4D-150 for Age-Related Macular Degeneration
Palo Alto (17 mi)Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Phase 1 & 2
Recruiting
Sponsor: 4D Molecular Therapeutics
No Placebo Group
Breakthrough Therapy
Trial Summary
What is the purpose of this trial?Phase 1/2 dose-escalation and randomized, controlled, masked expansion trial in adults with wet AMD undergoing active anti-VEGF treatment
Is the drug 4D-150 IVT, also known as Aflibercept IVT, a promising treatment for Age-Related Macular Degeneration?Yes, the drug Aflibercept IVT shows promise as a treatment for Age-Related Macular Degeneration. Research indicates that it can improve vision and reduce fluid in the eye, which are positive outcomes for patients with this condition.13456
What safety data is available for 4D-150 in treating age-related macular degeneration?The safety data for 4D-150, also known as ziv-aflibercept or aflibercept (Eylea), includes several studies. One study on a patient with exudative age-related macular degeneration reported no adverse events after intravitreal injection of ziv-aflibercept, indicating short-term safety. Another study on diabetic macular edema evaluated the safety of ziv-aflibercept over 48 weeks. Additionally, a study on aflibercept for retinitis pigmentosa-associated cystoid macular oedema assessed safety over 12 months. A one-year study on aflibercept for neovascular age-related macular degeneration also contributes to the safety profile. Overall, these studies suggest a favorable safety profile for intravitreal administration of ziv-aflibercept and aflibercept in related conditions.12356
What data supports the idea that 4D-150 for Age-Related Macular Degeneration is an effective drug?The available research shows that 4D-150, also known as aflibercept or ziv-aflibercept, is effective for treating Age-Related Macular Degeneration. One study reported that patients experienced improvements in vision and a reduction in fluid in the eye after receiving the drug. Another study found that ziv-aflibercept was effective for patients who did not respond to other treatments like bevacizumab and ranibizumab. These studies indicate that 4D-150 can improve vision and is a good option for those who haven't had success with other treatments.12345
Do I have to stop taking my current medications for the trial?The trial does not specify if you need to stop taking your current medications. However, you must be currently receiving anti-VEGF treatment in the study eye to participate.
Eligibility Criteria
This trial is for adults over 50 with wet Age-Related Macular Degeneration (AMD) who have been treated with at least 6 anti-VEGF injections in the past year and shown improvement. They should have a certain level of vision, not worse than ~20/320. Those with central fovea damage, history of uveitis, or previous specific eye treatments are excluded.Inclusion Criteria
I am 50 years old or older.
I have been diagnosed with wet AMD.
Exclusion Criteria
I have had photodynamic therapy or retinal laser treatment in my study eye.
I have a condition that stops my vision from getting better in one eye.
I do not have eye conditions that would affect my participation in a study.
I have had uveitis in one or both of my eyes.
Treatment Details
The study tests two intravitreal treatments: Aflibercept (an existing drug) and an experimental drug called 4D-150 for wet AMD. It's a Phase 1/2 trial that starts by finding safe doses and then compares the drugs' effects in a controlled setup where participants don't know which treatment they're getting.
8Treatment groups
Experimental Treatment
Active Control
Group I: 4D-150 Steroid OptimizationExperimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group II: 4D-150 Population Extension Dose 3Experimental Treatment1 Intervention
4D-150 will be administered at the assigned dose
Group III: 4D-150 Population Extension Dose 2Experimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group IV: 4D-150 Population Extension Dose 1Experimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group V: 4D-150 Dose Expansion Dose 2Experimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group VI: 4D-150 Dose Expansion Dose 1Experimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group VII: 4D-150 Dose Escalation up to 4 dose levelsExperimental Treatment1 Intervention
4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Group VIII: 4D-150 Dose Expansion ControlActive Control1 Intervention
Aflibercept at a fixed regimen will be administered.
Find a clinic near you
Research locations nearbySelect from list below to view details:
Western Carolina Retinal AssociatesAsheville, NC
Ophthalmic Consultants of Boston & Boston Eye Surgery and Laser CenterBoston, MA
Retinal Specialty InstitutePensacola, FL
Retina Vitreous Associates of FloridaTampa, FL
More Trial Locations
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Who is running the clinical trial?
4D Molecular TherapeuticsLead Sponsor
References
Intravitreal injection of ziv-aflibercept in patient with refractory age-related macular degeneration. [2015]The results of a patient with exudative age-related macular degeneration who received an intravitreal injection of ziv-aflibercept (Zaltrap; Sanofi-Aventis, Paris, France) in the right eye are described. A complete ocular examination as well as color fundus photography, optical coherence tomography, fluorescein angiography, microperimetry, full-field electroretinography, and multifocal electroretinography were performed and repeated 1 month later. The patient experienced subjective and objective improvement of visual acuity with a decrease in intraretinal and subretinal fluid. Microperimetric improvement also occurred. Electroretinographic changes were noted from baseline to the 30-day follow-up. No adverse events were observed at any time point. Ziv-aflibercept demonstrated short-term safety and efficacy after intravitreal administration for neovascular macular degeneration.
SHORT-TERM SAFETY PROFILE OF INTRAVITREAL ZIV-AFLIBERCEPT. [2022]To evaluate the safety of intravitreal ziv-aflibercept (Zaltrap) in the treatment choroidal neovascularization secondary to age-related macular degeneration.
Intravitreal aflibercept (A-IVI) for the treatment of neovascular age-related macular degeneration (nv-AMD): one year experience. [2019]To report the anatomical and functional results of intravitreal injections of aflibercept (Eylea) (A-IVI) for the treatment of naïve eyes with neovascular age-related macular degeneration (nv-AMD).
One-year outcome of intravitreal ziv-aflibercept therapy for non-responsive neovascular age-related macular degeneration. [2018]To evaluate 12-month outcome of intravitreal ziv-aflibercept (IVZ) therapy in eyes with neovascular age-related macular degeneration (nAMD) that are non-responsive to bevacizumab and ranibizumab.
Intravitreal Ziv-Aflibercept for Diabetic Macular Edema: 48-Week Outcomes. [2019]To study the safety and efficacy of intravitreal injections of ziv-aflibercept (IVI-ZA) (Zaltrap; Sanofi-Aventis and Regeneron Pharmaceuticals, Tarrytown, NY) during a period of 48 weeks in patients with diabetic macular edema (DME).
Prospective exploratory study to assess the safety and efficacy of aflibercept in cystoid macular oedema associated with retinitis pigmentosa. [2021]To report the safety and efficacy of intravitreal aflibercept (Eylea) (ivA) for retinitis pigmentosa-associated cystoid macular oedema (RP-CMO) at 12 months via mean central macular thickness (CMT) and reported adverse events.