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临床试验/NCT07064759
NCT07064759招募中3 期

A Phase 3, Randomized, Double-Masked, Active-Controlled Trial of a Single Intravitreal Injection of 4D-150 in Adults With Macular Neovascularization Secondary to Age-Related Macular Degeneration

4D Molecular Therapeutics95 个研究点 分布在 11 个国家目标入组 480 人开始时间: 2025年7月22日最近更新:
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
480
试验地点
95
主要终点
Mean change from baseline in Best Corrected Visual Accuity (BCVA) Early Treatment for Diabetic Retinopathy (ETDRS) letter score at Week 52

研究概览

简要总结

A Phase 3, Randomized, Double-Masked, Active-Controlled Trial in Adults with Macular Neovascularization Secondary to Age-Related Macular Degeneration

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
50 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ≥50 years of age at time of consent
  • MNV secondary to nAMD with IVT anti-VEGF treatment history in the study eye, defined as EITHER:
  • Treatment naïve, i.e. no prior IVT anti-VEGF therapy OR
  • Previously treated with no more than 4 IVT anti-VEGF injections due to nAMD and received diagnosis of nAMD no more than 6 months prior to the Screening Visit AND documented evidence of anatomical improvement and visual stability/improvement in response to previous IVT anti-VEGF treatment, as determined by the Investigator
  • Active subfoveal MNV or juxtafoveal/ extrafoveal MNV with a subfoveal component (where activity is defined as evidence of SRF, IRF, subretinal hyperreflective material, or leakage) identified by fluorescein angiography (FA) or spectral domain optical coherence tomography (SD-OCT) , in the study eye, at the Screening Visit confirmed by the Reading Center
  • Demonstrated clinical response to aflibercept and functional stability in the study eye as confirmed by the Reading Center
  • BCVA between 25 and 78 ETDRS letters, inclusive (20/320-20/32 Snellen equivalent) in the study eye at the Screening Visit
  • CST less than or equal to 500 microns in the study eye at screening visit, confirmed by the central reading center

排除标准

  • Ocular Conditions:
  • MNV due to causes other than nAMD in either eye (Fibrosis, atrophy, or subretinal hemorrhage in the foveal central subfield (1 mm diameter)
  • History of retinal detachment in the study eye
  • History of or presence of active inflammation in either eye
  • Glaucoma or intraocular hypertension requiring more than 2 topical medications for control
  • Ocular Treatments/Interventions:
  • Any prior or concomitant treatment for MNV or vitreomacular-interface abnormalities, other than allowed prior IVT anti-VEGF in the study eye
  • Systemic Conditions and Considerations:
  • Major illness or major surgical procedure in the 28 days prior to the Screening Visit
  • Uncontrolled blood pressure
  • Acute coronary syndrome, myocardial infarction or coronary artery revascularization, cerebrovascular accident, transient ischemic attack within 6 months of the Screening Visit
  • History of autoimmune condition that may predispose to the development of uveitis

研究组 & 干预措施

4D-150 IVT (3E10 vg/eye)

Experimental

干预措施: 4D-150 IVT (3E10 vg/eye) (Biological)

Aflibercept (AFLB) 2 mg IVT

Active Comparator

干预措施: EYLEA® (aflibercept) Injection 2 mg (0.05mL) (Biological)

结局指标

主要结局

Mean change from baseline in Best Corrected Visual Accuity (BCVA) Early Treatment for Diabetic Retinopathy (ETDRS) letter score at Week 52

时间窗: 52 Weeks

次要结局

  • Mean annualized number of aflibercept injections after Week 4 through Weeks 52 and 104(104 Weeks)
  • Incidence and timing of aflibercept injections after Week 4 through Weeks 52 and 104(104 Weeks)
  • Proportion of subjects not requiring aflibercept injections after Week 4 through Weeks 52 and 104 in the 4D-150 arm(104 Weeks)
  • Mean change from baseline in BCVA ETDRS letter score over time through Weeks 52 and 104(104 Weeks)
  • Mean annualized number of aflibercept injections after Week 4 through Weeks 52 and 104(104 Weeks)
  • Incidence and timing of aflibercept injections after Week 4 through Weeks 52 and 104(104 Weeks)
  • Proportion of subjects not requiring aflibercept injections after Week 4 through Weeks 52 and 104 in the 4D-150 arm(104 Weeks)
  • Mean change from baseline in Central Subfield Thickness (CST) over time through Weeks 52 and 104(104 Weeks)
  • Mean change from baseline in BCVA ETDRS letter score over time through Weeks 52 and 104(104 Weeks)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (95)

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