Dose Ranging Study of Pazopanib to Treat Neovascular Age-Related Macular Degeneration

Sponsor
GlaxoSmithKline (Industry)
Overall Status
Completed
CT.gov ID
NCT01134055
Collaborator
(none)
510
77
7
28
6.6
0.2

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the safety and efficacy of different dosage regimens of pazopanib eye drops for the treatment of neovascular age-related macular degeneration.

Condition or Disease Intervention/Treatment Phase
  • Drug: pazopanib eye drops
  • Drug: placebo
  • Biological: ranibizumab intravitreal injection
Phase 2

Detailed Description

MD7110852 is a Phase 2b dose-ranging study designed to demonstrate the 1 year efficacy and safety of pazopanib eye drops for the treatment of neovascular age related macular degeneration (AMD) in subjects whose disease is currently managed with anti-VEGF (vascular endothelial growth factor) injection therapy. Eye drop regimens are double-masked with placebo eye drops and will have access to open-label ranibizumab intravitreal (IVT) injection if needed. The ranibizumab IVT injection every 4 weeks control arm is open-label.

Study Design

Study Type:
Interventional
Actual Enrollment :
510 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
MD7110852, A Phase 2b Dose-Ranging Study of Pazopanib Eye Drops Versus Ranibizumab Intravitreal Injections for the Treatment of Neovascular Age-Related Macular Degeneration
Actual Study Start Date :
Jun 1, 2010
Actual Primary Completion Date :
Oct 1, 2012
Actual Study Completion Date :
Oct 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: investigational arm 1

5 mg/mL pazopanib eye drops TID with allowance for as-needed ranibizumab injection

Drug: pazopanib eye drops
A tyrosine kinase inhibitor of multiple receptors including vascular endothelial growth factor receptors and platelet-derived growth factor receptors.

Experimental: investigational arm 2

5 mg/mL pazopanib eye drops QID with allowance for as-needed ranibizumab injection

Drug: pazopanib eye drops
A tyrosine kinase inhibitor of multiple receptors including vascular endothelial growth factor receptors and platelet-derived growth factor receptors.

Experimental: investigational arm 3

10 mg/mL pazopanib eye drops BID with allowance for as-needed ranibizumab injection

Drug: pazopanib eye drops
A tyrosine kinase inhibitor of multiple receptors including vascular endothelial growth factor receptors and platelet-derived growth factor receptors.

Experimental: investigational arm 4

10 mg/mL pazopanib eye drops TID with allowance for as-needed ranibizumab injection

Drug: pazopanib eye drops
A tyrosine kinase inhibitor of multiple receptors including vascular endothelial growth factor receptors and platelet-derived growth factor receptors.

Experimental: investigational arm 5

10 mg/mL pazopanib eye drops QID with allowance for as-needed ranibizumab injection

Drug: pazopanib eye drops
A tyrosine kinase inhibitor of multiple receptors including vascular endothelial growth factor receptors and platelet-derived growth factor receptors.

Placebo Comparator: placebo control arm

Placebo eye drops QID with allowance for as-needed ranibizumab injection

Drug: placebo
placebo eye drops

Active Comparator: active open-label control arm

Ranibizumab intravitreal injection every 4 weeks

Biological: ranibizumab intravitreal injection
Humanized recombinant monoclonal antibody fragment targeted against human vascular endothelial growth factor A

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Best-corrected Visual Acuity (BCVA) as Measured by the Number of Letters Read on the Early Treatment of Diabetic Retinopathy Study (ETDRS) Grading Charts at a Starting Distance of 4 Meters at Week 52 [Day 1 and 52 weeks]

    BCVA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters. The ETDRS grading chart was of at least 24 to 78 letters. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.

Secondary Outcome Measures

  1. Percentage of Ranibizumab Re-injections Received Over 28 and 52 Weeks [Up to 52 weeks]

    The investigator interpreted each Week 4 to Week 52 Optical coherence tomography (OCT) scan, BCVA score, and available Fluorescein angiography (FA)/Fundus photography (FP) and re-injected if one or more criteria were met. The criteria were: Evidence of Intraretinal (IR) (with or without cysts) fluid or Subretinal (SR) fluid, a serous retinal pigment epithelial detachment, a notable decline in Visual Acuity, new SR or IR macular hemorrhage that the investigator judges is associated with Choroidal neovascularization, increased lesion size on FA relative to the last angiogram as judged by the investigator or leakage on FA that the investigator judges would benefit from re-injection. Injection rate over 52 weeks was computed by taking the number of injections received divided by the number of visits for the participant. Likewise for 28 weeks it was estimated as the number of post baseline injections received divided by the number of post baseline visits at or before the week 28 visit.

  2. Number of Participants With BCVA Over Time [Up to Week 52]

    BCVA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters. The ETDRS grading chart was of at least 24 to 78 letters. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters.

  3. Number of Participants Analyzed for Visual Acuity (VA) Response Over Time [Week 52]

    VA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters.The ETDRS grading chart was of at least 24 to 78 letters. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters. This outcome measure contains the number of participants who were analyzed for VA response.

  4. Change From Baseline in Center Point Thickness (CPT) Over Time [Baseline and Week 52]

    CPT was the inner limiting membrane to the beginning of the retinal pigment epithelium (RPE) inclusive of SR fluid. The outer boundary included the outer segment of the photoreceptors and not included the RPE. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study. In amendment 3, inclusion criterion number 5 was revised to remove the required quantitative OCT component. OCT examination was used to supplement FA findings and provided qualitative (presence of SR and/or IR fluid) and quantitative (a CPT that is at least 250 microns) evidence of an active subfoveal lesion. Hence data for pre and post amendment have been provided separately.

  5. Number of Participants That Met Criteria for Re-injection [Up to Week 52]

    The investigator interpreted each Week 4 to Week 52 Optical coherence tomography (OCT) scan, BCVA score, and available Fluorescein angiography (FA)/Fundus photography (FP) and re-injected if one or more criteria were met. The criteria were: Evidence of Intraretinal (IR) (with or without cysts) fluid or Subretinal (SR) fluid, a serous retinal pigment epithelial detachment, a notable decline in Visual Acuity, new SR or IR macular hemorrhage that the investigator judges is associated with Choroidal neovascularization, increased lesion size on FA relative to the last angiogram as judged by the investigator or leakage on FA that the investigator judges would benefit from re-injection.

  6. Change From Baseline in the Area of Choroidal Neovascularisation (CNV) [Day 1, Week 28 and Week 52]

    Choroidal neovascularisation is progressive worsening of vision that can cause hemorrhage and exudation, and finally disciform scarring and retinal atrophy. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.

  7. Change From Baseline in the Area of the CNV Lesion Complex (i.e. CNV, Blood, PED, and Fibrosis) [Day 1, Week 28 and Week 52]

    CNV is progressive worsening of vision that can cause hemorrhage and exudation, and finally disciform scarring and retinal atrophy. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.

  8. Change From Baseline in the Area of Fluorescein Leakage [Day 1, Week 28 and Week 52]

    Fluorescein angiograms was performed at the Screening, Week 12, Week 28, and Week 52 Visits. All images, including any that were performed at the investigator's medical discretion, were transferred to the FPRC. Fluorescein was injected intravenously according to usual clinic procedures. Dose response was also examined under different aspects of re-injection, such as time to first injection, the percentage of participants that required an injection by Week 28, as well as the estimation of the probability of reinjection. FA assessments of area of fluorescein leakage, CNV area and area of CNV lesion complex were also examined for dose differentiation.

  9. Change in Area of Serous Sensory Retinal Detachment (SSRD) [Day 1, Week 28 and Week 52]

    This is an Optical coherence tomography (OCT) parameter used to manually measure thickness along any scan. OCT was performed at week 28 and week 52.

  10. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Up to 52 Weeks]

    An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.

  11. Summary of Potentially Clinically Important Findings for Ophthalmic Examinations [Up to Week 52]

    Opthalmicexaminations were done on Ocular alignment and motility, pupillary function, and visual fields by confrontation. Slit-lamp biomicroscopic examination of the anterior segment structure was performed. Fundus slit-lamp biomicroscopic examination, including use of accessory diagnostic lenses, to view the vitreous, retina (including posterior pole and periphery), macula, vasculature, and optic nerve was also performed. These examinations were performed on the study eye (SE) and the Fellow eye (FE). Participants with abnormal findings are listed here.

  12. Summary of Intraocular Pressure Exam Findings [Up to week 52]

    Intraocular pressure (IOP) measurement was done with Goldmann tonometer. Intraocular pressure was measured prior to dilating the pupil and, to account for diurnal variation, at approximately the same time of day for every visit.

  13. Number of Participants With Vital Sign Values Outside of Clinical Concern Range [Up to Week 52]

    Vital signs including systolic and diastolic blood pressure and heart rate were measured throughout the study. Number of participants with vital signs outside of clinical concern Range were summarized. 'High' denotes above normal range and 'Low' denotes below normal range for all the categories. The potential clinical importance ranges (low and high) of the vital sign parameters were for systolic blood pressure (<85 and >160 millimeter of mercury [mmHg]), diastolic blood pressure (<45 and >100 mmHg) and heart rate (<40 and >110 beats per minute). Only those parameters for which at least one value of potential clinical importance was reported are summarized. The number of participants with potential clinical important vital parameter findings at any visit were reported.

  14. Summary of Abnormal Electrocardiogram (ECG) Findings [Week 4, Week 28, Week 44 and Week 52]

    12-Lead ECGs were performed in triplicate and were obtained on Weeks 4 to Week 28 and Week 52. The on-treatment ECGs were used to ascertain any risk of QTc interval prolongation at extremely low pazopanib exposures compared to what was routinely observed in participants with cancer. The on-treatment ECG data collected from participants assigned to one of the control arms also provided ECG background rate data for participants not exposed to pazopanib. Participants with Clinically significant abnormal ECGs are included here.

  15. Summary of Hematology and Clinical Chemistry Parameters Data of Clinical Concern [Up to Week 52]

    The Laboratory Parameters included Alanine Amino Transferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Amino Transferase (AST), Calcium, Bicarbonate, Creatinine, Glucose, Hemoglobin, Lymphocytes, Platelet count, Potassium, Sodium, Thyroid Stimulating Hormone (TSH), Total Bilirubin, Total Neutrophils, Blood Urea Nitrogen (BUN) and White Blood Cell count (WBC). Number of participants with Laboratory outside of clinical concern Range were summarized here. Data of high and low from the clinical concern range has been provided here. Here 'High' denotes above normal range and 'Low' denotes below normal range for all the categories.

  16. Number of Participants With Laboratory Data of Clinical Concern for Urine Protein [Day 1 to Week 28 and Week 52]

    Urine Samples were collected from Day 1 to Week 28 and Week 52 for analyses. In this dipstick test, the level of protein in urine samples was recorded as negative (Neg), trace (tr), 1+, 2+, and 3+ (the plus sign increases with a higher level of proteins in the urine: 1+=slightly positive, 2+=positive, 3+=high positive). Neg indicated no proteinuria and 3+(high positive) indicated worst proteinuria.

  17. Plasma Concentrations of Pazopanib [Week 4, Week 24 and Week 52]

    All participants in the eye drop containing arms had a single blood sample drawn for assessment of pazopanib plasma concentration at the Week 4, Week 24 and Week 24. The sample was drawn without restriction for the time interval between blood draw and the last dose of IP eye drops.

Eligibility Criteria

Criteria

Ages Eligible for Study:
50 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Men and women aged ≥50 years.

  • Active subfoveal choroidal neovascularization (CNV) lesion secondary to AMD in study eye: Total lesion area ≤12 disc areas with CNV ≥50% total lesion area.

  • Anti-Vascular endothelial growth factor (VEGF) intravitreal injection experienced and in need of re-treatment.

  • Best-corrected visual acuity of at least 24 letters (equates to approximately 20/320 Snellen equivalents or better).

Exclusion Criteria:
  • Prior ocular investigational drug/device for choroidal neovascularization, photodynamic therapy, radiation, subfoveal or juxtafoveal focal laser photocoagulation.

  • Prior failure to anti-VEGF intravitreal injection therapy.

  • Recent ocular investigational drug/device for non-CNV condition.

  • Prior ocular surgeries (vitrectomy, scleral buckle, or glaucoma filtering/shunt surgery). Cataract surgery permitted if ≥3 months and has posterior chamber intraocular lens.

  • Center-fovea involvement of any of the following: fibrosis, atrophy, serous retinal pigment epithelial detachment, or retinal pigment epithelial tear.

  • CNV in either eye due to other causes.

  • Clinical evidence of diabetic retinopathy or diabetic macular edema.

  • Recent myocardial infarction or cerebrovascular accident.

  • Uncontrolled hypertension in spite of antihypertensive medications.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Peoria Arizona United States 85381
2 GSK Investigational Site Phoenix Arizona United States 85014
3 GSK Investigational Site Phoenix Arizona United States 85020
4 GSK Investigational Site Tucson Arizona United States 85704
5 GSK Investigational Site Tucson Arizona United States 85710
6 GSK Investigational Site Irvine California United States 92697
7 GSK Investigational Site Loma Linda California United States 92354
8 GSK Investigational Site Poway California United States 92064
9 GSK Investigational Site Santa Ana California United States 92705
10 GSK Investigational Site Golden Colorado United States 80401
11 GSK Investigational Site Fort Myers Florida United States 33901
12 GSK Investigational Site Winter Haven Florida United States 33880
13 GSK Investigational Site Chicago Illinois United States 60612
14 GSK Investigational Site Leawood Kansas United States 66211
15 GSK Investigational Site Paducah Kentucky United States 42001
16 GSK Investigational Site Baltimore Maryland United States 21287
17 GSK Investigational Site Boston Massachusetts United States 02114
18 GSK Investigational Site Royal Oak Michigan United States 48073
19 GSK Investigational Site Traverse City Michigan United States 49686
20 GSK Investigational Site New York New York United States 10003
21 GSK Investigational Site Asheville North Carolina United States 28803
22 GSK Investigational Site Chapel Hill North Carolina United States 27599
23 GSK Investigational Site Charlotte North Carolina United States 28210
24 GSK Investigational Site Beachwood Ohio United States 44122
25 GSK Investigational Site Cleveland Ohio United States 44130
26 GSK Investigational Site Cleveland Ohio United States 44195
27 GSK Investigational Site Columbus Ohio United States 43212
28 GSK Investigational Site Ashland Oregon United States 97520
29 GSK Investigational Site Portland Oregon United States 97239
30 GSK Investigational Site Philadelphia Pennsylvania United States 19107
31 GSK Investigational Site Austin Texas United States 78705
32 GSK Investigational Site Dallas Texas United States 75231
33 GSK Investigational Site Fort Worth Texas United States 76104
34 GSK Investigational Site Salt Lake City Utah United States 84107
35 GSK Investigational Site Seattle Washington United States 98104
36 GSK Investigational Site Silverdale Washington United States 98383
37 GSK Investigational Site Madison Wisconsin United States 53705
38 GSK Investigational Site Sydney New South Wales Australia 2000
39 GSK Investigational Site Sydney New South Wales Australia 2150
40 GSK Investigational Site Melbourne Victoria Australia
41 GSK Investigational Site Nedlands Western Australia Australia 6009
42 GSK Investigational Site Bruxelles Belgium 1020
43 GSK Investigational Site Liège Belgium 4000
44 GSK Investigational Site Vancouver British Columbia Canada V5Z 3N9
45 GSK Investigational Site Victoria British Columbia Canada V8V 4X3
46 GSK Investigational Site Halifax Nova Scotia Canada B3H 2Y9
47 GSK Investigational Site London Ontario Canada N6A 4V2
48 GSK Investigational Site Mississauga Ontario Canada L4W 1W9
49 GSK Investigational Site Toronto Ontario Canada M4N 3M5
50 GSK Investigational Site Aarhus Denmark DK-8000
51 GSK Investigational Site Glostrup Denmark
52 GSK Investigational Site Freiburg Baden-Wuerttemberg Germany 79106
53 GSK Investigational Site Tuebingen Baden-Wuerttemberg Germany 72076
54 GSK Investigational Site Muenchen Bayern Germany 80336
55 GSK Investigational Site Bonn Nordrhein-Westfalen Germany 53127
56 GSK Investigational Site Dresden Sachsen Germany 01307
57 GSK Investigational Site Leipzig Sachsen Germany 04103
58 GSK Investigational Site Kiel Schleswig-Holstein Germany 24105
59 GSK Investigational Site Udine Friuli-Venezia-Giulia Italy 33100
60 GSK Investigational Site Milano Lombardia Italy 20132
61 GSK Investigational Site Milano Lombardia Italy 20157
62 GSK Investigational Site Torino Piemonte Italy 10122
63 GSK Investigational Site Padova Veneto Italy 35128
64 GSK Investigational Site Aichi Japan 460-0011
65 GSK Investigational Site Aichi Japan 462-0825
66 GSK Investigational Site Aichi Japan 466-8560
67 GSK Investigational Site Chiba Japan 279-0021
68 GSK Investigational Site Fukuoka Japan 812-8582
69 GSK Investigational Site Fukushima Japan 960-1295
70 GSK Investigational Site Hokkaido Japan 001-0016
71 GSK Investigational Site Hokkaido Japan 060-8604
72 GSK Investigational Site Kagawa Japan 761-0793
73 GSK Investigational Site Tokyo Japan 101-8309
74 GSK Investigational Site Linköping Sweden SE-581 85
75 GSK Investigational Site Stockholm Sweden SE-112 82
76 GSK Investigational Site Uppsala Sweden SE-751 85
77 GSK Investigational Site Örebro Sweden SE-701 85

Sponsors and Collaborators

  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, GlaxoSmithKline

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01134055
Other Study ID Numbers:
  • 110852
First Posted:
May 31, 2010
Last Update Posted:
Jan 8, 2018
Last Verified:
Dec 1, 2017

Study Results

Participant Flow

Recruitment Details This was a multicenter, randomized, parallel-group, double-masked eye drops, and active-controlled study from 01 June 2010 to 05 October 2012. The study was conducted at 77 sites in 9 countries from North America, Europe, Australia and Japan.
Pre-assignment Detail A total of 510 participants were randomized for the study. After a 1-2 week screening period, participants entered a 52-week treatment period. There were 449 screen failures in this study.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 milligram/milliliter (mg/mL) TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Period Title: Overall Study
STARTED 73 72 74 73 73 72 73
COMPLETED 65 66 71 67 67 65 62
NOT COMPLETED 8 6 3 6 6 7 11

Baseline Characteristics

Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm Total
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study. Total of all reporting groups
Overall Participants 73 72 74 73 73 72 73 510
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
75.6
(9.42)
74.4
(7.60)
75.1
(8.19)
75.4
(8.42)
75.6
(8.71)
76.2
(8.00)
74.9
(7.27)
75.3
(8.23)
Sex: Female, Male (Count of Participants)
Female
39
53.4%
43
59.7%
42
56.8%
45
61.6%
40
54.8%
46
63.9%
41
56.2%
296
58%
Male
34
46.6%
29
40.3%
32
43.2%
28
38.4%
33
45.2%
26
36.1%
32
43.8%
214
42%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Asian
5
6.8%
4
5.6%
5
6.8%
6
8.2%
5
6.8%
4
5.6%
6
8.2%
35
6.9%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
1
0.2%
White
68
93.2%
67
93.1%
69
93.2%
67
91.8%
68
93.2%
68
94.4%
67
91.8%
474
92.9%
More than one race
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Best-corrected Visual Acuity (BCVA) as Measured by the Number of Letters Read on the Early Treatment of Diabetic Retinopathy Study (ETDRS) Grading Charts at a Starting Distance of 4 Meters at Week 52
Description BCVA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters. The ETDRS grading chart was of at least 24 to 78 letters. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.
Time Frame Day 1 and 52 weeks

Outcome Measure Data

Analysis Population Description
Intent to Treat Population - It consisted of all randomized participants, according to the treatment groups assigned by randomization (i.e., planned rather than the actual treatment regimen), who received at least one dose of study medication. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Least Squares Mean (Standard Error) [Letters]
0.22
(1.006)
1.15
(1.004)
1.81
(0.975)
0.76
(0.995)
0.28
(0.992)
0.62
(1.007)
1.42
(1.020)
2. Secondary Outcome
Title Percentage of Ranibizumab Re-injections Received Over 28 and 52 Weeks
Description The investigator interpreted each Week 4 to Week 52 Optical coherence tomography (OCT) scan, BCVA score, and available Fluorescein angiography (FA)/Fundus photography (FP) and re-injected if one or more criteria were met. The criteria were: Evidence of Intraretinal (IR) (with or without cysts) fluid or Subretinal (SR) fluid, a serous retinal pigment epithelial detachment, a notable decline in Visual Acuity, new SR or IR macular hemorrhage that the investigator judges is associated with Choroidal neovascularization, increased lesion size on FA relative to the last angiogram as judged by the investigator or leakage on FA that the investigator judges would benefit from re-injection. Injection rate over 52 weeks was computed by taking the number of injections received divided by the number of visits for the participant. Likewise for 28 weeks it was estimated as the number of post baseline injections received divided by the number of post baseline visits at or before the week 28 visit.
Time Frame Up to 52 weeks

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study.
Measure Participants 73 72 74 73 73 72
Injection Rate at 28 Weeks
65.04
(3.418)
55.03
(3.441)
67.92
(3.395)
66.11
(3.418)
61.61
(3.418)
59.42
(3.441)
Overall Injection Rate at 52 weeks
64.24
(3.263)
55.09
(3.286)
65.87
(3.241)
62.50
(3.263)
64.42
(3.263)
58.19
(3.286)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 5 mg/mL TID
Comments Statistics for Injection Rate at 28 Weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1974
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 5 mg/mL QID
Comments Statistics for Injection Rate at 28 Weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8263
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL BID
Comments Statistics for Injection Rate at 28 Weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8263
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL TID
Comments Statistics for Injection Rate at 28 Weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8263
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL QID
Comments Statistics for Injection Rate at 28 Weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7418
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 5 mg/mL TID
Comments Statistics for Overall Injection Rate at 52 weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2429
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 5 mg/mL QID
Comments Statistics for Overall Injection Rate at 52 weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9700
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL BID
Comments Statistics for Overall Injection Rate at 52 weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9700
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL TID
Comments Statistics for Overall Injection Rate at 52 weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.9700
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection Placebo Control Arm QID, Pazopanib Eye Drops 10 mg/mL QID
Comments Statistics for Overall Injection Rate at 52 weeks is presented
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7673
Comments Adjusted p-Value has been presented.
Method ANOVA
Comments
3. Secondary Outcome
Title Number of Participants With BCVA Over Time
Description BCVA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters. The ETDRS grading chart was of at least 24 to 78 letters. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
within 5 letters
49
67.1%
49
68.1%
57
77%
57
78.1%
58
79.5%
57
79.2%
62
84.9%
within 10 letters
11
15.1%
15
20.8%
12
16.2%
13
17.8%
12
16.4%
11
15.3%
8
11%
within 15 letters
6
8.2%
5
6.9%
5
6.8%
1
1.4%
3
4.1%
2
2.8%
3
4.1%
more than 15 letters
5
6.8%
2
2.8%
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
within 5 letters
53
72.6%
57
79.2%
65
87.8%
59
80.8%
61
83.6%
60
83.3%
60
82.2%
within 10 letters
16
21.9%
12
16.7%
6
8.1%
12
16.4%
11
15.1%
7
9.7%
11
15.1%
within 15 letters
2
2.7%
2
2.8%
2
2.7%
1
1.4%
1
1.4%
3
4.2%
2
2.7%
more than 15 letters
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
within 5 letters
34
46.6%
36
50%
51
68.9%
51
69.9%
44
60.3%
47
65.3%
54
74%
within 10 letters
21
28.8%
23
31.9%
18
24.3%
18
24.7%
20
27.4%
16
22.2%
14
19.2%
within 15 letters
11
15.1%
7
9.7%
5
6.8%
1
1.4%
6
8.2%
7
9.7%
4
5.5%
more than 15 letters
5
6.8%
4
5.6%
0
0%
3
4.1%
1
1.4%
1
1.4%
0
0%
within 5 letters
42
57.5%
48
66.7%
60
81.1%
52
71.2%
52
71.2%
55
76.4%
51
69.9%
within 10 letters
19
26%
17
23.6%
10
13.5%
20
27.4%
18
24.7%
11
15.3%
15
20.5%
within 15 letters
9
12.3%
5
6.9%
2
2.7%
1
1.4%
1
1.4%
3
4.2%
5
6.8%
more than 15 letters
2
2.7%
0
0%
1
1.4%
0
0%
0
0%
2
2.8%
1
1.4%
within 5 letters
26
35.6%
25
34.7%
48
64.9%
41
56.2%
35
47.9%
34
47.2%
46
63%
within 10 letters
27
37%
30
41.7%
17
23%
23
31.5%
25
34.2%
24
33.3%
22
30.1%
within 15 letters
13
17.8%
8
11.1%
8
10.8%
4
5.5%
10
13.7%
9
12.5%
2
2.7%
more than 15 letters
5
6.8%
5
6.9%
1
1.4%
4
5.5%
2
2.7%
2
2.8%
0
0%
within 5 letters
36
49.3%
41
56.9%
52
70.3%
46
63%
47
64.4%
49
68.1%
45
61.6%
within 10 letters
23
31.5%
18
25%
18
24.3%
20
27.4%
23
31.5%
16
22.2%
18
24.7%
within 15 letters
9
12.3%
8
11.1%
2
2.7%
4
5.5%
2
2.7%
1
1.4%
6
8.2%
more than 15 letters
4
5.5%
1
1.4%
1
1.4%
1
1.4%
0
0%
3
4.2%
1
1.4%
within 5 letters
24
32.9%
20
27.8%
41
55.4%
36
49.3%
26
35.6%
26
36.1%
35
47.9%
within 10 letters
28
38.4%
37
51.4%
22
29.7%
25
34.2%
29
39.7%
29
40.3%
30
41.1%
within 15 letters
10
13.7%
4
5.6%
9
12.2%
4
5.5%
13
17.8%
11
15.3%
3
4.1%
more than 15 letters
9
12.3%
7
9.7%
1
1.4%
5
6.8%
3
4.1%
3
4.2%
0
0%
within 5 letters
35
47.9%
32
44.4%
47
63.5%
40
54.8%
42
57.5%
43
59.7%
39
53.4%
within 10 letters
24
32.9%
24
33.3%
21
28.4%
25
34.2%
25
34.2%
20
27.8%
19
26%
within 15 letters
9
12.3%
8
11.1%
3
4.1%
4
5.5%
4
5.5%
3
4.2%
7
9.6%
more than 15 letters
4
5.5%
4
5.6%
1
1.4%
1
1.4%
0
0%
3
4.2%
3
4.1%
within 5 letters
21
28.8%
19
26.4%
32
43.2%
32
43.8%
26
35.6%
21
29.2%
30
41.1%
within 10 letters
32
43.8%
36
50%
25
33.8%
26
35.6%
30
41.1%
32
44.4%
31
42.5%
within 15 letters
10
13.7%
5
6.9%
12
16.2%
8
11%
12
16.4%
11
15.3%
5
6.8%
more than 15 letters
6
8.2%
8
11.1%
2
2.7%
4
5.5%
3
4.1%
5
6.9%
1
1.4%
within 5 letters
28
38.4%
28
38.9%
41
55.4%
34
46.6%
32
43.8%
40
55.6%
35
47.9%
within 10 letters
28
38.4%
27
37.5%
25
33.8%
28
38.4%
33
45.2%
23
31.9%
20
27.4%
within 15 letters
10
13.7%
9
12.5%
3
4.1%
4
5.5%
6
8.2%
3
4.2%
8
11%
more than 15 letters
4
5.5%
4
5.6%
1
1.4%
3
4.1%
0
0%
3
4.2%
4
5.5%
within 5 letters
19
26%
16
22.2%
28
37.8%
26
35.6%
23
31.5%
20
27.8%
25
34.2%
within 10 letters
29
39.7%
36
50%
30
40.5%
31
42.5%
34
46.6%
32
44.4%
34
46.6%
within 15 letters
14
19.2%
8
11.1%
12
16.2%
9
12.3%
11
15.1%
11
15.3%
6
8.2%
more than 15 letters
7
9.6%
8
11.1%
2
2.7%
3
4.1%
3
4.1%
6
8.3%
1
1.4%
within 5 letters
27
37%
24
33.3%
36
48.6%
32
43.8%
32
43.8%
36
50%
33
45.2%
within 10 letters
30
41.1%
29
40.3%
29
39.2%
25
34.2%
30
41.1%
25
34.7%
22
30.1%
within 15 letters
8
11%
11
15.3%
5
6.8%
9
12.3%
9
12.3%
3
4.2%
7
9.6%
more than 15 letters
5
6.8%
4
5.6%
1
1.4%
3
4.1%
0
0%
5
6.9%
4
5.5%
within 5 letters
19
26%
13
18.1%
26
35.1%
24
32.9%
22
30.1%
17
23.6%
18
24.7%
within 10 letters
30
41.1%
37
51.4%
29
39.2%
33
45.2%
32
43.8%
33
45.8%
35
47.9%
within 15 letters
14
19.2%
9
12.5%
14
18.9%
9
12.3%
11
15.1%
10
13.9%
10
13.7%
more than 15 letters
5
6.8%
9
12.5%
2
2.7%
3
4.1%
5
6.8%
8
11.1%
3
4.1%
within 5 letters
26
35.6%
24
33.3%
34
45.9%
27
37%
29
39.7%
34
47.2%
31
42.5%
within 10 letters
29
39.7%
30
41.7%
27
36.5%
27
37%
33
45.2%
27
37.5%
22
30.1%
within 15 letters
7
9.6%
10
13.9%
7
9.5%
9
12.3%
7
9.6%
2
2.8%
6
8.2%
more than 15 letters
7
9.6%
4
5.6%
2
2.7%
5
6.8%
1
1.4%
5
6.9%
7
9.6%
within 5 letters
17
23.3%
11
15.3%
23
31.1%
23
31.5%
20
27.4%
14
19.4%
12
16.4%
within 10 letters
32
43.8%
37
51.4%
33
44.6%
32
43.8%
32
43.8%
35
48.6%
38
52.1%
within 15 letters
14
19.2%
11
15.3%
11
14.9%
10
13.7%
12
16.4%
9
12.5%
10
13.7%
more than 15 letters
4
5.5%
9
12.5%
3
4.1%
4
5.5%
4
5.5%
8
11.1%
3
4.1%
within 5 letters
23
31.5%
23
31.9%
30
40.5%
24
32.9%
27
37%
30
41.7%
24
32.9%
within 10 letters
31
42.5%
31
43.1%
31
41.9%
30
41.1%
34
46.6%
26
36.1%
25
34.2%
within 15 letters
8
11%
10
13.9%
5
6.8%
8
11%
4
5.5%
5
6.9%
6
8.2%
more than 15 letters
6
8.2%
4
5.6%
3
4.1%
7
9.6%
3
4.1%
5
6.9%
8
11%
within 5 letters
16
21.9%
10
13.9%
22
29.7%
20
27.4%
19
26%
13
18.1%
12
16.4%
within 10 letters
31
42.5%
36
50%
34
45.9%
34
46.6%
32
43.8%
35
48.6%
41
56.2%
within 15 letters
14
19.2%
11
15.3%
13
17.6%
7
9.6%
15
20.5%
9
12.5%
8
11%
more than 15 letters
4
5.5%
9
12.5%
2
2.7%
7
9.6%
3
4.1%
10
13.9%
2
2.7%
within 5 letters
22
30.1%
19
26.4%
29
39.2%
21
28.8%
25
34.2%
26
36.1%
21
28.8%
within 10 letters
31
42.5%
31
43.1%
32
43.2%
34
46.6%
38
52.1%
32
44.4%
27
37%
within 15 letters
6
8.2%
12
16.7%
6
8.1%
8
11%
3
4.1%
4
5.6%
7
9.6%
more than 15 letters
8
11%
4
5.6%
3
4.1%
5
6.8%
3
4.1%
5
6.9%
8
11%
within 5 letters
14
19.2%
11
15.3%
19
25.7%
20
27.4%
18
24.7%
13
18.1%
12
16.4%
within 10 letters
33
45.2%
32
44.4%
35
47.3%
34
46.6%
34
46.6%
34
47.2%
38
52.1%
within 15 letters
12
16.4%
16
22.2%
14
18.9%
7
9.6%
11
15.1%
9
12.5%
10
13.7%
more than 15 letters
8
11%
9
12.5%
2
2.7%
7
9.6%
5
6.8%
11
15.3%
2
2.7%
within 5 letters
20
27.4%
16
22.2%
23
31.1%
21
28.8%
23
31.5%
25
34.7%
21
28.8%
within 10 letters
31
42.5%
36
50%
37
50%
35
47.9%
35
47.9%
33
45.8%
28
38.4%
within 15 letters
9
12.3%
13
18.1%
6
8.1%
7
9.6%
5
6.8%
3
4.2%
5
6.8%
more than 15 letters
8
11%
3
4.2%
3
4.1%
5
6.8%
4
5.5%
6
8.3%
9
12.3%
within 5 letters
11
15.1%
10
13.9%
18
24.3%
17
23.3%
17
23.3%
13
18.1%
11
15.1%
within 10 letters
36
49.3%
33
45.8%
35
47.3%
32
43.8%
33
45.2%
32
44.4%
38
52.1%
within 15 letters
10
13.7%
16
22.2%
14
18.9%
12
16.4%
12
16.4%
9
12.5%
12
16.4%
more than 15 letters
9
12.3%
9
12.5%
3
4.1%
6
8.2%
5
6.8%
11
15.3%
1
1.4%
within 5 letters
15
20.5%
16
22.2%
22
29.7%
20
27.4%
21
28.8%
25
34.7%
19
26%
within 10 letters
35
47.9%
36
50%
36
48.6%
32
43.8%
36
49.3%
30
41.7%
29
39.7%
within 15 letters
8
11%
12
16.7%
7
9.5%
9
12.3%
6
8.2%
4
5.6%
7
9.6%
more than 15 letters
9
12.3%
4
5.6%
4
5.4%
6
8.2%
4
5.5%
6
8.3%
8
11%
within 5 letters
10
13.7%
9
12.5%
14
18.9%
16
21.9%
15
20.5%
13
18.1%
11
15.1%
within 10 letters
36
49.3%
32
44.4%
37
50%
31
42.5%
36
49.3%
32
44.4%
36
49.3%
within 15 letters
9
12.3%
18
25%
16
21.6%
13
17.8%
12
16.4%
11
15.3%
13
17.8%
more than 15 letters
9
12.3%
8
11.1%
4
5.4%
7
9.6%
5
6.8%
10
13.9%
2
2.7%
within 5 letters
14
19.2%
14
19.4%
20
27%
18
24.7%
21
28.8%
24
33.3%
17
23.3%
within 10 letters
35
47.9%
36
50%
40
54.1%
33
45.2%
38
52.1%
31
43.1%
26
35.6%
within 15 letters
8
11%
12
16.7%
5
6.8%
8
11%
7
9.6%
5
6.9%
10
13.7%
more than 15 letters
8
11%
5
6.9%
5
6.8%
7
9.6%
2
2.7%
6
8.3%
9
12.3%
within 5 letters
11
15.1%
8
11.1%
12
16.2%
15
20.5%
13
17.8%
13
18.1%
10
13.7%
within 10 letters
32
43.8%
31
43.1%
38
51.4%
31
42.5%
37
50.7%
31
43.1%
35
47.9%
within 15 letters
11
15.1%
19
26.4%
15
20.3%
14
19.2%
10
13.7%
8
11.1%
15
20.5%
more than 15 letters
10
13.7%
8
11.1%
6
8.1%
7
9.6%
7
9.6%
12
16.7%
2
2.7%
within 5 letters
13
17.8%
14
19.4%
20
27%
19
26%
18
24.7%
21
29.2%
16
21.9%
within 10 letters
35
47.9%
35
48.6%
39
52.7%
31
42.5%
38
52.1%
33
45.8%
28
38.4%
within 15 letters
8
11%
11
15.3%
5
6.8%
9
12.3%
9
12.3%
5
6.9%
10
13.7%
more than 15 letters
8
11%
6
8.3%
6
8.1%
8
11%
2
2.7%
5
6.9%
7
9.6%
4. Secondary Outcome
Title Number of Participants Analyzed for Visual Acuity (VA) Response Over Time
Description VA was measured in the study eye using the ETDRS grading charts starting at a test distance of 4 meters.The ETDRS grading chart was of at least 24 to 78 letters. There were seven cut off points in change from baseline visual acuity on ETDRS grading chart which are, 15 to 29, 10 to 14, 5 to 9, -4 to 4, -5 to -9, -10 to -14 and -15 to -29 letters. This outcome measure contains the number of participants who were analyzed for VA response.
Time Frame Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Count of Participants [Participants]
25
34.2%
19
26.4%
20
27%
18
24.7%
21
28.8%
23
31.9%
15
20.5%
5. Secondary Outcome
Title Change From Baseline in Center Point Thickness (CPT) Over Time
Description CPT was the inner limiting membrane to the beginning of the retinal pigment epithelium (RPE) inclusive of SR fluid. The outer boundary included the outer segment of the photoreceptors and not included the RPE. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study. In amendment 3, inclusion criterion number 5 was revised to remove the required quantitative OCT component. OCT examination was used to supplement FA findings and provided qualitative (presence of SR and/or IR fluid) and quantitative (a CPT that is at least 250 microns) evidence of an active subfoveal lesion. Hence data for pre and post amendment have been provided separately.
Time Frame Baseline and Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Subgroup-Genotype, Week 28, CC
10.0
(55.29)
12.3
(48.05)
3.4
(56.23)
-27.6
(136.79)
16.6
(75.36)
9.7
(76.41)
-10.4
(79.28)
Subgroup-Genotype, Week 28, CT
9.6
(77.04)
11.1
(62.94)
9.4
(84.10)
-8.9
(54.05)
-8.4
(87.97)
4.2
(72.25)
-18.1
(101.47)
Subgroup-Genotype, Week 52, CC
12.7
(76.07)
6.9
(63.99)
3.6
(95.68)
-37.3
(118.33)
31.4
(56.63)
7.4
(93.46)
-40.8
(72.12)
Subgroup-Genotype, Week 52, CT
-2.9
(48.00)
5.5
(73.67)
-10.5
(65.41)
-9.7
(61.55)
-12.3
(101.63)
-7.2
(89.75)
-14.2
(108.24)
Subgroup-Pre-amendment 3, Week 28
20.9
(104.87)
30.8
(75.58)
-15.9
(64.65)
-44.4
(114.54)
27.8
(113.06)
-28.5
(101.42)
-16.6
(89.64)
Subgroup-Post-amendment 3, Week 28
9.9
(72.13)
11.0
(53.06)
8.5
(65.28)
-8.6
(92.03)
-7.7
(66.09)
14.1
(65.43)
-15.0
(87.50)
Subgroup-Pre-amendment 3, Week 52
-24.1
(66.83)
13.8
(120.91)
-57.8
(85.39)
-50.3
(63.87)
-8.2
(56.80)
-9.0
(142.59)
-29.0
(91.44)
Subgroup-Post-amendment 3, Week 52
0.1
(64.33)
9.6
(61.19)
2.2
(74.83)
-13.7
(97.67)
3.2
(86.08)
-3.0
(67.15)
-23.5
(90.13)
6. Secondary Outcome
Title Number of Participants That Met Criteria for Re-injection
Description The investigator interpreted each Week 4 to Week 52 Optical coherence tomography (OCT) scan, BCVA score, and available Fluorescein angiography (FA)/Fundus photography (FP) and re-injected if one or more criteria were met. The criteria were: Evidence of Intraretinal (IR) (with or without cysts) fluid or Subretinal (SR) fluid, a serous retinal pigment epithelial detachment, a notable decline in Visual Acuity, new SR or IR macular hemorrhage that the investigator judges is associated with Choroidal neovascularization, increased lesion size on FA relative to the last angiogram as judged by the investigator or leakage on FA that the investigator judges would benefit from re-injection.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study.
Measure Participants 73 72 74 73 73 72
Week 4
49
67.1%
33
45.8%
54
73%
48
65.8%
45
61.6%
44
61.1%
Week 12
45
61.6%
40
55.6%
49
66.2%
47
64.4%
46
63%
42
58.3%
Week 16
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Week 20
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Week 28
38
52.1%
41
56.9%
45
60.8%
47
64.4%
39
53.4%
36
50%
Week 32
0
0%
0
0%
0
0%
1
1.4%
0
0%
1
1.4%
Week 44
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
Week 52
36
49.3%
28
38.9%
43
58.1%
37
50.7%
45
61.6%
36
50%
7. Secondary Outcome
Title Change From Baseline in the Area of Choroidal Neovascularisation (CNV)
Description Choroidal neovascularisation is progressive worsening of vision that can cause hemorrhage and exudation, and finally disciform scarring and retinal atrophy. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.
Time Frame Day 1, Week 28 and Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 28
0.10
(0.113)
0.16
(0.114)
0.09
(0.111)
0.06
(0.114)
-0.05
(0.112)
0.13
(0.114)
-0.08
(0.118)
Week 52
0.10
(0.134)
0.13
(0.133)
0.08
(0.129)
-0.16
(0.134)
-0.10
(0.132)
0.13
(0.134)
-0.08
(0.137)
8. Secondary Outcome
Title Change From Baseline in the Area of the CNV Lesion Complex (i.e. CNV, Blood, PED, and Fibrosis)
Description CNV is progressive worsening of vision that can cause hemorrhage and exudation, and finally disciform scarring and retinal atrophy. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. If either the baseline or post-randomization value was missing, the change from baseline was set to missing as well. Day 1 values are considered as Baseline in this study.
Time Frame Day 1, Week 28 and Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 28
0.18
(0.131)
0.32
(0.132)
0.23
(0.129)
0.12
(0.132)
0.00
(0.130)
0.13
(0.132)
-0.13
(0.137)
Week 52
0.40
(0.152)
0.51
(0.151)
0.09
(0.146)
0.01
(0.151)
-0.05
(0.150)
0.20
(0.152)
-0.11
(0.155)
9. Secondary Outcome
Title Change From Baseline in the Area of Fluorescein Leakage
Description Fluorescein angiograms was performed at the Screening, Week 12, Week 28, and Week 52 Visits. All images, including any that were performed at the investigator's medical discretion, were transferred to the FPRC. Fluorescein was injected intravenously according to usual clinic procedures. Dose response was also examined under different aspects of re-injection, such as time to first injection, the percentage of participants that required an injection by Week 28, as well as the estimation of the probability of reinjection. FA assessments of area of fluorescein leakage, CNV area and area of CNV lesion complex were also examined for dose differentiation.
Time Frame Day 1, Week 28 and Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 28
-0.33
(0.150)
-0.27
(0.151)
-0.32
(0.148)
-0.40
(0.151)
-0.61
(0.149)
-0.33
(0.151)
-0.60
(0.156)
Week 52
-0.40
(0.177)
-0.45
(0.176)
-0.19
(0.171)
-0.77
(0.177)
-0.57
(0.175)
-0.37
(0.178)
-0.66
(0.181)
10. Secondary Outcome
Title Change in Area of Serous Sensory Retinal Detachment (SSRD)
Description This is an Optical coherence tomography (OCT) parameter used to manually measure thickness along any scan. OCT was performed at week 28 and week 52.
Time Frame Day 1, Week 28 and Week 52

Outcome Measure Data

Analysis Population Description
Intent to Treat Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 28
-0.30
(0.259)
-0.28
(0.264)
-0.14
(0.255)
-0.55
(0.261)
-0.64
(0.261)
-0.46
(0.264)
-0.95
(0.273)
Week 52
-0.52
(0.317)
-0.76
(0.315)
-0.79
(0.300)
-1.24
(0.312)
-1.17
(0.321)
-0.83
(0.321)
-1.02
(0.322)
11. Secondary Outcome
Title Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Description An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.
Time Frame Up to 52 Weeks

Outcome Measure Data

Analysis Population Description
Safety Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Adverse Events (AEs)
11
15.1%
10
13.9%
12
16.2%
11
15.1%
10
13.7%
11
15.3%
6
8.2%
Serious Adverse Events (SAEs)
52
71.2%
34
47.2%
47
63.5%
44
60.3%
46
63%
41
56.9%
42
57.5%
12. Secondary Outcome
Title Summary of Potentially Clinically Important Findings for Ophthalmic Examinations
Description Opthalmicexaminations were done on Ocular alignment and motility, pupillary function, and visual fields by confrontation. Slit-lamp biomicroscopic examination of the anterior segment structure was performed. Fundus slit-lamp biomicroscopic examination, including use of accessory diagnostic lenses, to view the vitreous, retina (including posterior pole and periphery), macula, vasculature, and optic nerve was also performed. These examinations were performed on the study eye (SE) and the Fellow eye (FE). Participants with abnormal findings are listed here.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Safety population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Afferent papillary defect present, SE
4
5.5%
2
2.8%
4
5.4%
2
2.7%
1
1.4%
2
2.8%
3
4.1%
Afferent papillary defect present, FE
4
5.5%
1
1.4%
5
6.8%
2
2.7%
3
4.1%
2
2.8%
3
4.1%
Eye motility abnormal, SE
1
1.4%
0
0%
0
0%
1
1.4%
0
0%
0
0%
1
1.4%
Eye motility abnormal, FE
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Confrontation visual field abnormal, SE
2
2.7%
1
1.4%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Confrontation visual field abnormal, FE
2
2.7%
0
0%
2
2.7%
1
1.4%
2
2.7%
0
0%
2
2.7%
Ptosis present, SE
2
2.7%
1
1.4%
1
1.4%
0
0%
8
11%
2
2.8%
2
2.7%
Ptosis present, FE
1
1.4%
3
4.2%
1
1.4%
1
1.4%
9
12.3%
2
2.8%
3
4.1%
2-step worsening of Meibomian gland dysfunction,SE
0
0%
0
0%
2
2.7%
0
0%
2
2.7%
0
0%
0
0%
2-step worsening of Meibomian gland dysfunction,FE
0
0%
0
0%
4
5.4%
0
0%
2
2.7%
0
0%
0
0%
2-step worsening of Conjunctival injection, SE
2
2.7%
0
0%
1
1.4%
0
0%
1
1.4%
5
6.9%
0
0%
2-step worsening of Conjunctival injection, FE
1
1.4%
1
1.4%
1
1.4%
1
1.4%
1
1.4%
3
4.2%
1
1.4%
2-step worsening of Chemosis, SE
0
0%
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
2-step worsening of Chemosis, FE
0
0%
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
2-step worsening of punctate keratopathy, SE
0
0%
0
0%
1
1.4%
0
0%
2
2.7%
4
5.6%
0
0%
2-step worsening of punctate keratopathy, FE
0
0%
1
1.4%
2
2.7%
0
0%
1
1.4%
0
0%
2
2.7%
2-step worsening of epithelial edema, SE
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
2-step worsening of epithelial edema, FE
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Abnormal postbaseline finding of active opacity,SE
1
1.4%
0
0%
3
4.1%
0
0%
1
1.4%
0
0%
0
0%
Abnormal postbaseline finding of active opacity,FE
2
2.7%
0
0%
3
4.1%
0
0%
2
2.7%
0
0%
0
0%
Abnormal post-baseline finding of active edema, SE
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Abnormal post-baseline finding of active edema, FE
1
1.4%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Grade 1+ of Anterior chamber cell, SE
0
0%
1
1.4%
0
0%
1
1.4%
1
1.4%
0
0%
1
1.4%
Grade 1+ of Anterior chamber cell, FE
1
1.4%
1
1.4%
0
0%
1
1.4%
0
0%
0
0%
1
1.4%
Anterior chamber hypopyon present, SE
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Anterior chamber hypopyon present, FE
0
0%
0
0%
2
2.7%
2
2.7%
0
0%
0
0%
0
0%
Grade 2+ of Anterior chamber flare, SE
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Grade 2+ of Anterior chamber flare, FE
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
2+ increases in Any Lens Opacity, SE
4
5.5%
1
1.4%
5
6.8%
6
8.2%
5
6.8%
7
9.7%
6
8.2%
2+ increases in Any Lens Opacity, FE
3
4.1%
1
1.4%
4
5.4%
4
5.5%
4
5.5%
4
5.6%
6
8.2%
VA =>15 loss from Baseline or Previous Visit, SE
15
20.5%
8
11.1%
7
9.5%
9
12.3%
9
12.3%
16
22.2%
5
6.8%
VA =>15 loss from Baseline or Previous Visit, FE
10
13.7%
5
6.9%
6
8.1%
10
13.7%
5
6.8%
5
6.9%
6
8.2%
13. Secondary Outcome
Title Summary of Intraocular Pressure Exam Findings
Description Intraocular pressure (IOP) measurement was done with Goldmann tonometer. Intraocular pressure was measured prior to dilating the pupil and, to account for diurnal variation, at approximately the same time of day for every visit.
Time Frame Up to week 52

Outcome Measure Data

Analysis Population Description
Safety Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Any post-baseline IOP >=30 study eye
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
1
1.4%
1
1.4%
IOP Lowering Medication for study eye
1
1.4%
4
5.6%
5
6.8%
6
8.2%
4
5.5%
3
4.2%
6
8.2%
IOP Lowering procedure for study eye
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Any post-baseline IOP >=30 fellow eye
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
2
2.7%
IOP Lowering Medication for fellow eye
2
2.7%
3
4.2%
3
4.1%
5
6.8%
1
1.4%
2
2.8%
4
5.5%
IOP Lowering procedure for fellow eye
1
1.4%
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
14. Secondary Outcome
Title Number of Participants With Vital Sign Values Outside of Clinical Concern Range
Description Vital signs including systolic and diastolic blood pressure and heart rate were measured throughout the study. Number of participants with vital signs outside of clinical concern Range were summarized. 'High' denotes above normal range and 'Low' denotes below normal range for all the categories. The potential clinical importance ranges (low and high) of the vital sign parameters were for systolic blood pressure (<85 and >160 millimeter of mercury [mmHg]), diastolic blood pressure (<45 and >100 mmHg) and heart rate (<40 and >110 beats per minute). Only those parameters for which at least one value of potential clinical importance was reported are summarized. The number of participants with potential clinical important vital parameter findings at any visit were reported.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Safety Population. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Average diastolic blood pressure, Week 4, High
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Average diastolic blood pressure, Week 4, Low
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Average diastolic blood pressure, Week 8, High
1
1.4%
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
Average diastolic blood pressure, Week 12, High
1
1.4%
0
0%
1
1.4%
0
0%
0
0%
2
2.8%
1
1.4%
Average diastolic blood pressure, Week 16, High
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Average diastolic blood pressure, Week 20, High
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Average diastolic blood pressure, Week 24, High
0
0%
0
0%
1
1.4%
0
0%
1
1.4%
1
1.4%
0
0%
Average diastolic blood pressure, Week 24, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Average diastolic blood pressure, Week 28, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Average diastolic blood pressure, Week 32, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Average diastolic blood pressure, Week 36, Low
0
0%
0
0%
0
0%
2
2.7%
0
0%
0
0%
1
1.4%
Average diastolic blood pressure, Week 44, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Average diastolic blood pressure, Week 48, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Average diastolic blood pressure, Week 52, High
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
Average systolic blood pressure, Day 1, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
2
2.7%
Average systolic blood pressure, Week 4, High
0
0%
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
Average systolic blood pressure, Week 8, High
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
1
1.4%
1
1.4%
Average systolic blood pressure, Week 12, High
0
0%
0
0%
0
0%
2
2.7%
1
1.4%
5
6.9%
2
2.7%
Average systolic blood pressure, Week 16, High
0
0%
1
1.4%
0
0%
1
1.4%
2
2.7%
1
1.4%
2
2.7%
Average systolic blood pressure, Week 20, High
1
1.4%
0
0%
3
4.1%
0
0%
3
4.1%
1
1.4%
1
1.4%
Average systolic blood pressure, Week 24, High
0
0%
0
0%
3
4.1%
1
1.4%
3
4.1%
1
1.4%
2
2.7%
Average systolic blood pressure, Week 28, High
1
1.4%
0
0%
0
0%
5
6.8%
1
1.4%
3
4.2%
5
6.8%
Average systolic blood pressure, Week 32, High
0
0%
0
0%
2
2.7%
0
0%
1
1.4%
2
2.8%
0
0%
Average systolic blood pressure, Week 36, High
1
1.4%
0
0%
2
2.7%
2
2.7%
0
0%
2
2.8%
1
1.4%
Average systolic blood pressure, Week 40, High
1
1.4%
0
0%
2
2.7%
1
1.4%
0
0%
1
1.4%
1
1.4%
Average systolic blood pressure, Week 44, High
2
2.7%
0
0%
0
0%
1
1.4%
2
2.7%
0
0%
0
0%
Average systolic blood pressure, Week 44, Low
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Average systolic blood pressure, Week 48, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
2
2.7%
Average systolic blood pressure, Week 52, High
2
2.7%
2
2.8%
2
2.7%
1
1.4%
2
2.7%
2
2.8%
2
2.7%
Heart Rate, Week 16, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Heart Rate, Week 20, High
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
Heart Rate, Week 24, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Heart Rate, Week 32, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Heart Rate, Week 36, High
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Heart Rate, Week 40, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Heart Rate, Week 48, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
15. Secondary Outcome
Title Summary of Abnormal Electrocardiogram (ECG) Findings
Description 12-Lead ECGs were performed in triplicate and were obtained on Weeks 4 to Week 28 and Week 52. The on-treatment ECGs were used to ascertain any risk of QTc interval prolongation at extremely low pazopanib exposures compared to what was routinely observed in participants with cancer. The on-treatment ECG data collected from participants assigned to one of the control arms also provided ECG background rate data for participants not exposed to pazopanib. Participants with Clinically significant abnormal ECGs are included here.
Time Frame Week 4, Week 28, Week 44 and Week 52

Outcome Measure Data

Analysis Population Description
Safety population. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 4, Abnormal - Clinically significant
10
13.7%
11
15.3%
13
17.6%
10
13.7%
13
17.8%
17
23.6%
15
20.5%
Week 4, Abnormal - Not Clinically significant
24
32.9%
25
34.7%
25
33.8%
25
34.2%
24
32.9%
31
43.1%
27
37%
Week 28, Abnormal - Clinically significant
10
13.7%
8
11.1%
9
12.2%
10
13.7%
7
9.6%
7
9.7%
16
21.9%
Week 28, Abnormal - Not Clinically significant
21
28.8%
22
30.6%
17
23%
22
30.1%
18
24.7%
25
34.7%
18
24.7%
Week 44, Abnormal - Clinically significant
0
0%
1
1.4%
Week 44, Abnormal - Not Clinically significant
1
1.4%
0
0%
Week 52, Abnormal - Clinically significant
11
15.1%
5
6.9%
11
14.9%
10
13.7%
8
11%
9
12.5%
10
13.7%
Week 52, Abnormal - Not Clinically significant
23
31.5%
29
40.3%
25
33.8%
21
28.8%
24
32.9%
22
30.6%
20
27.4%
16. Secondary Outcome
Title Summary of Hematology and Clinical Chemistry Parameters Data of Clinical Concern
Description The Laboratory Parameters included Alanine Amino Transferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Amino Transferase (AST), Calcium, Bicarbonate, Creatinine, Glucose, Hemoglobin, Lymphocytes, Platelet count, Potassium, Sodium, Thyroid Stimulating Hormone (TSH), Total Bilirubin, Total Neutrophils, Blood Urea Nitrogen (BUN) and White Blood Cell count (WBC). Number of participants with Laboratory outside of clinical concern Range were summarized here. Data of high and low from the clinical concern range has been provided here. Here 'High' denotes above normal range and 'Low' denotes below normal range for all the categories.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Safety Population. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
ALT, Week 4, High
0
0%
0
0%
2
2.7%
0
0%
0
0%
0
0%
0
0%
ALT, Week 8, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
ALT, Week 12, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
ALT, Week 52, High
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Albumin, Week 4, Low
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Alkaline Phosphatase, Week 12, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Alkaline Phosphatase, Week 16, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Alkaline Phosphatase, Week 20, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Alkaline Phosphatase, Week 24, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
AST, Week 8, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
AST, Week 12, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
AST, Week 16, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
AST, Week 20, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
AST, Week 48, High
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Calcium, Day 1, High
2
2.7%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Calcium, Week 4, High
1
1.4%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
0
0%
Calcium, Week 12, High
2
2.7%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Calcium, Week 28, High
1
1.4%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Calcium, Week 52, Low
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Bicarbonate, Day 1, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Bicarbonate, Week4, Low
1
1.4%
0
0%
1
1.4%
0
0%
1
1.4%
2
2.8%
2
2.7%
Bicarbonate, Week 8, Low
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Bicarbonate, Week 12, Low
0
0%
1
1.4%
1
1.4%
1
1.4%
2
2.7%
1
1.4%
1
1.4%
Bicarbonate, Week 28, Low
3
4.1%
1
1.4%
0
0%
0
0%
0
0%
4
5.6%
1
1.4%
Bicarbonate, Week 32, Low
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Bicarbonate, Week 40, Low
0
0%
1
1.4%
1
1.4%
1
1.4%
0
0%
1
1.4%
1
1.4%
Bicarbonate, Week 52, Low
1
1.4%
3
4.2%
1
1.4%
2
2.7%
1
1.4%
2
2.8%
2
2.7%
Creatinine, Day 1, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Creatinine, Week 4, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Creatinine, Week 12, High
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
1
1.4%
0
0%
Creatinine, Week 28, High
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
2
2.7%
Creatinine, Week 52, High
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
Glucose, Day 1, High
6
8.2%
5
6.9%
3
4.1%
3
4.1%
1
1.4%
3
4.2%
7
9.6%
Glucose, Day 1, Low
0
0%
0
0%
1
1.4%
0
0%
0
0%
1
1.4%
0
0%
Glucose, Week 4, High
2
2.7%
3
4.2%
3
4.1%
4
5.5%
2
2.7%
2
2.8%
3
4.1%
Glucose, Week 4, Low
0
0%
1
1.4%
2
2.7%
0
0%
0
0%
1
1.4%
2
2.7%
Glucose, Week 8, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Glucose, Week 12, High
3
4.1%
5
6.9%
3
4.1%
2
2.7%
4
5.5%
2
2.8%
8
11%
Glucose, Week 12, Low
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Glucose, Week 28, High
3
4.1%
4
5.6%
3
4.1%
4
5.5%
1
1.4%
0
0%
6
8.2%
Glucose, Week 28, Low
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Glucose, Week 32, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Glucose, Week 36, High
0
0%
1
1.4%
Glucose, Week 40, High
6
8.2%
7
9.7%
4
5.4%
5
6.8%
1
1.4%
3
4.2%
9
12.3%
Glucose, Week 40, Low
0
0%
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
Glucose, Week 52, High
6
8.2%
3
4.2%
7
9.5%
5
6.8%
4
5.5%
3
4.2%
5
6.8%
Haemoglobin, Week 8, High
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Lymphocytes, Day 1, Low
1
1.4%
3
4.2%
3
4.1%
3
4.1%
3
4.1%
0
0%
1
1.4%
Lymphocytes, Week 4, Low
0
0%
1
1.4%
2
2.7%
3
4.1%
1
1.4%
1
1.4%
1
1.4%
Lymphocytes, Week 12, Low
2
2.7%
0
0%
2
2.7%
2
2.7%
2
2.7%
2
2.8%
1
1.4%
Lymphocytes, Week 28, Low
1
1.4%
0
0%
2
2.7%
2
2.7%
2
2.7%
0
0%
2
2.7%
Lymphocytes, Week 40, Low
2
2.7%
1
1.4%
3
4.1%
4
5.5%
0
0%
1
1.4%
0
0%
Lymphocytes, Week 52, Low
1
1.4%
1
1.4%
1
1.4%
2
2.7%
2
2.7%
3
4.2%
1
1.4%
Platelet count, Day 1, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Platelet count, Day 1, Low
0
0%
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
0
0%
Platelet count, Week 4, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Platelet count, Week 4, Low
1
1.4%
0
0%
2
2.7%
0
0%
0
0%
0
0%
0
0%
Platelet count, Week 12, High
1
1.4%
0
0%
0
0%
1
1.4%
0
0%
2
2.8%
0
0%
Platelet count, Week 12, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Platelet count, Week 28, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Platelet count, Week 28, Low
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Platelet count, Week 40, High
0
0%
0
0%
0
0%
0
0%
1
1.4%
1
1.4%
0
0%
Platelet count, Week 44, High
0
0%
0
0%
1
1.4%
0
0%
Platelet count, Week 52, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Potassium, Day 1, High
1
1.4%
3
4.2%
1
1.4%
0
0%
0
0%
0
0%
0
0%
Potassium, Day 1, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
1
1.4%
Potassium, Week 4, High
0
0%
1
1.4%
0
0%
1
1.4%
0
0%
0
0%
2
2.7%
Potassium, Week 4, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Potassium, Week 12, High
3
4.1%
0
0%
1
1.4%
0
0%
0
0%
0
0%
1
1.4%
Potassium, Week 12, Low
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
Potassium, Week 28, High
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
Potassium, Week 40, High
0
0%
1
1.4%
0
0%
2
2.7%
0
0%
1
1.4%
0
0%
Potassium, Week 52, High
1
1.4%
0
0%
1
1.4%
0
0%
2
2.7%
1
1.4%
0
0%
Sodium, Week 12, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Sodium, Week 40, Low
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Sodium, Week 52, Low
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
2
2.7%
TSH, Day 1, High
2
2.7%
2
2.8%
3
4.1%
3
4.1%
2
2.7%
1
1.4%
1
1.4%
TSH, Week 12, High
1
1.4%
1
1.4%
2
2.7%
1
1.4%
1
1.4%
3
4.2%
0
0%
TSH, Week 24, High
0
0%
2
2.8%
2
2.7%
4
5.5%
2
2.7%
2
2.8%
1
1.4%
TSH, Week 36, High
1
1.4%
2
2.8%
3
4.1%
5
6.8%
3
4.1%
2
2.8%
2
2.7%
TSH, Week 52, High
3
4.1%
2
2.8%
1
1.4%
4
5.5%
2
2.7%
3
4.2%
4
5.5%
Total Bilirubin, Week 24, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Total Bilirubin, Week 32, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Total Bilirubin, Week 44, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Total Neutrophils, Day 1, Low
0
0%
1
1.4%
2
2.7%
0
0%
1
1.4%
0
0%
2
2.7%
Total Neutrophils, Week 4, Low
0
0%
1
1.4%
1
1.4%
0
0%
0
0%
1
1.4%
1
1.4%
Total Neutrophils, Week 12, Low
1
1.4%
2
2.8%
0
0%
0
0%
0
0%
0
0%
0
0%
Total Neutrophils, Week 32, Low
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
Total Neutrophils, Week 40, Low
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Total Neutrophils, Week 52, Low
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
BUN, Day 1, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
BUN, Week 4, High
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
0
0%
BUN, Week 12, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
2
2.8%
1
1.4%
BUN, Week 16, High
0
0%
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
BUN, Week 28, High
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
BUN, Week 40, High
0
0%
0
0%
0
0%
3
4.1%
0
0%
0
0%
1
1.4%
WBC, DAy 1, Low
0
0%
1
1.4%
1
1.4%
0
0%
0
0%
0
0%
0
0%
WBC, Week 28, Low
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.4%
WBC, Week 52, High
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
17. Secondary Outcome
Title Number of Participants With Laboratory Data of Clinical Concern for Urine Protein
Description Urine Samples were collected from Day 1 to Week 28 and Week 52 for analyses. In this dipstick test, the level of protein in urine samples was recorded as negative (Neg), trace (tr), 1+, 2+, and 3+ (the plus sign increases with a higher level of proteins in the urine: 1+=slightly positive, 2+=positive, 3+=high positive). Neg indicated no proteinuria and 3+(high positive) indicated worst proteinuria.
Time Frame Day 1 to Week 28 and Week 52

Outcome Measure Data

Analysis Population Description
Safety Population
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
Measure Participants 73 72 74 73 73 72 73
Week 4
7
9.6%
3
4.2%
5
6.8%
6
8.2%
2
2.7%
1
1.4%
2
2.7%
Week 8
0
0%
0
0%
1
1.4%
0
0%
0
0%
0
0%
1
1.4%
Week 16
1
1.4%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Week 28
7
9.6%
5
6.9%
4
5.4%
8
11%
4
5.5%
2
2.8%
6
8.2%
Week 32
0
0%
1
1.4%
0
0%
0
0%
1
1.4%
0
0%
0
0%
Week 52
2
2.7%
3
4.2%
8
10.8%
10
13.7%
5
6.8%
3
4.2%
3
4.1%
18. Secondary Outcome
Title Plasma Concentrations of Pazopanib
Description All participants in the eye drop containing arms had a single blood sample drawn for assessment of pazopanib plasma concentration at the Week 4, Week 24 and Week 24. The sample was drawn without restriction for the time interval between blood draw and the last dose of IP eye drops.
Time Frame Week 4, Week 24 and Week 52

Outcome Measure Data

Analysis Population Description
Safety Population. Only participants with data available at the indicated time points were analyzed.
Arm/Group Title Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study.
Measure Participants 72 74 73 73 72
Week 4
80.20
103.38
93.82
114.33
175.89
Week 24
81.94
101.96
104.88
114.58
183.32
Week 52
NA
44.04
60.98
28.77
40.33

Adverse Events

Time Frame All AEs and SAEs were collected during the treatment period (up to 52 weeks)
Adverse Event Reporting Description All AEs and SAEs were reported on Safety Population.
Arm/Group Title Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Arm/Group Description Only the study eye (one eye) per participant enrolled in the study received Placebo QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week treatment period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL TID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 5 mg/mL QID. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL twice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL thrice daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Only the study eye (one eye) per participant enrolled in the study received pazopanib eye drops 10 mg/mL four times daily. Participants in this treatment arm were educated on the packaging and labeling of the eye drop, required refrigerated storage conditions, and proper dosing method. The study staff witnessed participants self-administering the first dose of the eye drop. Caregiver assistance was permitted. This witnessed dose occurred in the clinic on Day 1 of treatment. Participants continued to administer the eye drop daily for the duration of the 52-week Treatment Period. Ranibizumab IP injection was given whenever re-injection was necessary throughout the study. Participants enrolled in this arm received no eye drops. They received a 0.20 mL to 0.23 mL fill of 10 mg/mL Ranibizumab injection once every four weeks throughout the entire 52 weeks of the study.
All Cause Mortality
Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2/73 (2.7%) 1/72 (1.4%) 1/74 (1.4%) 0/73 (0%) 3/73 (4.1%) 0/72 (0%) 1/73 (1.4%)
Serious Adverse Events
Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 11/73 (15.1%) 10/72 (13.9%) 12/74 (16.2%) 11/73 (15.1%) 10/73 (13.7%) 11/72 (15.3%) 6/73 (8.2%)
Blood and lymphatic system disorders
Iron deficiency anaemia 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Cardiac disorders
Angina pectoris 0/73 (0%) 0/72 (0%) 2/74 (2.7%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Atrioventricular block second degree 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Cardiac failure congestive 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Coronary artery disease 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Mitral valve disease 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Myocardial infarction 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Congenital, familial and genetic disorders
Haemorrhagic arteriovenous malformation 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Ear and labyrinth disorders
Vertigo 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 2/72 (2.8%) 0/73 (0%)
Eye disorders
Retinal haemorrhage 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Gastrointestinal disorders
Abdominal pain 1/73 (1.4%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Small intestinal obstruction 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 2/72 (2.8%) 0/73 (0%)
Abdominal hernia 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Colitis 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Crohn's disease 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Duodenal ulcer 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Gastric ulcer haemorrhage 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Gastritis 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Intestinal perforation 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
General disorders
Device failure 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Hepatobiliary disorders
Bile duct obstruction 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Bile duct stone 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Cholecystitis acute 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Cholelithiasis 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Infections and infestations
Cellulitis 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Endophthalmitis 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Pneumonia 2/73 (2.7%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Abscess intestinal 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Erysipelas 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Gastroenteritis 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Infection 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Periorbital cellulitis 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Injury, poisoning and procedural complications
Cartilage injury 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Hip fracture 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Humerus fracture 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Pelvic fracture 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Post procedural complication 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Post-traumatic neck syndrome 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Rib fracture 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Road traffic accident 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Spinal cord injury 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Investigations
Prothrombin time prolonged 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Metabolism and nutrition disorders
Fluid overload 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Hypercalcaemia 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Hyperkalaemia 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Hyponatraemia 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Lumbar spinal stenosis 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Musculoskeletal chest pain 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Osteoarthritis 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Pain in extremity 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Colon cancer metastatic 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Colon neoplasm 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Gastrointestinal cancer metastatic 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Lung cancer metastatic 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Lung neoplasm malignant 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Neoplasm malignant 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Ovarian cancer 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Prostate cancer 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Nervous system disorders
Cerebrovascular accident 0/73 (0%) 1/72 (1.4%) 1/74 (1.4%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Syncope 1/73 (1.4%) 1/72 (1.4%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Transient ischaemic attack 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Ataxia 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 1/73 (1.4%) 0/72 (0%) 0/73 (0%)
Brain Stem Stroke 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Cerebral haemorrhage 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Cervical myelopathy 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Encephalopathy 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Myasthenia gravis 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Renal and urinary disorders
Hypertensive nephropathy 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 0/73 (0%)
Renal artery stenosis 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Renal cyst haemorrhage 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Renal failure acute 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Prostatomegaly 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/73 (0%) 0/72 (0%) 1/74 (1.4%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Pneumonia aspiration 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Pulmonary embolism 0/73 (0%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Vascular disorders
Aortic aneurysm 0/73 (0%) 1/72 (1.4%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Hypertension 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Shock 0/73 (0%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 0/73 (0%) 0/72 (0%) 1/73 (1.4%)
Other (Not Including Serious) Adverse Events
Placebo Control Arm QID Pazopanib Eye Drops 5 mg/mL TID Pazopanib Eye Drops 5 mg/mL QID Pazopanib Eye Drops 10 mg/mL BID Pazopanib Eye Drops 10 mg/mL TID Pazopanib Eye Drops 10 mg/mL QID Ranibizumab Injections Active Open-label Control Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 52/73 (71.2%) 34/72 (47.2%) 47/74 (63.5%) 44/73 (60.3%) 46/73 (63%) 41/72 (56.9%) 42/73 (57.5%)
Blood and lymphatic system disorders
Anaemia 3/73 (4.1%) 0/72 (0%) 0/74 (0%) 0/73 (0%) 4/73 (5.5%) 2/72 (2.8%) 0/73 (0%)
Eye disorders
Conjunctival haemorrhage 5/73 (6.8%) 2/72 (2.8%) 1/74 (1.4%) 7/73 (9.6%) 6/73 (8.2%) 6/72 (8.3%) 2/73 (2.7%)
Retinal haemorrhage 5/73 (6.8%) 3/72 (4.2%) 3/74 (4.1%) 2/73 (2.7%) 4/73 (5.5%) 3/72 (4.2%) 4/73 (5.5%)
Visual acuity reduced 3/73 (4.1%) 3/72 (4.2%) 2/74 (2.7%) 1/73 (1.4%) 6/73 (8.2%) 3/72 (4.2%) 4/73 (5.5%)
Eye pain 7/73 (9.6%) 1/72 (1.4%) 1/74 (1.4%) 1/73 (1.4%) 4/73 (5.5%) 2/72 (2.8%) 5/73 (6.8%)
Vitreous floaters 3/73 (4.1%) 2/72 (2.8%) 2/74 (2.7%) 3/73 (4.1%) 2/73 (2.7%) 3/72 (4.2%) 4/73 (5.5%)
Vision blurred 4/73 (5.5%) 1/72 (1.4%) 2/74 (2.7%) 2/73 (2.7%) 4/73 (5.5%) 2/72 (2.8%) 2/73 (2.7%)
Blepharitis 2/73 (2.7%) 0/72 (0%) 3/74 (4.1%) 1/73 (1.4%) 3/73 (4.1%) 0/72 (0%) 4/73 (5.5%)
Punctate keratitis 4/73 (5.5%) 1/72 (1.4%) 0/74 (0%) 1/73 (1.4%) 3/73 (4.1%) 3/72 (4.2%) 1/73 (1.4%)
Lacrimation increased 0/73 (0%) 1/72 (1.4%) 1/74 (1.4%) 2/73 (2.7%) 1/73 (1.4%) 5/72 (6.9%) 1/73 (1.4%)
Conjunctivitis 0/73 (0%) 0/72 (0%) 2/74 (2.7%) 0/73 (0%) 1/73 (1.4%) 6/72 (8.3%) 0/73 (0%)
Dry eye 1/73 (1.4%) 1/72 (1.4%) 1/74 (1.4%) 0/73 (0%) 1/73 (1.4%) 4/72 (5.6%) 1/73 (1.4%)
Conjunctival hyperaemia 0/73 (0%) 1/72 (1.4%) 4/74 (5.4%) 1/73 (1.4%) 0/73 (0%) 0/72 (0%) 2/73 (2.7%)
Cataract cortical 1/73 (1.4%) 0/72 (0%) 4/74 (5.4%) 0/73 (0%) 0/73 (0%) 1/72 (1.4%) 1/73 (1.4%)
Gastrointestinal disorders
Diarrhoea 4/73 (5.5%) 3/72 (4.2%) 2/74 (2.7%) 5/73 (6.8%) 2/73 (2.7%) 3/72 (4.2%) 1/73 (1.4%)
Nausea 1/73 (1.4%) 1/72 (1.4%) 0/74 (0%) 3/73 (4.1%) 3/73 (4.1%) 4/72 (5.6%) 3/73 (4.1%)
General disorders
Pain 1/73 (1.4%) 4/72 (5.6%) 2/74 (2.7%) 3/73 (4.1%) 2/73 (2.7%) 3/72 (4.2%) 1/73 (1.4%)
Injection site haemorrhage 1/73 (1.4%) 0/72 (0%) 1/74 (1.4%) 1/73 (1.4%) 2/73 (2.7%) 0/72 (0%) 4/73 (5.5%)
Immune system disorders
Seasonal allergy 3/73 (4.1%) 1/72 (1.4%) 4/74 (5.4%) 2/73 (2.7%) 0/73 (0%) 1/72 (1.4%) 2/73 (2.7%)
Infections and infestations
Nasopharyngitis 11/73 (15.1%) 5/72 (6.9%) 6/74 (8.1%) 17/73 (23.3%) 5/73 (6.8%) 13/72 (18.1%) 5/73 (6.8%)
Urinary tract infection 9/73 (12.3%) 3/72 (4.2%) 1/74 (1.4%) 6/73 (8.2%) 6/73 (8.2%) 4/72 (5.6%) 3/73 (4.1%)
Upper respiratory tract infection 2/73 (2.7%) 1/72 (1.4%) 6/74 (8.1%) 2/73 (2.7%) 4/73 (5.5%) 3/72 (4.2%) 3/73 (4.1%)
Sinusitis 1/73 (1.4%) 1/72 (1.4%) 4/74 (5.4%) 3/73 (4.1%) 1/73 (1.4%) 4/72 (5.6%) 5/73 (6.8%)
Bronchitis 3/73 (4.1%) 1/72 (1.4%) 2/74 (2.7%) 2/73 (2.7%) 4/73 (5.5%) 2/72 (2.8%) 4/73 (5.5%)
Influenza 0/73 (0%) 5/72 (6.9%) 2/74 (2.7%) 3/73 (4.1%) 3/73 (4.1%) 0/72 (0%) 3/73 (4.1%)
Pneumonia 2/73 (2.7%) 0/72 (0%) 4/74 (5.4%) 3/73 (4.1%) 0/73 (0%) 0/72 (0%) 0/73 (0%)
Injury, poisoning and procedural complications
Fall 2/73 (2.7%) 4/72 (5.6%) 2/74 (2.7%) 2/73 (2.7%) 2/73 (2.7%) 1/72 (1.4%) 0/73 (0%)
Musculoskeletal and connective tissue disorders
Back pain 5/73 (6.8%) 2/72 (2.8%) 5/74 (6.8%) 2/73 (2.7%) 4/73 (5.5%) 2/72 (2.8%) 1/73 (1.4%)
Pain in extremity 2/73 (2.7%) 3/72 (4.2%) 4/74 (5.4%) 2/73 (2.7%) 2/73 (2.7%) 3/72 (4.2%) 0/73 (0%)
Arthralgia 2/73 (2.7%) 2/72 (2.8%) 1/74 (1.4%) 2/73 (2.7%) 0/73 (0%) 3/72 (4.2%) 4/73 (5.5%)
Nervous system disorders
Headache 3/73 (4.1%) 2/72 (2.8%) 1/74 (1.4%) 5/73 (6.8%) 5/73 (6.8%) 7/72 (9.7%) 6/73 (8.2%)
Dizziness 0/73 (0%) 1/72 (1.4%) 1/74 (1.4%) 0/73 (0%) 0/73 (0%) 5/72 (6.9%) 3/73 (4.1%)
Respiratory, thoracic and mediastinal disorders
Cough 8/73 (11%) 3/72 (4.2%) 6/74 (8.1%) 4/73 (5.5%) 2/73 (2.7%) 3/72 (4.2%) 3/73 (4.1%)
Skin and subcutaneous tissue disorders
Rash 1/73 (1.4%) 0/72 (0%) 0/74 (0%) 1/73 (1.4%) 4/73 (5.5%) 0/72 (0%) 0/73 (0%)
Vascular disorders
Hypertension 3/73 (4.1%) 4/72 (5.6%) 5/74 (6.8%) 4/73 (5.5%) 6/73 (8.2%) 6/72 (8.3%) 7/73 (9.6%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization GlaxoSmithKline
Phone 866-435-7343
Email
Responsible Party:
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01134055
Other Study ID Numbers:
  • 110852
First Posted:
May 31, 2010
Last Update Posted:
Jan 8, 2018
Last Verified:
Dec 1, 2017