Abstract:
PURPOSE:To determine the safety and efficacy of AL-8309B (tandospirone) in the management of patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) and obtain standardized data on GA lesion growth progression. DESIGN:Prospective, controlled, double-masked, randomized, multicenter phase 3 clinical trial. METHODS:setting: Forty-eight clinical sites. PATIENTS:Patients with GA associated with AMD were enrolled. All patients were followed for a minimum of 30 months, and up to 36 months. intervention procedures: Patients were randomized (1:1:1) to receive AL-8309B ophthalmic solution 1.0%, 1.75%, or vehicle, administered as a twice-daily topical ocular drop. MAIN OUTCOME MEASURES:The primary efficacy endpoint was mean annualized lesion enlargement from baseline as assessed with fundus autofluorescence (FAF) imaging. RESULTS:A total of 768 eyes of 768 patients were enrolled and treated with AL-8309B 1.0% (n = 250), AL-8309B 1.75% (n = 258), or vehicle (n = 260). An increase in mean lesion size was observed in both the AL-8309B and vehicle treatment groups, and growth rates were similar in all treatment groups. Annualized lesion growth rates were 1.73, 1.76, and 1.71 mm(2) for AL-8309B 1.0%, AL-8309B 1.75%, and vehicle, respectively. CONCLUSIONS:AL-8309B 1.0% and 1.75% did not affect lesion growth in eyes with GA secondary to AMD. There were no clinically relevant safety issues identified for AL-8309B. The large natural history dataset from this study is a valuable repository for future comparisons.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Jaffe GJ,Schmitz-Valckenberg S,Boyer D,Heier J,Wolf-Schnurrbusch U,Staurenghi G,Schmidt-Erfurth U,Holz FGdoi
10.1016/j.ajo.2015.08.024subject
Has Abstractpub_date
2015-12-01 00:00:00pages
1226-34issue
6eissn
0002-9394issn
1879-1891pii
S0002-9394(15)00518-8journal_volume
160pub_type
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