NCT07496567

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

77
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
26mo left

Started Apr 2026

Geographic Reach
1 country

9 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 Progress7%
Apr 2026Jul 2028

First Submitted

Initial submission to the registry

March 23, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 27, 2026

Completed
19 days until next milestone

Study Start

First participant enrolled

April 15, 2026

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2028

Last Updated

May 4, 2026

Status Verified

April 1, 2026

Enrollment Period

2.3 years

First QC Date

March 23, 2026

Last Update Submit

April 30, 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 8weeks (Q8W) until week 48. After week48, 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 week48. 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 (IVT) injection

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 (9)

Northern California Retina Vitreous Associates Medical Group, Inc.

Mountain View, California, 94040, United States

RECRUITING

University Retina & Macula Associates, P.C.

Lemont, Illinois, 60439, United States

RECRUITING

Mid Atlantic Retina Specialists

Hagerstown, Maryland, 21740, United States

RECRUITING

Retina Consultants of Minnesota

Edina, Minnesota, 55435, United States

RECRUITING

Envision Ocular, LLC

Bloomfield, New Jersey, 07003, United States

RECRUITING

Erie Retina Research

Erie, Pennsylvania, 16505, United States

RECRUITING

Charleston Neuroscience Institute

Ladson, South Carolina, 29456, United States

RECRUITING

Retina Consultants of Texas

Bellaire, Texas, 77401, United States

RECRUITING

Pacific Northwest Retina

Bellevue, Washington, 98004, United States

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

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

March 23, 2026

First Posted

March 27, 2026

Study Start

April 15, 2026

Primary Completion (Estimated)

July 31, 2028

Study Completion (Estimated)

July 31, 2028

Last Updated

May 4, 2026

Record last verified: 2026-04

Locations