Actively Recruiting

Phase 4
Age: 50Years +
All Genders
ID04853251

A Phase IV, Multicenter, Open-label Study to Assess Corneal Endothelial Cells in Patients With Neovascular Age-related Macular Degeneration Treated With the Port Delivery System With Ranibizumab (PDS)

Led by Genentech, Inc. · Updated on 2026-05-12

188

Participants Needed

50

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating corneal endothelial cells in people with neovascular age-related macular degeneration (nAMD) who are treated with the Port Delivery System (PDS) refilled every 24 weeks. This Phase IV study is open-label and multicenter, aiming to assess changes in corneal endothelial cell density and other eye health measures in participants receiving this treatment. Participants will have the PDS implant surgically placed in the study eye at the beginning of the study. The implant is filled with a ranibizumab solution before insertion and then refilled every 24 weeks. Supplemental ranibizumab injections may also be given if needed. The study monitors the participants during the treatment period, which lasts up to approximately one year. During the study, participants will undergo exams including specular microscopy to measure corneal endothelial cell density, visual acuity tests, and other eye health assessments at baseline, 24 weeks, and 48 weeks. Researchers will track any serious or special ocular adverse events, device effects, and other safety outcomes. Participants are followed closely to understand the effects of the PDS implant and treatment on eye structures over time.

CONDITIONS

Brief Title

A Study Assessing Corneal Endothelial Cells in Participants With Neovascular Age-related Macular Degeneration (nAMD) Treated With the Port Delivery System With Ranibizumab (PDS)

Who Can Participate

Age: 50Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosed with neovascular age-related macular degeneration (nAMD) before screening
  • Less than 10% difference in corneal endothelial cell density between eyes at screening
  • Availability of historical visual acuity and OCT imaging data; fluorescein angiography or fundus photography may also be used
  • Availability of at least 2 years of anti-VEGF injection history or from diagnosis if less than 2 years
  • Response to at least two prior anti-VEGF intravitreal injections with decreased disease activity and stable or improved vision
  • Best-corrected visual acuity of approximately 20/200 or better in the study eye
  • All nAMD lesion subtypes allowed; lesions must involve the macula at diagnosis
  • Clear ocular media and good pupil dilation for clinical exams and imaging
Not Eligible

You will not qualify if you...

  • Prior external-beam radiation or transpupillary thermotherapy to study eye
  • Previous verteporfin injection or corticosteroid intravitreal injection within 2 years
  • Previous laser treatments for AMD except verteporfin injection
  • History of corneal transplant or conjunctival surgery in superotemporal quadrant
  • History of intraocular inflammation after anti-VEGF injection
  • Previous PDS implantation in either eye
  • Intraocular surgery within 6 months prior to enrollment
  • Prior vitrectomy, submacular surgery, or other AMD surgeries
  • History of glaucoma surgery or use of intraocular devices (excluding lenses)
  • Participation in trials with unapproved intravitreal agents
  • Recent intraocular laser therapies or contact lens use within 2 months
  • Prior ocular trauma affecting corneal or retinal health
  • Corneal endothelial cell density below 1500 cells/mm2 or certain corneal dystrophies
  • Various active or history of ocular surface diseases and infections
  • Uncontrolled ocular hypertension or glaucoma
  • Severe eyelid or facial nerve conditions affecting eye protection
  • Certain systemic conditions including uncontrolled blood pressure, recent stroke or heart attack, autoimmune diseases, active infections, cancer within 12 months except specific types
  • Use of systemic anti-VEGF agents or chronic corticosteroids
  • Pregnancy, breastfeeding, or intention to become pregnant; women of childbearing potential must have negative pregnancy tests before treatment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 52 weeks

Participants undergo surgery to have the Port Delivery System (PDS) implant with ranibizumab surgically inserted in the study eye. After the initial fill, participants receive implant refill-exchanges approximately every 24 weeks.

Visits at Day 1 for implantation and approximately every 24 weeks for implant refill-exchanges

Follow-up

Duration - Up to 52 weeks

Participants are monitored for ocular adverse events and safety outcomes after treatment, including assessments up to approximately Week 52.

Regular follow-up visits through Week 52

Trial Site Locations

Total: 50 locations

1

Barnet Dulaney Perkins Eye Center

Mesa, Arizona, United States, 85206-2747

Actively Recruiting

2

California Retina Consultants

Bakersfield, California, United States, 93309

Completed

3

Retina Associates of Southern California

Huntington Beach, California, United States, 92647

Actively Recruiting

4

California Eye Specialists Medical group Inc.

Pasadena, California, United States, 91107-3747

Completed

5

Retinal Consultants Med Group

Sacramento, California, United States, 95841-2013

Actively Recruiting

6

University of California San Francisco

San Francisco, California, United States, 94158-2510

Actively Recruiting

7

Orange County Retina Med Group

Santa Ana, California, United States, 92705-6504

Actively Recruiting

8

Macula Retina Vitreous Research Institute

Torrance, California, United States, 90503-3270

Actively Recruiting

9

Southwest Retina Consultants

Durango, Colorado, United States, 81303

Completed

10

Advanced Vision Research Institute

Longmont, Colorado, United States, 80503-6499

Actively Recruiting

11

Retina Group of New England

Waterford, Connecticut, United States, 06385-1215

Withdrawn

12

Retina Specialty Institute

Pensacola, Florida, United States, 32503-2030

Actively Recruiting

13

Ft Lauderdale Eye Institute

Plantation, Florida, United States, 33324-3118

Withdrawn

14

Retina Vitreous Associates of Florida

St. Petersburg, Florida, United States, 33711-1141

Actively Recruiting

15

Southeast Retina Center

Augusta, Georgia, United States, 30909-6440

Actively Recruiting

16

University Retina and Macula Associates, PC

Lemont, Illinois, United States, 60439-7421

Actively Recruiting

17

Wolfe Eye Clinic

West Des Moines, Iowa, United States, 50266

Withdrawn

18

Retina Associates of Kentucky

Lexington, Kentucky, United States, 40509-1827

Withdrawn

19

Maine Eye Center

Portland, Maine, United States, 04101

Actively Recruiting

20

The Retina Care Center

Baltimore, Maryland, United States, 21209-2219

Actively Recruiting

21

Wilmer Eye Institute Johns Hopkins University

Baltimore, Maryland, United States, 21287-0005

Actively Recruiting

22

Retina Group of Washington

Chevy Chase, Maryland, United States, 20815-6956

Withdrawn

23

Cumberland Valley Retina Consultants PC

Hagerstown, Maryland, United States, 21740

Completed

24

Associated Retinal Consultants PC

Royal Oak, Michigan, United States, 48073

Actively Recruiting

25

VitreoRetinal Surgery, PLLC.

Minneapolis, Minnesota, United States, 55435-3004

Actively Recruiting

26

Midwest Vision Research Foundation

Chesterfield, Missouri, United States, 63017-5065

Completed

27

Sierra Eye Associates

Reno, Nevada, United States, 89502-1605

Actively Recruiting

28

Envision Ocular, LLC

Bloomfield, New Jersey, United States, 07003

Actively Recruiting

29

Seeta Eye Centers

Poughkeepsie, New York, United States, 12603-2416

Actively Recruiting

30

Western Carolina Retinal Associate PA

Asheville, North Carolina, United States, 28803-2493

Withdrawn

31

Duke Eye Center

Durham, North Carolina, United States, 27705-4699

Actively Recruiting

32

Fargo Retina Consultants

Fargo, North Dakota, United States, 58047

Actively Recruiting

33

Cincinnati Eye Institute

Blue Ash, Ohio, United States, 45242-5537

Actively Recruiting

34

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

35

Tulsa Retina Consultants

Tulsa, Oklahoma, United States, 74114

Withdrawn

36

Erie Retina Research

Erie, Pennsylvania, United States, 16505

Actively Recruiting

37

Mid Atlantic Retina

Philadelphia, Pennsylvania, United States, 19107-5109

Withdrawn

38

Palmetto Retina Center

Florence, South Carolina, United States, 29501

Withdrawn

39

Palmetto Retina Center, LLC

West Columbia, South Carolina, United States, 29169-2429

Withdrawn

40

Charles Retina Institute

Germantown, Tennessee, United States, 38138-2405

Actively Recruiting

41

Tennessee Retina PC

Nashville, Tennessee, United States, 37203-1596

Actively Recruiting

42

Panhandle Eye Group LLP Southwest Retina Specialists

Amarillo, Texas, United States, 79106-1835

Completed

43

Austin Retina Associates

Austin, Texas, United States, 78705-1169

Withdrawn

44

Retina Consultants of Texas

Bellaire, Texas, United States, 77401

Actively Recruiting

45

Retina Consultants of Texas

Schertz, Texas, United States, 78154

Actively Recruiting

46

Retina Associates of Utah, PLLC

Salt Lake City, Utah, United States, 84107-6767

Actively Recruiting

47

Piedmont Eye Center

Lynchburg, Virginia, United States, 24502-4271

Actively Recruiting

48

Wagner Kapoor Institute

Norfolk, Virginia, United States, 23502-3933

Actively Recruiting

49

Retina Institute of Virginia

Richmond, Virginia, United States, 23235-1962

Withdrawn

50

Spokane Eye Clinical Research

Spokane, Washington, United States, 99204

Actively Recruiting

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Research Team

R

Reference Study ID Number: ML43000 https://forpatients.roche.com/

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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