Ireland
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Recruiting Phase 3

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

NCT06952452 · tracked via the Priya Life Science Spain tracker
Phase
Phase 3
Started
2022-11-18
Last updated
2025-11-20

Condition(s) studied

Wet Age-related Macular Degeneration

Investigational drug(s) / intervention(s)

Bevacizumab →Ranibizumab Ophthalmic →

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

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

Study summary

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)

Eligibility

Sex
ALL
Min age
50 Years
Max age
—
Healthy volunteers
No
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.

Primary outcome measure(s)

  • Frequency of Genetic Polymorphism in VEGFA Associated With Anti-VEGF Treatment Response in AMD Patients — From baseline, first dose, up to 3 years
    Proportion of patients carrying the VEGFA genetic polymorphism (VEGFA, CFH, CTFG, ARMS2, HTRA1, OR52B4, LOC387715, LOC100287225, LEPR, SERPINF1), as determined by genotyping of DNA extracted from saliva samples. This measure will be correlated with response to anti-VEGF therapy (ranibizumab or aflibercept). Unit of Measure: % of participants with polymorphism. Measurement Tool: Genotyping assay on saliva-derived DNA (e.g., TaqMan PCR-based method).

Trial sites (4)

FacilityCityRegionStatus
Hospital Universitario de Canarias San Cristóbal de La Laguna Santa Cruz De Tenerife Recruiting
Hospital de la Santa Creu i Sant Pau Barcelona Spain Recruiting
Hospital la Esperanza Barcelona Spain Recruiting
Unidad Central de Investigación Clínica y Ensayos Clínicos (UCICEC La Paz) Madrid Spain Recruiting

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06952452 on ClinicalTrials.gov ↗ ← All trials in Spain