Neovascular Age-related Macular DegenerationPhase 3AVONELLE-XNCT04777201
A Study to Evaluate the Long-Term Safety and Tolerability of Faricimab in Participants With Neovascular Age-Related Macular Degeneration
A Phase 3 study testing Faricimab and Anti-VEGF Therapy in people with Neovascular Age-related Macular Degeneration, run by Hoffmann-La Roche at 251 sites in 27 countries.
Trial summary
This main long-term extension study is designed to evaluate the long-term safety and tolerability of faricimab 6 milligrams (mg) administered by intravitreal injection at a personalized treatment interval (PTI) to participants with neovascular age-related macular degeneration (nAMD) who enrolled in and completed one… Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Neovascular Age-related Macular Degeneration
- What is being tested?
- Faricimab and Anti-VEGF Therapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,036 participants
- Where
- 251 sitesin 27 countries
- Study dates
- 19 Apr 2021to 3 Sep 2024
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Previous enrollment in and completion of Study GR40306 (NCT03823287) or Study GR40844 (NCT03823300), without study or study drug discontinuation
- For women of childbearing potential: agreement to remain abstinent or use contraception, and agreement to refrain from donating eggs. Women must remain abstinent or use contraceptive methods with a failure rate of < 1% per year during the treatment period and for 3 months after the final dose of faricimab. Women must refrain from donating eggs during the same period.
- In addition to all inclusion criteria specified in the main Study GR42691, participants in the Substudy must meet the following criteria:
- Sign an informed consent form for the Substudy
- Must be able to participate for at least 48 weeks in the Substudy and have at least the first visit while enrolled in the main Study GR42691
- A difference of <10% in corneal endothelial cell density at screening between the two eyes as measured by specular microscopy and determined by the independent reading center
Who cannot join
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of faricimab
- Presence of other ocular diseases that give reasonable suspicion of a disease or condition that contraindicates the use of faricimab, that might affect interpretation of the results of the study or that renders the patient at high risk for treatment complications
- Presence of other diseases, metabolic dysfunction, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of faricimab and that might affect interpretation of the results of the study or that renders the patient at high risk of treatment complications
- History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the faricimab injections, study-related procedure preparations, dilating drops, or any of the anesthetic and antimicrobial preparations used by a patient during the study
- Requirement for continuous use of any medications or treatments indicated as prohibited therapy
- In addition to the exclusion criteria specified in the main Study GR42691, patients will be excluded from this substudy if they meet any of the following exclusion criteria:
Show all 28Show fewer
- Prior and/or current administration of faricimab in the fellow (non-study) eye
- Prior administration of brolucizumab in the fellow (non-study) eye
- Corneal endothelial cell density ≤1500 cells/mm2 in either eye at screening as determined by the independent corneal reading center
- Fuchs endothelial corneal dystrophy Grade ≥2
- Previous ocular trauma (blunt or penetrating) and/or corneal endothelial cell damage, including from blunt or surgical trauma (including complicated cataract surgery resulting in complicated lens placement such as anterior chamber intraocular lens, sulcus intraocular lens, aphakia, etc.)
- Any ocular condition that precludes obtaining an analyzable specular microscopy image
- Active or history of corneal edema
- Any active or history of corneal dystrophies, excluding Fuchs endothelial corneal dystrophy Grade <2
- Active or history of iridocorneal endothelial syndrome
- Active or history of pseudoexfoliation syndrome
- Active or history of herpetic keratitis or kerato-uveitis (including herpes simplex virus and herpes zoster virus)
- Intraocular laser therapy including selective laser trabeculoplasty, yttrium-aluminum garnet (YAG), prophylactic peripheral iridotomy within 1 year of screening, or YAG capsulotomy within 3 months of screening
- Prior vitrectomy surgery, submacular surgery, or other surgical intervention for AMD
- Prior pars plana vitrectomy surgery
- Previous intraocular device implantation excluding intraocular lenses
- Cataract surgery within 6 months of screening or planned for during the study
- History of glaucoma-filtering surgery, tube shunts, or microinvasive glaucoma surgery. Other types of prior glaucoma surgery are allowed providing that the surgery occur more than 6 months before screening
- Administration of topical Rho kinase inhibitors (e.g., Rhopressa eye drops) within 1 month prior to the screening visit
- Contact lens wear in either eye within 2 months of screening
- History of corneal transplantation, including partial-thickness corneal grafts (e.g., Descemet membrane endothelial keratoplasty, Descemet stripping endothelial keratoplasty)
- Active or history of iridocorneal endothelial syndrome
- Active or history of pseudoexfoliation syndrome
Trial locations and contacts
251 sites in 27 countries.
251 sites in 27 countries
United States85 sites
Retina Consultants of Hawaii
‘Aiea, Hawaii, 96701
Retina Res Institute of Texas
Abilene, Texas, 79606
Western Carolina Retinal Associate PA
Asheville, North Carolina, 28803
Southeast Retina Center
Augusta, Georgia, 30909
Austin Retina Associates
Austin, Texas, 78705
Austin Clinical Research LLC
Austin, Texas, 78750
Retina Specialists
Baltimore, Maryland, 21204
The Retina Care Center
Baltimore, Maryland, 21209
Johns Hopkins Med
Baltimore, Maryland, 21287
Cincinnati Eye Institute
Blue Ash, Ohio, 45242-5537
Tufts Medical Center
Boston, Massachusetts, 02111
Ophthalmic Consultants of Boston
Boston, Massachusetts, 02114
Retinal Diagnostic Center
Campbell, California, 95008
Char Eye Ear &Throat Assoc
Charlotte, North Carolina, 28210
Southeastern Retina Associates Chattanooga
Chattanooga, Tennessee, 37421
Mid Atlantic Retina - Wills Eye Hospital
Cherry Hill, New Jersey, 08034
Midwest Vision Research Foundation
Chesterfield, Missouri, 63017
Retina Group of Washington
Chevy Chase, Maryland, 20815
Northwestern Medical Group/Northwestern University
Chicago, Illinois, 60611
Retina Assoc of Cleveland Inc
Cleveland, Ohio, 44122
Retina Consultants of Southern
Colorado Springs, Colorado, 80909
The Ohio State University Havener Eye Institute
Columbus, Ohio, 43212
Texas Retina Associates
Dallas, Texas, 75231
Rand Eye
Deerfield Beach, Florida, 33064
Midwest Retina
Dublin, Ohio, 43016
VitreoRetinal Surgery, PLLC.
Edina, Minnesota, 55435
NJ Retina
Edison, New Jersey, 08820
The Retina Partners
Encino, California, 91436
Retina Associates of St. Louis
Florissant, Missouri, 63031
Retina Group of Florida
Fort Lauderdale, Florida, 33308
Charles Retina Institute
Germantown, Tennessee, 38138
Long Is. Vitreoretinal Consult
Great Neck, New York, 11021
Retina Consultants of Texas
Houston, Texas, 77030
Raj K. Maturi, MD PC
Indianapolis, Indiana, 46290
Charleston Neuroscience Inst
Ladson, South Carolina, 29456
Colorado Retina Associates, PC
Lakewood, Colorado, 80228
Retina Associates
Lenexa, Kansas, 66215
South Coast Retina Center
Los Angeles, California, 90033
Piedmont Eye Center
Lynchburg, Virginia, 24502
Georgia Retina PC
Marietta, Georgia, 30060
Valley Retina Institute P.A.
McAllen, Texas, 78503
Florida Eye Associates
Melbourne, Florida, 32901
Barnet Dulaney Perkins Eye Center
Mesa, Arizona, 85206
Northern California Retina Vitreous Associates
Mountain View, California, 94040
Tennessee Retina PC.
Nashville, Tennessee, 37203
Wagner Kapoor Institute
Norfolk, Virginia, 23451
University Retina and Macula Associates, PC
Oak Forest, Illinois, 60452
Ophthalmic Cons of Long Island
Oceanside, New York, 11572
Retina Care Specialists
Palm Beach Gardens, Florida, 33410
Southern CA Desert Retina Cons
Palm Desert, California, 92211
California Eye Specialists Medical group Inc.
Pasadena, California, 91107
Retina Specialty Institute
Pensacola, Florida, 32503
Arizona Retina and Vitreous Consultants
Phoenix, Arizona, 85016
Associated Retina Consultants
Phoenix, Arizona, 85020
Fort Lauderdale Eye Institute
Plantation, Florida, 33324
Maine Eye Center
Portland, Maine, 04101
Retina Northwest
Portland, Oregon, 97221
Retina Consultants, San Diego
Poway, California, 92064
Black Hills Eye Institute
Rapid City, South Dakota, 57701
Retina Consultants of Southern California
Redlands, California, 92373
Sierra Eye Associates
Reno, Nevada, 89502
Retina Assoc of Western NY
Rochester, New York, 14620
University of California, Davis, Eye Center
Sacramento, California, 95817
Retinal Consultants Med Group
Sacramento, California, 95825
Retina Associates of Utah, PLLC
Salt Lake City, Utah, 84107
Rocky Mountain Retina
Salt Lake City, Utah, 84107
Orange County Retina Med Group
Santa Ana, California, 92705
California Retina Consultants
Santa Barbara, California, 93103
Vitreoretinal Consultants of New York
Shirley, New York, 11967
Pacific Northwest Retina
Silverdale, Washington, 98383
The Retina Consultants
Slingerlands, New York, 12159
Retina Center of Texas
Southlake, Texas, 76092
Prairie Retina Center
Springfield, Illinois, 62704
Retina Vitreous Assoc of FL
St. Petersburg, Florida, 33711
Retina Vit Surgeons/Central NY
Syracuse, New York, 13224
Southern Vitreoretinal Assoc
Tallahassee, Florida, 32308
Retina Associates of Florida, LLC
Tampa, Florida, 33609
Retina Associates of NJ
Teaneck, New Jersey, 07666
Retina Consultants of Houston
The Woodlands, Texas, 77384
Retina Associates Southwest PC
Tucson, Arizona, 85704
Retina Group of New England
Waterford, Connecticut, 06385
Palmetto Retina Center
West Columbia, South Carolina, 29169
Wolfe Eye Clinic
West Des Moines, Iowa, 50266
Strategic Clinical Research Group, LLC
Willow Park, Texas, 76087
Graystone Eye
Winston-Salem, North Carolina, 27104
Japan36 sites
Nagoya University Hospital
Aichi, 466-8560
Nagoya City University Hospital
Aichi, 467-8602
Aichi Medical University Hospital
Aichi, 480-1195
Daiyukai Daiichi Hospital
Aichi, 491-8551
Chiba University Hospital
Chiba, 260-8677
Toho University Sakura Medical Center
Chiba, 285-8741
Hayashi Eye Hospital
Fukuoka, 812-0011
Kurume University Hospital
Fukuoka, 830-0011
Sapporo City General Hospital
Hokkaido, 060-8604
Asahikawa Medical University Hospital
Hokkaido, 078-8510
Hyogo Prefectural Amagasaki General Medical Center (Hyogo AGMC)
Hyōgo, 660-8550
Hyogo Medical University Hospital
Hyōgo, 663-8501
Kozawa eye hospital and diabetes center
Ibaraki, 310-0845
Kagawa University Hospital
Kagawa, 761-0793
Kagoshima University Hospital
Kagoshima, 890-8520
Ideta Eye Hospital
Kumamoto, 860-0027
Kyoto University Hospital
Kyoto, 606-8507
Mie University Hospital
Mie, 514-8507
Fukushima Medical University Hospital
Miyagi, 960-1295
University of Miyazaki Hospital
Miyazaki, 889-1692
Shinshu University Hospital
Nagano, 390-8621
Iida Municipal Hospital
Nagano, 395-8502
Japanese Red Cross Nagasaki Genbaku Hospital
Nagasaki, 852-8511
Nara Medical University Hospital
Nara, 634-8522
University of the Ryukyus Hospital
Okinawa, 903-0125
Kitano Hospital
Osaka, 530-8480
Osaka Metropolitan University Hospital
Osaka, 545-8586
Kansai Medical University Medical Center
Osaka, 570-8507
Kansai Medical University Hospital
Osaka, 573-1191
National Defense Medical College Hospital
Saitama, 359-8513
Shiga University Of Medical Science Hospital
Shiga, 520-2192
Nihon University Hospital
Tokyo, 101-8309
Tokyo Women's Medical University Hospital
Tokyo, 162-8666
Kyorin University Hospital
Tokyo, 181-8611
Tokyo Medical University Hachioji Medical Center
Tokyo, 193-0998
Yamaguchi University Hospital
Yamaguchi, 755-8505
United Kingdom14 sites
Opthalmology Research Office
Bradford, BD9 6RJ
Bristol Eye Hospital
Bristol, BS1 2LX
University Hospital of Wales
Cardiff, CF14 4XW
Frimley Park Hospital
Frimley, GU16 7UJ
Gloucestershire Hospitals NHS Foundation Trust
Gloucestershire, GL1 3NN
Hull Royal Infirmary
Hull, HU3 2JZ
St James University Hospital
Leeds, LS9 7TF
Royal Liverpool University Hospital
Liverpool, L7 8XP
Moorfields Eye Hospital NHS Foundation Trust
London, EC1V 2PD
Manchester Royal Eye Hospital
Manchester, M13 9WL
Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP
University Hospital Southampton NHS Foundation Trust
Southampton, SO16 6YD
New Cross Hospital
Wolverhampton, WV10 0QP
The York Hospital
York, YO31 8HE
Spain13 sites
Institut de la Macula i la retina
Barcelona, 08022
Hospital dos de maig
Barcelona, 08025
Hospital Clinic de Barcelona
Barcelona, 08028
Oftalvist Valencia
Burjassot, Valencia, 46100
Hospital Universitario de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907
Clinica Baviera
Madrid, 28046
Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, 28222
Instituto Oftalmologico Fernandez Vega
Oviedo, Principality of Asturias, 33012
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008
Hospital General de Catalunya
San Cugat Del Valles, Barcelona, 08195
Instituto Oftalmologico Gomez Ulla
Santiago de Compostela, LA Coruna, 15706
Hospital Universitario Rio Hortega
Valladolid, 47012
Hospital Universitario Miguel Servet
Zaragoza, 50009
Poland11 sites
Szpital sw. Lukasza
Bielsko-Biala, 43-309
OFTALMIKA Sp. z o.o
Bydgoszcz, 85-631
Specjalistyczny O?rodek Okulistyczny Oculomedica
Bydgoszcz, 85-870
Szpital Specjalistyczny nr 1
Bytom, 41-902
Dobry Wzrok Sp Z O O
Gda?sk, 80-402
Optimum Profesorskie Centrum Okulistyki
Gda?sk, 80-809
Gabinet Okulistyczny Prof Edward Wylegala
Katowice, 40-594
Centrum Medyczne Dietla 19 Sp. Z O.O.
Krakow, 31-070
SP ZOZ Szpital Uniwersytecki w Krakowie Oddzia? Kliniczny Okulistyki i Onkologii Okulistycznej
Krakow, 31-501
Caminomed
Tarnowskie Góry, 42-600
SPEKTRUM Osrodek Okulistyki Klinicznej
Wroclaw, 53-334
South Korea8 sites
Pusan National University Hospital
Busan, 49241
Yeungnam University Medical Center
Daegu, 42415
Seoul National University Bundang Hospital
Seongnam-si, 13605
Samsung Medical Center
Seoul, (0)6351
Kyung Hee University Hospital
Seoul, 02447
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Nune Eye Hospital
Seoul, 06192
Argentina7 sites
Organizacion Medica de Investigacion
Buenos Aires, C1015ABO
Fundacion Zambrano
CABA, 1023
Centro Oftalmologico Dr. Charles S.A.
Capital Federal, C1116
Oftalmos
Capital Federal, C1120AAN
Buenos Aires Mácula
Ciudad Autonoma Buenos Aires, C1061AAE
Oftar
Mendoza, M5500GGK
Grupo Laser Vision
Rosario, S2000DLA
Australia7 sites
Eyeclinic Albury Wodonga
Albury, New South Wales, 2640
Centre For Eye Research Australia
East Melbourne, Victoria, 3002
The Lions Eye Institute
Nedlands, Western Australia, 6009
Retina Specialists Victoria
Rowville, Victoria, 3178
Sydney Eye Hospital
Sydney, New South Wales, 2000
Sydney Retina Clinic and Day Surgery
Sydney, New South Wales, 2000
Sydney West Retina
Westmead, New South Wales, 2145
Canada7 sites
Institut De L'Oeil Des Laurentides
Boisbriand, Quebec, J7H 0E8
Calgary Retina Consultants
Calgary, Alberta, T2J 0C8
Ivey Eye Institute
London, Ontario, N6A 4V2
Retina Institute of Ottawa
Ottawa, Ontario, K2B 7E9
Michel Giunta Clinique Medical
Sherbrooke, Quebec, J1G 2V4
Toronto Retina Institute
Toronto, Ontario, M3C 0G9
University of British Columbia - Vancouver Coastal Health Authority
Vancouver, British Columbia, V5Z 1M9
Hungary7 sites
Eszak-Pesti Centrumkorhaz - Honvedkorhaz
Budapest, 1068
Bajcsy-Zsilinszky Hospital
Budapest, 1106
Budapest Retina Associates Kft.
Budapest, 1133
Debreceni Egyetem Klinikai Kozpont
Debrecem, 4032
Ganglion Medial Center
Pécs, 7621
Szegedi Tudományegyetem ÁOK
Szeged, 6720
Zala Megyei Kórház
Zalaegerszeg, 8900
Turkey (Türkiye)7 sites
Hacettepe University Medical Faculty
Ankara, 06100
Ankara University Medical Faculty
Ankara, 06340
Ankara Baskent University Medical Faculty
Ankara, 06490
Gazi University Faculty of Medicine
Ankara, 06560
Ege University Medical Faculty
Izmir, 35100
Kocaeli University Medical Faculty
Kocaeli, 41380
Selcuk University Faculty of Medicine
Konya, 42130
France6 sites
Chi De Creteil
Créteil, 94010
Pole Vision Val d'Ouest
Écully, 69130
Hopital de la croix rousse
Lyon, 69317
Centre Paradis Monticelli
Marseille, 13008
CHU Nantes - Hotel Dieu
Nantes, 44093
Hopital Lariboisiere
Paris, 75010
Germany6 sites
Universitatsklinikum Koln
Cologne, 50937
Universitätkslinikum Düsseldorf, Augenklinik
Düsseldorf, 40225
Universitätsklinikum Freiburg, Klinik für Augenheilkunde
Freiburg im Breisgau, 79106
Universitätsklinik Heidelberg
Heidelberg, 69120
Augenabteilung am St. Franziskus-Hospital
Münster, 48145
Universitatsklinikum Munster
Münster, 48149
Russia6 sites
Intersec Research and Technology Complex ?Eye Microsurgery? n.a. S.N. Fyodorov
Cheboksary, Mariy-El Republic, 428000
Clinics of Eye Diseases, LLC
Kazan', Tatarstan Republic, 420066
FSBI ?Scientific Research Institute of Eye Diseases? of Russian Academy of medical Sciences
Moscow, Moscow Oblast, 119435
?Intersec Research and Technology Complex Eye Microsurgery n a Fyodorov Novosibirsk Branch
Novosibirsk, 630096
Medical Military Academy n.a S.M.Kirov
Saint Petersburg, Sankt-Peterburg, 124044
1 Saint-Petersburg St. Med. University named after academician I.P.Pavlov
Saint Petersburg, Sankt-Peterburg, 197022
Israel5 sites
Rambam Medical Center
Haifa, 3109601
Hadassah MC
Jerusalem, 9112001
Rabin MC
Petah Tikva, 4941492
Kaplan Medical Center
Rehovot, 7660101
Tel Aviv Sourasky MC
Tel Aviv, 6423906
Italy5 sites
Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico-Clinica Regina Elena
Milan, Lombardy, 20100
Asst Fatebenefratelli Sacco
Milan, Lombardy, 20157
Azienda Ospedaliera di Perugia Ospedale S. Maria Della Misericordia
Perugia, Umbria, 06129
Nuovo Ospedale S. Chiara - A.O.U.P Presidio Ospedaliero di Cisanello
Pisa, Tuscany, 56124
Fondazione G.B. Bietti Per Lo Studio E La Ricerca in Oftalmologia-Presidio Ospedaliero Britannico
Rome, Lazio, 00198
Mexico3 sites
Centro Oftalmológico Mira, S.C
Del. Cuauhtemoc, Mexico CITY (federal District), 06760
Macula Retina Consultores
Mexico City, Mexico CITY (federal District), 01120
Montemayor & Asociados (Oftalmologos)
Monterrey Nuevo LEON, Nuevo León, 64060
Taiwan3 sites
Changhua Christian Hospital
Changhua, 500
Taipei Veterans General Hospital
Taipei, 11217
Chang Gung Medical Foundation - Linkou
Taoyuan, 333
Austria2 sites
LKH-Univ.Klinikum Graz
Graz, 8036
Medizinische Universitat Wien
Vienna, 1090
Brazil2 sites
Hospital de Olhos de Aparecida - HOA
Aparecida de Goiânia, Goiás, 74980-010
Universidade Federal de Sao Paulo - UNIFESPX
São Paulo, São Paulo, 04023-062
Bulgaria2 sites
Pentagram Eye Hospital (Medical Center "Pentagram")
Sofia, 1309
Specialized Hospital for Active Treatment of Eye Diseases Zora
Sofia, 1784
Denmark2 sites
Rigshospitalet Glostrup
Glostrup Municipality, 2600
Sjællands Universitetshospital, Roskilde
Roskilde, 4000
Hong Kong2 sites
The University of Hong Kong
Hong Kong
Hong Kong Eye Hospital
Mong Kok
Portugal2 sites
Centro Hospitalar E Universitário de Coimbra EPE - Serviço Oftalmologia
Coimbra, 3000-075
Hospital de Sao Joao
Porto, 4200-319
About this study
Official title: A Multicenter, Open-Label Extension Study to Evaluate the Long-Term Safety and Tolerability of Faricimab in Patients With Neovascular Age-Related Macular Degeneration (AVONELLE-X)
This main long-term extension study is designed to evaluate the long-term safety and tolerability of faricimab 6 milligrams (mg) administered by intravitreal injection at a personalized treatment interval (PTI) to participants with neovascular age-related macular degeneration (nAMD) who enrolled in and completed one of the Phase III studies: GR40306 (NCT03823287) or GR40844 (NCT03823300), also referred to as the parent studies. Eligible patients who consent to participate in this main study will be enrolled upon completion of the end-of-study visit in the parent study.
Additionally, there is a substudy that is being conducted. The aim of this substudy is to evaluate the impact of intravitreal faricimab on the health of the corneal endothelial cells in the study eyes of patients with nAMD to fulfill a U.S. Food and Drug Administration (FDA) post-marketing requirement. The fellow eyes of the same enrolled participants in the substudy will serve as the controls.
- Being tested
- Faricimab, Sham Procedure, Anti-VEGF Therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FaricimabDrug
Also called RO6867461, RG7716
Faricimab 6 mg will be administered by intravitreal (IVT) injection into the study eye according to the personalized treatment interval (PTI) dosing regimen for the duration of the study.
Sham ProcedureOther
The sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. The sham procedure will be administered to participants as appropriate during the first 12 weeks of this study in order to maintain the masking of the initial faricimab PTI.
Anti-VEGF TherapyDrug
At the discretion of the principal investigator, participants were allowed to have their fellow (non-study) eye treated with the standard of care anti-VEGF therapy (if needed) according to region-specific anti-VEGF prescribing information for the recommended dose and frequency of treatment.
| Study group | Role | What they receive |
|---|---|---|
| Main Study: Faricimab PTI | Experimental | Not described Receives: Drug: Faricimab; Other: Sham Procedure; Drug: Anti-VEGF Therapy |
| Substudy: Faricimab PTI | Experimental | Not described Receives: Drug: Faricimab; Drug: Anti-VEGF Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence and Severity of Ocular Adverse Events in the Study Eye, With Severity Determined According to Adverse Event Severity Grading Scale
This is an analysis of participants with at least one ocular adverse event (AE) that occurred in the study eye. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity (e.g., mild, moderate, or severe intensity), and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Measured: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
Incidence of Ocular Adverse Events in the Fellow Eye
This is an analysis of participants with at least one ocular adverse event (AE) that occurred in the study eye. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity, and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Measured: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
Incidence and Severity of Non-Ocular Adverse Events, With Severity Determined According to Adverse Event Severity Grading Scale
This is an analysis of participants with at least one non-ocular (systemic) adverse event (AE). Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity (e.g., mild, moderate, or severe intensity), and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Measured: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
Substudy: Percent Change in Corneal Endothelial Cell Density From Baseline at 1 Year in the Study Eye as Compared With the Fellow Eye
Specular microscopy was performed for both eyes prior to application of any topical ophthalmic anesthetic, tonometry, or any other study treatment on the same day for the evaluation of corneal endothelial cell (CEC) density. The 1-year timepoint was defined as the earliest substudy visit closest to Week 52 occurring between Week 48 and Week 64. Data (from both study eye and fellow eye) collected after the fellow eye's use of prohibited therapies-such as faricimab, brolucizumab, bevacizumab, and Port Delivery System implantation-were excluded from the corneal endothelial cell analysis.
Measured: Baseline and 1 year
Secondary outcomes (1)
Substudy: Percent Change in Corneal Endothelial Cell Density From Baseline at Week 24 in the Study Eye as Compared With the Fellow Eye
Specular microscopy was performed for both eyes prior to application of any topical ophthalmic anesthetic, tonometry, or any other study treatment on the same day for the evaluation of corneal endothelial cell (CEC) density. The Week 24 timepoint was defined as the earliest substudy visit closest to Week 24 occurring between Week 20 and Week 28. Data (from both study eye and fellow eye) collected after the fellow eye's use of prohibited therapies-such as faricimab, brolucizumab, bevacizumab, and Port Delivery System implantation-were excluded from the corneal endothelial cell analysis.
Measured: Baseline and Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2021
- Study start19 Apr 2021
- Primary completion3 Sep 2024
- Study completion3 Sep 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Neovascular Age-related Macular DegenerationStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,036 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04777201
- Sponsor's protocol ID
- GR42691
- Other IDs
- 2020-004523-16
- Acronym
- AVONELLE-X
- Status last verified
- Oct 2025
- First submitted
- 26 Feb 2021
- Last updated
- 24 Oct 2025
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Study at a glance
From the registry record, last updated by the sponsor on 24 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Open-Label Extension Study to Evaluate the Long-Term Safety and Tolerability of Faricimab in Patients With Neovascular Age-Related Macular Degeneration (AVONELLE-X)
- ClinicalTrials.gov ID
- NCT04777201
- Acronym / sponsor ID
- AVONELLE-X / GR42691
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,036 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 19 Apr 2021 (actual)
- Primary completion
- 3 Sep 2024 (actual)
- Study completion
- 3 Sep 2024 (actual)
- First posted
- 2 Mar 2021 (actual)
- Results
- Posted 24 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This main long-term extension study is designed to evaluate the long-term safety and tolerability of faricimab 6 milligrams (mg) administered by intravitreal injection at a personalized treatment interval (PTI) to participants with neovascular age-related macular degeneration (nAMD) who enrolled in and completed one of the Phase III studies: GR40306 (NCT03823287) or GR40844 (NCT03823300), also referred to as the parent studies. Eligible patients who consent to participate in this main study will be enrolled upon completion of the end-of-study visit in the parent study.
Additionally, there is a substudy that is being conducted. The aim of this substudy is to evaluate the impact of intravitreal faricimab on the health of the corneal endothelial cells in the study eyes of patients with nAMD to fulfill a U.S. Food and Drug Administration (FDA) post-marketing requirement. The fellow eyes of the same enrolled participants in the substudy will serve as the controls.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Main Study: Faricimab PTI | Experimental | Drug: Faricimab, Other: Sham Procedure, Drug: Anti-VEGF Therapy |
| Substudy: Faricimab PTI | Experimental | Drug: Faricimab, Drug: Anti-VEGF Therapy |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Previous enrollment in and completion of Study GR40306 (NCT03823287) or Study GR40844 (NCT03823300), without study or study drug discontinuation
- For women of childbearing potential: agreement to remain abstinent or use contraception, and agreement to refrain from donating eggs. Women must remain abstinent or use contraceptive methods with a failure rate of < 1% per year during the treatment period and for 3 months after the final dose of faricimab. Women must refrain from donating eggs during the same period.
- In addition to all inclusion criteria specified in the main Study GR42691, participants in the Substudy must meet the following criteria:
- Sign an informed consent form for the Substudy
- Must be able to participate for at least 48 weeks in the Substudy and have at least the first visit while enrolled in the main Study GR42691
Key exclusion criteria (28 listed)
- Pregnant or breastfeeding, or intending to become pregnant during the study or within 3 months after the final dose of faricimab
- Presence of other ocular diseases that give reasonable suspicion of a disease or condition that contraindicates the use of faricimab, that might affect interpretation of the results of the study or that renders the patient at high risk for treatment complications
- Presence of other diseases, metabolic dysfunction, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of faricimab and that might affect interpretation of the results of the study or that renders the patient at high risk of treatment complications
- History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the faricimab injections, study-related procedure preparations, dilating drops, or any of the anesthetic and antimicrobial preparations used by a patient during the study
- Requirement for continuous use of any medications or treatments indicated as prohibited therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FaricimabAlso: RO6867461, RG7716Faricimab 6 mg will be administered by intravitreal (IVT) injection into the study eye according to the personalized treatment interval (PTI) dosing regimen for the duration of the study. | Drug | Main Study: Faricimab PTI, Substudy: Faricimab PTI |
| Sham ProcedureThe sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. The sham procedure will be administered to participants as appropriate during the first 12 weeks of this study in order to maintain the masking of the initial faricimab PTI. | Other | Main Study: Faricimab PTI |
| Anti-VEGF TherapyAt the discretion of the principal investigator, participants were allowed to have their fellow (non-study) eye treated with the standard of care anti-VEGF therapy (if needed) according to region-specific anti-VEGF prescribing information for the recommended dose and frequency of treatment. | Drug | Main Study: Faricimab PTI, Substudy: Faricimab PTI |
Primary outcome
Incidence and Severity of Ocular Adverse Events in the Study Eye, With Severity Determined According to Adverse Event Severity Grading Scale
Time frame: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
This is an analysis of participants with at least one ocular adverse event (AE) that occurred in the study eye. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity (e.g., mild, moderate, or severe intensity), and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Incidence of Ocular Adverse Events in the Fellow Eye
Time frame: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
This is an analysis of participants with at least one ocular adverse event (AE) that occurred in the study eye. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity, and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Incidence and Severity of Non-Ocular Adverse Events, With Severity Determined According to Adverse Event Severity Grading Scale
Time frame: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)
This is an analysis of participants with at least one non-ocular (systemic) adverse event (AE). Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of the seriousness, severity (e.g., mild, moderate, or severe intensity), and causality for each AE. AEs of special interest (AESI) included the following: Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, are associated with severe intraocular inflammation (IOI), or require surgical or medical intervention to prevent permanent loss of sight; suspected transmission of an infectious agent by the study drug; and, cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Substudy: Percent Change in Corneal Endothelial Cell Density From Baseline at 1 Year in the Study Eye as Compared With the Fellow Eye
Time frame: Baseline and 1 year
Specular microscopy was performed for both eyes prior to application of any topical ophthalmic anesthetic, tonometry, or any other study treatment on the same day for the evaluation of corneal endothelial cell (CEC) density. The 1-year timepoint was defined as the earliest substudy visit closest to Week 52 occurring between Week 48 and Week 64. Data (from both study eye and fellow eye) collected after the fellow eye's use of prohibited therapies-such as faricimab, brolucizumab, bevacizumab, and Port Delivery System implantation-were excluded from the corneal endothelial cell analysis.
1 secondary outcome
Substudy: Percent Change in Corneal Endothelial Cell Density From Baseline at Week 24 in the Study Eye as Compared With the Fellow Eye
Time frame: Baseline and Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Oct 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
Related trials for Neovascular Age-related Macular Degeneration
Active, not recruitingPhase 3
4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration
Macular Neovascularization Secondary to Age-Related Macular Degeneration
RecruitingPhase 3
Study to Assess the Injection Burden, Adverse Events, Change in Disease Activity, and Long-Term Preservation of Visual Acuity of Surabgene Lomparvovec in Adult Participants With Neovascular Age-Related Macular Degeneration (nAMD)
Neovascular Age-related Macular Degeneration
RecruitingPhase 2
A Phase 2 Efficacy and Safety Study of GAL-101, 2% Ophthalmic Solution in Non-foveal Geographic Atrophy Secondary to Non-neovascular AMD
Geographic Atrophy of the Macula
RecruitingPhase 2
A Dose-masked Study of Intravitreal Remigromig (EYE103) in Participants With NVAMD or Macular Edema Following BRVO
Neovascular Age-Related Macular Degeneration (NVAMD), Branch Retinal Vein Occlusion (BRVO)
RecruitingPhase 3
Single Intravitreal (IVT) Injection of 4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration
Neovascular Age-Related Macular Degeneration (nAMD)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
251 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Faricimab and Anti-VEGF Therapy in people with Neovascular Age-related Macular Degeneration, run by Hoffmann-La Roche at 251 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 251 sites in United States, Japan, United Kingdom, Spain, Poland and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 24 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence and Severity of Ocular Adverse Events in the Study Eye, With Severity Determined According to Adverse Event Severity Grading Scale (time frame: From the date of first administration of faricimab through 28 days after the end of study (up to 2 years)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2025.