About this trial
Home optical coherence tomography- guided treatment versus treat and extend for the management of neovascular age-related macular degeneration.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 50 years
Have the capacity to consent on his/her own behalf
Able to successfully and independently complete at least one self-scanning session on the Home OCT device located at the enrolling clinical site
Willing to perform once daily Home OCT monitoring tests for 2 years without significant interruption (such as travel of more than 14 days)
Disqualifiers
Previous treatment for MNV (intravitreal injection of any anti-VEGF or anti-VEGF/anti-Ang2 agent, or any other AMD therapy)
Prior treatment with intravitreal injection of any anti-VEGF or anti-VEGF/anti-Ang2 agent or with macular laser for any indication
Treatment with intravitreal corticosteroids within the last 6 months
A condition that, in the opinion of the investigator, would preclude participation in the study or ability to complete daily Home OCT scans for 2 years (e.g., unstable medical status that may preclude successful completion of follow-up, dementia, Alzheimer's disease, uncontrollable tremors)
Trial design
Parallel
Treatments tested in this trial
Intravitreal injections of 6 mg faricimab on a Treat and Extend schedule
DrugIntravitreal injections of 6 mg faricimab on a Treat and Extend schedule
Intravitreal injections of 6 mg faricimab on a home optical coherence tomography-guided treatment schedule
DeviceIntravitreal injections of 6 mg faricimab on a Home OCT-guided treatment schedule
Treatment groups
Trial outcomes
Primary outcomes
E-ETDRS Change in Visual Acuity Letter Score
Best-corrected visual acuity following protocol-defined refraction. Visual Acuity measured with the Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) visual acuity test on a scale from 100 letters (Snellen equivalent of 20/10) to 0 letters (Snellen equivalent of \<20/800). Higher scores indicate better visual acuity, and lower scores indicate worse visual acuity.
Number of intravitreal injections of Faricimab (6.0 mg) in the study eye
Sponsors and contacts
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Jaeb Center for Health Research
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Eye Institute (NEI)
Collaborator
Juvenile Diabetes Research Foundation
Collaborator