circulatory failure 1/350 (0.3%) 1 0/354 (0%) 0
Cerebral haemorrhage 1/350 (0.3%) 1 0/354 (0%) 0
Syncope 1/350 (0.3%) 1 0/354 (0%) 0
Renal and urinary disorders
Acute kidney injury 3/350 (0.9%) 3 1/354 (0.3%) 1
Renal colic 1/350 (0.3%) 1 0/354 (0%) 0
Calculus bladder 0/350 (0%) 0 1/354 (0.3%) 1
Nephrolithiasis 0/350 (0%) 0 1/354 (0.3%) 1
Renal artery stenosis 0/350 (0%) 0 1/354 (0.3%) 1
Urethral stenosis 0/350 (0%) 0 1/354 (0.3%) 1
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/350 (0%) 0 1/354 (0.3%) 1
Metrorrhagia 0/350 (0%) 0 1/354 (0.3%) 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 2/350 (0.6%) 2 0/354 (0%) 0
Skin and subcutaneous tissue disorders
Angioedema 0/350 (0%) 0 1/354 (0.3%) 1
Rash 0/350 (0%) 0 1/354 (0.3%) 1
Vascular disorders
Hypertension 3/350 (0.9%) 3 0/354 (0%) 0
Aortic aneurysm 1/350 (0.3%) 1 0/354 (0%) 0
Iliac artery embolism 1/350 (0.3%) 1 0/354 (0%) 0
Peripheral ischaemia 1/350 (0.3%) 1 0/354 (0%) 0
Haematoma 0/350 (0%) 0 1/354 (0.3%) 1
Other (Not Including Serious) Adverse Events
SB11 (Proposed Ranibizumab Biosimilar) Lucentis (Ranibizumab)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 111/350 (31.7%) 126/354 (35.6%)
Eye disorders
Neovascular age-related macular degeneration 26/350 (7.4%) 26 24/354 (6.8%) 24
Visual acuity reduced 21/350 (6%) 27 23/354 (6.5%) 31
Conjunctival haemorrhage 19/350 (5.4%) 23 19/354 (5.4%) 21
Infections and infestations
Nasopharyngitis 39/350 (11.1%) 44 36/354 (10.2%) 41
Investigations
Intraocular pressure increased 24/350 (6.9%) 47 29/354 (8.2%) 77
Vascular disorders
Hypertension 17/350 (4.9%) 18 28/354 (7.9%) 39

Limitations/Caveats

Investigator agree to submit any proposed publication/presentation to Sponsor for review at least sixty days prior to submitting any such proposed publication to a publisher or proceeding with such proposed presentation.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Results Point of Contact

Name/Title Director of Clinical Trials
Organization Samsung Bioepis Co., Ltd
Phone +82-32-728-0371
Email sbregistry@samsung.com
Responsible Party:
Samsung Bioepis Co., Ltd.
ClinicalTrials.gov Identifier:
NCT03150589
Other Study ID Numbers:
  • SB11-G31-AMD
First Posted:
May 12, 2017
Last Update Posted:
May 21, 2021
Last Verified:
Apr 1, 2021