4D-150 in Patients With Neovascular (Wet) Age-Related Macular Degeneration

Last updated: September 9, 2025
Sponsor: 4D Molecular Therapeutics
Overall Status: Active - Recruiting

Phase

1/2

Condition

Macular Degeneration

Geographic Atrophy

Treatment

4D-150 IVT

Aflibercept IVT

Clinical Study ID

NCT05197270
4D-150-C001
  • Ages > 50
  • All Genders

Study Summary

Phase 1/2 dose-escalation and randomized, controlled, masked expansion trial in adults with wet AMD undergoing active anti-VEGF treatment.

Substudies will evaluate the safety and tolerability of 4D-150 contralateral eye dosing and characterize vector shedding.

Eligibility Criteria

Inclusion

  • 50 years of age

  • Diagnosed with macular CNV secondary to AMD

  • BCVA ETDRS Snellen equivalent for dose escalation and contralateral eye between 20/32 and ~20/320, or for dose expansion and population extension between ~20/25 and20/200, for steroid optimization and shedding sub-study between ~20/25 and ~20/640

  • Currently receiving anti-VEGF treatment in the study eye and has demonstrated aclinical response consistent with anti-VEGF activity within 12 months prior toscreening

Contralateral Eye Sub-study-Specific Criteria: Received 4D-150 in study eye-1 at least 6 months prior to Contralateral Sub-study Screening Visit

Contralateral Eye Sub-study-specific Exclusion: Prior adverse event related to 4D-150, required modifications to or reinitiated protocol specified corticosteroid regimen/taper in study eye-1, signs and symptoms of noninfectious intraocular inflammation in either eye

Shedding Sub-study-specific Inclusion Criteria:

S-1. ≥50 years of age S-2. Diagnosed with macular CNV secondary to AMD S-3. BCVA ETDRS Snellen equivalent between ~20/640 and 20/25 S-5. Currently receiving anti-VEGF and has demonstrated a clinical response consistent with anti-VEGF activity within 12 months prior to screening

Exclusion

Shedding Sub-study-specific Exclusion Criteria:

  • Any condition preventing visual acuity improvement in the study eye

  • Prior treatment with photodynamic therapy or retinal laser in the study eye

  • History of uveitis in either eye

  • Any other pre-existing eye conditions or surgical complications that would precludeparticipation in an interventional clinical trial or interfere with theinterpretation of study endpoints

Study Design

Total Participants: 215
Treatment Group(s): 2
Primary Treatment: 4D-150 IVT
Phase: 1/2
Study Start date:
December 09, 2021
Estimated Completion Date:
January 31, 2031

Study Description

This Phase 1/2 trial is a prospective, multicenter, Phase 1/2 dose-escalation and randomized, controlled, masked expansion trial in adults with wet AMD undergoing active anti-VEGF treatment who have demonstrated a clinical response consistent with anti-VEGF activity. The trial consists of Dose Escalation, Dose Expansion, Steroid Optimization and Population Extension Cohorts.

After receiving one time administration of 4D-150 by intravitreal injection (IVT), subjects will undergo assessments at monthly intervals for 24 months to assess safety and efficacy outcomes. Only subjects that received 4D-150 will then enter a long-term follow-up (LTFU) period to assess long-term safety of 4D-150 gene therapy and duration of clinical activity through year 5 (60 months).

Eligible subjects who received 4D-150 in the study eye may participate in a sub-study to evaluate one time IVT administration of 4D-150 to the contralateral ("fellow") eye.

Additional subjects will be enrolled in a separate sub-study to characterize the vector shedding profile of one time administration of IVT 4D-150.

In both sub-studies, subjects will undergo regular assessments to assess safety and tolerability through Week 52 and then will enter long-term follow-up for safety evaluation through year 5 (60 months).

Connect with a study center

  • Emanuelli Research and Development Center, LLC

    Arecibo 4562635, Puerto Rico 00612
    Puerto Rico

    Active - Recruiting

  • Emanuelli Research and Development Center, LLC

    Arecibo, 00612
    Puerto Rico

    Site Not Available

  • Barnet Delaney Perkins Eye Center

    Phoenix, Arizona 85016
    United States

    Site Not Available

  • Barnet Delaney Perkins Eye Center

    Phoenix 5308655, Arizona 5551752 85016
    United States

    Active - Recruiting

  • California Retina Consultants

    Oxnard, California 93036
    United States

    Site Not Available

  • Retinal Consultants Medical Group

    Sacramento, California 95841
    United States

    Site Not Available

  • California Retina Consultants

    Oxnard 5380184, California 5332921 93036
    United States

    Active - Recruiting

  • Retinal Consultants Medical Group

    Sacramento 5389489, California 5332921 95841
    United States

    Active - Recruiting

  • Colorado Retina Associates

    Lakewood, Colorado 80288
    United States

    Site Not Available

  • Colorado Retina Associates

    Lakewood 5427946, Colorado 5417618 80288
    United States

    Active - Recruiting

  • Rand Eye Institute

    Deerfield Beach, Florida 33064
    United States

    Site Not Available

  • Vitreo Retinal Associates

    Gainesville, Florida 32607
    United States

    Site Not Available

  • Florida Eye Associates

    Melbourne, Florida 32901
    United States

    Site Not Available

  • Retinal Specialty Institute

    Pensacola, Florida 32503
    United States

    Site Not Available

  • Retina Vitreous Associates of Florida

    Tampa, Florida 33607
    United States

    Site Not Available

  • Rand Eye Institute

    Deerfield Beach 4153071, Florida 4155751 33064
    United States

    Active - Recruiting

  • Vitreo Retinal Associates

    Gainesville 4156404, Florida 4155751 32607
    United States

    Active - Recruiting

  • Florida Eye Associates

    Melbourne 4163971, Florida 4155751 32901
    United States

    Active - Recruiting

  • Retinal Specialty Institute

    Pensacola 4168228, Florida 4155751 32503
    United States

    Active - Recruiting

  • Retina Vitreous Associates of Florida

    Tampa 4174757, Florida 4155751 33607
    United States

    Active - Recruiting

  • University Retina and Macula Associates

    Oak Forest, Illinois 60452
    United States

    Site Not Available

  • University Retina and Macula Associates

    Oak Forest 4904286, Illinois 4896861 60452
    United States

    Active - Recruiting

  • Retina Partners Midwest

    Carmel, Indiana 46290
    United States

    Site Not Available

  • Retina Partners Midwest

    Carmel 4255466, Indiana 4921868 46290
    United States

    Active - Recruiting

  • Cumberland Valley Retina Consultants

    Hagerstown, Maryland 21740
    United States

    Site Not Available

  • Cumberland Valley Retina Consultants

    Hagerstown 4357141, Maryland 4361885 21740
    United States

    Active - Recruiting

  • Ophthalmic Consultants of Boston & Boston Eye Surgery and Laser Center

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Ophthalmic Consultants of Boston & Boston Eye Surgery and Laser Center

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Active - Recruiting

  • Sierra Eye Associates

    Reno, Nevada 89502
    United States

    Site Not Available

  • Sierra Eye Associates

    Reno 5511077, Nevada 5509151 89502
    United States

    Active - Recruiting

  • Western Carolina Retinal Associates

    Asheville, North Carolina 28803
    United States

    Site Not Available

  • Western Carolina Retinal Associates

    Asheville 4453066, North Carolina 4482348 28803
    United States

    Site Not Available

  • Verum Research, LLC

    Eugene, Oregon 97401
    United States

    Site Not Available

  • Verum Research, LLC

    Eugene 5725846, Oregon 5744337 97401
    United States

    Active - Recruiting

  • Mid Atlantic Retina

    Bethlehem, Pennsylvania 18017
    United States

    Site Not Available

  • Mid Atlantic Retina

    Bethlehem 5180225, Pennsylvania 6254927 18017
    United States

    Active - Recruiting

  • Palmetto Retina Center, LLC

    West Columbia, South Carolina 29169
    United States

    Site Not Available

  • Palmetto Retina Center, LLC

    West Columbia 4600541, South Carolina 4597040 29169
    United States

    Active - Recruiting

  • Tennessee Retina

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Tennessee Retina

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Active - Recruiting

  • Austin Clinical Research

    Austin, Texas 78750
    United States

    Active - Recruiting

  • Austin Retina Associates

    Austin, Texas 78705
    United States

    Site Not Available

  • Retina Consultants of Texas

    Houston, Texas 77030
    United States

    Site Not Available

  • Valley Retina Institute, PA

    McAllen, Texas 78503
    United States

    Site Not Available

  • Retina Consultants of Texas

    The Woodlands, Texas 77384
    United States

    Site Not Available

  • Austin Clinical Research

    Austin 4671654, Texas 4736286 78750
    United States

    Active - Recruiting

  • Valley Retina Institute, PA

    McAllen 4709796, Texas 4736286 78503
    United States

    Active - Recruiting

  • Retina Consultants of Texas

    The Woodlands 4736476, Texas 4736286 77384
    United States

    Site Not Available

  • Pacific Northwest Retina LLC

    Bellevue, Washington 98004
    United States

    Site Not Available

  • Pacific Northwest Retina LLC

    Bellevue 5786882, Washington 5815135 98004
    United States

    Site Not Available

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