Intravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 Mg) Intravitreal Implants Vs Observation for Prevention of VA Loss Due to Radiation Retinopathy

Last updated: February 18, 2025
Sponsor: Jaeb Center for Health Research
Overall Status: Active - Recruiting

Phase

3

Condition

Vision Loss

Blurred Vision

Myopia

Treatment

Faricimab

fluocinolone acetonide

Clinical Study ID

NCT05844982
Protocol AL
UG1EY014231
  • Ages > 18
  • All Genders

Study Summary

This randomized controlled trial will evaluate the effect of intravitreal faricimab or fluocinolone acetonide (FAc) intravitreal implant compared with observation on long-term visual acuity following treatment of choroidal melanoma with iodine-125 plaque brachytherapy.

Eligibility Criteria

Inclusion

Key Inclusion Criteria

  • Primary uveal melanoma (excluding iris melanoma) receiving primary treatment with plaque brachytherapy

  • Absence of unrelated cause of visual loss

  • Baseline visual acuity ≥ 34 letters (20/200 Snellen equivalent or better)

  • Posterior tumor margin >0 mm from the center of the macula (i.e., tumor is NOT under the geometric center of the fovea)

  • Posterior tumor margin >0 mm from the closest disc margin (i.e., tumor is not touching the edge of the optic disc)

  • Calculated total dose to center of the macula ≥30 Gy

Key Exclusion Criteria

  • Opaque media

  • Inability to undergo fluorescein angiography

  • Less than 18 years of age

  • Prior vitrectomy

  • Intraocular pressure (IOP) ≥ 25 mmHg or history of steroid- induced IOP elevation that required treatment at baseline

  • IOP ≥ 25 mmHg at randomization or increase in IOP ≥ 8 mmHg from baseline to randomization (following steroid challenge

Study Design

Total Participants: 600
Treatment Group(s): 2
Primary Treatment: Faricimab
Phase: 3
Study Start date:
November 21, 2023
Estimated Completion Date:
December 26, 2029

Study Description

The primary objectives are to compare long-term visual acuity outcomes in eyes that receive repeated treatment with faricimab or fluocinolone acetonide intravitreal implants with those observed initially and treated only if macular edema (ME) develops. The secondary objectives are to determine if repeated treatment with faricimab or fluocinolone acetonide intravitreal implants versus observation can prevent or alter the course of ME from radiation retinopathy and to evaluate the natural history of radiation retinopathy with multimodal imaging including widefield color photographs, widefield fluorescein angiography and OCTA.

Connect with a study center

  • Byers Eye Institute at Stanford University

    Palo Alto, California 94303
    United States

    Active - Recruiting

  • Retina Associates of Florida, LLC

    Tampa, Florida 33609
    United States

    Active - Recruiting

  • IL Eye and Ear Infirmary-University of Illinois at Chicago

    Chicago, Illinois 60612
    United States

    Active - Recruiting

  • Midwest Eye Institute

    Indianapolis, Indiana 46290
    United States

    Active - Recruiting

  • University of Iowa Department of Ophthalmology and Visual Sciences

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • Foundation for Vision Research and Retina Specialists of Michigan, P.C.

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

  • Associated Retinal Consultants, P.C.

    Royal Oak, Michigan 48073
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Retina Research Institute, LLC

    Saint Louis, Missouri 63128
    United States

    Active - Recruiting

  • The Cleveland Clinic Foundation DBA Cleveland Clinic Lerner College of Medicine

    Celveland, Ohio 44120
    United States

    Active - Recruiting

  • The Cleveland Clinic Foundation DBA Cleveland Clinic Lerner College of Medicine

    Cleveland, Ohio 44120
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Retina-Vitreous Consultants, Inc.

    Monroeville, Pennsylvania 15146
    United States

    Active - Recruiting

  • Wills Eye Hospital

    Philadelphia, Pennsylvania 19107
    United States

    Active - Recruiting

  • Retina Consultants of Carolina, PA

    Greenville, South Carolina 29605
    United States

    Active - Recruiting

  • Tennessee Retina, PC

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Retina Consultants of Texas, PA

    Bellaire, Texas 77401
    United States

    Active - Recruiting

  • Texas Retina Associates

    Lubbock, Texas 79424
    United States

    Active - Recruiting

  • The Board of Regents of the University of Wisconsin System

    Madison, Wisconsin 53705
    United States

    Active - Recruiting

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