Single Intravitreal (IVT) Injection of 4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration

Last updated: April 14, 2026
Sponsor: 4D Molecular Therapeutics
Overall Status: Active - Recruiting

Phase

3

Condition

Macular Degeneration

Geographic Atrophy

Diabetic Retinopathy

Treatment

4D-150 IVT (3E10 vg/eye)

EYLEA® (aflibercept) Injection 2 mg (0.05mL)

Clinical Study ID

NCT07064759
4D-150-C004
  • Ages > 50
  • All Genders

Study Summary

A Phase 3, Randomized, Double-Masked, Active-Controlled Trial in Adults with Macular Neovascularization Secondary to Age-Related Macular Degeneration

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • ≥50 years of age at time of consent

  • MNV secondary to nAMD with IVT anti-VEGF treatment history in the study eye, definedas EITHER:

  1. Treatment naïve, i.e. no prior IVT anti-VEGF therapy OR

  2. Previously treated with no more than 4 IVT anti-VEGF injections due to nAMD andreceived diagnosis of nAMD no more than 6 months prior to the Screening VisitAND documented evidence of anatomical improvement and visualstability/improvement in response to previous IVT anti-VEGF treatment, asdetermined by the Investigator

  • Active subfoveal MNV or juxtafoveal/ extrafoveal MNV with a subfoveal component (where activity is defined as evidence of SRF, IRF, subretinal hyperreflectivematerial, or leakage) identified by fluorescein angiography (FA) or spectral domainoptical coherence tomography (SD-OCT) , in the study eye, at the Screening Visitconfirmed by the Reading Center

  • Demonstrated clinical response to aflibercept and functional stability in the studyeye as confirmed by the Reading Center

  • BCVA between 25 and 78 ETDRS letters, inclusive (20/320-20/32 Snellen equivalent) inthe study eye at the Screening Visit

  • CST less than or equal to 500 microns in the study eye at screening visit, confirmedby the central reading center

Exclusion

Exclusion Criteria:

Ocular Conditions:

  • MNV due to causes other than nAMD in either eye (Fibrosis, atrophy, or subretinalhemorrhage in the foveal central subfield (1 mm diameter)

  • History of retinal detachment in the study eye

  • History of or presence of active inflammation in either eye

  • Glaucoma or intraocular hypertension requiring more than 2 topical medications forcontrol

Ocular Treatments/Interventions:

  • Any prior or concomitant treatment for MNV or vitreomacular-interface abnormalities,other than allowed prior IVT anti-VEGF in the study eye

Systemic Conditions and Considerations:

  • Major illness or major surgical procedure in the 28 days prior to the ScreeningVisit

  • Uncontrolled blood pressure

  • Acute coronary syndrome, myocardial infarction or coronary artery revascularization,cerebrovascular accident, transient ischemic attack within 6 months of the ScreeningVisit

  • History of autoimmune condition that may predispose to the development of uveitis

Study Design

Total Participants: 480
Treatment Group(s): 2
Primary Treatment: 4D-150 IVT (3E10 vg/eye)
Phase: 3
Study Start date:
July 22, 2025
Estimated Completion Date:
February 28, 2029

Connect with a study center

  • Grupo Láser Visión

    Rosario, Santa Fe Province 2000
    Argentina

    Active - Recruiting

  • Microcirugia Ocular Rosario

    Rosario, Santa Fe Province 2000
    Argentina

    Active - Recruiting

  • Centro Privado de Ojos

    Buenos Aires, 1033
    Argentina

    Active - Recruiting

  • Charles Research Center

    Buenos Aires, 1116
    Argentina

    Active - Recruiting

  • OFTALMOS

    Buenos Aires, 1830
    Argentina

    Active - Recruiting

  • Charles Research Center

    Buenos Aires 3435910,
    Argentina

    Site Not Available

  • Centrovisión

    Mendoza, 5500
    Argentina

    Active - Recruiting

  • Adelaide Eye and Retina Centre

    Adelaide, SA 5000
    Australia

    Active - Recruiting

  • Eye Clinic Albury Wodonga

    Albury, NSW 2640
    Australia

    Active - Recruiting

  • Strathfield Retina Clinic

    Strathfield, NSW 2135
    Australia

    Active - Recruiting

  • Sydney Retina Clinic and Day Surgery

    Sydney, NSW 2000
    Australia

    Active - Recruiting

  • Zora Eye Hospital

    Sofia,
    Bulgaria

    Active - Recruiting

  • Zora Eye Hospital

    Sofia 727011,
    Bulgaria

    Site Not Available

  • Internationale Innovative Ophthalmochirurgie GbR

    Düsseldorf,
    Germany

    Active - Recruiting

  • Internationale Innovative Ophthalmochirurgie GbR

    Düsseldorf 2934246,
    Germany

    Site Not Available

  • Augenzentrum Frankfurt

    Frankfurt, 60549
    Germany

    Active - Recruiting

  • Dietrich Bonhoeffer Klinikum

    Neubrandenburg, 17036
    Germany

    Active - Recruiting

  • Bajcsy-Zsilinszky Kórház

    Budapest, 1106
    Hungary

    Active - Recruiting

  • Budapest Retina Associates

    Budapest,
    Hungary

    Active - Recruiting

  • Semmelweis Egyetem - Szemészeti Klinika

    Budapest,
    Hungary

    Active - Recruiting

  • Budapest Retina Associates

    Budapest 3054643,
    Hungary

    Active - Recruiting

  • Semmelweis Egyetem - Szemészeti Klinika

    Budapest 3054643,
    Hungary

    Site Not Available

  • DE KK Ophthalmology Clinic

    Debrecen,
    Hungary

    Active - Recruiting

  • DE KK Ophthalmology Clinic

    Debrecen 721472,
    Hungary

    Site Not Available

  • Ganglion Medical Center

    Pécs,
    Hungary

    Active - Recruiting

  • Ganglion Medical Center

    Pécs 3046526,
    Hungary

    Site Not Available

  • SzTE SZAKK Szemeszeti Klinika

    Szeged,
    Hungary

    Active - Recruiting

  • SzTE SZAKK Szemeszeti Klinika

    Szeged 715429,
    Hungary

    Site Not Available

  • AOU delle Marche

    Ancona, 60126
    Italy

    Active - Recruiting

  • Kozawa Eye Hospital and Diabetes Center

    Mito, Ibaraki 310-0845
    Japan

    Active - Recruiting

  • University of the Ryukyus Hospital

    Ginowan, Okinawa 901-2725
    Japan

    Active - Recruiting

  • Hayashi Eye Hospital

    Fukuoka,
    Japan

    Active - Recruiting

  • Social Medical Corporation Foundation Chiyuukai Fukuoka Wajiro Hospital

    Fukuoka, 811-0213
    Japan

    Active - Recruiting

  • Hayashi Eye Hospital

    Fukuoka 1863967,
    Japan

    Site Not Available

  • National Hospital Organization Tokyo Medical Center

    Tokyo, 152-8902
    Japan

    Active - Recruiting

  • P.Stradins University Hospital

    Riga,
    Latvia

    Active - Recruiting

  • Riga East University hospital

    Riga,
    Latvia

    Active - Recruiting

  • P.Stradins University Hospital

    Riga 456172,
    Latvia

    Site Not Available

  • Riga East University hospital

    Riga 456172,
    Latvia

    Active - Recruiting

  • Ziemekurzemes Regionala Slimnica

    Ventspils,
    Latvia

    Active - Recruiting

  • Hospital of Lithuanian University of Health Sciences

    Kaunas, LT-50161
    Lithuania

    Active - Recruiting

  • Vilnius University Hospital Santaros Klinikos

    Vilnius,
    Lithuania

    Active - Recruiting

  • Vilnius University Hospital Santaros Klinikos

    Vilnius 593116,
    Lithuania

    Site Not Available

  • Aibili - Cec

    Coimbra,
    Portugal

    Active - Recruiting

  • Aibili - Cec

    Coimbra 2740637,
    Portugal

    Site Not Available

  • Singapore Eye Research Institute (SERI)

    Singapore,
    Singapore

    Active - Recruiting

  • Tan Tock Seng Hospital TTSH

    Singapore,
    Singapore

    Active - Recruiting

  • Singapore Eye Research Institute (SERI)

    Singapore 1880252,
    Singapore

    Active - Recruiting

  • Tan Tock Seng Hospital TTSH

    Singapore 1880252,
    Singapore

    Site Not Available

  • Miranza Instituto Gomez-Ulla

    Santiago de Compostela, Spain 15706
    Spain

    Active - Recruiting

  • Clinica Bonanova de Cirugía Ocular

    Barcelona,
    Spain

    Active - Recruiting

  • Clinica Bonanova de Cirugía Ocular

    Barcelona 3128760,
    Spain

    Site Not Available

  • Hospital Universitario Virgen Macarena

    Seville,
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen Macarena

    Seville 2510911,
    Spain

    Site Not Available

  • Bradford Royal Infirmary

    Bradford, UK BD9 6TB
    United Kingdom

    Active - Recruiting

  • The Retina Clinic London

    London,
    United Kingdom

    Active - Recruiting

  • The Retina Clinic London

    London 2643743,
    United Kingdom

    Site Not Available

  • Sunderland Eye Infirmary

    Sunderland, SR2 9HP
    United Kingdom

    Active - Recruiting

  • Research Network Arizona

    Scottsdale, Arizona 85255
    United States

    Active - Recruiting

  • Barnet Dulaney Perkins Eye Center

    Sun City, Arizona 85351
    United States

    Active - Recruiting

  • Retina Associates

    Tucson, Arizona 85704
    United States

    Active - Recruiting

  • Barnet Dulaney Perkins Eye Center

    Sun City 5316201, Arizona 5551752 85351
    United States

    Site Not Available

  • Retina Associates

    Tucson 5318313, Arizona 5551752 85704
    United States

    Site Not Available

  • Retinal Diagnostic Center

    Campbell, California 95008
    United States

    Active - Recruiting

  • Retina Consultants of Orange County

    Fullerton, California 92835
    United States

    Active - Recruiting

  • Northern California Retina Vitreous Associates

    Mountain View, California 94040
    United States

    Active - Recruiting

  • Retinal Consultants Medical Group

    Sacramento, California 95841
    United States

    Active - Recruiting

  • Retinal Consultants Medical Group Inc.

    Sacramento, California 95825
    United States

    Active - Recruiting

  • West Coast Retina Medical Group

    San Francisco, California 94109
    United States

    Active - Recruiting

  • Bay Area Retina Associates

    Walnut Creek, California 94598
    United States

    Active - Recruiting

  • Retinal Diagnostic Center

    Campbell 5333689, California 5332921 95008
    United States

    Site Not Available

  • Retina Consultants of Orange County

    Fullerton 5351247, California 5332921 92835
    United States

    Site Not Available

  • West Coast Retina Medical Group

    San Francisco 5391959, California 5332921 94109
    United States

    Site Not Available

  • Retina Consultants of Southern Colorado P.C.

    Colorado Springs, Colorado 80909
    United States

    Active - Recruiting

  • Southwest Retina Consultants

    Durango, Colorado 81303
    United States

    Active - Recruiting

  • Southwest Retina Consultants

    Durango 5420241, Colorado 5417618 81303
    United States

    Site Not Available

  • ClearVista Clinical Research

    Hudson, Florida 34667
    United States

    Active - Recruiting

  • Florida Retina Institute

    Orlando, Florida 32806
    United States

    Active - Recruiting

  • Retina Specialty Institute

    Pensacola, Florida 32503
    United States

    Active - Recruiting

  • Retina Vitreous Associates of Florida

    St. Petersburg, Florida 33711
    United States

    Active - Recruiting

  • East Florida Eye Institute

    Stuart, Florida 34994
    United States

    Active - Recruiting

  • Retina Vitreous Associates of Florida

    Tampa, Florida 33617
    United States

    Active - Recruiting

  • ClearVista Clinical Research

    Hudson 4159335, Florida 4155751 34667
    United States

    Site Not Available

  • Retina Vitreous Associates of Florida

    Tampa 4174757, Florida 4155751 33617
    United States

    Site Not Available

  • Thomas Eye Group

    Sandy Springs, Georgia 30328
    United States

    Active - Recruiting

  • Thomas Eye Group

    Sandy Springs 4221333, Georgia 4197000 30328
    United States

    Site Not Available

  • Retina Associates, Ltd.

    Elmhurst, Illinois 60126
    United States

    Active - Recruiting

  • University Retina and Macula Associates, PC

    Oak Forest, Illinois 60452
    United States

    Active - Recruiting

  • Illinois Retina Associates

    Oak Park, Illinois 60304
    United States

    Active - Recruiting

  • Springfield Clinic

    Springfield, Illinois 62703
    United States

    Active - Recruiting

  • Retina Partners Midwest, PC

    Carmel, Indiana 46032
    United States

    Active - Recruiting

  • The Retina Care Center

    Baltimore, Maryland 21209
    United States

    Active - Recruiting

  • Cumberland Valley Retina Consultants

    Hagerstown, Maryland 21740
    United States

    Active - Recruiting

  • Mid Atlantic Retina Specialist

    Hagerstown, Maryland 21740
    United States

    Active - Recruiting

  • The Retina Care Center

    Baltimore 4347778, Maryland 4361885 21209
    United States

    Site Not Available

  • Cumberland Valley Retina Consultants

    Hagerstown 4357141, Maryland 4361885 21740
    United States

    Active - Recruiting

  • Mid Atlantic Retina Specialist

    Hagerstown 4357141, Maryland 4361885 21740
    United States

    Site Not Available

  • New England Retina Consultants

    Springfield, Massachusetts 01107
    United States

    Active - Recruiting

  • Foundation for Vision Research

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

  • Sierra Eye Associates

    Reno, Nevada 89502
    United States

    Active - Recruiting

  • Envision Ocular, LLC

    Bloomfield, New Jersey 07003
    United States

    Active - Recruiting

  • Retina Vitreous Surgeons of CNY PC

    Liverpool, New York 13088
    United States

    Active - Recruiting

  • New York Presbyterian Hospital - Columbia University Medical Center

    New York, New York 10032
    United States

    Active - Recruiting

  • Vitreoretinal Consultants of NY

    Westbury, New York 11590
    United States

    Active - Recruiting

  • New York Presbyterian Hospital - Columbia University Medical Center

    New York 5128581, New York 5128638 10032
    United States

    Site Not Available

  • Vitreoretinal Consultants of NY

    Westbury 5144040, New York 5128638 11590
    United States

    Site Not Available

  • North Carolina Retina Associates

    Cary, North Carolina 27511
    United States

    Active - Recruiting

  • North Carolina Retina Associates

    Wake Forest, North Carolina 27587
    United States

    Active - Recruiting

  • North Carolina Retina Associates

    Cary 4459467, North Carolina 4482348 27511
    United States

    Site Not Available

  • Cincinnati Eye Institute

    Cincinnati, Ohio 45242
    United States

    Active - Recruiting

  • Cincinnati Eye Institute

    Cincinnati 4508722, Ohio 5165418 45242
    United States

    Site Not Available

  • Verum Research, LLC

    Eugene, Oregon 947401
    United States

    Active - Recruiting

  • EyeHealth Northwest

    Portland, Oregon 97233
    United States

    Active - Recruiting

  • Verum Research, LLC

    Eugene 5725846, Oregon 5744337 947401
    United States

    Site Not Available

  • Erie Retina Research

    Erie, Pennsylvania 16505
    United States

    Active - Recruiting

  • Charleston Neuroscience Institute, LLC

    Bluffton, South Carolina 29910
    United States

    Active - Recruiting

  • Carolina Eyecare

    Mt. Pleasant, South Carolina 29464
    United States

    Active - Recruiting

  • Palmetto Retina Center

    West Columbia, South Carolina 29169
    United States

    Active - Recruiting

  • Charleston Neuroscience Institute, LLC

    Bluffton 4571722, South Carolina 4597040 29910
    United States

    Site Not Available

  • Carolina Eyecare

    Mt. Pleasant 4588165, South Carolina 4597040 29464
    United States

    Site Not Available

  • Black Hills Regional Eye Institute

    Rapid City, South Dakota 57701
    United States

    Active - Recruiting

  • Tennessee Retina, PC

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • Tennessee Retina, PC

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • Southwest Retina Specialist - Panhandle Eye group, LLP

    Amarillo, Texas 79106
    United States

    Active - Recruiting

  • Austin Clinical Research

    Austin, Texas 78750
    United States

    Active - Recruiting

  • Texas Retina Associate

    Dallas, Texas 75231
    United States

    Active - Recruiting

  • Tyler Retina Consultants

    Tyler, Texas 75703
    United States

    Active - Recruiting

  • Strategic Clinical Research

    Willow Park, Texas 76087
    United States

    Active - Recruiting

  • Southwest Retina Specialist - Panhandle Eye group, LLP

    Amarillo 5516233, Texas 4736286 79106
    United States

    Site Not Available

  • Texas Retina Associate

    Dallas 4684888, Texas 4736286 75231
    United States

    Site Not Available

  • Tyler Retina Consultants

    Tyler 4738214, Texas 4736286 75703
    United States

    Site Not Available

  • Rocky Mountain Retina Consultants

    Salt Lake City, Utah 84107
    United States

    Active - Recruiting

  • Rocky Mountain Retina Consultants

    Salt Lake City 5780993, Utah 5549030 84107
    United States

    Site Not Available

  • Piedmont Eye Center

    Lynchburg, Virginia 24502
    United States

    Active - Recruiting

  • Pacific Northwest Retina

    Silverdale, Washington 98383
    United States

    Active - Recruiting

  • Pacific Northwest Retina

    Silverdale 5810490, Washington 5815135 98383
    United States

    Site Not Available

  • Eye Clinic of Wisconsin

    Wausau, Wisconsin 54403
    United States

    Active - Recruiting

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