About this trial
This randomized trial will compare treatment strategies for proliferative diabetic retinopathy (PDR). Participants will receive either combination a of faricimab + PRP or vitrectomy + endolaser. The participants will be followed for 3 years. The study will evaluate long-term visual acuity as well as differences in number of injections, procedures, and complications during follow-up (after completion of randomization treatment), and cost.
Eligibility criteria
Qualifiers
≥ 18 years old
Diagnosis of diabetes mellitus (type 1 or type 2)
Presence of PDR requiring treatment, defined as moderate PDR or worse on global grading of ultrawide field fundus photos or NV meeting criteria for moderate PDR or worse on global grading of ultrawide field FA, confirmed by a central reading center
Best corrected visual acuity ≥49 letters (20/100 Snellen equivalent or better)
Disqualifiers
Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
Blood pressure > 160/100 (systolic above 160 or diastolic above 100).
For women of child-bearing potential: pregnant or lactating or intending to become pregnant within the next 3 years.
Women of childbearing potential will be required to have pregnancy testing or use an acceptable method of pregnancy prevention. Women who are potential study participants should be questioned about the potential for pregnancy at baseline and prior to each injection. Pregnancy test is required for all women of childbearing potential at baseline. Investigator judgment is used to determine when a pregnancy test is needed during follow up.
Trial design
Treatments tested in this trial
- Vitrectomy
- Endolaser
- Faricimab
- Panretinal Photocoagulation (PRP)
Treatment groups
Sponsors and collaborators
Jaeb Center for Health Research
Lead sponsor
National Eye Institute (NEI)
Collaborator
Genentech, Inc.
Collaborator