A Study to Learn How Avacincaptad Pegol (Izervay™) is Used in Clinical Practice in People Who Have Geographic Atrophy

Recruiting

• Conditions: Geographic Atrophy; Macular Degeneration
• Interventions: Drug: Avacincaptad pegol (ACP)

• Registration Number: NCT06779773
• Lead Sponsor: Astellas Pharma Global Development, Inc.

Brief Summary

This study is for people who have geographic atrophy due to age-related macular degeneration (AMD). AMD happens when the macula, the light-sensitive layer at the back of the eye called the retina, becomes damaged and causes a person's central vision to worsen. Geographic atrophy is an advanced form of AMD where cells in the retina waste away and die. Over time this can lead to permanent loss of vision.

Avacincaptad pegol can help slow down the worsening or progression of geographic atrophy. Avacincaptad pegol is a treatment approved in the US to treat geographic atrophy.

This study is about collecting information on how people with geographic atrophy are treated in routine clinical practice. This includes recording any medical problems from avacincaptad pegol. This is known as an observational study. Information will be collected from the peoples' medical records during and after treatment. The people in this study will have geographic atrophy in 1 or both eyes and they and their doctor has decided they will be treated with avacincaptad pegol. The individual's doctor decides on treatment, not the study sponsor (Astellas).

People that want to take part in the study will have eye examinations that they would usually have as part of their routine care. People will also be asked to complete surveys about their eye health. These surveys will occur when treatment starts and then every 6 months for the first 2 years. After 2 years the surveys will happen once a year. The people on the study can take part if their doctor provides treatment with avacincaptad pegol and they want to continue with the study. The people on the study can take part for up to 3 years or up to 5 years, depending on when they start the study.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-12-16
• Study First Submitted QC: 2025-01-13
• Study First Posted: 2025-01-17
• Study Start: 2025-01-22
• Status Verified: 2025-06
• Last Update Submitted: 2025-07-01
• Last Update Posted: 2025-07-03
• Primary Completion: 2030-01-31
• Study Completion: 2030-01-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 1000

Inclusion Criteria

• Patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 or both eyes
• Patient with a decision to treat with intravitreal avacincaptad pegol (ACP) prior to enrollment
• Patient willingness to complete the patient reported outcome (PRO).

Exclusion Criteria

• Patients who have any contraindication or are not eligible for treatment with ACP, including the following:

  • Active ocular or peri-ocular infection in either eye
  • Active, suspected intraocular inflammation in either eye at enrollment/baseline visit
  • Hypersensitive to ACP or to any ingredient in the formulation

• Patients currently participating in an investigational program with interventions outside of routine clinical practice.

• Patients who have received ACP in the study eye. Note: Patients who have received or are receiving ACP in the fellow eye are eligible to be included in the study.

• Patients who have received any intravitreal complement inhibitor other than ACP in either eye. Note: Patients who have received an intravitreal complement inhibitor other than ACP in either eye and have completed the 90-day washout period are eligible to be included in the study.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Izervay	Avacincaptad pegol (ACP)	Patients with geographic atrophy (GA) secondary to AMD who have made decision to begin treatment with Izervay

Primary Outcome Measures

Name	Time	Method
Number of ACP injections	Up to 61 Months	The number of ACP injections.
Dose of ACP injection	Up to 61 Months	The dose of each ACP injection.
Duration of treatment	Up to 61 Months	The duration of treatment will be calculated as the difference between the date of the last injection and the date of the first injection plus 31 days (as the next injection would be expected at least 30 days after the last one).
Annual frequency of ACP injection	Up to 61 Months	The annual frequency of ACP injections will be calculated as the total number of injections divided by the treatment duration in years.
Reasons for discontinuation of treatment with ACP	Up to 61 Months	The reasons for discontinuation of treatment with ACP will be recorded.
Duration of the treatment interval	Up to 61 Months	The treatment interval is defined as mean number of days between injections, if a study eye receives more than 1 injection.
Site characteristics	Day 1	Characteristics of interest will be recorded including the type of setting (e.g., public/private facility, rural/urban).
Characteristics of patients with geographic atrophy (GA) secondary to AMD beginning treatment with Izervay	Day 1	Characteristics of interest will be recorded.

Secondary Outcome Measures

Name	Time	Method
Number of participants with Adverse Events (AEs)	Up to 61 Months	An AE is defined as any untoward medical occurrence in a participant administered a study drug, and which does not necessarily have to have a causal relationship with this treatment.; An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product whether or not considered related to the medicinal (investigational) product.
Number of participants with Serious Adverse Events (SAEs)	Up to 61 Months	An SAE is defined as an AE that results in death, is life-threatening, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization or other medically important events.
Number of participants with Treatment Emergent Adverse Events (TEAEs)	Up to 61 Months	TEAE is defined an AE observed after starting administration of the study drug and will continue until 30 days after the last administration or until last study visit, whichever is sooner.
Number of participants with Adverse Event of Special Interest (AESI)	Up to 61 Months	AESIs are defined as the following AEs: * Endophthalmitis; * choroidal neovascularization (CNV); * Intraocular inflammation (including retinal vasculitis); * Increased intraocular pressure (IOP) ≥ 30 mmHg at 30 minutes post injection deemed clinically significant by the investigator; * Elevation of IOP post injection requiring surgical/procedural intervention; * Ischemic optic neuropathy
Number of Participants maintaining vision	Up to 61 Months	Maintaining vision is defined as not losing ≥ 15 letters on Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
Time to vision loss using various thresholds	Up to 61 Months	Time to vision loss is defined as the difference between the date when vision loss was reported for the first time and the start date of treatment.
Time to thresholds associated with ability to drive	Up to 61 Months	Time to thresholds associated with the ability to drive will be based on visual acuity data captured as per standard of care.
Participant's reading speed	Up to 61 Months	Reading speed will be captured as per standard of care and in the method determined by the investigator.

Trial Locations

Locations (33)

Retina Specialists; 🇺🇸 Towson, Maryland, United States

Retina Consultants of Minnesota PLLC; 🇺🇸 Saint Louis Park, Minnesota, United States

NY Retina Ophthalmology PLLC; 🇺🇸 Massapequa, New York, United States

North Carolina Retina Associates; 🇺🇸 Wake Forest, North Carolina, United States

Erie Retina Research; 🇺🇸 Erie, Pennsylvania, United States

Retina Research Institute of Texas; 🇺🇸 Abilene, Texas, United States

Retina Associates of Utah, P.C.; 🇺🇸 Murray, Utah, United States

Retinal Consultants of AZ; 🇺🇸 Phoenix, Arizona, United States

Retina Macula Institute of Arizona; 🇺🇸 Scottsdale, Arizona, United States

Harvard Eye Associates; 🇺🇸 Laguna Hills, California, United States

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