Pharmacogenomics of antiVEGF in Patients With Age-Associated Macular Degeneration (AMD)

NCT ID: NCT06952452

Last Updated: 2025-11-20

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

630 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-18

Study Completion Date

2026-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a phase III, multicenter, randomized double-blinded clinical trial with two parallel groups (ranibizumab and bevacizumab) and an observational follow-up of patients who meet elegibility criteria and decline participation due to treatment randomization. It will be performed involving 630 eyes from patients with wet age-related macular degeneration (wAMD) diagnosis without another eye disease. This clinical trial compares the treatment response for 3 years, considering genetic variants already studied between the eyes treated with one of the first options of anti-VEGF used in patients with wAMD, (ranibizumab) and the most cost-effective anti-VEGF (bevacizumab; off-label use)

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Wet Age-related Macular Degeneration

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomized 1:1 into one of two treatment arms: ranibizumab or bevacizumab. Patients who meet elegibility criteria and decline participation due to treatment randomization, will participate in an observational follow-up.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Bevacizumab, BVZ (group A)

A cycle of 3 intravitreal injections every 4-6 weeks of BVZ

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

The dosage for each intravitreal injection is 1.25mg of BVZ in 0.05ml

Ranibizumab, RBZ (group B)

A cycle of 3 intravitreal injections every 4-6 weeks of RBZ

Group Type ACTIVE_COMPARATOR

Ranibizumab Ophthalmic

Intervention Type DRUG

The dosage for each intravitreal injection contains 0.5mg of RBZ in 0.05ml

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Bevacizumab

The dosage for each intravitreal injection is 1.25mg of BVZ in 0.05ml

Intervention Type DRUG

Ranibizumab Ophthalmic

The dosage for each intravitreal injection contains 0.5mg of RBZ in 0.05ml

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Avastin L01XC07 Lucentis S01LA04

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients diagnosed with neovascular Age-related Macular Degeneration
* Age of 50 years or older.
* That at the discretion of the ophthalmologist has an indication of receiving treatment with an anti-VEGF agent as usual in clinical practice.
* Without previous treatment in the eye under study (no previous treatment for AMD).

Exclusion Criteria

* Participate or have participated in another clinical trial with an experimental drug in the last 6 months.
* Patients with other eye diseases, p. eg, advanced glaucoma or visually significant cataracts, which are likely to require surgery during the follow-up period in the eye under study.
* Concomitant, ocular or systemic, administration of drugs up to 3 months before the treatment with another anti-VEGF in the contralateral eye.
* High cardiovascular risk: poorly controlled arterial hypertension, history or risk of arterial thromboembolic events, history of stroke or acute myocardial infarction, anticoagulant treatment, proteinuria or major elective surgery within 3 months.
* Ophthalmological risk with the intraocular injection (all intravitreal treatments): active or suspected ocular or periocular infection, severe blepharitis, history of endophthalmitis, history of retinal detachment, myopathy, glaucoma.
* Hypersensitivity to the active substance or to the excipients.
* Diabetic retinopathy documented.
* Pregnant or nursing (lactating) women.

Patients who meet elegibility criteria and decline participation due to treatment randomization, will participate in an observational follow-up, collecting saliva for the analysis of genetic polymorphisms and clinical data related to antiVEGF received out of the clinical trial and AV, OCT results and adverse events registered in medical records at 6m, 12m, 24m, 36m.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Instituto de Salud Carlos III

OTHER_GOV

Sponsor Role collaborator

Parc de Salut Mar

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Hospital Universitario de Canarias

San Cristóbal de La Laguna, Santa Cruz De Tenerife, Spain

Site Status RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital la Esperanza

Barcelona, , Spain

Site Status RECRUITING

Unidad Central de Investigación Clínica y Ensayos Clínicos (UCICEC La Paz)

Madrid, , Spain

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Spain

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Ana Aldea

Role: CONTACT

+3431604900

Melina Rojas

Role: CONTACT

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Hugo Tapia

Role: primary

Melina Rojas

Role: backup

Jose Ignacio Vela

Role: primary

Melina Rojas

Role: backup

Alba Parrado

Role: primary

Melina Rojas

Role: backup

Alicia Marín Candón

Role: primary

Melina Rojas

Role: backup

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2019-003204-12

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ICI21/00025

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.