Clinical Study to Evaluate Treatment With ORACEA® for Geographic Atrophy (TOGA)

Purpose

This is a prospective, randomized study to evaluate the efficacy and safety of ORACEA® in the treatment of geographic atrophy due to dry age-related macular degeneration (AMD).

Condition

  • Geographic Atrophy

Eligibility

Eligible Ages
Over 55 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Male or female, age >/=55 years - Best corrected visual acuity of 20/20 - 20/400 in the study eye - Best corrected visual acuity of hand motion or better in the non-study eye - Clinical diagnosis of geographic atrophy secondary to non-exudative age-related macular degeneration in at least one eye (study eye) - Geographic atrophy lesions of ≥ 0.5 and ≤ 7.0 MPS disc areas

Exclusion Criteria

  • History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the study eye - History of or active presence of choroidal neovascularization secondary to exudative age-related macular degeneration in the non-study eye requiring any treatment within 12 months prior to Day 0 or expected to require treatment for the duration of the study - Prior treatment for non-exudative age-related macular degeneration - Current or previous history of treatment of the study eye with any tetracycline derivative for any ocular condition. - History of vitreoretinal surgery, corneal transplant, or laser photocoagulation in the study eye - Any intraocular or periocular surgery within 90 days prior to Day 0 in the study eye. - History of any hypersensitivity to tetracycline components - Use of a tetracycline derivative therapy for a concurrent systemic or ocular disorder within 90 days of Day 0 - History of sensitivity to the sun

Study Design

Phase
Phase 2/Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
ORACEA®
40mg doxycycline
  • Drug: ORACEA®
    ORACEA® (40mg doxycycline) capsule daily for 24 months
Placebo Comparator
Placebo
  • Drug: Placebo
    Placebo capsule daily for 24 months

Recruiting Locations

More Details

NCT ID
NCT01782989
Status
Completed
Sponsor
Paul Yates, MD, PhD

Detailed Description

Eligible participants will complete a 6-month Observation Phase, followed by a 24-month Treatment Phase, followed by an End of Study Visit. Eligible participants will be randomized at Month 6 in a 1:1 ratio to either ORACEA (40 mg doxycycline) or placebo capsule to be taken once-daily for 24 months. Over the course of the 31-month study, a total of 9 clinic visits and 3 telephone calls are required.