SNPMiner Trials: Clinical Trial Report
Report for Clinical Trial NCT03622593
 Developed by Shray Alag, 2019.
SNP Clinical Trial Gene 
      This study will evaluate the efficacy, safety, and pharmacokinetics of faricimab administered
      at 8-week intervals or as specified in the protocol following treatment initiation, compared
      with aflibercept once every 8 weeks (Q8W), in participants with diabetic macular edema (DME).
    
Name: Aflibercept
Description: Aflibercept will be administered by intravitreal (IVT) injection into the study eye once every 8 weeks (Q8W).Type: Drug
 C: Aflibercept Q8W  
Name: Faricimab
Description: Faricimab will be administered by IVT injection into the study eye either once every 8 weeks (Q8W) in arm A or as specified in the protocol in arm B.Type: Drug
 A: Faricimab Q8W  B: Faricimab As Specified in Protocol  
Name: Sham Procedure
Description: The sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It will be administered to participants in all three treatments arms at applicable visits to maintain masking among treatment arms.Type: Drug
 A: Faricimab Q8W  B: Faricimab As Specified in Protocol  C: Aflibercept Q8W 
  Primary Outcomes 
 Description: As measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
 Measure: Average Change From Baseline in Best-Corrected Visual Acuity (BCVA) at 1 Year
 Time: Baseline (Day 1) and 1 year
  Secondary Outcomes 
 Measure: Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at 1 Year
 Time: Baseline and 1 year
 Measure: Change From Baseline in BCVA Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Avoiding a Loss of ≥0 Letters in BCVA From Baseline Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants With a ≥2-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants With a ≥3-Step DRS Improvement From Baseline on the ETDRS DRSS Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants Gaining ≥15 Letters or Achieving BCVA of ≥84 Letters Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants Who Develop New Proliferative Diabetic Retinopathy Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year
 Time: 1 year
 Measure: Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years
 Time: 2 years
 Measure: Change From Baseline in Central Subfield Thickness (CST) Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants with Absence of DME Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants with Absence of Intraretinal Fluid Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants with Absence of Subretinal Fluid Over Time
 Time: Up to 2 years
 Measure: Percentage of Participants with Absence of Intraretinal Fluid and Subretinal Fluid Over Time
 Time: Up to 2 years
 Measure: Change From Baseline in National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) Composite Score Over Time
 Time: From Baseline up to 2 years
 Measure: Percentage of Participants With Ocular Adverse Events
 Time: Up to 2 years
 Measure: Percentage of Participants With Non-Ocular Adverse Events
 Time: Up to 2 years
 Measure: Plasma Concentration of Faricimab Over Time
 Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)
 Measure: Percentage of Participants With Presence of Anti-Drug Antibodies
 Time: Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)
Purpose: Treatment
Allocation: Randomized
Parallel Assignment 
There are 2 SNPs
SNPs
1 Q12W 
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year. --- Q12W --- 
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years. --- Q12W --- 
2 Q16W 
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 1 Year. --- Q12W ---  --- Q16W --- 
Percentage of Participants in the Faricimab As Specified in Protocol Arm on a Q4W, Q8W, Q12W, or Q16W Treatment Interval at 2 Years. --- Q12W ---  --- Q16W --- 
HPO Nodes
HPO:Anasarca 
Genes 3
UBR1  PLVAP  PMM2   hr>Cystoid macular edema 
Genes 14
MFRP  HLA-A  RLBP1  PRPF8  RDH5  POMGNT1  REEP6  PRPH2  DHDDS  ARHGEF18  ARL3  RHO  PDE6G  NOD2   hr>Edema 
Genes 364
EPHB4  IL10  MKKS  CFH  PIGN  HFE  MYD88  UBR1  IL12A  PRPF31  HGD  PRSS1  TREX1  IBA57  ERBB3  RELN  TMPRSS15  SLC29A3  LZTR1  ERCC5  PRTN3  PLVAP  DIS3L2  ATP7B  PDE6G  HLA-A  ACADM  HLA-B  SPINK1  KIF1A  MYO1E  ACAT1  ERAP1  INHBA  LEMD3  HLA-DPA1  HLA-DPB1  IFT172  SMC1A  HLA-DRB1  PIEZO1  INPPL1  SPTA1  SPTB  B2M  ACTA1  KIAA0586  ACTB  NAGA  PSMB4  HDAC8  GATA1  COQ8B  GATA2  PSMB9  CD55  GBA  ACTG1  GBE1  SOX18  DHDDS  PTPN22  TSC1  ACTN4  BCKDHA  TSC2  BCKDHB  CCND1  HMGCL  CD46  BCL2  KLHL41  KCTD1  PSPH  BCL6  DBT  RRAS  GPR101  NEB  PTEN  MFRP  COQ2  ADA  TRIP13  TRIP11  LYST  NEK9  KLRC4  ZNHIT3  CHRNA1  F12  PTH1R  MRPS22  MEFV  PHGDH  NLRC4  NDUFS4  RYR1  STAT4  CHRND  CHRNG  HELLPAR  NOD2  SLC35D1  BSND  TMEM260  CCN6  CDAN1  PTPN2  NEK1  BMPR1A  NPHS2  PTPN11  NEU1  PTPN14  ANTXR2  OTULIN  PLAA  GLA  PIGA  BRAF  CLCNKA  CLCNKB  FIG4  PTPRO  REEP6  PIK3CA  POMP  GLE1  SGPL1  HPGD  DHCR7  RIN2  SUMF1  SCN4A  MIF  A2ML1  BUB1  FECH  BUB1B  AHCY  PKLR  ALPK3  WDR35  FGA  KIAA1109  FGB  PEX2  SERPING1  PEX5  ANTXR1  KCNQ2  KMT2A  ALG8  CCR1  AKT1  C4A  RBM8A  FGFR3  IFT80  GNAQ  BMPER  PLD1  FGG  CAMTA1  PRKAG2  UROS  MAPRE2  KIT  TALDO1  LTBP4  NIPBL  DNASE1L3  NAXE  FOXG1  NR1H4  IL23R  ALG1  KIF11  IGSF3  DNMT1  COL1A1  SPINK5  PMM2  RAD21  COL1A2  FOXC2  MPI  COL2A1  VEGFC  NPHS1  KRAS  RAF1  RAG1  KRT2  RAG2  FLNB  TCF4  RANBP2  COL8A2  FAT4  NR2E3  PDSS2  FLT4  KRT13  COL11A1  ZEB1  NRAS  ATN1  FN1  TAPT1  RASA2  WDR34  NUP107  SLC25A4  ADAMTS3  ADAMTS2  NRL  RB1  CLIP2  DSP  DYNC2H1  GPR35  SLC26A2  ACAD9  KLHL40  SMCHD1  RRM2B  POLG  WNT7A  GNPTAB  TPRKB  TUBB  LAMA2  IKBKG  AGGF1  BAZ1B  RDH5  WDR60  POMGNT1  LAMB2  PRPH2  ARHGEF18  CASP10  ABCC9  TWNK  MRPS16  GJC2  APOA1  SAMHD1  CHD7  DUX4  OCRL  AIP  CPN1  LBR  APOE  OSGEP  CPS1  RFC2  GTF2IRD1  GPC6  PRPF8  CFI  TEK  FAS  CBL  FASLG  CTSA  ANKRD55  ANKH  SLC40A1  SHANK3  ABCC6  NLRP3  RHO  KIF7  RIT1  RLBP1  GRIP1  MST1  SLC17A5  RMRP  FRMD4A  LMOD3  ARHGDIA  USP8  RASGRP1  LIG4  LIMK1  OTC  VAC14  ARL3  CD247  CCDC88A  GTF2I  EGFR  IGH  KLF1  DCLRE1C  SMC3  LACC1  SETD5  LMX1B  ASAH1  IL12A-AS1  CD28  GUSB  CCBE1  PRF1  SLCO2A1  ASL  FRG1  GYPC  BTNL2  SLC25A13  ALG9  SCARB2  EBP  NAXD  TLR4  FSHR  ASS1  LPIN2  CHEK2  PRKAR1A  PRKCD  UBAC2  SMS  PAX2  RP9  CTLA4  ELN  HADHA  HADHB  TNFRSF1A  TNFRSF1B  HBA1  BUB3  HBA2  POLG2  KAT6B  MAP2K1  IL1RN  LYZ  MAP2K2  CDC42  CEP57  ENG  IL2RA  IL2RB  IL2RG  TBL2  CDH11  IL6  EPB41  TP53  MVK  IL7R  SMAD4  CDK5  PLCE1  SOS1  SOS2   hr>Macular edema 
Genes 19
MFRP  HLA-A  RLBP1  PRPF8  NRL  RDH5  POMGNT1  PRPF31  REEP6  PRPH2  DHDDS  ARHGEF18  TREX1  NR2E3  ARL3  RP9  RHO  PDE6G  NOD2   hr>