About this trial
This is a multicenter, randomized, double-blind study designed to compare the efficacy and safety of the investigational drug GNR-139 with the reference drug Eylea in treatment-naive patients with neovascular age-related macular degeneration (nAMD).
Participants will be randomly assigned to receive either GNR-139 or Eylea. Neither the participants nor the study doctors will know which treatment is being administered. Both drugs will be given as an intravitreal injection dose of 8 mg (0.07 mL at a concentration of 114.3 mg/mL).
Patients meeting the eligibility criteria will be randomised in a 2:1 ratio into one of two treatment groups:
* Group I (GNR-139): 120 patients; * Group II (Eylea®): 60 patients. The main goal of the study is to evaluate if GNR-139 has similar efficacy to Eylea. This will be determined by measuring the change in the Best-Corrected Visual Acuity (BCVA) score at Week 8 in participants who completed the treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. Men and women aged ≥ 50 years at the time of signing the Informed Consent Form.
Disqualifiers
1. Known hypersensitivity to aflibercept or to any of the excipients contained in GNR-139 or Eylea®.
Trial design
Parallel
Treatments tested in this trial
aflibercept
Biological/VaccineGNR-139 is being developed as a biosimilar to the reference medicinal product Eylea®
Eylea
Biological/VaccineEylea® (INN: aflibercept), 114.3 mg/mL, solution for intravitreal injection
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in BCVA, assessed by the number of letters read correctly on the ETDRS chart, at Week 8.
This endpoint will be used to evaluate the therapeutic equivalence of GNR-139 and Eylea® in terms of functional ophthalmic outcome
Secondary outcomes
Change from baseline* in BCVA, assessed by the number of letters read correctly on the ETDRS chart, at Weeks 4, 12, 16, 20, 24, 40, and 56
Change from baseline in CST based on OCT data at Weeks 4, 8, 12, 16, 20, 24, 40, and 56
Proportion of patients with absence of IRF and SRF in the MNV zone based on OCT data at Weeks 4, 8, 12, 16, 20, 24, 40, and 56 compared to baseline
Proportion of patients with a reduction in IRF and SRF in the MNV zone based on OCT data at Weeks 4, 8, 12, 16, 20, 24, 40, and 56 compared to baseline
Sponsors and contacts
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