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Trial · NCT04592419

A Study to Evaluate the Efficacy, Durability, and Safety of KSI-301 Compared to Aflibercept in Patients With Macular Edema Due to Retinal Vein Occlusion (RVO)

NCT04592419, Phase 3, Completed, Kodiak Sciences Inc; results first posted 2024-06-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy, Durability, and Safety of KSI-301 Compared to Aflibercept in Patients With Macular Edema Due to Retinal Vein Occlusion (RVO). Trials, record NCT04592419. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04592419

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Trial

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

Title
A Study to Evaluate the Efficacy, Durability, and Safety of KSI-301 Compared to Aflibercept in Patients With Macular Edema Due to Retinal Vein Occlusion (RVO)
NCT number
NCT04592419
Status
Completed
Phases
Phase 3
Enrollment
568 participants, actual
Lead sponsor
Kodiak Sciences Inc
Conditions
Macular Edema, Retinal Vein Occlusion
Interventions
KSI-301, Aflibercept, Sham Procedure
First posted
2020-10-19
Last updated
2024-06-26
Other registries' IDs
eudract:2020-001061-37
Results first posted
2024-06-06

Source ClinicalTrials.gov

Registered outcomes10

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

ListOutcomeTime frameDescription
PrimaryMean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in BRVO Participants.Day 1 to Week 24BCVA as a continuous variable measured at each study visit using the Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA approach.
PrimaryMean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in All RVO Patients.Day 1 to Week 24BCVA as a continuous variable measured at each study visit using the Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA approach.
SecondaryMean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.Day 1 - Week 48BCVA as a continuous variable measured at each study visit using the Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA approach.
SecondaryPercentage of Participants Who Gain ≥ 5, ≥10 and ≥15 Letters From Baseline Over Time up to Week 48 for All RVO Participants.Day 1 - Week 48Number of participants in each treatment arm who meet specified criteria at each visit from Week 1 through Week 48. Percentages are 100\*n/N.
SecondaryPercentage of Participants Who Lose ≥ 5, ≥10 and ≥15 ETDRS Letters From Baseline Over Time up to Week 48 for All RVO ParticipantsDay 1 - Week 48Number of participants in each treatment arm who meet specified criteria at each visit from Week 1 through Week 48. Percentages are 100\*n/N.
SecondaryPercentage of Participants With BCVA Snellen Equivalent of 20/40 or Better Over Time (≥69 ETDRS Letters) for All RVO Participants.Day 1 - Week 48.
Percentage of participants with BCVA Snellen Equivalent of 20/40 or Better from Baseline to Week 48. Snellen Equivalent of 20/40 is 69 ETDRS letters. Number of participants in each treatment arm who meet specified criteria at each visit from Baseline through Week 48. Percentages are 100\*n/N.
SecondaryPercentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (≤ 38 ETDRS Letters) Over Time for All RVO Participants.Baseline - Week 48
Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse from Baseline to Week 48. Snellen Equivalent of 20/200 is 38 ETDRS letters. Number of participants in each treatment arm who meet specified criteria at each visit from Baseline through Week 48. Percentages are 100\*n/N.
SecondaryPercentage of Participants With Absence of Macular Edema (Defined as OCT CST < 325 Microns) Over Time for All RVO Participants.Baseline - Week 48
Macular Edema (ME) is assessed by optical coherence tomography (OCT) central subfield thickness (CST). A thickness of less than 325 microns is considered absence of ME. Proportion of participants with Absence of Macular Edema from Baseline to Week 48. Number of participants in each treatment arm who meet specified criteria at each visit from Week 1 through Week 48. Percentages are 100\*n/N.
SecondaryMean Change in OCT Central Subfield Retinal Thickness (CST) From Baseline by Visit Over Time for All RVO Participants.Day 1 - Week 48Mean change in OCT central subfield retinal thickness (CST) from baseline by visit over time (up to Week 48) for all RVO participants.
SecondaryMean Change in OCT Center Point Retinal Thickness (CPT) From Baseline by Visit Over Time for All RVO Participants.Day 1 - Week 48Mean change in OCT center point retinal thickness (CPT) from baseline by visit over time (up to Week 48) for all RVO participants.

Outcomes10

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in BRVO Participants.Day 1 to Week 24
Full Analysis Set (Week 24) includes all randomized participants who received at least one treatment injection in the first 24 weeks and using all available post baseline measurements up to Week 24 or until the participant discontinues study treatment.
ETDRS LettersLEAST_SQUARES_MEAN
PRIMARYMean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in All RVO Patients.Day 1 to Week 24
Full Analysis Set (Week 24) includes all randomized subjects who received at least one treatment injection in the first 24 weeks and using all available post baseline measurements up to Week 24 or until the subject discontinues study treatment.
ETDRS LettersLEAST_SQUARES_MEAN
SECONDARYMean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.Day 1 - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ETDRS LettersMEAN
SECONDARYPercentage of Participants Who Gain ≥ 5, ≥10 and ≥15 Letters From Baseline Over Time up to Week 48 for All RVO Participants.Day 1 - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants Who Lose ≥ 5, ≥10 and ≥15 ETDRS Letters From Baseline Over Time up to Week 48 for All RVO ParticipantsDay 1 - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With BCVA Snellen Equivalent of 20/40 or Better Over Time (≥69 ETDRS Letters) for All RVO Participants.Day 1 - Week 48.
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (≤ 38 ETDRS Letters) Over Time for All RVO Participants.Baseline - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPercentage of Participants With Absence of Macular Edema (Defined as OCT CST < 325 Microns) Over Time for All RVO Participants.Baseline - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMean Change in OCT Central Subfield Retinal Thickness (CST) From Baseline by Visit Over Time for All RVO Participants.Day 1 - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
micrometers (um)MEAN
SECONDARYMean Change in OCT Center Point Retinal Thickness (CPT) From Baseline by Visit Over Time for All RVO Participants.Day 1 - Week 48
Full Analysis Set (Week 24 or 48) includes all randomized participants who received at least one treatment injection in the first 24/48 weeks and using all available post baseline measurements up to Week 24/48 or until the participant discontinues study treatment. Number analyzed by visit is equal to the number of participants who had data available at that respective visit.
micrometers (um)MEAN

Results by group322

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

OutcomeGroupCategoryValueSpreadUnits
Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in BRVO Participants.KSI-301 (Arm A)14.2Standard Error .81ETDRS Letters
Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in BRVO Participants.Aflibercept (Arm B)15.6Standard Error .79ETDRS Letters
Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in All RVO Patients.KSI-301 (Arm A)13.0Standard Error .83ETDRS Letters
Mean Change in Best Corrected Visual Acuity (BCVA) From Day 1 to Week 24 in All RVO Patients.Aflibercept (Arm B)15.5Standard Error .81ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.KSI-301 (Arm A)Week 17.7Standard Deviation 9.25ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.Aflibercept (Arm B)Week 17.9Standard Deviation 7.74ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.KSI-301 (Arm A)Week 48.9Standard Deviation 9.89ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.Aflibercept (Arm B)Week 411.2Standard Deviation 10.01ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.KSI-301 (Arm A)Week 811.4Standard Deviation 10.38ETDRS Letters
Mean Change From Baseline in BCVA (ETDRS Letters) by Visit Over Time up to Week 48 for All RVO Participants.Aflibercept (Arm B)Week 813.5Standard Deviation 9.78ETDRS Letters

Participant flow18

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

PeriodMilestoneGroupParticipantsUnits counted
Primary Study (Through Year 1)STARTEDKSI-301 (Arm A)284
Primary Study (Through Year 1)STARTEDAflibercept (Arm B)284
Primary Study (Through Year 1)Completed Treatment at Week 20KSI-301 (Arm A)270
Primary Study (Through Year 1)Completed Treatment at Week 20Aflibercept (Arm B)274
Primary Study (Through Year 1)Did Not Discontinue Treatment Before Week 24KSI-301 (Arm A)270
Primary Study (Through Year 1)Did Not Discontinue Treatment Before Week 24Aflibercept (Arm B)276
Primary Study (Through Year 1)Did Not Discontinue Study Before Week 24KSI-301 (Arm A)275
Primary Study (Through Year 1)Did Not Discontinue Study Before Week 24Aflibercept (Arm B)276
Primary Study (Through Year 1)COMPLETEDKSI-301 (Arm A)255
Primary Study (Through Year 1)COMPLETEDAflibercept (Arm B)255

Adverse events264

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConjunctival haemorrhage - Study eyeEye disordersKSI-301 (Arm A)2428427
otherConjunctival haemorrhage - Study eyeEye disordersAflibercept (Arm B)2228424
otherConjunctival haemorrhage - Study eyeEye disordersKSI-301 5mg Extension Phase84448
otherCOVID-19Infections and infestationsKSI-301 (Arm A)3028430
otherCOVID-19Infections and infestationsAflibercept (Arm B)2328423
otherCOVID-19Infections and infestationsKSI-301 5mg Extension Phase3244433
otherHypertensionVascular disordersKSI-301 (Arm A)3028431
otherHypertensionVascular disordersAflibercept (Arm B)2628428
otherHypertensionVascular disordersKSI-301 5mg Extension Phase1344413
seriousAtrial fibrillationCardiac disordersKSI-301 (Arm A)22843

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityKSI-301 (Arm A)3284
Total, all-cause mortalityAflibercept (Arm B)1284
Total, all-cause mortalityKSI-301 5mg Extension Phase2444
Total, other adverse eventsKSI-301 (Arm A)73284
Total, other adverse eventsAflibercept (Arm B)66284
Total, other adverse eventsKSI-301 5mg Extension Phase53444
Total, serious adverse eventsKSI-301 (Arm A)36284
Total, serious adverse eventsAflibercept (Arm B)23284
Total, serious adverse eventsKSI-301 5mg Extension Phase18444

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
42054088DERIVED

Source PubMed

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 comparisons0

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

None in this release.

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/NCT04592419

GET https://conductscience.org/api/trials/v1/NCT04592419/results?page=2