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Trial ยท NCT02434328

Efficacy and Safety of RTH258 Versus Aflibercept - Study 2

NCT02434328, Phase 3, Completed, Alcon Research; results first posted 2019-10-31

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of RTH258 Versus Aflibercept - Study 2. Trials, record NCT02434328. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02434328

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of RTH258 Versus Aflibercept - Study 2
NCT number
NCT02434328
Status
Completed
Phases
Phase 3
Enrollment
1,048 participants, actual
Lead sponsor
Alcon Research
Conditions
Neovascular Age-Related Macular Degeneration, Choroidal Neovascularization
Interventions
Brolucizumab ophthalmic solution, Aflibercept ophthalmic solution
First posted
2015-05-05
Last updated
2025-01-16
Other registries' IDs
eudract:2014-004886-26
Results first posted
2019-10-31

Source ClinicalTrials.gov

Registered outcomes32

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Best Corrected Visual Acuity (BCVA) (Letters Read) at Week 48 - Study EyeBaseline, Week 48
BCVA (with spectacles or other visual corrective devices) was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) testing at 4 meters and reported in letters read correctly. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.
SecondaryAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 36 Through Week 48 - Study EyeBaseline, Weeks 36, 40, 44, 48
BCVA (with spectacles or other visual corrective devices) was assessed using ETDRS testing at 4 meters and reported in letters read correctly. For each subject, this endpoint was defined as the average of the changes from baseline to Weeks 36, 40, 44, and 48. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.
SecondaryProportion of Subjects With Positive q12 (Every 12 Weeks) Treatment Status at Week 48Weeks 16, 20, 28, 32, 40, 44, 48
Positive q12 treatment status was defined as IVT injections per planned dosing regimen (one injection every 12 weeks "q12w", after the initial three loading injections every 4 weeks "q4w"). A disease activity assessment (DAA) was performed at pre-specified visits (Weeks 16, 20, 28, 32, 40, 44) to identify q8w (one injection every 8 weeks) need. The estimate for the proportion of subjects with a positive q12w status at Week 48 were derived from Kaplan-Meier time to event analyses for the event of first q8w need, applying event allocations (in case of lack of efficacy and/or lack of safety=efficacy/safety approach) and censoring as described in the SAP. Censored subjects were considered to be not anymore under risk for a q8 need identification at later visits. Corresponding 95% Confidence Intervals (CIs) were derived from the LOGLOG transformation. This outcome measure was pre-specified for brolucizumab 6 mg arm only. Hypothesis testing not pre-specified.
SecondaryProportion of Subjects With Positive q12 Treatment Status at Week 48 Within the Subjects With no q8 (Every 8 Weeks) Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Weeks 16, 20, 28, 32, 40, 44, 48
Positive q12 treatment status was defined as IVT injections per planned dosing regimen (one injection every 12 weeks "q12w", after the initial three loading injections every 4 weeks "q4w"). A disease activity assessment (DAA) was performed at pre-specified visits (Weeks 16, 20, 28, 32, 40, 44) to identify q8w need. The estimate for the proportion of subjects with a positive q12w status at Week 48 were derived from Kaplan-Meier time to event analyses for the event of first q8w need, applying event allocations (in case of lack of efficacy and/or lack of safety=efficacy/safety approach) and censoring as described in the SAP. Censored subjects were considered to be not anymore under risk for a q8 need identification at later visits. Corresponding 95% Confidence Intervals (CIs) were derived from the LOGLOG transformation. This outcome measure was pre-specified for brolucizumab 6 mg arm only. Hypothesis testing not pre-specified.
SecondaryProportion of Subjects With Positive q12 Treatment Status up to Week 96Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92, 96
Positive q12 treatment status was defined as IVT injections per planned dosing regimen (one injection every 12 weeks "q12w", after the initial three loading injections every 4 weeks "q4w"). A disease activity assessment (DAA) was performed at pre-specified visits (Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92) to identify q8w need. The estimate for the proportion of subjects with a positive q12w status at Week 48 were derived from Kaplan-Meier time to event analyses for the event of first q8w need, applying event allocations (in case of lack of efficacy and/or lack of safety=efficacy/safety approach) and censoring as described in the SAP. Censored subjects were considered to be not anymore under risk for a q8 need identification at later visits. Corresponding 95% Confidence Intervals (CIs) were derived from the LOGLOG transformation. This outcome measure was pre-specified for brolucizumab 6 mg arm only. Hypothesis testing not pre-specified.
SecondaryProportion of Subjects With Positive q12 Treatment Status at Week 96 Within the Subjects With no q8 Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92, 96
Positive q12 treatment status was defined as IVT injections per planned dosing regimen (one injection every 12 weeks "q12w", after the initial three loading injections every 4 weeks "q4w"). A disease activity assessment (DAA) was performed at pre-specified visits (Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92) to identify q8w need. The estimate for the proportion of subjects with a positive q12w status at Week 48 were derived from Kaplan-Meier time to event analyses for the event of first q8w need, applying event allocations (in case of lack of efficacy and/or lack of safety=efficacy/safety approach) and censoring as described in the SAP. Censored subjects were considered to be not anymore under risk for a q8 need identification at later visits. Corresponding 95% Confidence Intervals (CIs) were derived from the LOGLOG transformation. This outcome measure was pre-specified for brolucizumab 6 mg arm only. Hypothesis testing not pre-specified.
SecondaryChange From Baseline in BCVA (Letters Read) at Each Post-baseline Visit - Study EyeBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96
BCVA (with spectacles or other visual corrective devices) was assessed using ETDRS testing at 4 meters and reported in letters read correctly. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.
SecondaryAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 4 to Week 48/96 - Study EyeBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96
BCVA (with spectacles or other visual corrective devices) was assessed using ETDRS testing at 4 meters and reported in letters read correctly. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.
SecondaryAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 12 to Week 48/96 - Study EyeBaseline, Weeks 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96
BCVA (with spectacles or other visual corrective devices) was assessed using ETDRS testing at 4 meters and reported in letters read correctly. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.
SecondaryAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 84 to Week 96 - Study EyeBaseline, Weeks 84, 88, 92, 96
BCVA (with spectacles or other visual corrective devices) was assessed using ETDRS testing at 4 meters and reported in letters read correctly. Baseline was defined as the last measurement prior to first treatment. An increase (gain) in letters read from the baseline assessment indicates improvement. One eye (study eye) contributed to the analysis.

Outcomes32

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Best Corrected Visual Acuity (BCVA) (Letters Read) at Week 48 - Study EyeBaseline, Week 48Full Analysis Set (FAS) - Last Observation Carried Forward (LOCF)lettersMEAN
SECONDARYAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 36 Through Week 48 - Study EyeBaseline, Weeks 36, 40, 44, 48FAS - LOCFlettersMEAN
SECONDARYProportion of Subjects With Positive q12 (Every 12 Weeks) Treatment Status at Week 48Weeks 16, 20, 28, 32, 40, 44, 48FAS - efficacy/safety approachproportion of subjectsNUMBER
SECONDARYProportion of Subjects With Positive q12 Treatment Status at Week 48 Within the Subjects With no q8 (Every 8 Weeks) Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Weeks 16, 20, 28, 32, 40, 44, 48FAS - efficacy/safety approachproportion of subjectsNUMBER
SECONDARYProportion of Subjects With Positive q12 Treatment Status up to Week 96Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92, 96FAS - efficacy/safety approachproportion of subjectsNUMBER
SECONDARYProportion of Subjects With Positive q12 Treatment Status at Week 96 Within the Subjects With no q8 Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Weeks 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, 92, 96FAS - efficacy/safety approachproportion of subjectsNUMBER
SECONDARYChange From Baseline in BCVA (Letters Read) at Each Post-baseline Visit - Study EyeBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96FAS - LOCFlettersMEAN
SECONDARYAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 4 to Week 48/96 - Study EyeBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96FAS - LOCFlettersMEAN
SECONDARYAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 12 to Week 48/96 - Study EyeBaseline, Weeks 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96FAS - LOCFlettersMEAN
SECONDARYAverage Change From Baseline in BCVA (Letters Read) Over the Period Week 84 to Week 96 - Study EyeBaseline, Weeks 84, 88, 92, 96FAS - LOCFlettersMEAN

Results by group729

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Best Corrected Visual Acuity (BCVA) (Letters Read) at Week 48 - Study EyeBrolucizumab 6 mg6.9Standard Deviation 11.47letters
Change From Baseline in Best Corrected Visual Acuity (BCVA) (Letters Read) at Week 48 - Study EyeAflibercept 2 mg7.6Standard Deviation 12.47letters
Average Change From Baseline in BCVA (Letters Read) Over the Period Week 36 Through Week 48 - Study EyeBrolucizumab 6 mg6.6Standard Deviation 11.10letters
Average Change From Baseline in BCVA (Letters Read) Over the Period Week 36 Through Week 48 - Study EyeAflibercept 2 mg7.7Standard Deviation 11.81letters
Proportion of Subjects With Positive q12 (Every 12 Weeks) Treatment Status at Week 48Brolucizumab 6 mg0.510195% Confidence Interval 0.4567 to 0.5610proportion of subjects
Proportion of Subjects With Positive q12 Treatment Status at Week 48 Within the Subjects With no q8 (Every 8 Weeks) Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Brolucizumab 6 mg0.817095% Confidence Interval 0.7582 to 0.8629proportion of subjects
Proportion of Subjects With Positive q12 Treatment Status up to Week 96Brolucizumab 6 mg0.385695% Confidence Interval 0.3336 to 0.4372proportion of subjects
Proportion of Subjects With Positive q12 Treatment Status at Week 96 Within the Subjects With no q8 Treatment Need During the Initial q12w Cycle (Week 16, Week 20)Brolucizumab 6 mg0.617095% Confidence Interval 0.5465 to 0.6799proportion of subjects
Change From Baseline in BCVA (Letters Read) at Each Post-baseline Visit - Study EyeBrolucizumab 6 mgChange from baseline at Week 43.7Standard Deviation 7.03letters
Change From Baseline in BCVA (Letters Read) at Each Post-baseline Visit - Study EyeAflibercept 2 mgChange from baseline at Week 44.7Standard Deviation 7.62letters

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBrolucizumab 6 mg372
Overall StudySTARTEDAflibercept 2 mg371
Overall StudyRandomized and TreatedBrolucizumab 6 mg370
Overall StudyRandomized and TreatedAflibercept 2 mg369
Overall StudyCOMPLETEDBrolucizumab 6 mg342
Overall StudyCOMPLETEDAflibercept 2 mg329
Overall StudyNOT COMPLETEDBrolucizumab 6 mg30
Overall StudyNOT COMPLETEDAflibercept 2 mg42

Adverse events376

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherCataract - Fellow eyeEye disordersBrolucizumab 6mg7370
otherCataract - Fellow eyeEye disordersAflibercept 2mg22369
otherCataract - Study eyeEye disordersBrolucizumab 6mg11370
otherCataract - Study eyeEye disordersAflibercept 2mg43369
otherConjunctival haemorrhage - Study eyeEye disordersBrolucizumab 6mg17370
otherConjunctival haemorrhage - Study eyeEye disordersAflibercept 2mg19369
otherEye pain - Study eyeEye disordersBrolucizumab 6mg13370
otherEye pain - Study eyeEye disordersAflibercept 2mg19369
otherNeovascular age-related macular degeneration - Fellow eyeEye disordersBrolucizumab 6mg31370
otherNeovascular age-related macular degeneration - Fellow eyeEye disordersAflibercept 2mg32369

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBrolucizumab 6mg4370
Total, all-cause mortalityAflibercept 2mg7369
Total, other adverse eventsBrolucizumab 6mg176370
Total, other adverse eventsAflibercept 2mg194369
Total, serious adverse eventsBrolucizumab 6mg79370
Total, serious adverse eventsAflibercept 2mg89369

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30986442DERIVEDPubMed
33207259DERIVEDPubMed
34968756DERIVEDPubMed
39033924DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Brolucizumab 6mg vs Aflibercept 2mg: deaths from any causeTrial comparisons
Brolucizumab 6mg vs Aflibercept 2mg: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02434328

GET https://conductscience.org/api/trials/v1/NCT02434328/registered?page=2