NCT06875245

Brief Summary

This is a prospective, randomized study that compares 8-week and 12-week follow-up intervals after the 4 monthly injections in the loading phase. Patients with active CNV confirmed on optical coherence tomography (OCT) and OCT angiography (OCTA) will be randomized into two groups and followed for 44 to 56 weeks. Patients in the first group will receive 4 injections of faricimab every 4 weeks, with the next visit and injection after 8 weeks, followed by a treat-and-extend regimen with a minimal interval of 8 weeks and a maximal interval of 16 weeks. Patients in the second group will also receive 4 loading doses with the next visit after an extended 12-week interval. Following treatment, patients in this group will be on the same treat-and-extend regimen as patients in the first group. The study will compare best corrected visual acuity (BCVA), central retinal thickness (CRT) on OCT, and the number of injections between both groups.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Mar 2023

Typical duration for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 31, 2023

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

October 30, 2023

Completed
1.4 years until next milestone

First Posted

Study publicly available on registry

March 13, 2025

Completed
19 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2026

Completed
Last Updated

March 13, 2025

Status Verified

March 1, 2025

Enrollment Period

2 years

First QC Date

October 30, 2023

Last Update Submit

March 10, 2025

Conditions

Keywords

retinaamdfaricimabmacula

Outcome Measures

Primary Outcomes (2)

  • Change in CRT

    Change in central subfield thickness (CST) over time as measured by SD-OCT

    from baseline up to 56 weeks

  • Patients with intraretinal or subretinal fluid or serous pigment epithelium detachment after loading

    Number of patients with subretinal, intraretinal fluid or pigment epithelium detachment (PED) at week 20 (Group 1) or week 24 (Group 2)

    From baseline to week 20 (Group 1) or week 24 (Group 2)

Secondary Outcomes (4)

  • Change from baseline in BCVA

    From baseline up to 56 weeks

  • Presence of fluid

    From baseline up to 56 weeks

  • Number of injections

    From baseline up to 56 weeks

  • Treatment interval

    From baseline up to 56 weeks

Study Arms (2)

Group 1, 8-Week

EXPERIMENTAL

Patients in the first group will receive 4 injections of faricimab every 4 weeks, with the next visit and injection after 8 weeks (Week 20 Visit), followed by a treat-and-extend regimen with a minimal interval of 8 weeks and a maximal interval of 16 weeks.

Drug: Faricimab Injection

Group 2, 12-Week

EXPERIMENTAL

Patients in the second group will also receive 4 loading doses with the next visit after an extended 12-week interval (Week 24 Visit). Following treatment, patients in this group will be on the same treat-and-extend regimen as patients in the first group.

Drug: Faricimab Injection

Interventions

Intravitreal Injection

Group 1, 8-WeekGroup 2, 12-Week

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Active treatment naïve CNV (Type 1, Type 2, or Type 3) in the macula including fovea diagnosed on OCT and OCTA
  • BCVA between 70 to 35 ETDRS letters (approx. 20/40 to 20/200 Snellen equivalent) decrease in BCVA caused primarily by the CNV in the study eye
  • presence of intra- or subretinal fluid or PED in the central 1 mm of the macula on the OCT
  • patient capable of signing the informed consent

You may not qualify if:

  • Myocardial Infarction or Stroke in the last 3 months
  • Previous or current conditions of the study eye:
  • subretinal haemorrhage comprising more than 25% of the lesion in the study eye
  • scar or fibrosis comprising more than 50% of the lesion in the study eye
  • presence of retinal pigment epithelium (RPE) tears or ruptures in the central 1 mm of the macula in the study eye
  • total lesion size more than 8 papillary diameters (PD) as per OCT and FP examination
  • uncontrolled glaucoma in the study eye defined as IOP of more than 25 mmHg despite the antiglaucoma treatment
  • idiopathic or autoimmune uveitis in the study eye
  • other pathologies in the macula of the study eye unrelated to AMD which can be expected to influence the BCVA (e.g. macular hole, epiretinal membrane, etc.)
  • k. significant opacities of the ocular media in the study eye including cataract, which can interfere with BCVA assessment or OCT examination
  • n. diabetic retinopathy, diabetic macular edema or any other retinal vascular disease in the study eye
  • o. extraocular or periocular infection or inflammation (e.g. blepharitis, keratitis, conjunctivitis, scleritis, etc.) in any eye at the time of screening or baseline visit
  • p. any intraocular infection or inflammation in any eye during 12 weeks (84 days) before the screening visit
  • q. allergy or hypersensitivity to any component contained in the study drug
  • r. pregnant or breastfeeding women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Ophthalmology, Faculty hospital Kralovske Vinohrady

Prague, 100 34, Czechia

RECRUITING

MeSH Terms

Conditions

Glycogen Storage Disease Type II

Interventions

faricimab

Condition Hierarchy (Ancestors)

Lysosomal Storage Diseases, Nervous SystemBrain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMetabolism, Inborn ErrorsGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGlycogen Storage DiseaseCarbohydrate Metabolism, Inborn ErrorsLysosomal Storage DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Martin Pencak, MD

    +420 267 16 3637

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Investigator

Study Record Dates

First Submitted

October 30, 2023

First Posted

March 13, 2025

Study Start

March 31, 2023

Primary Completion

April 1, 2025

Study Completion

April 1, 2026

Last Updated

March 13, 2025

Record last verified: 2025-03

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