RecruitingPhase 4NCT07403825

Efficacy of Faricimab in Patients With Subretinal Hyper-reflective Material

Efficacy of Faricimab in Patients With Subretinal Hyperreflective Material Associated With Type 2 or Mixed Neovascular Membranes Assessed by Multimodal Imaging


Sponsor

Biobizkaia Health Research Institute

Enrollment

100 participants

Start Date

May 25, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Whose aim is to: Determine the percentage of patients with resolution of subretinal hyperreflective material (SHRM) at week 16. This study is intended to be performed in the ophthalmology departments or ophthalmology clinics of the participating sites, located in Spain. Macular degeneration is an eye disease characterised by progressive damage to the macula leading to a loss of central vision. There are two types of macular degeneration, dry and wet or exudative. The prevalence of the latter in Spain is 1.9% in people aged 65 and over. Among the subtypes of macular neovascularisation (MNV), type 2 is rare (9%), with the majority being mixed type 1 and 2 cases (13.5%). SHRM is present in about 77% of eyes with neovascular age-related macular degeneration (AMD). Different anti-VEGF (vascular endothelial growth factor) drugs have been used for the treatment of type 2 and mixed 1 and 2 types of MNV. Following treatment, a reduction in SHRM has been observed, although results between studies vary between 34% and 56%. Improvements in best-corrected visual acuity are also achieved in eyes with type 2 MNV with anti-VEGF therapy.


Eligibility

Min Age: 50 Years

Inclusion Criteria5

  • People aged 50 and over.
  • Diagnosed with bilateral or unilateral AMD.
  • Eyes with SHRM and type 2 or mixed (type 1 and 2) neovascular membrane.
  • Näive eyes treated with Faricimab following SmPC (summary of product characteristic).
  • They agree to participate in the study and sign the informed consent form.

Exclusion Criteria10

  • Eyes with type 1, aneurysmal type 1 and type 3 MNV.
  • Eyes with type 2 MNV and other macular diseases (myopia, posterior uveitis, systemic diseases, such as pseudoxanthoma elasticum).
  • Eyes with ocular media opacity.
  • Patients with other retinal diseases, such as central serous chorioretinopathy, diabetic retinopathy, retinal vascular occlusion, uveitis, myopic maculopathy or any other retinal disease that could compromise the best-corrected visual acuity and interfere with retinal parameters.
  • Any neurological condition (including cognitive impairment, stroke, dementia, Parkinson, anxiety or schizophrenia) that, in the opinion of the investigator, would pose a risk to patient's safety or interfere with the assessment, procedures, or completion of the study.
  • People who are participating or will participate in any type of clinical trial.
  • Pregnant women.
  • Breastfeeding women.
  • Women* of childbearing potential who are unable or unwilling to use highly effective methods of contraception (bilateral tubal ligation, male sterilization, hormonal contraceptives that inhibit ovulation, hormone-releasing intrauterine devices, and copper intrauterine devices) from the start to the end of the study.
  • Woman of childbearing potential: considered as such if she is postmenarcheal, has not reached a postmenopausal state (≥12 continuous months of amenorrhea with no identified cause other than menopause), or has not undergone surgical sterilization (removal of ovaries and/or uterus).

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Interventions

DRUGVabysmo 6 MG in 0.05 ML Injection

The study drug, Faricimab (Vabysmo®), will be administered at a dose of 6 mg/0.05 ml, by intravitreal injection, following the indications in the product's technical data sheet.


Locations(10)

Hospital Arruzafa

Córdoba, Andalusia, Spain

Hospital Universitario Basurto

Bilbao, Bizkaia, Spain

Hospital Clínico Universitario de Valladolid

Valladolid, Castille and León, Spain

Hospital Universitario Nuestra Señora del Perpétuo Socorro

Albacete, Castille-La Mancha, Spain

Clinica Barraquer

Barcelona, Catalonia, Spain

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Hospital Puerta de Hierro Majadahonda

Majadahonda, Madrid, Spain

Instituto Oftalmologico Fernandez-Vega

Oviedo, Principality of Asturias, Spain

Oftalvist Valencia

Burjassot, Valencia, Spain

Hospital General Universitario Valencia

Valencia, Valencia, Spain

View Full Details on ClinicalTrials.gov

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NCT07403825