A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of RO7446603 Administered Alone or in Combination With Aflibercept or Faricimab in Participants With Diabetic Macular Edema

NCT ID: NCT06850922

Last Updated: 2025-11-10

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

546 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-22

Study Completion Date

2027-04-30

Brief Summary

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This study aims to evaluate the ocular and systemic safety, tolerability and efficacy of RO7446603 in participants with diabetic macular edema (DME). The study consists of 2 segments: Phase I (Parts 1-4) and Phase II (Part 5). Phase I investigated the safety of RO7446603 following a single and multiple intravitreal (IVT) doses as monotherapy or co-administered with IVT aflibercept or IVT faricimab (in separate injections). Phase II will investigate the safety, tolerability, pharmacokinetics (PK) and efficacy of two dose levels of RO7446603 in combination with faricimab, with the two drugs co-mixed and administered as a single IVT injection, compared to faricimab alone. The first participant was enrolled in the Phase I segment on June 22, 2022. Phase I has been completed.

Detailed Description

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Conditions

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Diabetic Macular Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The Phase 1 segment of this study was open-label and participants were randomized in Part 4. The Phase 2 segment will be a randomized, double-blinded study.

Study Groups

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Part 1: Single Ascending Dose (SAD) Stage

Participants received a single dose of RO7446603 at five different dose levels as IVT injection on Day 1.

Group Type EXPERIMENTAL

RO7446603

Intervention Type DRUG

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Part 2: Multiple Dose (MD) Monotherapy Stage

Participants received four different dose levels of RO7446603 (two doses at each planned dose level) as IVT injection, every 8 weeks (Q8W).

Group Type EXPERIMENTAL

RO7446603

Intervention Type DRUG

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Part 3: MD Co-administration With Aflibercept Stage

Participants received two different dose levels (two doses at each planned dose level) of RO7446603 as IVT injection, Q8W along with four doses of aflibercept IVT injections, every 4 weeks (Q4W).

Group Type EXPERIMENTAL

RO7446603

Intervention Type DRUG

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Aflibercept

Intervention Type DRUG

Participants will receive aflibercept as an IVT injection per the schedule described in the treatment arm.

Part 4: MD Co-administration With Faricimab Stage

Participants received a single dose of faricimab followed by a 4-week enrichment screening period. Eligible participants received two different dose levels (two doses at each planned dose level) of RO7446603 as IVT injection, Q8W, along with three doses of faricimab (co-administered with RO7446603 or alone) as IVT injection, Q4W.

Group Type EXPERIMENTAL

RO7446603

Intervention Type DRUG

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Faricimab

Intervention Type DRUG

Participants will receive faricimab as an IVT injection per the schedule described in the treatment arms.

Part 5: MD Co-mixed With Faricimab Stage

Participants will receive two different dose levels of RO7446603 (co-mixed with faricimab or faricimab alone) as IVT injection, Q4W for the first six doses followed by Q8W for four doses.

Group Type EXPERIMENTAL

RO7446603

Intervention Type DRUG

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Faricimab

Intervention Type DRUG

Participants will receive faricimab as an IVT injection per the schedule described in the treatment arms.

Interventions

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RO7446603

Participants will receive RO7446603 as an IVT injection per the schedule described in the treatment arms.

Intervention Type DRUG

Aflibercept

Participants will receive aflibercept as an IVT injection per the schedule described in the treatment arm.

Intervention Type DRUG

Faricimab

Participants will receive faricimab as an IVT injection per the schedule described in the treatment arms.

Intervention Type DRUG

Other Intervention Names

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Vabysmo

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of diabetes mellitus (DM) (Type 1 or Type 2) with glycated hemoglobin (HbA1c) \< 12%
* Macular thickening secondary to DME involving the center of the fovea \> 325 microns
* Decreased VA attributable primarily to DME between 25 and 73 ETDRS letters

Exclusion Criteria

* Currently untreated DM or previously untreated participants who initiated oral anti-diabetic medication or insulin within 90 days prior to Day 1
* Uncontrolled blood pressure (BP)
* Pregnancy or breastfeeding, or intention to become pregnant during the study
* For Parts 1-4: IVT anti-VEGF treatment within 90 days prior to Day 1; For Part 5: IVT anti-VEGF treatment within 120 days prior to Day 1 or IVT anti-VEGF treatment prior to Day 1 for treatment naïve participants
* Treatment with SUSVIMOTM (ranibizumab injection) prior to Day 1
* Any IVT or periocular (sub-tenons) corticosteroid treatment within 6 months prior to Day 1
* Any current or history of ocular disease other than DME that may confound assessment of the macula or affect central vision
* Proliferative diabetic retinopathy (PDR) in the study eye
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

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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Barnet Dulaney Perkins Eye Center

Phoenix, Arizona, United States

Site Status WITHDRAWN

Arizona Retina and Vitreous Consultants

Phoenix, Arizona, United States

Site Status RECRUITING

Associated Retinal Consultants PC

Phoenix, Arizona, United States

Site Status RECRUITING

Retinal Research Institute, LLC

Phoenix, Arizona, United States

Site Status RECRUITING

Retinal Diagnostic Center

Campbell, California, United States

Site Status RECRUITING

The Retina Partners

Encino, California, United States

Site Status WITHDRAWN

Retina Consultants of Orange County

Fullerton, California, United States

Site Status RECRUITING

Retinal Consultants Medical Group

Modesto, California, United States

Site Status RECRUITING

Northern California Retina-Vitreous Associates

Mountain View, California, United States

Site Status RECRUITING

Retinal Consultants Medical Group

Sacramento, California, United States

Site Status RECRUITING

Macula Retina Vitreous Research Institute

Torrance, California, United States

Site Status RECRUITING

University of Colorado - Eye Center - PPDS

Aurora, Colorado, United States

Site Status RECRUITING

Retina Consultants of Southern Colorado PC

Colorado Springs, Colorado, United States

Site Status RECRUITING

Retina Specialists of Colorado

Denver, Colorado, United States

Site Status RECRUITING

Advanced Vision Research Institute

Longmont, Colorado, United States

Site Status RECRUITING

Retina Group of New England

Waterford, Connecticut, United States

Site Status RECRUITING

Blue Ocean Clinical Research

Clearwater, Florida, United States

Site Status RECRUITING

National Ophthalmic Research Institute

Fort Myers, Florida, United States

Site Status RECRUITING

Florida Retina Institute

Jacksonville, Florida, United States

Site Status RECRUITING

Retina Associates of Florida;Retina Associates of Florida

Tampa, Florida, United States

Site Status RECRUITING

Southeast Retina Center

Augusta, Georgia, United States

Site Status RECRUITING

Georgia Retina PC

Marietta, Georgia, United States

Site Status RECRUITING

Retina Consultants of Hawaii

‘Aiea, Hawaii, United States

Site Status RECRUITING

Illinois Eye and Ear Infirmary

Chicago, Illinois, United States

Site Status RECRUITING

University Retina and Macula Associates, PC

Oak Forest, Illinois, United States

Site Status RECRUITING

Raj K. Maturi, MD PC

Indianapolis, Indiana, United States

Site Status COMPLETED

The Retina Care Center

Baltimore, Maryland, United States

Site Status RECRUITING

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status RECRUITING

Retina Group of Washington

Chevy Chase, Maryland, United States

Site Status RECRUITING

Cumberland Valley Retina Consultants

Hagerstown, Maryland, United States

Site Status RECRUITING

Associated Retinal Consultants - Royal Oak

Royal Oak, Michigan, United States

Site Status RECRUITING

Retina Consultants Minnesota

Saint Louis Park, Minnesota, United States

Site Status RECRUITING

Long Island Vitreoretinal Consultants;Opthalmology

Hauppauge, New York, United States

Site Status RECRUITING

Retina Vitreous Surgeons of CNY PC

Liverpool, New York, United States

Site Status RECRUITING

Western Carolina Retinal Associate PA

Asheville, North Carolina, United States

Site Status RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status RECRUITING

Graystone Eye

Hickory, North Carolina, United States

Site Status RECRUITING

North Carolina (NC) Retina Associates - Wake Forest Office

Wake Forest, North Carolina, United States

Site Status RECRUITING

Piedmont Retina Specialists

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Cincinnati Eye Institute

Blue Ash, Ohio, United States

Site Status RECRUITING

Ohio State Eye and Ear Institute

Columbus, Ohio, United States

Site Status RECRUITING

Tulsa Retina Consultants

Tulsa, Oklahoma, United States

Site Status RECRUITING

Cascade Medical Research Institute LLC

Springfield, Oregon, United States

Site Status RECRUITING

Erie Retina Research

Erie, Pennsylvania, United States

Site Status RECRUITING

Wills Eye Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Sewickely Eye Group

Sewickley, Pennsylvania, United States

Site Status RECRUITING

Palmetto Retina Center

West Columbia, South Carolina, United States

Site Status RECRUITING

Charles Retina Institute

Germantown, Tennessee, United States

Site Status RECRUITING

Retina Research Institute of Texas

Abilene, Texas, United States

Site Status RECRUITING

Texas Retina Associates

Arlington, 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

Retina & Vitreous of Texas

Bellaire, Texas, United States

Site Status RECRUITING

Texas Retina Associates

Dallas, Texas, United States

Site Status RECRUITING

Valley Retina Institute P.A.

McAllen, Texas, United States

Site Status RECRUITING

Medical Center Ophthalmology Associates

San Antonio, Texas, United States

Site Status RECRUITING

Retina Consultants of Texas - San Antonio

San Antonio, Texas, United States

Site Status RECRUITING

Brown Retina Institute

San Antonio, Texas, United States

Site Status RECRUITING

Retina Consultants of Texas

The Woodlands, Texas, United States

Site Status RECRUITING

Strategic Clinical Research Group, LLC

Willow Park, Texas, United States

Site Status RECRUITING

Retina Associates of Utah, PLLC;Clinical Research

Salt Lake City, Utah, United States

Site Status RECRUITING

Piedmont Eye Center

Lynchburg, Virginia, United States

Site Status RECRUITING

Wagner Kapoor Institute

Norfolk, Virginia, United States

Site Status RECRUITING

Virginia Eye Institute - Richmond - 7301 Forest Ave

Richmond, Virginia, United States

Site Status RECRUITING

Retina Institute of Virginia

Richmond, Virginia, United States

Site Status RECRUITING

Spokane Eye Clinical Research

Spokane, Washington, United States

Site Status RECRUITING

Beijing Tongren Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Tianjin Medical University Eye Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Eye Hospital,WMU(Zhejiang Eye Hospital)

Wenzhou, Zhejiang, China

Site Status RECRUITING

Beijing Hospital

Beijing, , China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, , China

Site Status RECRUITING

Shanghai General Hospital - North Campus

Shanghai, , China

Site Status RECRUITING

Emanuelli Research and Development Center LLC

Arecibo, , Puerto Rico

Site Status RECRUITING

Countries

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United States China Puerto Rico

Central Contacts

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Reference Study ID Number: GR43828 https://forpatients.roche.com/

Role: CONTACT

Phone: 888-662-6728 (U.S.)

Email: [email protected]

Other Identifiers

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ISRCTN14152148

Identifier Type: REGISTRY

Identifier Source: secondary_id

GR43828

Identifier Type: -

Identifier Source: org_study_id