Impact of Intravitreal Faricimab on Renal Function in Diabetic Patients

NCT ID: NCT06929507

Last Updated: 2025-04-24

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-10

Study Completion Date

2027-03-10

Brief Summary

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This study aims to investigate the impact of intravitreal injection of anti-vascular endothelial growth factor (anti VEGF) Faricimab on renal function of diabetic patients. Faricimab is a new anti-VEGF drug which inhibits both VEGF-A and Ang-2 and it is used for the treatment of diabetic macular edema and neovascular age related macular degeneration. It is known that previous anti-VEGF agents has systematic absorption and may cause deterioration in renal function of the patients. However, the effect of Faricimab on kidney function has not been investigated yet. Taking into account that Ang-2 has destructive effect on kidneys, the investigation of the effect of its inhibition in diabetic patients who have already renal function deterioration may provide a valuable information in scientific community.

Detailed Description

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For the purposes of this study, 60 diabetic patients who need intravitreal injections of anti-VEGF for either diabetic macular edema or neovascular age related macular degeneration will be enrolled. 30 patients will consist the study group and they will receive Faricimab and the remaining 30 patients will receive Aflibercept 2 mg. Before the initiation of therapy, laboratory tests including HbA1c, eGFR, plasma creatinine, urine albumin to urine creatinine ratio (ACR) will be ordered to investigate the glycemic control and the renal function of the patients.The best corrected visual acuity (BCVA), the intraocular pressure (IOP) and the anterior segments will be assessed on each visit. The optical coherence tomography (OCT) will be used for the assessment of centra macular thickness (CMT). The results will be assessed at baseline and then at 6 months and 12 months from the initiation of therapy. The statistical analysis will be performed at the end of study period.

Conditions

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Renal Function Disorder Diabetic Macular Edema (DME) Neovascular Age Related Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients who will be treated with intravitreal injections of Faricimab

Diabetic patients with either diabetic macular edema (DME) or neovascular age related macular degeneration (nAMD) who will be treated with intravitreal injection of Faricimab.

Group Type ACTIVE_COMPARATOR

Intravitreal injection of Faricimab or Aflibercept 2 mg

Intervention Type DRUG

Anti-VEGF agents Faricimab (Vabysmo) or Aflibercept 2 mg (Eylea) will be delivered intravitreally

Patients who will be treated with intravitreal injections of Aflibercept 2 mg

Diabetic patients with either diabetic macular edema (DME) or neovascular age related macular degeneration (nAMD), or macular edema secondary to retinal vein occlusion who will be treated with intravitreal injection of Aflibercept 2 mg.

Group Type ACTIVE_COMPARATOR

Intravitreal injection of Faricimab or Aflibercept 2 mg

Intervention Type DRUG

Anti-VEGF agents Faricimab (Vabysmo) or Aflibercept 2 mg (Eylea) will be delivered intravitreally

Interventions

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Intravitreal injection of Faricimab or Aflibercept 2 mg

Anti-VEGF agents Faricimab (Vabysmo) or Aflibercept 2 mg (Eylea) will be delivered intravitreally

Intervention Type DRUG

Other Intervention Names

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Vabysmo Eylea

Eligibility Criteria

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Inclusion Criteria

* Patients with diabetes
* Patients with DME or nAMD or macular edema secondary to retinal vein occlusion
* Patients already receiving nephroprotective drugs

Exclusion Criteria

* Patients with end stage renal disease
* Pregnancy
* Patients with other retinal disorders
* Previous renal transplantation Patients under hemodialysis
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Alexandroupolis

OTHER

Sponsor Role lead

Responsible Party

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Asli Perente

Consultant Ophthalmologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Hospital of Alexandroupolis

Alexandroupoli, Evros, Greece

Site Status RECRUITING

University Hospital of Alexandroupolis

Alexandroupoli, , Greece

Site Status COMPLETED

Countries

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Greece

Central Contacts

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Asli Perente, Dr

Role: CONTACT

+306951577205

Facility Contacts

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Asli Perente

Role: primary

6951577205

References

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Shye M, Hanna RM, Patel SS, Tram-Tran N, Hou J, Mccannel C, Khalid M, Hanna M, Abdelnour L, Kurtz I. Worsening proteinuria and renal function after intravitreal vascular endothelial growth factor blockade for diabetic proliferative retinopathy. Clin Kidney J. 2020 Jun 28;13(6):969-980. doi: 10.1093/ckj/sfaa049. eCollection 2020 Dec.

Reference Type BACKGROUND
PMID: 33391740 (View on PubMed)

Fang YC, Lai IP, Lai TT, Chen TC, Yang CH, Ho TC, Yang CM, Hsieh YT. Long-Term Change in Renal Function After Intravitreal Anti-VEGF Treatment for Diabetic Macular Edema: A 2-Year Retrospective Cohort Study. Ophthalmol Ther. 2023 Dec;12(6):2977-2988. doi: 10.1007/s40123-023-00771-4. Epub 2023 Aug 17.

Reference Type BACKGROUND
PMID: 37589931 (View on PubMed)

Li M, Popovic Z, Chu C, Reichetzeder C, Pommer W, Kramer BK, Hocher B. Impact of Angiopoietin-2 on Kidney Diseases. Kidney Dis (Basel). 2023 Mar 14;9(3):143-156. doi: 10.1159/000529774. eCollection 2023 May.

Reference Type BACKGROUND
PMID: 38306230 (View on PubMed)

Other Identifiers

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12808/10-03-2025

Identifier Type: -

Identifier Source: org_study_id

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