Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR

Abstract Background There is an unmet need for treatment options in intermediate age-related macular degeneration (iAMD). However, for any new interventions to be tested in clinical trials, novel currently unavailable clinical endpoints need to be developed. Thus, the MACUSTAR study aims to develop...

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Main Authors: Jan H. Terheyden, Frank G. Holz, Steffen Schmitz-Valckenberg, Anna Lüning, Matthias Schmid, Gary S. Rubin, Hannah Dunbar, Adnan Tufail, David P. Crabb, Alison Binns, Clara I. Sánchez, Carel Hoyng, Philippe Margaron, Nadia Zakaria, Mary Durbin, Ulrich Luhmann, Parisa Zamiri, José Cunha-Vaz, Cecília Martinho, Sergio Leal, Robert P. Finger, on behalf of the MACUSTAR consortium
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-020-04595-6
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author Jan H. Terheyden
Frank G. Holz
Steffen Schmitz-Valckenberg
Anna Lüning
Matthias Schmid
Gary S. Rubin
Hannah Dunbar
Adnan Tufail
David P. Crabb
Alison Binns
Clara I. Sánchez
Carel Hoyng
Philippe Margaron
Nadia Zakaria
Mary Durbin
Ulrich Luhmann
Parisa Zamiri
José Cunha-Vaz
Cecília Martinho
Sergio Leal
Robert P. Finger
on behalf of the MACUSTAR consortium
author_facet Jan H. Terheyden
Frank G. Holz
Steffen Schmitz-Valckenberg
Anna Lüning
Matthias Schmid
Gary S. Rubin
Hannah Dunbar
Adnan Tufail
David P. Crabb
Alison Binns
Clara I. Sánchez
Carel Hoyng
Philippe Margaron
Nadia Zakaria
Mary Durbin
Ulrich Luhmann
Parisa Zamiri
José Cunha-Vaz
Cecília Martinho
Sergio Leal
Robert P. Finger
on behalf of the MACUSTAR consortium
author_sort Jan H. Terheyden
collection DOAJ
description Abstract Background There is an unmet need for treatment options in intermediate age-related macular degeneration (iAMD). However, for any new interventions to be tested in clinical trials, novel currently unavailable clinical endpoints need to be developed. Thus, the MACUSTAR study aims to develop and evaluate functional, structural, and patient-reported candidate endpoints for use in future iAMD trials. Methods The protocol describes a low-interventional clinical multicenter study employing a novel two-part design. The cross-sectional part (total duration, 1 month) and the longitudinal part (total duration, 36 months) include participants with iAMD and control groups with early/late/no AMD. The cross-sectional part’s primary objective is a technical evaluation of functional, structural, and patient-reported candidate outcomes. The longitudinal part’s primary objective is to assess the prognostic power of changes in functional, structural, and patient-reported outcomes for progression from iAMD to late AMD. All data will be used to support a biomarker qualification procedure by regulatory authorities. Discussion The MACUSTAR study characterizes and evaluates much needed novel functional, structural, and patient-reported endpoints for future clinical trials in iAMD and will improve our understanding of the natural history and prognostic markers of this condition. Trial registration ClinicalTrials.gov NCT03349801 . Registered on 22 November 2017
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spelling doaj.art-2a193ab793284eaea4408db4a081b4092022-12-21T17:57:49ZengBMCTrials1745-62152020-07-0121111110.1186/s13063-020-04595-6Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTARJan H. Terheyden0Frank G. Holz1Steffen Schmitz-Valckenberg2Anna Lüning3Matthias Schmid4Gary S. Rubin5Hannah Dunbar6Adnan Tufail7David P. Crabb8Alison Binns9Clara I. Sánchez10Carel Hoyng11Philippe Margaron12Nadia Zakaria13Mary Durbin14Ulrich Luhmann15Parisa Zamiri16José Cunha-Vaz17Cecília Martinho18Sergio Leal19Robert P. Finger20on behalf of the MACUSTAR consortiumDepartment of Ophthalmology, University Hospital BonnDepartment of Ophthalmology, University Hospital BonnDepartment of Ophthalmology, University Hospital BonnDepartment of Ophthalmology, University Hospital BonnInstitute for Medical Biometry, Informatics and Epidemiology, Medical Faculty, University of BonnUCL Institute of Ophthalmology, University College LondonUCL Institute of Ophthalmology, University College LondonMoorfields Eye HospitalDivision of Optometry and Visual Science, School of Health Sciences, City, University of LondonDivision of Optometry and Visual Science, School of Health Sciences, City, University of LondonRadboud University Medical CenterRadboud University Medical CenterNovartis Pharma AGNovartis Pharma AGCarl Zeiss Meditec AGRoche Pharmaceutical Research and Early Development, Translational Medicine Ophthalmology, Roche Pharma Research and Early Development, Roche Innovation Center BaselNovartis Pharma AGAssociation for Innovation and Biomedical Research on Light and ImageAssociation for Innovation and Biomedical Research on Light and ImageBayer AGDepartment of Ophthalmology, University Hospital BonnAbstract Background There is an unmet need for treatment options in intermediate age-related macular degeneration (iAMD). However, for any new interventions to be tested in clinical trials, novel currently unavailable clinical endpoints need to be developed. Thus, the MACUSTAR study aims to develop and evaluate functional, structural, and patient-reported candidate endpoints for use in future iAMD trials. Methods The protocol describes a low-interventional clinical multicenter study employing a novel two-part design. The cross-sectional part (total duration, 1 month) and the longitudinal part (total duration, 36 months) include participants with iAMD and control groups with early/late/no AMD. The cross-sectional part’s primary objective is a technical evaluation of functional, structural, and patient-reported candidate outcomes. The longitudinal part’s primary objective is to assess the prognostic power of changes in functional, structural, and patient-reported outcomes for progression from iAMD to late AMD. All data will be used to support a biomarker qualification procedure by regulatory authorities. Discussion The MACUSTAR study characterizes and evaluates much needed novel functional, structural, and patient-reported endpoints for future clinical trials in iAMD and will improve our understanding of the natural history and prognostic markers of this condition. Trial registration ClinicalTrials.gov NCT03349801 . Registered on 22 November 2017http://link.springer.com/article/10.1186/s13063-020-04595-6Intermediate age-related macular degenerationClinical study protocolDisease progressionClinical endpoint
spellingShingle Jan H. Terheyden
Frank G. Holz
Steffen Schmitz-Valckenberg
Anna Lüning
Matthias Schmid
Gary S. Rubin
Hannah Dunbar
Adnan Tufail
David P. Crabb
Alison Binns
Clara I. Sánchez
Carel Hoyng
Philippe Margaron
Nadia Zakaria
Mary Durbin
Ulrich Luhmann
Parisa Zamiri
José Cunha-Vaz
Cecília Martinho
Sergio Leal
Robert P. Finger
on behalf of the MACUSTAR consortium
Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
Trials
Intermediate age-related macular degeneration
Clinical study protocol
Disease progression
Clinical endpoint
title Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
title_full Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
title_fullStr Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
title_full_unstemmed Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
title_short Clinical study protocol for a low-interventional study in intermediate age-related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention—MACUSTAR
title_sort clinical study protocol for a low interventional study in intermediate age related macular degeneration developing novel clinical endpoints for interventional clinical trials with a regulatory and patient access intention macustar
topic Intermediate age-related macular degeneration
Clinical study protocol
Disease progression
Clinical endpoint
url http://link.springer.com/article/10.1186/s13063-020-04595-6
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