NCT07440225

Brief Summary

Researchers are looking for new ways to treat neovascular age-related macular degeneration (NVAMD). Available standard (usual) treatments for NVAMD, such as aflibercept, may not work for every person. Researchers want to learn if a trial medicine called tiespectus (also called MK-8748 or EYE201) can treat NVAMD. The goal of this trial is to learn if tiespectus works as well as aflibercept to treat NVAMD.

Trial Health

83
On Track

Trial Health Score

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

Enrollment
960

participants targeted

Target at P75+ for phase_2

Timeline
24mo left

Started Mar 2026

Geographic Reach
8 countries

91 active sites

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 Progress15%
Mar 2026Jun 2028

First Submitted

Initial submission to the registry

February 23, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 27, 2026

Completed
28 days until next milestone

Study Start

First participant enrolled

March 27, 2026

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2028

Last Updated

July 24, 2026

Status Verified

July 1, 2026

Enrollment Period

2.3 years

First QC Date

February 23, 2026

Last Update Submit

July 22, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean Change in Best-Corrected Visual Acuity (BCVA) [Early Treatment of Diabetic Retinopathy Study (ETDRS Letters)] From Baseline to Year 1

    Participants' BCVA in the study eye will be measured using the Early Treatment of Diabetic Retinopathy (ETDRS) methodology. The ETDRS letter score ranges from 0 to 100, with a higher score indicating better visual acuity. Mean change in ETDRS letters from baseline to Year 1 will be assessed.

    Baseline and Year 1

Secondary Outcomes (10)

  • Mean Change in BCVA (ETDRS Letters) From Baseline (Day 1) Over Time to Year 1

    Up to Year 1

  • Proportion of Participants Who Gain ≥5 ETDRS Letters at Year 1

    Year 1

  • Proportion of Participants Who Gain ≥10 ETDRS Letters at Year 1

    Year 1

  • Proportion of Participants Who Gain ≥15 ETDRS Letters at Year 1

    Year 1

  • Proportion of Participants Who Lose ≥5 ETDRS Letters at Year 1

    Year 1

  • +5 more secondary outcomes

Study Arms (3)

Tiespectus Low Dose

EXPERIMENTAL

Participants receive 3 initial administrations of tiespectus low dose every 4 weeks (Q4W), then continue to receive tiespectus low dose every 8 weeks (Q8W) until week 48. After week 48, participants will be treated at intervals determined based on individualized response to treatment, up to week 92.

Drug: Tiespectus

Tiespectus High Dose

EXPERIMENTAL

Participants receive 3 initial administrations of tiespectus high dose Q4W, then continue to receive tiespectus high dose Q8W until week 48. After week 48, participants will be treated at intervals determined based on individualized response to treatment, up to week 92

Drug: Tiespectus

Aflibercept 2 mg

ACTIVE COMPARATOR

Participants receive 3 initial administrations of aflibercept, then continue to receive aflibercept Q8W until week 92

Drug: Aflibercept

Interventions

Administered by intravitreal (IVT) injection

Also known as: EYE201, MK-8748
Tiespectus High DoseTiespectus Low Dose

Administered by intravitreal injection (IVT)

Also known as: Eylea®
Aflibercept 2 mg

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has treatment naive choroidal neovascularization (CNV) secondary to age-related macular degeneration (AMD) including subfoveal, juxtafoveal and extrafoveal lesions or retinal angiomatous proliferations (RAP) and polypoidal choroidal vascularization (PCV) lesions in at least one eye (study eye)
  • The diagnosis of neovascular age-related macular degeneration (NVAMD) must have been made within 21 days prior to starting study treatment

You may not qualify if:

  • Has uncontrolled blood pressure at screening
  • History of any prior macular laser photocoagulation in the study eye
  • History of uveitis in either eye
  • History of cataract surgery, minimally invasive glaucoma surgery, or Yttrium-Aluminium Garnet (Yag) laser capsulotomy in the study eye within 90 days before entering the study
  • Has uncontrolled glaucoma in the study eye
  • Active retinal disease other than the condition under investigation in the study eye
  • Has previously received anti- vascular endothelial growth factor (VEGF) therapy or other intravitreal (IVT) therapy in the study eye

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (91)

Research Network Arizona / Retina Macula Institute of Arizona

Scottsdale, Arizona, 85255, United States

RECRUITING

Retina Center of Arkansas

Fayetteville, Arkansas, 72703, United States

RECRUITING

Retina Partners of Northwest Arkansas, PLLC

Springdale, Arkansas, 72764, United States

RECRUITING

Global Research Management, Inc.

Glendale, California, 91204, United States

RECRUITING

Retinal Consultants Medical Group (Site 024)

Modesto, California, 95356, United States

RECRUITING

Retina Consultants of Southern California (Site 043)

Redlands, California, 92374, United States

RECRUITING

Retinal Consultants Medical Group (Site 020)

Sacramento, California, 95825, United States

RECRUITING

Retinal Consultants Medical Group (Site 022)

Sacramento, California, 95841, United States

RECRUITING

Florida Eye Clinic (Site 130)

Altamonte Springs, Florida, 32701, United States

RECRUITING

Retina Group of Florida (Site 070)

Fort Lauderdale, Florida, 33308, United States

RECRUITING

Vitreo Retinal Associates

Gainesville, Florida, 32607, United States

RECRUITING

Fort Lauderdale Eye Institute (Site 042)

Plantation, Florida, 33324, United States

RECRUITING

Retina Vitreous Associates of Florida (Site 049)

St. Petersburg, Florida, 33711, United States

RECRUITING

Southern Vitreoretinal Associates

Tallahassee, Florida, 32308, United States

RECRUITING

Retina Associates of Florida, LLC

Tampa, Florida, 33609, United States

RECRUITING

Retina Vitreous Associates of Florida

Tampa, Florida, 33617, United States

RECRUITING

Wildwood Clinical Research / Florida Retina Institute

Wildwood, Florida, 34785, United States

RECRUITING

Illinois Retina Associates

Oak Park, Illinois, 60304, United States

RECRUITING

Springfield Clinic

Springfield, Illinois, 62703, United States

RECRUITING

Associated Vitreoretinal and Uveitis Consultants

Carmel, Indiana, 46032, United States

RECRUITING

Cumberland Valley Retina Consultants (Site 007)

Hagerstown, Maryland, 21740, United States

RECRUITING

Foundation for Vision Research (Site 073)

Grand Rapids, Michigan, 49546, United States

RECRUITING

Mississippi Retina Associates (Site 084)

Madison, Mississippi, 39110, United States

RECRUITING

Mid Atlantic Retina

Cherry Hill, New Jersey, 08034, United States

RECRUITING

ong Island Vitreoretinal Consultants / Vitreoretinal Consultants of NY (Site 105)

Hauppauge, New York, 11788, United States

RECRUITING

Retina Vitreous Surgeons of CNY, PC (Site 033)

Liverpool, New York, 13088, United States

RECRUITING

Piedmont Retina Specialists - Winston-Salem

Winston-Salem, North Carolina, 27103, United States

RECRUITING

Cincinnati Eye Institute (Site 133)

Cincinnati, Ohio, 45242, United States

RECRUITING

Tulsa Retina Consultants

Tulsa, Oklahoma, 74114, United States

RECRUITING

Retina Northwest, PC

Portland, Oregon, 97221, United States

RECRUITING

EyeHealth Northwest

Portland, Oregon, 97225, United States

RECRUITING

Mid Atlantic Retina (Site 050)

Bethlehem, Pennsylvania, 18017, United States

RECRUITING

Palmetto Retina Center

Aiken, South Carolina, 29803, United States

RECRUITING

Charleston Neuroscience Institute - Bluffton (Site 124)

Bluffton, South Carolina, 29910, United States

RECRUITING

Charleston Neuroscience Institute (Site 104)

Charleston, South Carolina, 29414, United States

RECRUITING

Charleston Neuroscience Institute (CNI) d/b/a Retina Consultants of South Carolina

Mt. Pleasant, South Carolina, 29464, United States

RECRUITING

Charles Retina Institute

Germantown, Tennessee, 38138, United States

RECRUITING

Retina Research Institute of Texas (Site 010)

Abilene, Texas, 79606, United States

RECRUITING

Southwest Retina Specialists

Amarillo, Texas, 79106, United States

RECRUITING

Texas Retina Associates

Arlington, Texas, 76012, United States

RECRUITING

Austin Research Center for Retina

Austin, Texas, 78705, United States

RECRUITING

Austin Retina Associates (Site 012)

Austin, Texas, 78705, United States

RECRUITING

Retina & Vitreous of Texas

Bellaire, Texas, 77401, United States

RECRUITING

Texas Retina Associates

Dallas, Texas, 75231, United States

RECRUITING

Texas Retina (Site 037)

Plano, Texas, 75075, United States

RECRUITING

Retina Center of Texas

Southlake, Texas, 76092, United States

RECRUITING

Retina Consultants of Texas (Site 014)

The Woodlands, Texas, 77384, United States

RECRUITING

Strategic Clinical Research Group

Weatherford, Texas, 76087, United States

RECRUITING

Retina Associates of Utah

Salt Lake City, Utah, 84107, United States

RECRUITING

Piedmont Eye Center (Site 054)

Lynchburg, Virginia, 24502, United States

RECRUITING

Pacific Northwest Retina (Site 112)

Burlington, Washington, 98233, United States

RECRUITING

Spokane Eye Clinical Research (Site 075)

Spokane, Washington, 99204, United States

RECRUITING

Retina Consultants, PLLC

Charleston, West Virginia, 25301, United States

RECRUITING

Grupo Laser Vision (Rosario Eximer Laser Vision SA)

Rosario, Santa Fe Province, S2000DLA, Argentina

RECRUITING

Oftalmología Global (Centro Médico Oftalmología Global) (Site 304)

Rosario, Santa Fe Province, S2000DSK, Argentina

RECRUITING

Microcirugia Ocular Rosario (Site 310)

Rosario, Santa Fe Province, S2000TC, Argentina

RECRUITING

Centro de Ojos Quilmes

Buenos Aires, B1878KDF, Argentina

RECRUITING

Fundacion Jorge Zambrano para la investigación, diagnostivo y tratamiento de enfermedades oculares (Site 302)

Buenos Aires, C1023AAQ, Argentina

RECRUITING

RSresearch (Site 308)

Buenos Aires, C1033AAW, Argentina

RECRUITING

Instituto Oftalmologico de Buenos Aires SA (Site 306)

Buenos Aires, C1120AAN, Argentina

RECRUITING

Centro Oftalmologico Dr Charles y Asociados (Site 300)

Buenos Aires, C1121ABB, Argentina

RECRUITING

Centro de Ojos Loria SRL (Site 312)

Buenos Aires, CP1832, Argentina

RECRUITING

Centro Oftalmológico Dr. Zas

Buenos Aires, PC1023, Argentina

RECRUITING

Instituto Donato

Cdad. Autónoma de Buenos Aires, C1428, Argentina

RECRUITING

Instituto de Microcirugía Ocular Córdoba (IMOC S.R.L) (Site 305)

Córdoba, 5000, Argentina

RECRUITING

Centro Privado de Ojos Romagosa SA (Site 307)

Córdoba, X5000AAI, Argentina

RECRUITING

Centrovision Clinica Oftalmologica

Mendoza, 5500, Argentina

RECRUITING

Oftar Centro De Oftalmología en Mendoza

Mendoza, 5500, Argentina

RECRUITING

Centro de la Visión (Site 309)

Salta, A4400, Argentina

RECRUITING

Instituto Zeman Bardeci (Site 311)

Salta, A4400, Argentina

RECRUITING

Eye Clinic Albury Wodonga (Site 425)

Albury, 2640 NSW, Australia

RECRUITING

Marsden Eye Specialists (Site 420)

Parramatta, 2150, NSW, Australia

RECRUITING

Marsden Eye Specialists (Site 423)

Strathfield, 2135 NSW, Australia

RECRUITING

Sydney Eye Hospital (Site 426)

Sydney, 2000 NSW, Australia

RECRUITING

Sydney Retina Clinic and Day Surgery (Site 424)

Sydney, 2000, NSW, Australia

RECRUITING

Barzilai Medical Center

Ashkelon, 7830604, Israel

RECRUITING

Rambam Health Corporation (Site 706)

Haifa, 3109601, Israel

RECRUITING

Carmel Medical Center (Site 704)

Haifa, 3436212, Israel

RECRUITING

Hadassah Medical Center Opthalmology Department (Site 701)

Jerusalem, 9112001, Israel

RECRUITING

Rabin Medical Center (Site 700)

Petah Tikva, 49100, Israel

RECRUITING

Sheba Medical Center (Site 707)

Ramat Gan, 6265601, Israel

RECRUITING

Kaplan Medical Center Ophthalmology Department (Site 705)

Rehovot, 7661005, Israel

RECRUITING

Shamir Medical Center (Site 703)

Ẕerifin, 7033001, Israel

RECRUITING

P.Stradins clinical university hospital

Riga, LV1002, Latvia

RECRUITING

Clinica de Oftalmologia Barraquer

Barcelona, 08021, Spain

RECRUITING

University Hospital Basel, Eye Clinic

Basel, CH-4031, Switzerland

RECRUITING

Swiss Eye Institute and Berner Augenklinik

Bern, CH-3007, Switzerland

RECRUITING

Vista Augenklinik Binningen

Binnigen, CH-4102, Switzerland

RECRUITING

Stadtspital Zurich Triemli Forschungszentrum Augenklinik

Zurich, CH-8063, Switzerland

RECRUITING

University Hospitals of Leicester NHS Trust (Site 209)

Leicester, LE1 5WW, United Kingdom

RECRUITING

London North West University Healthcare NHS Trust (LNWH) (Site 201)

London, NW10 7NS, United Kingdom

RECRUITING

MeSH Terms

Conditions

Macular DegenerationChoroidal NeovascularizationWet Macular Degeneration

Interventions

aflibercept

Condition Hierarchy (Ancestors)

Retinal DegenerationRetinal DiseasesEye DiseasesChoroid DiseasesUveal DiseasesNeovascularization, PathologicMetaplasiaPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR

Central Study Contacts

Toll Free Number

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 23, 2026

First Posted

February 27, 2026

Study Start

March 27, 2026

Primary Completion (Estimated)

June 30, 2028

Study Completion (Estimated)

June 30, 2028

Last Updated

July 24, 2026

Record last verified: 2026-07

Locations