Study of AR-14034 in Participants With Neovascular Age-Related Macular Degeneration (nAMD)

NCT ID: NCT05769153

Last Updated: 2026-01-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-06

Study Completion Date

2027-10-31

Brief Summary

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The primary purpose of this study is to evaluate the safety and durability of single- and repeat administration of AR-14034 Sustained Release (SR) in subjects with neovascular age-related macular degeneration (nAMD).

Detailed Description

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This study will be conducted in two stages. Stage 1 is a 48-week, dose-escalation, open-label evaluation of AR-14034 SR. Two cohorts will be enrolled, for an approximate total of 10 subjects. Subjects will receive AR-14034 SR in one of two dose levels and attend visits through Week 48 for assessment of safety and preliminary treatment effects.

Stage 2 is a 56-week (plus extension) double-masked, active comparator, randomized, parallel group evaluation of AR-14034 SR compared with aflibercept. Approximately 130 subjects will be enrolled and randomized 2:2:1 to AR-14034 SR one injection, AR-14034 SR two injections, or aflibercept dosed as labelled. Subjects will attend visits through Week 56 for assessment of safety and treatment effects. A 16-week open label extension phase will be conducted thereafter.

Conditions

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Neovascular Age-related Macular Degeneration (nAMD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Stage 1 will enroll 2 cohorts. Stage 2 will enroll 3 treatment arms.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Stage 1 is open label. Stage 2 is double-masked.

Study Groups

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Cohort 1 (Stage 1)

One intravitreal (IVT) injection of aflibercept 2 mg at Week -1 and one IVT insertion of AR-14034 SR lower dose at Baseline. Up to one retreatment with AR-14034 SR will be administered between Weeks 4 and 36 according to protocol-specified disease activity criteria.

Group Type EXPERIMENTAL

AR-14034 SR implant lower dose

Intervention Type DRUG

AR-14034 SR administered as an intravitreal implant

Aflibercept Injection

Intervention Type DRUG

Aflibercept administered as a 2 milligram (mg) intravitreal injection

Cohort 2 (Stage 1)

One IVT injection of aflibercept 2 mg at Week -1 and one IVT insertion of AR-14034 SR higher dose at Baseline. Up to one retreatment with AR-14034 SR will be administered between Weeks 4 and 36 according to protocol-specified disease activity criteria.

Group Type EXPERIMENTAL

AR-14034 SR implant higher dose

Intervention Type DRUG

AR-14034 SR administered as an intravitreal implant

Aflibercept Injection

Intervention Type DRUG

Aflibercept administered as a 2 milligram (mg) intravitreal injection

AR-14034 SR one injection (Stage 2)

One IVT injection of aflibercept 2 mg at Baseline, Week 4, and Week 8, with one IVT insertion of AR-14034 SR at Week 2. Sham procedures will be performed between Baseline and Week 52 when other arms are receiving scheduled treatment injections.

Group Type EXPERIMENTAL

AR-14034 SR implant

Intervention Type DRUG

AR-14034 SR administered as an intravitreal implant

Aflibercept Injection

Intervention Type DRUG

Aflibercept administered as a 2 milligram (mg) intravitreal injection

Sham procedure

Intervention Type DRUG

Needleless syringe used to simulate an intravitreal injection

AR-14034 SR two injections (Stage 2)

One IVT injection of aflibercept 2 mg at Baseline, Week 4, and Week 8, with IVT insertions of AR-14034 SR at Week 2 and Week 6. Sham procedures will be performed between Baseline and Week 52 when other arms are receiving scheduled treatment injections.

Group Type EXPERIMENTAL

AR-14034 SR implant

Intervention Type DRUG

AR-14034 SR administered as an intravitreal implant

Aflibercept Injection

Intervention Type DRUG

Aflibercept administered as a 2 milligram (mg) intravitreal injection

Sham procedure

Intervention Type DRUG

Needleless syringe used to simulate an intravitreal injection

Aflibercept (Stage 2)

One IVT injection of aflibercept 2 mg at Baseline, Week 4, Week 8, Week 16, Week 24, Week 32, Week 40, and Week 48. Sham procedures will be performed between Baseline and Week 52 when other arms are receiving scheduled treatment injections.

Group Type ACTIVE_COMPARATOR

Aflibercept Injection

Intervention Type DRUG

Aflibercept administered as a 2 milligram (mg) intravitreal injection

Sham procedure

Intervention Type DRUG

Needleless syringe used to simulate an intravitreal injection

Interventions

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AR-14034 SR implant lower dose

AR-14034 SR administered as an intravitreal implant

Intervention Type DRUG

AR-14034 SR implant higher dose

AR-14034 SR administered as an intravitreal implant

Intervention Type DRUG

AR-14034 SR implant

AR-14034 SR administered as an intravitreal implant

Intervention Type DRUG

Aflibercept Injection

Aflibercept administered as a 2 milligram (mg) intravitreal injection

Intervention Type DRUG

Sham procedure

Needleless syringe used to simulate an intravitreal injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Presence of an active choroidal neovascularization (CNV) lesion secondary to age-related macular degeneration (AMD);
* Best corrected visual acuity (BCVA) between 80 and 35 letters (20/25 to 20/200 Snellen equivalent) in the study eye;
* BCVA greater than 20 letters (approximately 20/400 Snellen equivalent) in the non-study eye;
* Media clarity and pupillary dilation in the study eye sufficient for all planned study procedures;
* Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol;

\[Stage 1\]:

* Greater than or equal to 3 and less than or equal to 6 prior treatments of an ocular anti-VEGF medication within the 8 months prior to Screening in the study eye, with demonstrated anatomic response, as assessed by the Investigator.

\[Stage 2\]:

* Treatment-naïve, or diagnosis of exudative neovascular age-related macular degeneration (nAMD) in the study eye.

Exclusion Criteria

* History or current ocular disease in the study eye other than nAMD, that, might require medical or surgical intervention during the study;
* Structural damage to the macula that is likely to preclude improvement in visual acuity in the study eye after resolution of the nAMD;
* Any active intraocular or periocular infection or active intraocular inflammation;
* Treatment with ocular anti-VEGF product in the study eye within 28 days before Week 1 \[Stage 1\] or within 56 days before Screening \[Stage 2\].
* Uncontrolled glaucoma in the study eye;
* Uncontrolled blood pressure;
* Females of child-bearing potential who are pregnant, intending to become pregnant, nursing, or who are not willing to use an acceptable form of contraception for the duration of the study;
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alcon Research

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Director of Clinical Development, Alcon

Role: STUDY_DIRECTOR

Alcon Research, LLC

Locations

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Trinity Research Group

Dothan, Alabama, United States

Site Status RECRUITING

Associated Retina Consultants - Gilbert

Gilbert, Arizona, United States

Site Status RECRUITING

Associated Retina Consultants - Phoenix

Phoenix, Arizona, United States

Site Status RECRUITING

Retina Associates of SW PC

Tucson, Arizona, United States

Site Status RECRUITING

The Retina Partners

Encino, California, United States

Site Status NOT_YET_RECRUITING

Retina Associates of Orange County

Laguna Hills, California, United States

Site Status RECRUITING

Northern California Retina Vitreous Associates Medical Group

Mountain View, California, United States

Site Status RECRUITING

Eye Research Foundation

Newport Beach, California, United States

Site Status NOT_YET_RECRUITING

Azul Vision Pasadena

Pasadena, California, United States

Site Status NOT_YET_RECRUITING

Retina Consultants of Southern Colorado

Colorado Springs, Colorado, United States

Site Status RECRUITING

Retina Group of New England | Waterford

Waterford, Connecticut, United States

Site Status RECRUITING

Florida Retina Institute

Jacksonville, Florida, United States

Site Status NOT_YET_RECRUITING

Mid Florida Eye Center

Mt. Dora, Florida, United States

Site Status NOT_YET_RECRUITING

Florida Retina Institute

Orlando, Florida, United States

Site Status RECRUITING

Retina Specialty Institute

Pensacola, Florida, United States

Site Status RECRUITING

Eye Associates of Pinellas

Pinellas Park, Florida, United States

Site Status RECRUITING

Center for Retina and Macular Disease

Winter Haven, Florida, United States

Site Status RECRUITING

Southeast Retina Center

Augusta, Georgia, United States

Site Status NOT_YET_RECRUITING

Thomas Eye Group Main Office

Sandy Springs, Georgia, United States

Site Status RECRUITING

University Retina and Macula Associates, PC

Oak Forest, Illinois, United States

Site Status RECRUITING

Twin Cities Eye Consultants

Coon Rapids, Minnesota, United States

Site Status RECRUITING

Mississippi Retina Associates

Madison, Mississippi, United States

Site Status RECRUITING

Vision Research Center Eye Associates of New Mexico

Albuquerque, New Mexico, United States

Site Status NOT_YET_RECRUITING

NYC Retina - Queens

Forest Hills, New York, United States

Site Status RECRUITING

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status NOT_YET_RECRUITING

Verum Research, LLC

Eugene, Oregon, United States

Site Status RECRUITING

Erie Retina Research

Erie, Pennsylvania, United States

Site Status RECRUITING

MidAtlantic Retina Research

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Retina Consultants of Carolina

Greenville, South Carolina, United States

Site Status RECRUITING

Carolina Eyecare Physicians LLC

Mt. Pleasant, South Carolina, United States

Site Status RECRUITING

Retina Research Institute of Texas

Abilene, Texas, United States

Site Status RECRUITING

Texas Retina Associates - Arlington

Arlington, Texas, United States

Site Status NOT_YET_RECRUITING

Austin Research Center for Retina

Austin, Texas, United States

Site Status RECRUITING

Austin Retina Associates

Austin, Texas, United States

Site Status RECRUITING

Austin Clinical Research, LLC

Austin, Texas, United States

Site Status RECRUITING

Star Vision Research

Burleson, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Retina Associates

Dallas, Texas, United States

Site Status RECRUITING

Berkeley Eye Center

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

Retina Consultants of Texas - San Antonio

San Antonio, Texas, United States

Site Status NOT_YET_RECRUITING

Austin Retina Associates (San Marcos)

San Marcos, Texas, United States

Site Status NOT_YET_RECRUITING

Retina Research Center of Southern Utah

St. George, Utah, United States

Site Status NOT_YET_RECRUITING

Pacific Northwest Retina

Burlington, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Alcon Call Center

Role: CONTACT

1-888-451-3937

Other Identifiers

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RTE888-E001

Identifier Type: -

Identifier Source: org_study_id

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