A Non-Interventional Study Observing Short-Term Progression in Geographic Atrophy (GA)
Pre-GAIN
1 other identifier
observational
75
2 countries
9
Brief Summary
This is a non-interventional, observational study to provide insights into the short-term progression of GA secondary to AMD in participants aged ≥55 years. This is a multi-center, non-interventional, observational study which aims to identify participants who have progressive GA to allow quantification of structural and functional parameters that characterize the progression of GA, and to investigate whether these correlate with genetic or lifestyle factors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2025
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 30, 2025
CompletedFirst Submitted
Initial submission to the registry
August 20, 2025
CompletedFirst Posted
Study publicly available on registry
August 27, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 30, 2027
May 4, 2026
May 1, 2026
1.7 years
August 20, 2025
May 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Short-term GA Progression
To quantify the structural and functional parameters of short-term progression of geographic atrophy (GA) through clinical evaluation and investigations
Baseline, Month 3, Month 6
Secondary Outcomes (1)
Further exploration of GA progression
Baseline, Month 3, Month 6
Eligibility Criteria
Male or female participants, aged ≥55 years, with GA secondary to AMD are considered the appropriate population. This represents the lower end of the age range for the population with GA secondary to AMD with appropriately advanced disease to enable the measurement of disease progression. Participants with bilateral GA are selected to minimize the risk of developing neovascular (wet) AMD during the study and to allow the collection of data and potential comparison of progression for 2 eyes for each participant.
You may qualify if:
- Participants must be aged ≥55 years, at the time of signing the informed consent at the screening visit.
- Participants with bilateral GA secondary to AMD as confirmed by the Central Reading Center using FAF and/or OCT images with at least 1 eye having a total GA lesion area must be between 1.25 mm2 and 17.5 mm2 inclusive, determined by FAF images taken at the screening visit.
- Best-corrected visual acuity (BCVA) in both eyes should be sufficient to ensure navigational vision (defined as 20/400 or better for purposes of this study).
- BCVA between 20 and 75 letters and LLVA\>0 letters using an ETDRS chart.
- Mean retinal sensitivity as measured by microperimetry using the study grid must be equal to or greater than 5 dB.
- Able and willing to provide signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol, and in the opinion of the investigator, is able to perform all study assessments.
You may not qualify if:
- Macular atrophy secondary to any condition other than AMD in the study eye.
- Any pathology of the macula other than GA secondary to AMD and other changes consistent with early, intermediate or atrophic AMD in the study eye.
- Evidence of prior or current Choroidal Neovascularization (CNV), also known as wet-AMD, in either eye.
- Atrophic retinal disease of causality other than AMD including monogenetic macular dystrophies (incorporating pattern dystrophy), myopia-related maculopathy and Stargardt disease in the study eye.
- A history of vitrectomy in the study eye.
- Any prior treatment for AMD or any prior intravitreal treatment for any indication in the study eye, except oral supplements of vitamins and minerals such as the age-related eye disease study (AREDS) formula.
- Any intraocular surgery (except cataract surgery within 6 months of enrollment) or thermal laser within 3 months of screening, or any ophthalmic condition that may require surgery during the study.
- Any macular laser, macular surgery or retinal surgery at any time point in the study eye.
- Any ocular or periocular infection in the 12 weeks prior to screening.
- History of uveitis or endophthalmitis in either eye.
- Any sign of diabetic retinopathy in either eye, or HbA1c \>8, in the 12 months prior to enrollment.
- High myopia or hyperopia (≥6 diopter) in the study eye.
- Uncontrolled IOP measurement of ≥25 mmHg for \>1 month despite being on 2 or more ocular hypotensive agents, or IOP \>21 mm Hg in the presence of C/D asymmetry of \>0.3 per the reading center; or glaucomatous damage to the optic nerve or visual field.
- Any ophthalmologic condition that reduces the clarity of the media and that, in the opinion of the investigator interferes with ophthalmologic examination (e.g., cataract or corneal abnormalities) either at the time of enrollment or during the 2-year post dosing follow-up period; or prevents adequate imaging of the retina judged by the site or CRC.
- Aphakia or absence of the posterior capsule. Previous violation of the posterior capsule is also excluded unless it occurred as a result of yttrium aluminum garnet (YAG) laser posterior capsulotomy in association with prior posterior chamber intraocular lens implantation and at least 60 days prior to baseline.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Northern California Retina Vitreous Associates Medical Group
Mountain View, California, 94040, United States
Midwest Eye Institute
Carmel, Indiana, 46032, United States
Sierra Eye Associates
Reno, Nevada, 89502, United States
Mid Atlantic Retina
Bethlehem, Pennsylvania, 18017, United States
Retina Foundation of the Southwest
Dallas, Texas, 75231, United States
Gundersen Health System
La Crosse, Wisconsin, 54601, United States
Gloucestershire Royal Hospital
Gloucester, Gloucester, GL1 3NN, United Kingdom
Moorfields Eye Hospital
London, London, EC1V 2PD, United Kingdom
The Retina Clinic London
London, W1G 7LB, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2025
First Posted
August 27, 2025
Study Start
July 30, 2025
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
June 30, 2027
Last Updated
May 4, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share