Overview
Sponsor-declared trial summary
Geographic atrophy secondary to age-related macular degeneration
To evaluate the dose response relationship of FWY003 on GA lesion area in participants with GA secondary to AMD
Key facts
- Sponsor
- Novartis Pharma AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Eye Diseases [C11]
- Decision date (initial)
- 2026-05-08
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Novartis Pharma AG
External identifiers
- EU CT number
- 2025-523704-77-00
- WHO UTN
- U1111-1333-0893
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Pharmacokinetic, Pharmacodynamic, Safety, Therapy, Efficacy, Dose response
To evaluate the dose response relationship of FWY003 on GA lesion area in participants with GA secondary to AMD
Secondary objectives 6
- To assess the safety and tolerability of FWY003
- To assess the effect of FWY003 on visual function in the study eye from Baseline through Month 18
- To assess the effect of FWY003 on photoreceptor parameters from Baseline through Month 18.
- To assess FWY003 pharmacokinetics from Baseline through Month 18.
- To assess the rate of change in GA lesion area from Baseline through Month 18.
- To assess the effect of FWY003 on GA lesion area from baseline through Month 00
Conditions and MedDRA coding
Geographic atrophy secondary to age-related macular degeneration
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.1 | LLT | 10063947 | Geographic atrophy | 10015919 |
| 27.0 | PT | 10075567 | Dry age-related macular degeneration | 100000004853 |
Regulatory references
- Scientific advice from competent authorities
- National Agency For The Safety Of Medicine And Health Products, Swedish Medical Products Agency, Food And Drug Administration
- Plan to share IPD
- Yes
- IPD plan description
- Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 3
- Male or female participants ≥ 50 years of age.
- A diagnosis of GA secondary to AMD in at least one eye (study eye) MUST meet the following criteria with lesion size assessed by FAF. 1. Total GA area must be ≥2.5 and ≤17.5 mm2 (1 and 7 disk areas (DA), respectively) 2. IF GA lesion is multifocal, THEN the total lesion area must be between 2.5-17.5 mm2 and at least one lesion with an area of at least 1.25 mm2 3. Entire GA lesion must be visualized on the macula centered image and not contiguous with peripapillary atrophy
- ETDRS BCVA ≥ 35 letters (20/200) in the study eye.
Exclusion criteria 6
- A history of, or current evidence of, choroidal neovascularization (exudative MNV) in either eye, as determined by the central reading center on multimodal imaging at screening.
- Intravitreal drug delivery of a complement inhibitor in either eye in the past 3 months or 5 half-lives from screening (whichever is longer). The study eye should not have received ≥6 doses of intravitreally administered anti-complement therapies.
- Previous cell or gene therapy in either eye.
- Macular atrophy in either eye due to a cause other than AMD, such as Stargardt disease, cone rod dystrophy, toxic maculopathies, etc.
- Intraocular surgery, including cataract and vitreoretinal surgery, in the study eye within 3 months prior to Baseline.
- Presence of significant media opacity, eye movement disorder (nystagmus), severe ptosis, extraocular motility restriction or head tremor, which in the opinion of the investigator would prevent adequate fundus visualization or interfere with retinal imaging data quality.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Change of GA lesion area from Baseline to Month 18
Secondary endpoints 5
- Incidence and severity of ocular and non-ocular AEs, and systemic safety measures including physical examinations, vital signs, ECG and laboratory tests.
- Change in visual function in the study eye from Baseline through Month 18 as measured by: • Early treatment diabetic retinopathy study (ETDRS) (Regular Luminance) Best Corrected Visual Acuity (BCVA) • ETDRS Low Luminance Visual Acuity (LLVA) • Quantitative contrast sensitivity function (qCSF) under regular luminance • Low Contrast quantitative Visual Acuity (LCqVA) under regular luminance • LCqVA under low luminance • Proportion of participants with ≥15 letters loss from baseline
- Change in area of total and partial ellipsoid zone (EZ) attenuation in the macula from Baseline through Month 18
- Rate of change of GA lesion area (square-root transformed) in the study eye from Baseline through Month 18
- Change of GA lesion area (square-root transformed) from Baseline through Month 00.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 3
PRD13234876 · Product
- Active substance
- FWY003 Tosilate
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 00 DF dosage form
- Max total dose
- 00 DF dosage form
- Max treatment duration
- 18 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVARTIS PHARMA AG
- Paediatric formulation
- No
- Orphan designation
- No
PRD13234961 · Product
- Active substance
- FWY003 Tosilate
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 00 DF dosage form
- Max total dose
- 00 DF dosage form
- Max treatment duration
- 18 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVARTIS PHARMA AG
- Paediatric formulation
- No
- Orphan designation
- No
PRD13234934 · Product
- Active substance
- FWY003 Tosilate
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 00 DF dosage form
- Max total dose
- 00 DF dosage form
- Max treatment duration
- 18 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- NOVARTIS PHARMA AG
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Novartis Pharma AG
- Sponsor organisation
- Novartis Pharma AG
- Address
- Lichtstrasse 35
- City
- Basel
- Postcode
- 4056
- Country
- Switzerland
Scientific contact point
- Organisation
- Novartis Pharma AG
- Contact name
- Novartis Pharma Arzneimittel GmbH
Public contact point
- Organisation
- Novartis Pharma AG
- Contact name
- Novartis Pharma Arzneimittel GmbH
Third parties 14
| Organisation | City, country | Duties |
|---|---|---|
| Medical Equipment Supplies And Management Limited ORG-100044212
|
Chorley, United Kingdom | Other |
| SGS France ORG-100011566
|
St Benoit, France | Laboratory analysis |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | On site monitoring |
| Parexel International (IRL) Limited ORG-100022780
|
Dublin 2, Ireland | Code 12 |
| Bioagilytix Labs LLC ORG-100013030
|
Durham, United States | Laboratory analysis |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring, Code 13, Interactive response technologies (IRT), Laboratory analysis |
| Veeda Clinical Research Limited ORG-100012827
|
Ahmedabad, India | Laboratory analysis |
| Adaptive Sensory Technology Inc. ORG-100044834
|
San Diego, United States | Code 13 |
| Eurofins Danmark A/S ORG-100017762
|
Galten, Denmark | Laboratory analysis |
| Syneos Health Inc. ORG-100008382
|
Morrisville, United States | On site monitoring |
| Global Eye Trials Limited ORG-100051097
|
Horsham, United Kingdom | Code 13 |
| Duke University ORG-100051387
|
Durham, United States | Code 13 |
| EPL Pathology Archives LLC ORG-100042096
|
Leesburg, United States | Other |
| Icon Laboratory Services Inc. ORG-100037135
|
Farmingdale, United States | Laboratory analysis |
Locations
9 EU/EEA countries · 30 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Authorised, recruitment pending | 8 | 1 |
| Czechia | Authorised, recruitment pending | 8 | 2 |
| France | Authorised, recruitment pending | 18 | 5 |
| Germany | Authorised, recruitment pending | 18 | 4 |
| Hungary | Authorised, recruitment pending | 12 | 5 |
| Italy | Authorised, recruitment pending | 14 | 4 |
| Poland | Authorised, recruitment pending | 10 | 3 |
| Romania | Authorised, recruitment pending | 34 | 2 |
| Spain | Authorised, recruitment pending | 20 | 4 |
| Rest of world
Japan, United States, China, Australia, Argentina, United Kingdom, Colombia, New Zealand, Canada, Brazil
|
— | 130 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 104 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol - Signature Page_2025-523704-77-00_1_English_Red | v00-EU.02 |
| Protocol (for publication) | D1_Protocol_2025-523704-77-00_1_English_Red | v00-EU.02 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_BG_Bulgarian_NonRed | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_CZ_NonRed | v01 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_ES_Spanish_NonRed | v5.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_FR_NonRed | 01 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_HU_English_NonRed | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_IT_English_NonRed | v1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_PL_Polish_NonRed | v01 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_1_RO_Romanian_NonRed | v1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_2_FR_French_NonRed | 05Dec2025 |
| Recruitment arrangements (for publication) | K1_Recruitment Arrangements - Country_3_FR_French_Red | 00 |
| Recruitment arrangements (for publication) | K1_Recruitments Arrangements - Country_1_DE_English_NonRed | v01 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_BG_Bulgarian_NonRed | 0.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_BG_English_NonRed | 0.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_CZ_Czech_NonRed | v1.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_DE_German_NonRed | v1.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_ES_Spanish_NonRed | v.00 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_HU_Hungarian_NonRed | 1 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_IT_Italian_NonRed | v0.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_1_PL_Polish_NonRed | v01 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_2_DE_German_NonRed | v00 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_3_DE_German_NonRed | v0.0 |
| Recruitment arrangements (for publication) | K2_Advertisements - Country_4_DE_German_NonRed | v1 |
| Recruitment arrangements (for publication) | K2_Recruitment Arrangements - Country_1_RO_English_NonRed | v0.0 |
| Recruitment arrangements (for publication) | K2_Recruitment Arrangements - Country_1_RO_Romanian_NonRed | v0.0 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_BG_Bulgarian_NonRed | 00.00.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_BG_English_NonRed | 00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_CZ_Czech_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_DE_German_NonRed | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_ES_Spanish_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_FR_French_NonRed | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_HU_Hungarian_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_IT_Italian_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_PL_Polish_NonRed | 00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_RO_English_NonRed | v00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant participant_1_RO_Romanian_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_BG_Bulgarian_NonRed | 00.00.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_BG_English_NonRed | 00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_CZ_Czech_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_DE_German_NonRed | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_ES_Spanish_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_HU_Hungarian_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_IT_Italian_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_PL_Polish_NonRed | 00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_RO_English_NonRed | v00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Follow up for pregnant partner of participant_1_RO_Romanian_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Genetics_1_BG_Bulgarian_Red | 00.00.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Genetics_1_BG_English_Red | 00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Genetics_1_ES_Spanish_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Info Sheet Female Partner_1_FR_French_NonRed | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_BG_Bulgarian_Red | 00.00.03 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_BG_English_Red | 00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_CZ_Czech_Red | v00.01.02 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_DE_German_Red | V00.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_ES_Spanish_Red | v00.01.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_FR_French_Red | V00.01.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_HU_Hungarian_Red | v00.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_IT_Italian_Red | v00.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_PL_Polish_Red | 00.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_RO_English_Red | v00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Main ICF - Adult_1_RO_Romanian_Red | v00.01.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_BG_Bulgarian_Red | 00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_BG_English_Red | 00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_CZ_Czech_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_DE_German_Red | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_ES_Spanish_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_HU_Hungarian_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_IT_Italian_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_PL_Polish_Red | 00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_RO_English_Red | v00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_1_RO_Romanian_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_2_CZ_Czech_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_2_PL_Polish_Red | 00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_2_RO_English_Red | v00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Optional Assessment_2_RO_Romanian_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Pregnancy Follow up Parent Legal Guardian_1_FR_French_NonRed | V00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Qualification of Machines_1_BG_Bulgarian_NonRed | 00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Qualification of Machines_1_BG_English_NonRed | 00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Research_1_HU_Hungarian_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Research_1_IT_Italian_Red | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Research_2_HU_Hungarian_Red | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_ICF - Separate Data Protection Consent_1_CZ_Czech_NonRed | v00.00.01 |
| Subject information and informed consent form (for publication) | L1_ICF - Site Training_1_HU_Hungarian_NonRed | v00.00.00 |
| Subject information and informed consent form (for publication) | L1_List of submitted documents Part II - ICF_1_CZ_NonRed | v2 |
| Subject information and informed consent form (for publication) | L1_List of submitted documents Part II_1_HU_Red | 07Jan2026 |
| Subject information and informed consent form (for publication) | L1_Patient Card_1_Czech_NonRed | 24Jan2024 |
| Subject information and informed consent form (for publication) | L1_Patient Card_1_French_NonRed | 27-Jan-26 |
| Subject information and informed consent form (for publication) | L1_Patient Card_1_HU_Hungarian_NonRed | v00,00,00 |
| Subject information and informed consent form (for publication) | L1_Patient Card_2_Czech_NonRed | v01 |
| Subject information and informed consent form (for publication) | L1_Subject Info Sheet or Other Info_1_FR_French_NonRed | V1 |
| Subject information and informed consent form (for publication) | L2_ICF Procedure_1_DE_English_NonRed | V01 |
| Subject information and informed consent form (for publication) | L2_ICF Procedure_1_ES_Spanish_NonRed | 18Nov2025 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Bulgarian_NonRed | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Czech_NonRed | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_English_NonRed | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_French_NonRed | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Hungarian_NonRed | v00.00 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Italian_NonRed | v1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Polish_NonRed | 01 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Romanian_NonRed | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Lay Language_2025-523704-77-00_1_Spanish_NonRed | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Technical Language_2025-523704-77-00_1_Czech_Red | 0.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Summary in Technical Language_2025-523704-77-00_1_Hungarian_Red | v00.00 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2026-01-13 | France | Acceptable 2026-05-03
|
2026-05-04 |