Single Intravitreal (IVT) Injection of 4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration

NCT ID: NCT07064759

Last Updated: 2025-10-20

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

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-22

Study Completion Date

2029-02-28

Brief Summary

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A Phase 3, Randomized, Double-Masked, Active-Controlled Trial in Adults with Macular Neovascularization Secondary to Age-Related Macular Degeneration

Detailed Description

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Conditions

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Neovascular Age-Related Macular Degeneration (nAMD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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4D-150 IVT (3E10 vg/eye)

Group Type EXPERIMENTAL

4D-150 IVT (3E10 vg/eye)

Intervention Type BIOLOGICAL

If randomized to the 4D-150 treatment arm, 4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1

Aflibercept (AFLB) 2 mg IVT

Group Type ACTIVE_COMPARATOR

EYLEA® (aflibercept) Injection 2 mg (0.05mL)

Intervention Type BIOLOGICAL

Eylea (aflibercept) will be administered at applicable visits

Interventions

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4D-150 IVT (3E10 vg/eye)

If randomized to the 4D-150 treatment arm, 4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1

Intervention Type BIOLOGICAL

EYLEA® (aflibercept) Injection 2 mg (0.05mL)

Eylea (aflibercept) will be administered at applicable visits

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* ≥50 years of age at time of consent
* MNV secondary to nAMD with IVT anti-VEGF treatment history in the study eye, defined as EITHER:

1. Treatment naïve, i.e. no prior IVT anti-VEGF therapy OR
2. Previously treated with no more than 4 IVT anti-VEGF injections due to nAMD and received diagnosis of nAMD no more than 6 months prior to the Screening Visit AND documented evidence of anatomical improvement and visual stability/improvement in response to previous IVT anti-VEGF treatment, as determined by the Investigator
* Active subfoveal MNV or juxtafoveal/ extrafoveal MNV with a subfoveal component (where activity is defined as evidence of SRF, IRF, subretinal hyperreflective material, or leakage) identified by fluorescein angiography (FA) or spectral domain optical coherence tomography (SD-OCT) , in the study eye, at the Screening Visit confirmed by the Reading Center
* Demonstrated clinical response to aflibercept and functional stability in the study eye as confirmed by the Reading Center
* BCVA between 25 and 78 ETDRS letters, inclusive (20/320-20/32 Snellen equivalent) in the study eye at the Screening Visit
* CST less than or equal to 500 microns in the study eye at screening visit, confirmed by the central reading center

Exclusion Criteria

Ocular Conditions:

* MNV due to causes other than nAMD in either eye (Fibrosis, atrophy, or subretinal hemorrhage in the foveal central subfield (1 mm diameter)
* History of retinal detachment in the study eye
* History of or presence of active inflammation in either eye
* Glaucoma or intraocular hypertension requiring more than 2 topical medications for control

Ocular Treatments/Interventions:

* Any prior or concomitant treatment for MNV or vitreomacular-interface abnormalities, other than allowed prior IVT anti-VEGF in the study eye

Systemic Conditions and Considerations:

* Major illness or major surgical procedure in the 28 days prior to the Screening Visit
* Uncontrolled blood pressure
* Acute coronary syndrome, myocardial infarction or coronary artery revascularization, cerebrovascular accident, transient ischemic attack within 6 months of the Screening Visit
* History of autoimmune condition that may predispose to the development of uveitis
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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4D Molecular Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julie Tsai, MD

Role: STUDY_DIRECTOR

4D Molecular Therapeutics

Locations

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Barnet Dulaney Perkins Eye Center

Sun City, Arizona, United States

Site Status RECRUITING

Retina Associates

Tucson, Arizona, United States

Site Status RECRUITING

Retinal Diagnostic Center

Campbell, California, United States

Site Status RECRUITING

Retina Consultants of Orange County

Fullerton, California, United States

Site Status RECRUITING

West Coast Retina Medical Group

San Francisco, California, United States

Site Status RECRUITING

Southwest Retina Consultants

Durango, Colorado, United States

Site Status RECRUITING

ClearVista Clinical Research

Hudson, Florida, United States

Site Status NOT_YET_RECRUITING

Retina Vitreous Associates of Florida

Tampa, Florida, United States

Site Status RECRUITING

Thomas Eye Group

Sandy Springs, Georgia, United States

Site Status NOT_YET_RECRUITING

The Retina Care Center

Baltimore, Maryland, United States

Site Status NOT_YET_RECRUITING

Cumberland Valley Retina Consultants

Hagerstown, Maryland, United States

Site Status RECRUITING

New York Presbyterian Hospital - Columbia University Medical Center

New York, New York, United States

Site Status NOT_YET_RECRUITING

Vitreoretinal Consultants of NY

Westbury, New York, United States

Site Status RECRUITING

North Carolina Retina Associates

Cary, North Carolina, United States

Site Status RECRUITING

Cincinnati Eye Institute

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

Verum Research, LLC

Eugene, Oregon, United States

Site Status RECRUITING

Charleston Neuroscience Institute, LLC

Bluffton, South Carolina, United States

Site Status RECRUITING

Carolina Eyecare

Mt. Pleasant, South Carolina, United States

Site Status NOT_YET_RECRUITING

Tennessee Retina, PC

Nashville, Tennessee, United States

Site Status RECRUITING

Southwest Retina Specialist - Panhandle Eye group, LLP

Amarillo, Texas, United States

Site Status NOT_YET_RECRUITING

Texas Retina Associate

Dallas, Texas, United States

Site Status RECRUITING

Tyler Retina Consultants

Tyler, Texas, United States

Site Status RECRUITING

Rocky Mountain Retina Consultants

Salt Lake City, Utah, United States

Site Status RECRUITING

Pacific Northwest Retina

Silverdale, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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4DMT Patient Advocacy

Role: CONTACT

(888) 748-8881

Facility Contacts

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Blossom Bakhda

Role: primary

Amy Merz

Role: primary

Meghan V

Role: primary

Steve Tyson

Role: primary

Nina Ansari

Role: primary

Aaron Redner

Role: primary

America Deupree

Role: primary

Ledar Bataku

Role: primary

Kathy Wynne

Role: primary

Amanda McGee

Role: primary

Emma Melvin

Role: primary

Maribel Rodriguez

Role: primary

Ewelina Lokaj

Role: primary

Christine Chow

Role: primary

Kelye Conrad

Role: primary

Lillian Carroll

Role: primary

Julia Topping

Role: primary

Mary Daniel

Role: primary

Michelle Armijo

Role: primary

Kasey Dalrymple

Role: primary

Ashley Hughes

Role: primary

Melissa Long

Role: primary

Hollie Murphy

Role: primary

Anna Nelson

Role: primary

Other Identifiers

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4D-150-C004

Identifier Type: -

Identifier Source: org_study_id

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