A Study to Determine Safety and Long-Term Effectiveness of Faricimab in Participants with Age-Related Macular Degeneration

2024-517545-13-00 Protocol MR45638 Phase III and Phase IV (Integrated) Ongoing, recruiting

Start 4 Jun 2025 · Status Ongoing, recruiting · 4 EU/EEA countries · 24 sites · Protocol MR45638

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Ongoing, recruiting
Participants planned 274
Countries 4
Sites 24

Neovascular Age-Related Macular Degeneration

To evaluate the efficacy of intravitreal (IVT) injections of faricimab in the study eye following the regimen in each of the treatment arms as change from baseline in best corrected visual acuity (BCVA) averaged over Weeks 44, 48, and 52

Key facts

Sponsor
F. Hoffmann-La Roche AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Eye Diseases [C11]
Trial duration
4 Jun 2025 → ongoing
Decision date (initial)
2025-06-03
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
F. Hoffmann La Roche

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To evaluate the efficacy of intravitreal (IVT) injections of faricimab in the study eye following the regimen in each of the treatment arms as change from baseline in best corrected visual acuity (BCVA) averaged over Weeks 44, 48, and 52

Secondary objectives 4

  1. To evaluate the efficacy of IVT injections of faricimab on additional BCVA outcomes in the study eye
  2. To evaluate the efficacy of IVT injections of faricimab on anatomic outcomes using optical coherence tomography (OCT) and optical coherence tomography angiography (OCTA) in the study eye
  3. To evaluate the durability of IVT injections of faricimab in the study eye
  4. To evaluate the ocular and non-ocular safety and tolerability of IVT injections of faricimab

Conditions and MedDRA coding

Neovascular Age-Related Macular Degeneration

VersionLevelCodeTermSystem organ class
27.0 PT 10071129 Neovascular age-related macular degeneration 100000004853

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 PHASE IIIB/IV OPEN LABEL STUDY
DURABILITY OF FARICIMAB ADMINISTERED IN PATIENTS WITH AGE RELATED MACULAR DEGENERATION
Randomised Controlled None Arm A: In Arm A, the potential to reduce treatment burden associated with the initial loading period will be explored.
Arm B: In Arm B, the treatment regimen is based on the design of the previous Lucerne and Tenaya studies

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Age ≥50 years at the time of signing Informed Consent Form
  2. Overtly healthy as determined by medical evaluation that includes medical history and physical examination.
  3. Agreement to adhere to the contraception requirements described
  4. Ocular Inclusion Criteria for Study Eye: Active treatment-naïve macular neovascularization (MNV) secondary to age-related macular degeneration (AMD), confirmed by the Investigator based on the presence of intraretinal fluid (IRF) or subretinal fluid (SRF) affecting the central subfield on OCT.
  5. Ocular Inclusion Criteria for Study Eye: BCVA of 83 to 24 letters, inclusive (20/25 to 20/320 approximate Snellen equivalent, using the early treatment diabetic retinopathy study (ETDRS) protocol and addressed at the initial testing distance of 4 meters on Day 1).
  6. Ocular Inclusion Criteria for Study Eye:Sufficiently clear ocular media and adequate pupillary dilation to allow acquisition of good quality retinal images to confirm diagnosis.

Exclusion criteria 6

  1. Macular neovascularization due to causes other than AMD, such as ocular histoplasmosis, trauma, pathological myopia, angioid streaks, choroidal rupture, or uveitis.
  2. Retinal pigment epithelial tear involving the macula on Day 1
  3. Current vitreous hemorrhage on Day 1
  4. Prior periocular pharmacological or IVT treatment (including faricimab, anti-vascular endothelial growth factor (VEGF), or complement inhibitor medication) for other retinal diseases
  5. Ocular Exclusion Criteria for Fellow (Non-Study) Eye Participants who have a nonfunctioning fellow (non-study) eye, defined as either BCVA of hand motion or worse, or no physical presence of non-study eye (i.e., monocular), at both the screening and study Day 1 visits will be excluded from study entry
  6. Ocular Exclusion for Both Eyes Potential participants are excluded from the study if any of the following criteria apply: – History of idiopathic or autoimmune associated uveitis in either eye – Active ocular inflammation or suspected or active ocular or periocular infection in either eye on study Day 1

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change from baseline in BCVA score as measured using the ETDRS VA chart at a starting distance of 4 meters

Secondary endpoints 8

  1. Change from baseline in BCVA averaged over Weeks 92, 96, and 100
  2. Change from baseline in BCVA over time
  3. Change from baseline in central subfield thickness (CST) averaged over Weeks 44, 48, and 52
  4. Change from baseline in CST averaged over Weeks 92, 96, and 100
  5. Change from baseline in CST over time
  6. Proportion of participants on a Q4W, Q8W, Q12W, Q16W, Q20W, and Q24W treatment interval at Weeks 52 and 100
  7. Incidence and severity of ocular adverse events
  8. Incidence and severity of non-ocular adverse events

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Vabysmo 120 mg/mL solution for injection

PRD9924297 · Product

Active substance
Faricimab
Substance synonyms
RO6867461, RG-7716, RG-7716 (ANTIVASCULAR ENDOTHELIAL GROWTH FACTOR/ANTI-ANGIOPOIETIN 2 BISPECIFIC ANTIBODY), Recombinant human anti-human VEGF-A and anti-human Ang-2 mAb, immunoglobulin G1-kappa/lambda with domain crossover, anti-[Homo sapiens VEGFA (vascular endothelial growth factor A, VEGF-A, VEGF)] and anti-[Homo sapiens ANGPT2 (angiopoietin 2, Ang2)], humanized and Homo sapiens monoclonal antibody, bispecific
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVITREAL USE
Max daily dose
6 mg milligram(s)
Max total dose
0.15 g gram(s)
Max treatment duration
96 Week(s)
Authorisation status
Authorised
ATC code
S01LA09 — -
Marketing authorisation
EU/1/22/1683/001
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
SECONDARY PACKAGING FOR CLINICAL TRIAL USE.

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

F. Hoffmann-La Roche AG

Sponsor organisation
F. Hoffmann-La Roche AG
Address
Grenzacherstrasse 124
City
Basel
Postcode
4058
Country
Switzerland

Scientific contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Public contact point

Organisation
F. Hoffmann-La Roche AG
Contact name
Trial Information System - TISL

Third parties 9

OrganisationCity, countryDuties
Prime Realty Holdings LLC
ORG-100053536
East Hanover, United States Other
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Other
Optymedge LLC
ORG-100045359
Rockville, United States Other
Q2q Communications Limited
ORG-100041455
Richmond, United Kingdom Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Drugdev Inc.
ORG-100047542
Wayne, United States Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom Other
Duke University
ORG-100051387
Durham, United States Other
Ashfield Healthcare Limited
ORG-100029994
Ashby-De-La-Zouch, United Kingdom Code 11

Locations

4 EU/EEA countries · 24 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruitment pending 22 6
Germany Ongoing, recruitment ended 22 6
Italy Ongoing, recruiting 23 6
Spain Ongoing, recruitment ended 22 6
Rest of world
United Kingdom, Canada, Australia, Taiwan, Korea, Republic of, United States, China, Singapore
185

Investigational sites

France

6 sites · Authorised, recruitment pending
Clinique De L'Union
Ophtalmology, Boulevard De Ratalens, 31240, Saint-Jean
Assistance Publique Hopitaux De Paris
Ophtalmology, 2 Rue Ambroise Pare, 75475, Paris Cedex 10
Selarl Retine Tourny
Ophtalmology, 68 Rue Du Palais Gallien, 33000, Bordeaux
Societe Civile De Moyens Des Docteurs Maury-Francais-Coscas-Favard-Krivosic
Ophtalmology, 113 Boulevard Saint Germain, 75006, Paris
Hospices Civils De Lyon
Ophtalmology, 5 Place D Arsonval, 69437, Lyon Cedex 03
Retina
Ophtalmology, 6 Rue Therese Et Rene Planiol, 37540, Saint-Cyr-Sur-Loire

Germany

6 sites · Ongoing, recruitment ended
Rostock University Medical Center
Klinik und Poliklinik für Augenheilkunde, Doberaner Strasse 140, Kroepeliner Tor Vorstadt, Rostock
Augenzentrum Am St Franziskus-Hospital Muenster
Augenzentrum, Hohenzollernring 74, Herz-Jesu, Munster
Universitaetsklinikum Ulm AöR
Klinik für Augenheilkunde, Prittwitzstrasse 43, Mitte, Ulm
Augenzentrum Prof. Dr. Koch GmbH
Augenzentrum, Georg-Baumgarten-Strasse 3, Flughafen, Frankfurt Am Main
Universitaetsklinikum Wuerzburg AöR
Augenklinik und Poliklinik, Josef-Schneider-Strasse 11, Grombuehl, Wuerzburg
Medizinische Hochschule Hannover
Klinik für Augenheilkunde, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover

Italy

6 sites · Ongoing, recruiting
Azienda Ospedaliera Universitaria Universita' Degli Studi Della Campania Luigi Vanvitelli
Dipartimento Multidisciplinare di Specialità Medico-Chirurgiche e Odontoiatriche, Via Sergio Pansini 5, 80131, Naples
Azienda Ospedaliero-Universitaria Sant Andre
UOD Oculistica, Via Di Grottarossa 1035-1039, 00189, Rome
Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I G M Lancisi G Salesi
Medicina sperimentale e clinica, clinica oculistica, Via Filippo Corridoni 11, 60123, Ancona
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Scienze Cliniche e di Comunità, Via Francesco Sforza 28, 20122, Milan
Azienda Ospedaliero Universitaria Ospedali Riuniti
Scienze Mediche e Chirurgiche, Viale Luigi Pinto 1, 71122, Foggia
Multimedica S.p.A.
Clinica Oculistica Universitaria, Via San Vittore 12, 20123, Milan

Spain

6 sites · Ongoing, recruitment ended
Clinica Baviera S.A.
Ophthalmology, Paseo De La Castellana 20, 28046, Madrid
University Hospital Virgen Del Rocio S.L.
Ophthalmology, Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Clinic De Barcelona
Ophthalmology, Calle Villarroel 170, 08036, Barcelona
Oftalmologia Vistahermosa S.L.
Ophthalmology, Avenida De La Ilustracion 1, Poligono Industrial De Burjassot, Burjassot
Hospital Universitari General De Catalunya
Ophthalmology, Carrer Pedro I Pons 1, 08195, Sant Cugat Del Valles
Hospital Universitario Puerta De Hierro De Majadahonda
Ophthalmology, Calle De Manuel De Falla 1, 28222, Majadahonda

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2025-06-04 2025-06-11 2025-10-16
Italy 2025-07-17 2025-08-05
Spain 2025-06-23 2025-07-09 2025-09-25

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Corrective measures 1 · Art. 77 CTR

Corrective measure CM-FR-0001

Member state
France
Publication date
2025-07-09
Type
3
Reason
7
Immediate action required
Yes
Justification
In line with CTR Q&A / point 1.23, the sponsor is asked to submit a substantial modification application in order to update the CTA in line with the documentation approved during the appeal procedure within 10 days after the submission of this corrective measure.

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 49 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) d1_protocol-2024-517545-13-00-redacted 1
Protocol (for publication) d4_patient-facing-documents_studybrochure_de-de 1
Protocol (for publication) d4_patient-facing-documents_studybrochure_eng 1
Protocol (for publication) d4_patient-facing-documents_studybrochure_es 1
Protocol (for publication) d4_patient-facing-documents_studybrochure_fr-fr 1
Protocol (for publication) d4_patient-facing-documents_studybrochure_it 1
Recruitment arrangements (for publication) K1_Recruitment arrangement 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Recruitment arrangements (for publication) K1_Recruitment Arrangements_MR45638 1
Recruitment arrangements (for publication) K2_Recruitment material Advert 1
Recruitment arrangements (for publication) K2_Recruitment material Clinical Trials Brochure graphics 1
Recruitment arrangements (for publication) K2_Recruitment material Clinical Trials Brochure photos 1
Recruitment arrangements (for publication) K2_Recruitment material Flyer Light Creative 1 1
Recruitment arrangements (for publication) K2_Recruitment material Flyer Light Creative 2 1
Recruitment arrangements (for publication) K2_Recruitment material Poster 1 1
Recruitment arrangements (for publication) K2_Recruitment material Poster 2 1
Recruitment arrangements (for publication) K2_Recruitment material Study Brochure 1
Recruitment arrangements (for publication) K3_Document_additionnel - REDACTED 2
Subject information and informed consent form (for publication) L1_Privacy consent form other subjects 1
Subject information and informed consent form (for publication) L1_SIS and IAF infant authorization 1
Subject information and informed consent form (for publication) L1_SIS and ICF General_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF Healthy Volunteer_MR45638 3
Subject information and informed consent form (for publication) L1_SIS and ICF Infant Health 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_MR45638_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF ocular image other subjects 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF-IAF 2
Subject information and informed consent form (for publication) L1_SIS and ICF-Main-REDACTED 2
Subject information and informed consent form (for publication) L2_Other subject information material description_Advert RGB 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Brochure Essai clinique 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Brochure Essai clinique-2 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Brochure etude 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Carte Patient 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Flyer 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Flyer-2 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Poster 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Poster-2 1
Subject information and informed consent form (for publication) L2_Other subject information material_Clinical Trial Brochure 1 1
Subject information and informed consent form (for publication) L2_Other subject information material_Clinical Trial Brochure 2 1
Subject information and informed consent form (for publication) L2_Other subject information material_Flyer 1
Subject information and informed consent form (for publication) L2_Other subject information material_Poster 1 1
Subject information and informed consent form (for publication) L2_Other subject information material_Poster 2 1
Subject information and informed consent form (for publication) L2_Other subject information material_Poster 3 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC [Vabysmo] N/A
Synopsis of the protocol (for publication) d1_protocol-synopsis_ENG-2024-517545-13-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_ES-2024-517545-13-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_FR-FR-2024-517545-13-00 1
Synopsis of the protocol (for publication) d1_protocol-synopsis_IT-2024-517545-13-00 1

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-02-12 France Acceptable
2025-05-28
2025-06-02
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-06-18 Acceptable
2025-05-28
2025-06-18
3 NON SUBSTANTIAL MODIFICATION NSM-2 2025-07-14 France Acceptable
2025-05-28
2025-07-14
4 NON SUBSTANTIAL MODIFICATION NSM-3 2025-10-01 France Acceptable
2025-05-28
2025-10-01
5 SUBSTANTIAL MODIFICATION SM-1 2025-12-18 Acceptable 2026-01-21