Intravitreal LFG316 in Patients With Age-related Macular Degeneration (AMD)

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT01527500
Collaborator
(none)
158
19
3
40.9
8.3
0.2

Study Details

Study Description

Brief Summary

This study was conducted in two parts; Part A and Part B: Part B was initially planned to include two cohorts. Cohort 2 was cancelled following an interim analysis for efficacy in Part A of the study, and not due to any safety issues or concerns. Cohort 2 is not referred to again and part B cohort 1 is referred to as part B alone in the remainder of the document and is the subject of this report.

Part B was conducted to assess the safety and tolerability of a single intravitreal (IVT) LFG316 10 mg/100 µL injection. There was no efficacy evaluation in Part B. The study employed a multicenter, randomized, sham - controlled, single masked design. Eight patients with advanced AMD were planned to be randomized in a 3:1 ratio to receive a single IVT dose of LFG316 (10 mg/100 µL) or sham injection. Patients assigned to a sham injection were treated the same as those assigned to LFG316, except that the hub of an empty syringe (without needle) was placed against the eye instead of the IVT injection.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
158 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Participant)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Sham-control, Proof-of-concept Study of Intravitreal LFG316 in Patients With Geographic Atrophy Associated With Age-related Macular Degeneration
Actual Study Start Date :
Jan 25, 2012
Actual Primary Completion Date :
Jun 24, 2015
Actual Study Completion Date :
Jun 24, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: LFG316 higher dose

LFG316 10 mg/100 μL

Drug: LFG316
LFG316 5 mg/50 μL solution for IVT injection,

Sham Comparator: Sham

Sham injection

Drug: Sham
Sham injection (akin to intravitreal injection but without intravitreal needle; no investigational drug given)

Experimental: LFG316 lower dose

LFG316 5 mg/ 50 μL

Drug: LFG316 Lower dose
LFG316 5 mg/50 μL solution for IVT Injection

Outcome Measures

Primary Outcome Measures

  1. Part A: Geographic Atrophy (GA) Lesion Growth Measured by Fundus Autofluorescence (FAF) From Baseline to Day 505 [Day 1 to Day 505 (starting from the day of first intravitreal injection until Day 505)]

    Geographic atrophy (GA) lesion growth measured by fundus autofluorescence (FAF) from baseline to Day 505.

  2. Part A: Sensitivity Analysis of the Primary End Point: Mixed Effects Model for Repeated Measurements on GA Lesion Growth Measured by Fundus Autoflourescence [The primary objective was from Day 1 to Day 337, however data was captured to Day 505 as exploratory objective]

    Number is the Estimated Difference (95% CI) in lesion size.

  3. Part B: Safety and Tolerability of a Single Intravitreal (IVT) Dose of 10 mg/100 μL of LFG316 in Patients With Advanced AMD). [Day 1 to Day 85]

    This primary outcome (for Part B) is reported under the Adverse Events section.

Secondary Outcome Measures

  1. Part A: Change From Baseline in GA Lesions Growth Measured by Fundus Autofluorescence [Day 1 to Day 169 and Day 505 (starting from the day of first intravitreal injection until Day 505)]

    Mean change in GA lesion growth from baseline to Day 169 and Day 505.

  2. Part A: Change in Best Corrected Visual Acuity (BCVA) as Measured by the EDTRS (Early Treatment of Diabetic Retinopathy Study) Scale From Baseline to Days 169, 337 & 505 in Patients Receiving Every 28 Days, Successive IVT Doses of LFG316 Compared to Sham [Baseline Day 1, Day 169, Day 337 to Day 505]

    Part A: Summary of best corrected visual acuity over time, statistical analysis of change in best corrected visual acuity over time Parameter: Visual Acuity (EDTRS letter) BCVA scale is 0-100, worst is 0 and best 100 Eye: STUDY

  3. Part A: Summary of Best Corrected Visual Acuity Over Time, Statistical Analysis of Change in Best Corrected Visual Acuity Over Time Parameter: Visual Acuity (EDTRS Letter) BCVA Scale is 0-100, Worst is 0 and Best 100 Eye: FELLOW [Baseline Day 1, Day 169, Day 337 to Day 505]

    Part A: Summary of best corrected visual acuity over time, statistical analysis of change in best corrected visual acuity over time Parameter: Visual Acuity (EDTRS letter) BCVA scale is 0-100, worst is 0 and best 100 Eye: FELLOW

  4. Part A: Concentrations of Total LFG316 in Blood During the Course of the Study [Day 1 to Day 559 (starting from the day of first intravitreal injection to day 559)]

    Summary statistic of total LFG316 concentrations (pharmacokinetic analysis set) n=number of participants, h=hours after the last administered dose e.g.; 0.0 means just before dosing. If the mean concentration is 0.00, that means there is no drug in the bloodstream

  5. Part A: Concentrations of Total C5 in Blood During the Course of the Study [Day 1 to Day 559 (starting from the day of first intravitreal injection to day 559)]

    Summary statistic of total C5 concentrations n=number of participants, h=scheduled sampling time

  6. Part B: AUC (Area Under the Curve) - Summary Statistics for PK Parameters [Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)]

    Summary statistic of total LFG316 concentrations (pharmacokinetic analysis set) n=number of participants, h=scheduled sampling time

  7. Tmax (hr) [Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)]

    PART B: Tmax (Time of Maximum concentration observed) This is the highest concentration of drug in the blood that is measured after a dose. Cmax usually happens within a few hours after the dose is taken. The time that Cmax happens is referred to as Tmax. For some antiretroviral drugs, a high Cmax is thought to increase the risk of side effects from the drug.

  8. Part B: Cmax - Summary Statistic for PK Parameters [Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)]

    Summary statistic for Part B of total LFG316 concentrations (pharmacokinetic analysis set) Cmax is the maximum (or peak) serum concentration that a drug achieves in a specified compartment or test area of the body after the drug has been administrated and before the administration of a second dose

  9. Part B: Cmax_D - Summary Statistic for PK Parameters [Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)]

    Cmax_D=ng/mL/mg

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Diagnosis of AMD if enrolled in Part B of study

  • Geographic atrophy in at least one eye if enrolled in Part A of study

  • ETDRS best corrected visual acuity of 60 letters or worse (~≤ 20/63)

Exclusion Criteria:
  • Retinal disease other than AMD

  • History of choroidal neovascularization

  • Severe cataract

  • History of infectious uveitis or endophthalmitis

  • Eye surgery in the non-study eye within 30 days prior to study

  • Eye surgery or IVT injection in the study eye within 90 days prior to study

  • Other protocol-defined inclusion/exclusion criteria may apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 Novartis Investigative Site Phoenix Arizona United States 85014
2 Novartis Investigative Site Phoenix Arizona United States 85020
3 Novartis Investigative Site Tucson Arizona United States 85704-5614
4 Novartis Investigative Site Beverly Hills California United States 90211
5 Novartis Investigative Site Pasadena California United States 91105-3153
6 Novartis Investigative Site Sacramento California United States 95841
7 Novartis Investigative Site Colorado Springs Colorado United States 80909
8 Novartis Investigative Site Fort Myers Florida United States 33912-7125
9 Novartis Investigative Site Miami Florida United States 33143
10 Novartis Investigative Site Winter Haven Florida United States 33880
11 Novartis Investigative Site Atlanta Georgia United States 30342
12 Novartis Investigative Site Leawood Kansas United States 66211
13 Novartis Investigative Site Boston Massachusetts United States 02114
14 Novartis Investigative Site Grand Rapids Michigan United States 49546
15 Novartis Investigative Site Jackson Michigan United States 49202
16 Novartis Investigative Site Charlotte North Carolina United States 28210
17 Novartis Investigative Site Cincinnati Ohio United States 45242
18 Novartis Investigative Site Cleveland Ohio United States 44122
19 Novartis Investigative Site Silverdale Washington United States 98383

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01527500
Other Study ID Numbers:
  • CLFG316A2203
First Posted:
Feb 7, 2012
Last Update Posted:
Jan 5, 2021
Last Verified:
Mar 1, 2019
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Keywords provided by Novartis Pharmaceuticals
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Study conducted in 2 parts: Part A & Part B. Part A evaluated safety & efficacy of multiple 5 mg/50 µL doses of intravitreal (IVT) LFG316 against sham every 28 days for 505 days Part B evaluated the safety and pharmacokinetics of a single IVT dose of 10 mg/100 µL of LFG316
Pre-assignment Detail
Arm/Group Title LFG316 Sham
Arm/Group Description
Period Title: Part A
STARTED 99 51
COMPLETED 69 38
NOT COMPLETED 30 13
Period Title: Part A
STARTED 7 1
COMPLETED 6 1
NOT COMPLETED 1 0

Baseline Characteristics

Arm/Group Title Part A- LFG316 5 mg Part A- Sham Part B- LFG316 10 mg Part B- Sham Total
Arm/Group Description LFG316 5 mg injection every 28 days for a total of 12 injections sham injection every 28 days for a total of 12 injections Single LFG316 10 mg Injection Single Sham injection Total of all reporting groups
Overall Participants 99 51 7 1 158
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
78.6
(7.5)
80.8
(6.5)
84.1
(3.8)
81.0
(NA)
79.4
(7.2)
Sex: Female, Male (Count of Participants)
Female
58
58.6%
32
62.7%
6
85.7%
1
100%
97
61.4%
Male
41
41.4%
19
37.3%
1
14.3%
0
0%
61
38.6%

Outcome Measures

1. Primary Outcome
Title Part A: Geographic Atrophy (GA) Lesion Growth Measured by Fundus Autofluorescence (FAF) From Baseline to Day 505
Description Geographic atrophy (GA) lesion growth measured by fundus autofluorescence (FAF) from baseline to Day 505.
Time Frame Day 1 to Day 505 (starting from the day of first intravitreal injection until Day 505)

Outcome Measure Data

Analysis Population Description
Pharmacodynamic analysis set (PD) which includes all patients with at least one dose of study drug and evaluable PD data.
Arm/Group Title LFG316 Sham
Arm/Group Description LFG316 (5 mg/50 µL) Sham injection
Measure Participants 50 27
Mean (Standard Deviation) [mm^2]
1.95
(1.01)
1.58
(1.12)
2. Secondary Outcome
Title Part A: Change From Baseline in GA Lesions Growth Measured by Fundus Autofluorescence
Description Mean change in GA lesion growth from baseline to Day 169 and Day 505.
Time Frame Day 1 to Day 169 and Day 505 (starting from the day of first intravitreal injection until Day 505)

Outcome Measure Data

Analysis Population Description
PD Set which included patients who had at least one dose of study drug and had evaluable PD Data.
Arm/Group Title LFG316 Sham
Arm/Group Description LFG316 (5 mg/50 µL) Sham Injection
Measure Participants 74 38
Day 169 (n=68, 37)
0.99
(0.60)
0.88
(0.77)
Day 505 (n=38, 18)
2.78
(1.28)
2.03
(1.00)
3. Secondary Outcome
Title Part A: Change in Best Corrected Visual Acuity (BCVA) as Measured by the EDTRS (Early Treatment of Diabetic Retinopathy Study) Scale From Baseline to Days 169, 337 & 505 in Patients Receiving Every 28 Days, Successive IVT Doses of LFG316 Compared to Sham
Description Part A: Summary of best corrected visual acuity over time, statistical analysis of change in best corrected visual acuity over time Parameter: Visual Acuity (EDTRS letter) BCVA scale is 0-100, worst is 0 and best 100 Eye: STUDY
Time Frame Baseline Day 1, Day 169, Day 337 to Day 505

Outcome Measure Data

Analysis Population Description
PD analysis set which includes all patients with at least one dose of study drug and evaluable PD data.
Arm/Group Title LFG316 Sham
Arm/Group Description LFG316 (5 mg/50 µL) Sham Injection
Measure Participants 74 38
Baseline Day 1 (n=74, 38)
43.91
(12.93)
40.26
(14.97)
Day 169 (n=71, 36)
48.38
(11.05)
42.50
(15.14)
Day 337 (n=53, 30)
47.49
(11.25)
42.97
(14.23)
Day 505 (n=40, 23)
44.73
(11.29)
43.78
(14.11)
4. Secondary Outcome
Title Part A: Summary of Best Corrected Visual Acuity Over Time, Statistical Analysis of Change in Best Corrected Visual Acuity Over Time Parameter: Visual Acuity (EDTRS Letter) BCVA Scale is 0-100, Worst is 0 and Best 100 Eye: FELLOW
Description Part A: Summary of best corrected visual acuity over time, statistical analysis of change in best corrected visual acuity over time Parameter: Visual Acuity (EDTRS letter) BCVA scale is 0-100, worst is 0 and best 100 Eye: FELLOW
Time Frame Baseline Day 1, Day 169, Day 337 to Day 505

Outcome Measure Data

Analysis Population Description
PD analysis set which includes all patients with at least one dose of study drug and evaluable PD data.
Arm/Group Title LFG316 Sham
Arm/Group Description LFG316 (5 mg/50 µL) Sham Injection
Measure Participants 74 38
Baseline Day 1 (n=74, 38)
54.66
(22.02)
55.13
(18.27)
Day 169 (n=71, 36)
54.59
(21.92)
57.33
(17.89)
Day 337 (n=53, 30)
52.75
(21.66)
53.87
(18.83)
Day 505 (n=40, 23)
50.95
(20.67)
49.87
(19.35)
5. Secondary Outcome
Title Part A: Concentrations of Total LFG316 in Blood During the Course of the Study
Description Summary statistic of total LFG316 concentrations (pharmacokinetic analysis set) n=number of participants, h=hours after the last administered dose e.g.; 0.0 means just before dosing. If the mean concentration is 0.00, that means there is no drug in the bloodstream
Time Frame Day 1 to Day 559 (starting from the day of first intravitreal injection to day 559)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic analysis set: The PK analysis set included all patients with at least one dose of study drug and evaluable PK data.
Arm/Group Title LFG316
Arm/Group Description LFG316 (5 mg/50 µL)
Measure Participants 99
Day 1 (n=99), h=0
0.00
(0.00)
Day 1(n= 97), h= 24
293
(332)
Day 1(n=91), h=336
560
(238)
Day 29 (n=94), h=0
289
(214)
Day 57 (n=96), h=0
382
(218)
Day 85 (n=93), h=0
436
(210)
Day 113 (n=83), h=0
433
(219)
Day 141 (n=84), h=0
451
(218)
Day 141 (n=9), h=672
482
(174)
Day 169 (n=68), h=0
446
(204)
Day 197 (n=73), h=0
434
(231)
Day 225 (n=71), h=0
471
(224)
Day 253 (n=42), h=0
465
(237)
Day 281 (n=69), h=0
485
(274)
Day 309 (n=68), h=0
447
(226)
Day 309 (n=22), h=672
405
(189)
Day 365 (n=40), h=0
427
(288)
Day 393 (n=42), h=0
464
(239)
Day 421(n=40), h=0
471
(228)
Day 449 (n=40), h=0
459
(214)
Day 477 (n=39), h=0
422
(236)
Day 477 (n=41), h=672
439
(191)
Day 477 (n=38), h=1968
0.00
(0.00)
Day 309 (n=16), h=2688
0.00
(0.00)
Day 337 (n=42), h=0
435
(283)
6. Secondary Outcome
Title Part A: Concentrations of Total C5 in Blood During the Course of the Study
Description Summary statistic of total C5 concentrations n=number of participants, h=scheduled sampling time
Time Frame Day 1 to Day 559 (starting from the day of first intravitreal injection to day 559)

Outcome Measure Data

Analysis Population Description
PD Analysis includes patients who received at least one dose of study drug with evaluable PD data.
Arm/Group Title LFG316 Sham
Arm/Group Description LFG316 (5 mg/50 µL) Sham injection
Measure Participants 99 51
Day 1 (n=99, 51), h=0
147000
(28900)
142000
(25500)
(n= 97, 51), h= 24
143000
(31200)
139000
(27600)
(n=91, 49), h=336
149000
(41100)
136000
(25600)
Day 29 (n=94, 47), h=0
145000
(31200)
142000
(33900)
Day 57 (n=96, 49), h=0
147000
(29300)
148000
(40400)
Day 85 (n=93, 46), h=0
154000
(42500)
144000
(39100)
Day 113 (n=83, 49), h=0
153000
(46200)
146000
(42100)
Day 141 (n=84, 45), h=0
144000
(32600)
141000
(25600)
(n=9, 3), h=672
146000
(288000)
135000
(8000)
Day 169 (n=68, 37), h=0
147000
(39400)
144000
(38600)
Day 197 (n=73, 36), h=0
143000
(27300)
139000
(32500)
Day 225 (n=71, 34), h=0
152000
(51600)
140000
(33600)
Day 253 (n=42, 18), h=0
144000
(38500)
129000
(31000)
Day 281 (n=69, 34), h=0
145000
(28000)
144000
(35300)
Day 309 (n=68, 32), h=0
151000
(45200)
148000
(39400)
(n=22, 12), h=672
137000
(31000)
145000
(33200)
Day 365 (n=40, 24), h=0
146000
(29300)
131000
(29300)
Day 393 (n=42, 22), h=0
145000
(23700)
132000
(28500)
Day 421(n=40, 22), h=0
149000
(24700)
141000
(34200)
Day 449 (n=40, 23), h=0
160000
(41200)
144000
(27000)
Day 477 (n=39, 21), h=0
148000
(20400)
156000
(53900)
(n=41, 21), h=672
158000
(37800)
155000
(59000)
(n=38, 22), h=1968
198000
(82700)
186000
(79600)
Day 309 (n=16, 10), h=2688
135000
(19600)
135000
(18800)
Day 337 (n=44, 24), h-0
147000
(27900)
137000
(36200)
7. Primary Outcome
Title Part A: Sensitivity Analysis of the Primary End Point: Mixed Effects Model for Repeated Measurements on GA Lesion Growth Measured by Fundus Autoflourescence
Description Number is the Estimated Difference (95% CI) in lesion size.
Time Frame The primary objective was from Day 1 to Day 337, however data was captured to Day 505 as exploratory objective

Outcome Measure Data

Analysis Population Description
PD Set which included patients who had at least one dose of study drug and had evaluable PD Data.
Arm/Group Title LFG316 Sham LFG316 5 Mg-Sham
Arm/Group Description LFG316 (5 mg/50 µL) Difference in mean between LFG316 arm and Sham arm.
Measure Participants 50 27 77
Bilateral Day 169
0.975
0.913
0.062
Bilateral Day 337
1.825
1.710
0.115
Bilateral Day 505
2.674
2.506
0.168
Overall Day 169
1.036
0.937
0.099
Overall Day 337
1.885
1.734
0.152
Overall Day 505
2.735
2.530
0.205
8. Secondary Outcome
Title Part B: AUC (Area Under the Curve) - Summary Statistics for PK Parameters
Description Summary statistic of total LFG316 concentrations (pharmacokinetic analysis set) n=number of participants, h=scheduled sampling time
Time Frame Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic analysis set: The PK analysis set included all patients with at least one dose of study drug and evaluable PK data.
Arm/Group Title LFG316
Arm/Group Description LFG316 (10 mg/100 µL)
Measure Participants 7
AUCall (hr*ng/mL)
743000
(241000)
AUClast (hr*ng/mL)
600000
(212000)
9. Primary Outcome
Title Part B: Safety and Tolerability of a Single Intravitreal (IVT) Dose of 10 mg/100 μL of LFG316 in Patients With Advanced AMD).
Description This primary outcome (for Part B) is reported under the Adverse Events section.
Time Frame Day 1 to Day 85

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Part A - LFG316 5mg Sham - Part A Part B - LFG316 10mg Sham - Part B
Arm/Group Description Part A - LFG316 5 mg/50 µL injection every 4 weeks for 18 months sham injection every 4 weeks for a total of 18 injections Part B - LFG316 10 mg/100 µL injection every 4 weeks for 18 months Single sham injection
Measure Participants 99 51 7 1
Total # Affected by any Serious Adverse Event
27
11
1
0
Total # at Risk by any Serious Adverse Event
99
51
7
1
10. Secondary Outcome
Title Tmax (hr)
Description PART B: Tmax (Time of Maximum concentration observed) This is the highest concentration of drug in the blood that is measured after a dose. Cmax usually happens within a few hours after the dose is taken. The time that Cmax happens is referred to as Tmax. For some antiretroviral drugs, a high Cmax is thought to increase the risk of side effects from the drug.
Time Frame Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic analysis set: The PK analysis set included all patients with at least one dose of study drug and evaluable PK data.
Arm/Group Title LFG316
Arm/Group Description LFG316 (10 mg/100 µL)
Measure Participants 7
Median (Full Range) [hours]
213
11. Secondary Outcome
Title Part B: Cmax - Summary Statistic for PK Parameters
Description Summary statistic for Part B of total LFG316 concentrations (pharmacokinetic analysis set) Cmax is the maximum (or peak) serum concentration that a drug achieves in a specified compartment or test area of the body after the drug has been administrated and before the administration of a second dose
Time Frame Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic analysis set: The PK analysis set included all patients with at least one dose of study drug and evaluable PK data.
Arm/Group Title LFG316
Arm/Group Description LFG316 (10 mg/100 µL)
Measure Participants 7
Mean (Standard Deviation) [ng/mL]
1010
(213)
12. Secondary Outcome
Title Part B: Cmax_D - Summary Statistic for PK Parameters
Description Cmax_D=ng/mL/mg
Time Frame Day 1 to Day 85 (starting from the day of first intravitreal injection to day 85)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic analysis set: The PK analysis set included all patients with at least one dose of study drug and evaluable PK data.
Arm/Group Title LFG316
Arm/Group Description LFG316 (10 mg/100 µL)
Measure Participants 7
Mean (Standard Deviation) [ng/mL/mg]
101
(21.3)

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Part A - LFG316 5mg Part A - Sham Part B - LFG316 10mg Part B - Sham
Arm/Group Description Part A - LFG316 5 mg/50 µL injection every 4 weeks for 18 months sham injection every 4 weeks for a total of 18 injections Part B - Single LFG316 10 mg/100 µL injection single sham injection
All Cause Mortality
Part A - LFG316 5mg Part A - Sham Part B - LFG316 10mg Part B - Sham
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Part A - LFG316 5mg Part A - Sham Part B - LFG316 10mg Part B - Sham
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 27/99 (27.3%) 11/51 (21.6%) 1/7 (14.3%) 0/1 (0%)
Blood and lymphatic system disorders
Anaemia 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Immune thrombocytopenic purpura 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cardiac disorders
Angina pectoris 1/99 (1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Atrial fibrillation 1/99 (1%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Atrioventricular block second degree 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cardiac failure congestive 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cardiomyopathy 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Coronary artery disease 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Ear and labyrinth disorders
Vertigo 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eye disorders
Visual acuity reduced (Fellow Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Visual acuity reduced (Study Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Gastrointestinal disorders
Abdominal pain upper 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Constipation 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Gastrointestinal haemorrhage 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Gastrooesophageal reflux disease 0/99 (0%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Small intestinal obstruction 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Umbilical hernia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Upper gastrointestinal haemorrhage 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vomiting 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
General disorders
Non-cardiac chest pain 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Infections and infestations
Cellulitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Clostridium difficile infection 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cystitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Endophthalmitis (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Pneumonia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Urinary tract infection 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Injury, poisoning and procedural complications
Auricular haematoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hip fracture 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Lumbar vertebral fracture 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Investigations
International normalised ratio increased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Metabolism and nutrition disorders
Dehydration 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Hyperlipidaemia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Muscular weakness 1/99 (1%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Osteoarthritis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Breast cancer 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Invasive ductal breast carcinoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Myelodysplastic syndrome 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Plasma cell myeloma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Prostate cancer 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Rectal adenocarcinoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Squamous cell carcinoma of lung 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Uterine cancer 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nervous system disorders
Dizziness 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Transient ischaemic attack 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Psychiatric disorders
Confusional state 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Delirium 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Renal and urinary disorders
Acute prerenal failure 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Haematuria 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Urinary retention 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Lung consolidation 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Pulmonary embolism 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Vascular disorders
Deep vein thrombosis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Haemorrhage 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hypertension 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Temporal arteritis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Other (Not Including Serious) Adverse Events
Part A - LFG316 5mg Part A - Sham Part B - LFG316 10mg Part B - Sham
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 98/99 (99%) 42/51 (82.4%) 4/7 (57.1%) 1/1 (100%)
Blood and lymphatic system disorders
Anaemia 6/99 (6.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Increased tendency to bruise 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Macrocytosis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Splenomegaly 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Cardiac disorders
Angina pectoris 2/99 (2%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Arrhythmia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Atrial fibrillation 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Bradycardia 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Cardiac failure congestive 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Coronary artery disease 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Heart valve incompetence 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Tachycardia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Ventricular extrasystoles 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Congenital, familial and genetic disorders
Corneal dystrophy (Fellow Eye) 0/99 (0%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Corneal dystrophy (Study Eye) 0/99 (0%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Ear and labyrinth disorders
Cerumen impaction 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Ear pain 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vertigo 2/99 (2%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Endocrine disorders
Hypothyroidism 4/99 (4%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Eye disorders
Anterior chamber cell (Study Eye) 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Anterior chamber flare (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Blepharitis (Fellow Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Blepharitis (Study Eye) 4/99 (4%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Blepharitis allergic (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Blepharospasm (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cataract (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cataract (Study Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Cataract nuclear (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cataract nuclear (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cataract subcapsular (Fellow Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Cataract subcapsular (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Charles Bonnet syndrome 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Charles Bonnet syndrome (Fellow Eye) 0/99 (0%) 1/51 (2%) 1/7 (14.3%) 0/1 (0%)
Charles Bonnet syndrome (Study Eye) 0/99 (0%) 1/51 (2%) 1/7 (14.3%) 0/1 (0%)
Chorioretinal atrophy (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Chorioretinal atrophy (Study Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Choroidal neovascularisation (Fellow Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Choroidal neovascularisation (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Conjunctival haemorrhage (Fellow Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Conjunctival haemorrhage (Study Eye) 70/99 (70.7%) 29/51 (56.9%) 2/7 (28.6%) 0/1 (0%)
Conjunctival hyperaemia (Study Eye) 3/99 (3%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Conjunctival oedema (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Conjunctival vascular disorder (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Corneal deposits (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Corneal oedema (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Corneal opacity (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Corneal scar (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Diplopia (Fellow Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Diplopia (Study Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Dry eye (Fellow Eye) 5/99 (5.1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Dry eye (Study Eye) 5/99 (5.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Ectropion (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Erythema of eyelid (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Exfoliation glaucoma (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Eye colour change (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eye inflammation (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Eye irritation (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eye irritation (Study Eye) 11/99 (11.1%) 5/51 (9.8%) 0/7 (0%) 0/1 (0%)
Eye pain (Fellow Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eye pain (Study Eye) 12/99 (12.1%) 6/51 (11.8%) 0/7 (0%) 0/1 (0%)
Eye pruritus (Fellow Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Eye pruritus (Study Eye) 4/99 (4%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Eye swelling (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eyelid irritation (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eyelid oedema (Study Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Eyelids pruritus (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Foreign body sensation in eyes (Study Eye) 10/99 (10.1%) 7/51 (13.7%) 0/7 (0%) 0/1 (0%)
Glaucoma (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Glaucoma (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hyphaema (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Iritis (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Keratitis (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Lacrimation decreased (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Lacrimation increased (Study Eye) 6/99 (6.1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Macular degeneration (Fellow Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Macular oedema (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Neovascular age-related macular degeneration (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Neovascular age-related macular degeneration (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Ocular discomfort (Study Eye) 4/99 (4%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Ocular hyperaemia (Study Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Optic disc disorder (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Optic disc haemorrhage (Fellow Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Photophobia (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Photophobia (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Photopsia (Study Eye) 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Posterior capsule opacification (Fellow Eye) 4/99 (4%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Posterior capsule opacification (Study Eye) 3/99 (3%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Pterygium (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Punctate keratitis (Study Eye) 4/99 (4%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Refraction disorder (Fellow Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Refraction disorder (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Retinal haemorrhage (Fellow Eye) 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Retinal haemorrhage (Study Eye) 1/99 (1%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Retinal pigment epitheliopathy (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Retinal pigment epitheliopathy (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Retinal tear (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Scleral hyperaemia (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Subretinal fluid (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Trichiasis (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Ulcerative keratitis (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Uveitis (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vision blurred (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vision blurred (Study Eye) 1/99 (1%) 3/51 (5.9%) 0/7 (0%) 1/1 (100%)
Visual acuity reduced (Fellow Eye) 3/99 (3%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Visual acuity reduced (Study Eye) 7/99 (7.1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Visual acuity reduced transiently (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Visual acuity reduced transiently (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Visual brightness (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Visual brightness (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Visual impairment (Study Eye) 3/99 (3%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Vitreous detachment 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vitreous detachment (Fellow Eye) 1/99 (1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Vitreous detachment (Study Eye) 10/99 (10.1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Vitreous disorder (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vitreous floaters (Fellow Eye) 3/99 (3%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Vitreous floaters (Study Eye) 24/99 (24.2%) 1/51 (2%) 1/7 (14.3%) 0/1 (0%)
Vitreous haemorrhage (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vitreous haemorrhage (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vitreous opacities (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Gastrointestinal disorders
Abdominal pain 2/99 (2%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Abdominal pain upper 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Aphthous stomatitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Constipation 6/99 (6.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Diarrhoea 4/99 (4%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Dyspepsia 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Gastric ulcer 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Gastrooesophageal reflux disease 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Haematemesis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nausea 9/99 (9.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Oesophagitis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Small intestinal perforation 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Tooth deposit 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Toothache 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vomiting 5/99 (5.1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
General disorders
Application site pain (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Asthenia 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Chest discomfort 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Chills 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Facial pain 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Fatigue 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Fibrosis (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Injection site bruising (Study Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Injection site erythema (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Injection site irritation (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Injection site reaction (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Non-cardiac chest pain 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Oedema peripheral 6/99 (6.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Pain 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Peripheral swelling 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Pyrexia 1/99 (1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Hepatobiliary disorders
Cholelithiasis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Immune system disorders
Allergy to arthropod bite 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Allergy to chemicals 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Drug hypersensitivity 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hypersensitivity 4/99 (4%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Seasonal allergy 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Infections and infestations
Acute sinusitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Bronchitis 8/99 (8.1%) 4/51 (7.8%) 0/7 (0%) 0/1 (0%)
Cellulitis 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Conjunctivitis (Fellow Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Conjunctivitis (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cystitis 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Diverticulitis 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Ear infection 2/99 (2%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Eye infection staphylococcal (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Fungal skin infection 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Furuncle 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Herpes zoster 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Hordeolum (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Influenza 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Kidney infection 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Laryngitis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Localised infection 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nasopharyngitis 9/99 (9.1%) 4/51 (7.8%) 0/7 (0%) 0/1 (0%)
Onychomycosis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Oral candidiasis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Otitis media acute 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Paronychia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Periodontitis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Pharyngitis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Pneumonia 2/99 (2%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Respiratory tract infection 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Rhinitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Sinusitis 3/99 (3%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Tooth abscess 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Tooth infection 0/99 (0%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Upper respiratory tract infection 13/99 (13.1%) 4/51 (7.8%) 0/7 (0%) 1/1 (100%)
Urinary tract infection 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Urinary tract infection enterococcal 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Wound infection 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Injury, poisoning and procedural complications
Contusion 2/99 (2%) 3/51 (5.9%) 0/7 (0%) 1/1 (100%)
Corneal abrasion (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Fall 6/99 (6.1%) 3/51 (5.9%) 0/7 (0%) 1/1 (100%)
Hand fracture 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Humerus fracture 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Joint injury 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Laceration 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Ligament sprain 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Muscle injury 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Muscle strain 0/99 (0%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Post procedural complication (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Post procedural discomfort (Study Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Post-traumatic pain 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Procedural headache 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Procedural pain 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Procedural pain (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Rib fracture 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Skin abrasion 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Skin injury 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Spinal compression fracture 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Thermal burn 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Tooth fracture 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Wound 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Investigations
Blood cholesterol increased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Blood creatinine increased 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Blood glucose increased 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Blood pressure increased 1/99 (1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Blood triglycerides increased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Blood urea increased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cardiac murmur 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Crystal urine present 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Electrocardiogram T wave abnormal 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Glomerular filtration rate decreased 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Haematocrit decreased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Haemoglobin decreased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Haemoglobin increased 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Heart rate irregular 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Intraocular pressure increased (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Intraocular pressure increased (Study Eye) 4/99 (4%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Red blood cell count decreased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Red blood cell count increased 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Red blood cells urine 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Transaminases increased 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Urine leukocyte esterase positive 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Visual acuity tests abnormal (Study Eye) 0/99 (0%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Weight decreased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
White blood cell count decreased 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
White blood cells urine positive 0/99 (0%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Metabolism and nutrition disorders
Dehydration 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Diabetes mellitus 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Gout 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Hypercholesterolaemia 1/99 (1%) 0/51 (0%) 1/7 (14.3%) 0/1 (0%)
Hyperglycaemia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hyperlipidaemia 3/99 (3%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hypokalaemia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hyponatraemia 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Type 2 diabetes mellitus 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 2/99 (2%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Arthritis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Back pain 3/99 (3%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Chondrocalcinosis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Fibromyalgia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Foot deformity 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Fracture pain 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Musculoskeletal pain 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Musculoskeletal stiffness 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Neck pain 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Osteopenia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Osteoporotic fracture 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Pain in extremity 4/99 (4%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Spinal column stenosis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Tendon pain 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Tendonitis 1/99 (1%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Trigger finger 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 2/99 (2%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Benign breast neoplasm 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Benign neoplasm of eyelid (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Breast cancer 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eye naevus (Fellow Eye) 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Lipoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Malignant melanoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Squamous cell carcinoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Squamous cell carcinoma of skin 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nervous system disorders
Dizziness 6/99 (6.1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Dysaesthesia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Head discomfort 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Headache 5/99 (5.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Hyporeflexia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Lumbar radiculopathy 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Memory impairment 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nerve compression 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Neuropathy peripheral 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Presyncope 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Sciatica 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Sinus headache 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Visual field defect (Fellow Eye) 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Psychiatric disorders
Depression 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Insomnia 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Mental status changes 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Renal and urinary disorders
Acute kidney injury 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Bladder outlet obstruction 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Calculus bladder 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Chronic kidney disease 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Dysuria 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Haematuria 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Nephrolithiasis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Nocturia 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Pelvi-ureteric obstruction 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Proteinuria 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Urethral stenosis 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Urinary incontinence 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Urinary retention 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Urinary tract pain 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Reproductive system and breast disorders
Calculus prostatic 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Prostatic calcification 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Prostatic haemorrhage 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Prostatomegaly 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vaginal haemorrhage 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Allergic cough 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Chronic obstructive pulmonary disease 1/99 (1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Cough 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Dysphonia 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Dyspnoea 3/99 (3%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Epistaxis 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Hypoxia 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Nasal congestion 0/99 (0%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Oropharyngeal pain 2/99 (2%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Pleural effusion 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Productive cough 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Respiratory failure 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Respiratory tract congestion 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Rhinorrhoea 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Sinus congestion 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Tracheomalacia 0/99 (0%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Skin and subcutaneous tissue disorders
Actinic keratosis 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Cold sweat 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cutis laxa (Fellow Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Cutis laxa (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Dermatitis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Dermatitis contact 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Dry skin 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Ecchymosis (Study Eye) 2/99 (2%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Eczema 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Precancerous skin lesion 0/99 (0%) 2/51 (3.9%) 0/7 (0%) 0/1 (0%)
Rash 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Urticaria 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Vascular disorders
Deep vein thrombosis 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Haematoma 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Hypertension 9/99 (9.1%) 3/51 (5.9%) 0/7 (0%) 0/1 (0%)
Hypotension 1/99 (1%) 1/51 (2%) 0/7 (0%) 0/1 (0%)
Labile hypertension 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)
Poor peripheral circulation 1/99 (1%) 0/51 (0%) 0/7 (0%) 0/1 (0%)

Limitations/Caveats

Study conducted in 2 parts, Part A (n=150) & Part B (n=8). Total participants is 158 Primary Outcome for Part B is Safety and Tolerability as presented in the Adverse events section of this report

More Information

Certain Agreements

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

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial

Results Point of Contact

Name/Title Study Director
Organization Novartis Pharmaceuticals
Phone 862-778-8300
Email
Responsible Party:
Novartis Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT01527500
Other Study ID Numbers:
  • CLFG316A2203
First Posted:
Feb 7, 2012
Last Update Posted:
Jan 5, 2021
Last Verified:
Mar 1, 2019