A Study to Evaluate the Efficacy and Safety of Faricimab in Participants With Macular Edema Secondary to Central Retinal or Hemiretinal Vein Occlusion (COMINO)
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ClinicalTrials.gov Identifier: NCT04740931 |
Recruitment Status :
Completed
First Posted : February 5, 2021
Results First Posted : January 18, 2024
Last Update Posted : January 18, 2024
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Sponsor:
Hoffmann-La Roche
Collaborator:
Chugai Pharmaceutical
Information provided by (Responsible Party):
Hoffmann-La Roche
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Triple (Participant, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Conditions |
Macular Edema Central Retinal Vein Occlusion Hemiretinal Vein Occlusion |
Interventions |
Drug: Faricimab Drug: Aflibercept Procedure: Sham Procedure |
Enrollment | 729 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Arm A: Faricimab Q4W (Part 1), Faricimab PTI (Part 2) | Arm B: Aflibercept Q4W (Part 1), Faricimab PTI (Part 2) |
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Arm/Group Description | In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm A will receive faricimab 6 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections). In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen. To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen). | In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm B will receive aflibercept 2 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections). In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen. To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen). |
Period Title: Overall Study | ||
Started [1] | 366 | 363 |
Received at Least One Dose of Study Drug [2] | 365 | 361 |
Completed up to Week 24 (Part 1) [3] | 360 | 353 |
Completed | 0 | 0 |
Not Completed | 366 | 363 |
Reason Not Completed | ||
Ongoing in the Study at the Primary Completion Date | 360 | 353 |
Withdrawal by Subject | 0 | 4 |
Death | 1 | 2 |
Noncompliance with study drug | 2 | 0 |
Reason Not Specified | 2 | 0 |
Adverse Event | 1 | 1 |
Protocol Violation | 0 | 1 |
Physician Decision | 0 | 1 |
Lost to Follow-up | 0 | 1 |
[1]
Intent-to-Treat (ITT) Population
[2]
Safety-Evaluable Population
[3]
Clinical Cutoff for Primary Completion Date
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Baseline Characteristics
Arm/Group Title | Arm A: Faricimab Q4W (Part 1), Faricimab PTI (Part 2) | Arm B: Aflibercept Q4W (Part 1), Faricimab PTI (Part 2) | Total | |
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Arm/Group Description | In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm A will receive faricimab 6 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections). In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen. To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen). | In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm B will receive aflibercept 2 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections). In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen. To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen). | Total of all reporting groups | |
Overall Number of Baseline Participants | 366 | 363 | 729 | |
Baseline Analysis Population Description |
ITT Population: All global participants who were randomized in the study, according to the assigned treatment.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
65.6 (13.1) | 64.7 (13.3) | 65.1 (13.2) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
Female |
173 47.3%
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163 44.9%
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336 46.1%
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Male |
193 52.7%
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200 55.1%
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393 53.9%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
Hispanic or Latino |
66 18.0%
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73 20.1%
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139 19.1%
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Not Hispanic or Latino |
286 78.1%
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283 78.0%
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569 78.1%
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Unknown or Not Reported |
14 3.8%
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7 1.9%
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21 2.9%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
American Indian or Alaska Native |
2 0.5%
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3 0.8%
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5 0.7%
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Asian |
89 24.3%
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88 24.2%
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177 24.3%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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1 0.3%
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1 0.1%
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Black or African American |
10 2.7%
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13 3.6%
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23 3.2%
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White |
243 66.4%
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253 69.7%
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496 68.0%
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More than one race |
1 0.3%
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0 0.0%
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1 0.1%
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Unknown or Not Reported |
21 5.7%
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5 1.4%
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26 3.6%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
Rest of World |
187 51.1%
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187 51.5%
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374 51.3%
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USA and Canada |
95 26.0%
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93 25.6%
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188 25.8%
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Asia |
84 23.0%
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83 22.9%
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167 22.9%
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Number of Participants by the Eye (Left or Right) Chosen as the Study Eye
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
Left Eye |
180 49.2%
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181 49.9%
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361 49.5%
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Right Eye |
186 50.8%
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182 50.1%
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368 50.5%
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Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye
Mean (Standard Deviation) Unit of measure: ETDRS Letters |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
50.25 (16.25) | 50.71 (16.34) | 50.48 (16.29) | ||
Number of Participants by the BCVA Letter Score Categories in the Study Eye
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 366 participants | 363 participants | 729 participants | |
≤34 Letters (20/200 or Worse) |
79 21.6%
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80 22.0%
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159 21.8%
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>34 Letters to <55 Letters |
106 29.0%
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105 28.9%
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211 28.9%
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≥55 Letters (20/80 or Better) |
181 49.5%
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178 49.0%
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359 49.2%
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
Results Point of Contact
Name/Title: | Medical Communications |
Organization: | Hoffmann-La Roche |
Phone: | 800-821-8590 |
EMail: | genentech@druginfo.com |
Responsible Party: | Hoffmann-La Roche |
ClinicalTrials.gov Identifier: | NCT04740931 |
Other Study ID Numbers: |
GR41986 2020-000441-13 ( EudraCT Number ) |
First Submitted: | February 3, 2021 |
First Posted: | February 5, 2021 |
Results First Submitted: | November 22, 2023 |
Results First Posted: | January 18, 2024 |
Last Update Posted: | January 18, 2024 |