A Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Choroidal Neovascularization Secondary to Pathologic Myopia

NCT ID: NCT06176352

Last Updated: 2025-12-26

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-06

Study Completion Date

2026-05-29

Brief Summary

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This is a Phase III, multicenter, randomized, double-masked, active comparator-controlled study evaluating the efficacy and safety of faricimab in patients with myopic choroidal neovascularization (CNV). This non-inferiority study will compare 6.0 mg faricimab versus 0.5 mg ranibizumab administered at a pro-re-nata (PRN) dosing regimen after an initial active IVT treatment administration at randomization (Day 1).

Detailed Description

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Conditions

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Choroidal Neovascularization Secondary to Pathologic Myopia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Arm A: Faricimab

All participants randomly assigned to Arm A will receive faricimab 6 mg at Day 1. Once every 4 weeks (Q4W) after Day 1, participants will receive treatment with faricimab on a pro re nata (PRN) basis dependent on prespecified retreatment criteria.

Group Type EXPERIMENTAL

Faricimab

Intervention Type DRUG

Faricimab 6 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.

Sham Procedure

Intervention Type PROCEDURE

The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. Participants will undergo the sham procedure at study visits where no study drug is to be administered, in order to maintain masking.

Arm B: Ranibizumab

All participants randomly assigned to Arm B will receive ranibizumab 0.5 mg at Day 1. Once every 4 weeks (Q4W) after Day 1, participants will receive treatment with ranibizumab on a pro re nata (PRN) basis dependent on prespecified retreatment criteria.

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Ranibizumab 0.5 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.

Sham Procedure

Intervention Type PROCEDURE

The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. Participants will undergo the sham procedure at study visits where no study drug is to be administered, in order to maintain masking.

Interventions

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Faricimab

Faricimab 6 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.

Intervention Type DRUG

Ranibizumab

Ranibizumab 0.5 mg intravitreal (IVT) injection on Day 1 with Q4W PRN treatment thereafter to Week 44. At Week 48, participants will attend a follow-up visit.

Intervention Type DRUG

Sham Procedure

The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. Participants will undergo the sham procedure at study visits where no study drug is to be administered, in order to maintain masking.

Intervention Type PROCEDURE

Other Intervention Names

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VABYSMO® faricimab-svoa RO6867461 RG7716 Lucentis

Eligibility Criteria

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Inclusion Criteria

1. Treatment-naïve choroidal neovascularization (CNV) secondary to myopia
2. Diagnosis of active myopic CNV in the study eye:

1. Presence of high myopia, worse than -6 diopters of spherical equivalence
2. Antero-posterior elongation measurement greater than or equal to 26.0 mm
3. Presence of posterior changes compatible with pathologic myopia (e.g., tessellated fundus, lacquer cracks, etc.)
4. Presence of active leakage from CNV on FFA (determined by Central Reading Centre \[CRC\])
5. Presence of intraretinal or subretinal fluid or increase of CST on OCT (determined by CRC)
3. BCVA of 78 to 24 letters, inclusive (20/32 to 20/320 approximate Snellen equivalent), using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol on Day 1
4. Overtly healthy as determined by medical evaluation that includes medical history, physical examination, and laboratory tests
5. Ability to comply with the study protocol, in the Investigator's judgment

Exclusion Criteria

1. Any major illness or major surgical procedure within 1 month before screening
2. Pregnancy or breastfeeding, or intention to become pregnant during the study or within 3 months after the final study treatment administration
3. Uncontrolled blood pressure (systolic \>180 millimetres of mercury \[mmHg\], diastolic \>100 mmHg)
4. Stroke (cerebral vascular accident) or myocardial infarction within 6 months prior to Day 1
5. History of systemic or ocular disease that would contraindicate treatment with the investigational drug or comparator
6. Uncontrolled glaucoma in study eye
7. Any prior or concomitant treatment for CNV or vitreomacular-interface abnormalities, including, but not restricted to, intravitreal, periocular or laser interventions in study eye
8. Prior or concomitant periocular or intravitreal pharmacological treatment, including anti-VEGF medication, for other retinal diseases (e.g. geography atrophy, nAMD, DME etc.) in study eye
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Strathfield Retina Clinic

Strathfield, New South Wales, Australia

Site Status

Sydney Eye Hospital

Sydney, New South Wales, Australia

Site Status

Sydney Retina Clinic and Day Surgery

Sydney, New South Wales, Australia

Site Status

Centre For Eye Research Australia

East Melbourne, Victoria, Australia

Site Status

Beijing Hospital of Ministry of Health

Beijing, , China

Site Status

Beijing Tong Ren Hospital, Capital Medical University

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Beijing Tsinghua Changgung Hospital

Beijing, , China

Site Status

The Second Hospital of Jilin University

Changchun, , China

Site Status

Zhongshan Ophthalmic Center, Sun Yat-sen University

Guangzhou, , China

Site Status

The 2nd Affiliated Hospital of Harbin Medical University

Harbin, , China

Site Status

Qingdao Eye Hospital of Shandong First Medical University

Qingdao, , China

Site Status

Eye & ENT Hospital of Fudan University

Shanghai, , China

Site Status

Shanghai First People's Hospital

Shanghai, , China

Site Status

First Hospital of China Medical University

Shenyang, , China

Site Status

Shanxi Eye Hospital

Taiyuan, , China

Site Status

Tianjin Medical University Eye Hospital

Tianjin, , China

Site Status

Eye Hospital, Wenzhou Medical University

Wenzhou, , China

Site Status

Central Theater General Hospital of the Chinese People's Liberation Army

Wuhan, , China

Site Status

Wuxi No.2 People's Hospital

Wuxi, , China

Site Status

Xi'an People's Hospital (Xi'an Fourth Hospital)

Xi'an, , China

Site Status

Chi De Creteil

Créteil, , France

Site Status

Hopital de la croix rousse

Lyon, , France

Site Status

Centre Paradis Monticelli

Marseille, , France

Site Status

CHU Nantes - Hotel Dieu

Nantes, , France

Site Status

Hopital Lariboisiere

Paris, , France

Site Status

Fondation Rothschild

Paris, , France

Site Status

Centres Ophtalmologique St Exupéry

Saint-Cyr-sur-Loire, , France

Site Status

Universitatsklinikum Koln

Cologne, , Germany

Site Status

Universitätsklinikum Freiburg, Klinik für Augenheilkunde

Freiburg im Breisgau, , Germany

Site Status

Knappschaftsklinikum Saar GmbH

Sulzbach, , Germany

Site Status

The University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Hong Kong Eye Hospital

Mong Kok, , Hong Kong

Site Status

Ospedale Clinicizzato SS Annunziata

Chieti, Abruzzo, Italy

Site Status

Policlinico di Bari

Bari, Apulia, Italy

Site Status

Ospedale Monaldi - AORN dei Colli

Napoli, Campania, Italy

Site Status

Fondazione G.B. Bietti Per Lo Studio E La Ricerca in Oftalmologia-Presidio Ospedaliero Britannico

Rome, Lazio, Italy

Site Status

Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico-Clinica Regina Elena

Milan, Lombardy, Italy

Site Status

A.O. Universitaria S. Maria Della Misericordia Di Udine

Udine, Veneto, Italy

Site Status

Klinika Okulistyczna ?Jasne Blonia? Sp. z o. o.

?ód?, , Poland

Site Status

OFTALMIKA Sp. z o.o

Bydgoszcz, , Poland

Site Status

Gabinet Okulistyczny Prof Edward Wylegala

Katowice, , Poland

Site Status

Centrum Medyczne UNO-MED

Krakow, , Poland

Site Status

Gabinet Okulistyczny Jerzy Mackiewicz

Lublin, , Poland

Site Status

Centrum Diagnostyki i Mikrochirurgii Oka LENS

Olsztyn, , Poland

Site Status

National University Hospital

Singapore, , Singapore

Site Status

Singapore Eye Research Institute

Singapore, , Singapore

Site Status

Asia Pacific Eye Centre

Singapore, , Singapore

Site Status

Tan Tock Seng Hospital

Singapore, , Singapore

Site Status

Yeungnam University Medical Center

Daegu, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Kim's Eye Hospital

Seoul, , South Korea

Site Status

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Complejo Hospitalario Universitario de Santiago.

Santiago de Compostela, LA Coruna, Spain

Site Status

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, Spain

Site Status

Clinica Universitaria de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital de la Arruzafa. Servicio de Oftalmologia

Córdoba, , Spain

Site Status

Oftalvist

Madrid, , Spain

Site Status

Far Eastern Memorial Hospital

New Taipei City, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

National Taiwan University Hospital

Zhongzheng Dist., , Taiwan

Site Status

Countries

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Australia China France Germany Hong Kong Italy Poland Singapore South Korea Spain Taiwan

Other Identifiers

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2023-506707-25-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

CR44829

Identifier Type: -

Identifier Source: org_study_id