Geographic Atrophy (GA)Phase 2NCT06659445
Study to Evaluate Efficacy and Safety of ONL1204 in Patients With GA Associated With AMD
A Phase 2 study testing ONL1204 Opthalmic solution and Avacincaptad Pegol intravitreal solution in people with Geographic Atrophy (GA) and Age - Related Macular Degeneration (AMD), run by ONL Therapeutics at 120 sites in 12 countries.
Trial summary
The purpose of this study is to collect efficacy and safety information of intravitreal injection for 3 experimental arms, including 2 dose levels of ONL1204 and 2 treatment frequencies in patients with GA associated with AMD. Read more about this study
- Who is it for?
- Ages 55 years and older
- Conditions the study is for
- Geographic Atrophy (GA), Age - Related Macular Degeneration (AMD)
- What is being tested?
- ONL1204 Opthalmic solution and Avacincaptad Pegol intravitreal solution
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 324 participants
- Where
- 120 sitesin 12 countries
- Study dates
- 28 Oct 2025to Nov 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 55 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 55 years of age or older at Screening.
- Able and willing to give informed consent and attend study visits.
- Women or intersex individuals must be willing to use 2 forms of effective contraception during the study and for at least 90 days following the last dose of study drug, be postmenopausal for at least 12 months prior to study entry, or surgically sterile. If of childbearing potential, a negative urine pregnancy test is required at Screening and prior to the administration of study drug at each visit.
- Men or intersex individuals with partners of childbearing potential must be willing to use permissible methods of contraception and refrain from sperm donation during the study and for at least 90 days following the last dose of study drug.
- If currently using Age-related Eye Disease Study 2 (AREDS, AREDS2, or similar nutraceutical therapy at Screening, patient must be willing to continue use for the duration of the study. If not currently using AREDS2 or similar, patient must be willing to continue not to use therapy for the duration of the study. Patient must agree to choose either approach.
- Study Eye Inclusion Criteria:
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- BCVA of 24 letters or more using ETDRS charts in the study eye at Screening.
- Intraocular pressure (IOP) of 22 mmHg or lower in the study eye at Screening.
- The GA lesion must meet all the following criteria:
- Non-foveal GA associated with AMD without eMNV in the study eye per Investigator's evaluation and as confirmed by the central RC.
- GA ≥0.85 disc area (DA) (2.125 mm2) and ≤8.05 DA (20.125 mm2) in the study eye as confirmed by the central RC.
- If GA in the study eye is multifocal, at least 1 focal lesion must be ≥0.425 DA (1.063 mm2) as confirmed by the central RC.
- Non-foveal GA (GA lesion up to the fovea, but not subfoveal) with the lesion's closest border 1725 microns or less from the foveal center in the study eye, as confirmed by the central RC.
- The entire GA lesion in the study eye must be completely visualized on the macula-centered FAF image, must be able to be imaged in its entirety, and must not be contiguous with any areas of peripapillary atrophy per the Investigator's evaluation and as confirmed by the central RC.
- A pattern of hyper-autofluorescence in the junctional zone of GA in the study eye must be present as confirmed by the central RC.
- Fellow Eye Inclusion Criterion:
- BCVA of 19 letters or more using ETDRS charts in the fellow eye at Screening.
Who cannot join
- Current or planned participation in another investigational clinical study or use of any other investigational drugs or devices at least 6 months prior to enrollment or during the study period without prior written Sponsor approval.
- Previous ophthalmic disease gene therapy or planned participation in any gene therapy clinical study during the study period.
- Current or planned use of systemic complement inhibitors during the study period.
- Any ocular or systemic condition that, in the opinion of the Investigator, makes the patient unsuitable for treatment with an investigational drug or that would compromise the safety or efficacy assessments of the study.
- Treatment with any ocular or systemic medication that is known to be toxic to the lens, retina, or optic nerve (including, but not limited to, aminoglycosides, vancomycin, hydroxychloroquine, interferon, tacrolimus, cisplatin, bis-chloroethyl nitrosourea, carmustine, ethambutol, and tamoxifen) within 90 days prior to Screening or anticipated during the study period.
- Any previous treatment of pentosan polysulfate (Elmiron®) is exclusionary.
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- Known allergy to fluorescein, povidone iodine, or any ingredients of the study drug or avacincaptad pegol intravitreal solution.
- Individuals who are currently pregnant, planning to become pregnant, or are nursing at Screening or during the study period.
- Study Eye Exclusion Criteria:
- Active ocular or periocular infection in the study eye.
- Any contraindication to an IVT injection in the study eye.
- Any media opacity in the study eye that limits visual acuity, clinical visualization of the retina, or retinal imaging as determined by the Investigator.
- Previous IVT pharmaceutical treatment in the study eye with any agent except Food and Drug Administration (FDA)-approved complement inhibitors and treatment with FDA-approved complement inhibitors within 12 weeks prior to Screening.
- Any history of incisional retinal surgery in the study eye including but not limited to scleral buckle or vitrectomy. (Retinal laser for a tear or hole 3 months or more prior to Screening is not exclusionary).
- History of incisional glaucoma surgery including trabeculectomy, tube shunt, or minimally invasive glaucoma surgery in the study eye. (Glaucoma laser procedures performed at least 6 months prior to Screening are not exclusionary).
- Yttrium aluminum garnet capsulotomy in the study eye within 1 month prior to Screening.
- Cataract surgery in the study eye planned or expected during the study period.
- Aphakia with absence of the posterior capsule in the study eye. (Pseudophakia with an open posterior capsule is not exclusionary).
- Any current evidence or history in the study eye of exudative ("wet") AMD, including any RPE rips or evidence of actively leaking neovascularization anywhere in the retina based on the FA or SD-OCT as assessed per the Investigator's evaluation and confirmed by the central RC.
- Any clinically significant retinal disease other than AMD except benign degenerative conditions (eg, Cobblestone degeneration) in the study eye.
- Intraocular surgery in the study eye (including lens replacement surgery) within 3 months prior to Screening. See Exclusion Criteria 12 and 13 pertaining to retinal and glaucoma surgery, respectively.
- Previous therapeutic radiation (including transpupillary thermotherapy, photodynamic therapy, or external-beam) in the region of the study eye.
- Fellow Eye Exclusion Criterion:
- Planned or expected IVT injection in the fellow eye for treatment of GA with agents other than FDA-approved complement inhibitors (pegcetacoplan or avacincaptad pegol IVT solution [Izervay™]) during the study period.
- Either Eye Exclusion Criteria:
- Active intraocular inflammation in either eye or a history of uveitis or endophthalmitis in either eye.
- GA in either eye due to causes other than AMD.
- Any ophthalmic condition in either eye that is likely to require surgery during the study period.
Trial locations and contacts
120 sites in 12 countries. Contact the study team or a site near you to ask about taking part.
120 sites in 12 countries
United States56 sites, 56 recruiting
- Recruiting
University of Michigan Kellogg Eye Center
Ann Arbor, Michigan, 48105
Study Coordinator
- Recruiting
Austin Retina Associates
Austin, Texas, 78705
Study Coordinator
- Recruiting
California Retina Consultants
Bakersfield, California, 93309
Study Coordinator
- Recruiting
Retina Consultants of Texas
Beaumont, Texas, 77707
Study Coordinator
- Recruiting
Retina Consultants of Texas
Bellaire, Texas, 77401
Study Coordinator
- Recruiting
Pacific Northwest Retina
Bellevue, Washington, 98004
Study Coordinator
- Recruiting
Retina-Vitreous Associates Medical Group
Beverly Hills, California, 90211
Study Coordinator
- Recruiting
Retina Partners Midwest, P.C.
Carmel, Indiana, 46032
Study Coordinator
- Recruiting
North Carolina Retina Associates
Cary, North Carolina, 27511
Study Coordinator
- Recruiting
The Retina Group of Washington
Chevy Chase, Maryland, 20815
Study Coordinator
- Recruiting
Northwestern Medical Group
Chicago, Illinois, 60611
Study Coordinator
- Recruiting
The University of Chicago Medicine Duchossois Center for Advanced Medicine
Chicago, Illinois, 60637
Study Coordinator
- Recruiting
Cleveland Clinic Foundation-Cole Eye Institute
Cleveland, Ohio, 44195
Study Coordinator
- Recruiting
Retina Consultants of Southern Colorado
Colorado Springs, Colorado, 80909-1183
Study Coordinator
- Recruiting
Duke Eye Center
Durham, North Carolina, 27710
Study Coordinator
- Recruiting
Retina Associates, Ltd.
Elmhurst, Illinois, 60126
Study Coordinator
- Recruiting
Erie Retina Research, LLC (Clinic)
Erie, Pennsylvania, 16505
Study Coordinator
- Recruiting
Associated Retina Consultants
Gilbert, Arizona, 85297
Study Coordinator
- Recruiting
Macula and Retina Institute
Glendale, California, 91203
Study Coordinator
- Recruiting
North Carolina Retina Associates
Greenville, North Carolina, 27834
Study Coordinator
- Recruiting
Cumberland Valley Retina Consultants
Hagerstown, Maryland, 21740
Study Coordinator
- Recruiting
Salehi Retina Institute, dba Retina Associates of Southern California
Huntington Beach, California, 92647
Study Coordinator
- Recruiting
Retina Consultants of Texas
Katy, Texas, 77494
Study Coordinator
- Recruiting
Retina Vitreous Surgeons of CNY, PC
Liverpool, New York, 13088
Study Coordinator
- Recruiting
Piedmont Eye Center
Lynchburg, Virginia, 24502
Study Coordinator
- Recruiting
Valley Retina Institute, P.A.
McAllen, Texas, 78503
Study Coordinator
- Recruiting
Charleston Neuroscience Institute
Mt. Pleasant, South Carolina, 29464
Study Coordinator
- Recruiting
Vanderbilt Eye Institute
Nashville, Tennessee, 37232
Study Coordinator
- Recruiting
Illinois Retina Associates, S.C.
Oak Park, Illinois, 60304
Study Coordinator
- Recruiting
Ophthalmic Consultants of Long Island
Oceanside, New York, 11572
Study Coordinator
- Recruiting
Florida Retina Institute
Orlando, Florida, 32806
Study Coordinator
- Recruiting
Desert Retina Consultants
Palm Desert, California, 92211
Study Coordinator
- Recruiting
Retina Specialty Institute
Pensacola, Florida, 32503
Study Coordinator
- Recruiting
Associated Retina Consultants
Phoenix, Arizona, 85020
Study Coordinator
- Recruiting
Sierra Eye Associates
Reno, Nevada, 89502
Study Coordinator
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
Study Coordinator
- Recruiting
Retina Associates of Western NY
Rochester, New York, 14620
Study Coordinator
- Recruiting
Associated Retinal Consultants, P.C.
Royal Oak, Michigan, 48073
Study Coordinator
- Recruiting
Retinal Consultants Medical Group
Sacramento, California, 95841
Study Coordinator
- Recruiting
Medical Center Ophthalmology Associates, LLP
San Antonio, Texas, 78240
Study Coordinator
- Recruiting
Retina Associates of South Texas, PA
San Antonio, Texas, 78240
Study Coordinator
- Recruiting
Retina Consultants of Texas
San Antonio, Texas, 78240
Study Coordinator
- Recruiting
Retina Group of Florida
Sarasota, Florida, 34232
Study Coordinator
- Recruiting
Pacific Northwest Retina, PLLC
Silverdale, Washington, 98383
Study Coordinator
- Recruiting
Retina Center of Texas
Southlake, Texas, 76092
Study Coordinator
- Recruiting
Retina Research Institute at New England Retina Consultants
Springfield, Massachusetts, 01107
Study Coordinator
- Recruiting
The Retina Institute
St Louis, Missouri, 63128
Study Coordinator
- Recruiting
Retina Associates of Florida, LLC
Tampa, Florida, 33609-4614
Study Coordinator
- Recruiting
Retina Consultants of Texas
The Woodlands, Texas, 77384
Study Coordinator
- Recruiting
Retina Specialists
Towson, Maryland, 21204
Study Coordinator
- Recruiting
Associated Retinal Consultants, P.C.
Traverse City, Michigan, 49686
Study Coordinator
- Recruiting
North Carolina Retina Associates, S.C.
Wake Forest, North Carolina, 27587
Study Coordinator
- Recruiting
Bay Area Retina Associates
Walnut Creek, California, 94598
Study Coordinator
- Recruiting
Retina Group of New England
Waterford, Connecticut, 06385
Study Coordinator
- Recruiting
Palmetto Retina Center
West Columbia, South Carolina, 29169
Study Coordinator
- Recruiting
Long Island Vitreoretinal Consultants
Westbury, New York, 11590
Study Coordinator
Hungary8 sites, 8 recruiting
- Recruiting
Észak-Pesti Centrumkórház-Honvédkórház, Szemészeti Osztály
Budapest, Hungry, 1062
Study Coordinator
- Recruiting
Semmelweis Egyetem, Szemészeti Klinika Kutatóközpont
Budapest, Hungry, 1085
Study Coordinator
- Recruiting
Budapesti Bajcsy-Zsilinszky Kórház és Rendelőintézet, Szemészeti Osztály
Budapest, Hungry, 1106
Study Coordinator
- Recruiting
Budapest Retina Associates, Opthalmology
Budapest, Hungry, 1133
Study Coordinator
- Recruiting
Budapesti Jahn Ferenc Dél-pesti Kórház és Rendelőintézet, Szemészeti Osztály
Budapest, Hungry, 1204
Study Coordinator
- Recruiting
Debreceni Egyetem Klinikai Központ, Szemklinika
Debrecen, Hungry, 4032
Study Coordinator
- Recruiting
Pécsi Tudományegyetem Klinikai Kozpont, Szemeszeti Klinika
Pécs, Hungry, 7623
Study Coordinator
- Recruiting
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ, Szemészeti Klinika
Szeged, Hungry, 6720
Study Coordinator
Spain8 sites, 8 recruiting
- Recruiting
Centro de Oftalmología Barraquer
Barcelona, Spain, 08021
Study Coordinator
- Recruiting
Institut Catalâ de Retina
Barcelona, Spain, 08022
Study Coordinator
- Recruiting
Instituto Clinico Quirurgico de Oftalmologia (ICQO)
Bilbao, Spain, 48010
Study Coordinator
- Recruiting
Hospital Arruzafa
Córdoba, Spain, 14012
Study Coordinator
- Recruiting
Hospital Universitario Puerta de Hierro Majadahonda
Madrid, Spain, 28222
Study Coordinator
- Recruiting
Hospital Universitario Virgen Macarena
Seville, Spain, 41009
Study Coordinator
- Recruiting
Fundación de Oftalmologia Medica de la Comunitat Valenciana (FOM)
Valencia, Spain, 46015
Study Coordinator
- Recruiting
Hospital Universitario Miguel Servet
Zaragoza, Spain, 50009
Study Coordinator
United Kingdom8 sites, 8 recruiting
- Recruiting
Royal Victoria Hospital (Ophthalmology Research Suite, EODU)
Belfast, Ireland, BT12 6BA
Study Coordinator
- Recruiting
Gloucestershire Hospitals NHS Foundation Trust
Gloucester, England, GL1 3NN
Study Coordinator
- Recruiting
King's College Hospital NHS Foundation Trust
London, England, SE5 9RS
Study Coordinator
- Recruiting
The Retina Clinic
London, England, W1G 9X
Study Coordinator
- Recruiting
Newcastle Upon Tyne NHS Foundation Trust
Newcastle, England, NE1 4LP
Study Coordinator
- Recruiting
University Hospital Southampton NHS Foundation Trust
Southampton, England, SO16 6YD
Study Coordinator
- Recruiting
Sunderland Eye Infirmary
Sunderland, England, SR2 9HP
Study Coordinator
- Recruiting
Hull University Teaching Hospitals NHS Trust, Hull Royal Infirmary
York, England, HU3 2JZ
Study Coordinator
Poland7 sites, 7 recruiting
- Recruiting
Oculomedica Sp. z o.o.
Bydgoszcz, Poland, 85-157
Study Coordinator
- Recruiting
Optimum Profesorskie Centrum Okulistyki sp. z o.o.
Gdansk, Poland, 80-180
Study Coordinator
- Recruiting
Szpital Św. Róży sp. z o. o. sp. k.
Krakow, Poland, 30-394
Study Coordinator
- Recruiting
Centrum Medyczne Dietla 19 sp. z o.o.
Krakow, Poland, 31-070
Study Coordinator
- Recruiting
Klinika Okulistyczna Jasne Blonia sp. z o.o
Lodz, Poland, 91-134
Study Coordinator
- Recruiting
Bonifraterskie Centrum Medyczne sp. z o.o.
Lodz, Poland, 93-357
Study Coordinator
- Recruiting
Centrum Diagnostyki I Mikrochirurgii Oka Lens sp. Z o.o.
Olsztyn, Poland, 10-424
Study Coordinator
Germany6 sites, 6 recruiting
- Recruiting
Augen-Zentrum-Nordwest
Ahaus, Germany, 48683
Study Coordinator
- Recruiting
Universitäts-Augenklinik Bonn
Bonn, Germany, 53127
Study Coordinator
- Recruiting
Internationale Innovative Ophthalmochirurgie GbR c/o MVZ Breyer Kaymak Klabe Augenchirurgie
Düsseldorf, Germany, 40549
Study Coordinator
- Recruiting
Augenzentrum Prof. Dr. Koch GmbH
Frankfurt am Main, Germany, 60549
Study Coordinator
- Recruiting
Philipps-Universität Marburg
Marburg, Germany, 35043
Study Coordinator
- Recruiting
Uniklinikum Würzburg
Würzburg, Germany, 97080
Study Coordinator
Switzerland6 sites, 6 recruiting
- Recruiting
Augenarzt Praxisgemeinschaft Gutblick AG
Bern, Switzerland, 3011
Study Coordinator
- Recruiting
Vista Augenklinik Binningen
Binningen, Switzerland, 4102
Study Coordinator
- Recruiting
Hospital Ophthalmic Jules-Gonin Foundation
Lausanne, Switzerland, 1001
Study Coordinator
- Recruiting
Swiss Visio Retina Research Center
Lausanne, Switzerland, 1006
Study Coordinator
- Recruiting
Stadtspital Zurich Triemli, Augenklinik, Forschungszentrum, 2K.14
Zurich, Switzerland, 8063
Study Coordinator
- Recruiting
Augenarzt Praxisgemeinschaft Gutblick AG
Zurich, Switzerland, 8620
Study Coordinator
Czechia5 sites, 5 recruiting
- Recruiting
VISUS spol. s.r.o.
Náchod, Czech Republic, 574 01
Study Coordinator
- Recruiting
Fakultni nemocnice Kralovske Vinohrady
Prague, Czech Republic, 100 34
Study Coordinator
- Recruiting
VFN Praha
Prague, Czech Republic, 128 08
Study Coordinator
- Recruiting
Axon Clinical, s.r.o.
Prague, Czech Republic, 150 00
Study Coordinator
- Recruiting
NEMOS Medical Private Care s.r.o.
Sokolov, Czech Republic, 356 01
Study Coordinator
Greece5 sites, 5 recruiting
- Recruiting
General Hospital of Athens "G. Gennimatas", 1st University Eye Clinic
Athens, Greece, 11527
Study Coordinator
- Recruiting
University General Hospital "Attikon", 2nd Department of Ophthalmology, University of Athens
Athens, Greece, 12462
Study Coordinator
- Recruiting
University General Hospital of Heraklion
Heraklion, Greece, 70013
Study Coordinator
- Recruiting
University General Hospital of Ioannina, Ophthalmology Clinica
Ioannina, Greece, 45500
Study Coordinator
- Recruiting
University General Hospital of Patras, Department of Ophthalmology
Pátrai, Greece, 26504
Study Coordinator
Canada4 sites, 4 recruiting
- Recruiting
Clinique d'ophtalmologie des Laurentides
Boisbriand, Quebec, J7H0E8
Study Coordinator
- Recruiting
St. Joseph's Health Care London - Ivey Eye Institute
London, Ontario, N6A4V2
Study Coordinator
- Recruiting
Toronto Retina Institute
Toronto, Ontario, M3C0G9
Study Coordinator
- Recruiting
Toronto Western Hospital, University Health Network
Toronto, Ontario, M5T 2S8
Study Coordinator
Portugal4 sites, 4 recruiting
- Recruiting
AIBILI
Coimbra, Portugal, 3000-548
Study Coordinator
- Recruiting
Unidade Local de Saúde de Coimbra
Coimbra, Portugal, 3004-561
Study Coordinator
- Recruiting
Unidade Local de Saude de Gaia/Espinho
Gaia, Portugal, 4434-502
Study Coordinator
- Recruiting
Unidade Local De Saude De Santo Antonio
Porto, Portugal, 4050-011
Study Coordinator
Austria3 sites, 3 recruiting
- Recruiting
Konventhospital der Barmherzigen Brüder Linz Abteilung für Augenheilkunde
Linz, Austria, 4020
Study Coordinator
- Recruiting
Medizinische Universität Wien
Vienna, Austria, 1090
Study Coordinator
- Recruiting
Vienna Institute for Research in Ocular Surgery - A Karl-Landsteiner-Institute
Vienna, Austria, 1140
Study Coordinator
About this study
Official title: A Phase 2 Multicenter, Randomized, Double-masked, Sham-controlled, Reference-arm Study to Evaluate Efficacy and Safety of ONL1204 in Patients With Geographic Atrophy (GA) Associated With Age-related Macular Degeneration (AMD)
The purpose of this study is to collect efficacy and safety information of intravitreal injection for 3 experimental arms, including 2 dose levels of ONL1204 and 2 treatment frequencies in patients with GA associated with AMD.
GA associated with AMD is one of the world's leading causes of visual disability and legal blindness globally. Associated with aging, cigarette smoking, obesity, diets low in certain nutrients, a lifestyle related to cardiac risk, and a growing list of genetic factors, AMD is becoming an increasingly prevalent public health concern, especially as the global population ages. ONL1204 is a first-in-class inhibitor of fragment apoptosis stimulator receptor-mediated cell death that has demonstrated protection of multiple retinal cell types in numerous preclinical models of retinal disease, including models of dry AMD.
- Being tested
- ONL1204 Opthalmic solution, Avacincaptad Pegol intravitreal solution, Sham
- Keywords
- Phase 2, ONL1204, Geographic Atrophy (GA), Age-related Macular Degeneration (AMD)
- Medical subject headings
- Geographic Atrophy, Macular Degeneration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ONL1204 Opthalmic solutionDrug
Liquid formulation ONL1204 Ophthalmic Solution administered by intravitreal (IVT) injection
Avacincaptad Pegol intravitreal solutionDrug
Liquid formulation Avacincaptad Pegol administered by intravitreal (IVT) injection
ShamOther
Sham injection
| Study group | Role | What they receive |
|---|---|---|
| ONL1204 Opthalmic solution (1 of 6 Treatment Groups) administered by intravitreal injection | Active comparator | ONL1204 100 µg administered by intravitreal (IVT) injection every 12 weeks Receives: Drug: ONL1204 Opthalmic solution |
| ONL1204 Opthalmic solution (2 of 6 Treatment Groups) administered by intravitreal injection | Active comparator | ONL1204 200 µg administered by intravitreal (IVT) injection every 12 weeks Receives: Drug: ONL1204 Opthalmic solution |
| ONL1204 Opthalmic solution (3 of 6 Treatment Groups) administered by intravitreal injection | Experimental | ONL1204 200 µg administered by intravitreal (IVT) injection every 24 weeks Receives: Drug: ONL1204 Opthalmic solution |
| Sham Comparator (4 of 6 Treatment Groups) | Sham comparator | Sham injection every 12 weeks Receives: Other: Sham |
| Sham Comparator (5 of 6 Treatment Groups) | Sham comparator | Sham injection every 24 weeks Receives: Other: Sham |
| Avacincaptad pegol intravitreal solution (6 of 6 Treatment Groups - US ONLY) | Active comparator | Avacincaptad pegol administered by intravitreal (IVT) injection - (2 mg (0.1 mL of 20 mg/mL solution) once monthly Receives: Drug: Avacincaptad Pegol intravitreal solution |
What is being measured
The primary outcome is the main question the study is designed to answer.
Primary Endpoint
GA lesion area
Measured: From enrollment to the end of treatment at 48 weeks.
Secondary outcomes (2)
Secondary Endpoints (Safety)
Incidence of new active exudative macular neovascularization (eMNV) in the study eye
Measured: From enrollment to the end of treatment at 48 weeks.
Secondary Endpoints (Safety)
Incidence of Early Treatment of Diabetic Retinopathy Study (ETDRS) best corrected visual acuity (BCVA) loss
Measured: From enrollment to the end of treatment at 48 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Oct 2024
- Study start28 Oct 2025
- Primary completionNov 2028 (estimated)
- Study completionNov 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Geographic Atrophy (GA)Studies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 324 participants (estimated)
Sponsor and investigators
- Lead sponsor
- ONL Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06659445
- Sponsor's protocol ID
- ONL1204-GA-002
- Status last verified
- Sep 2026
- First submitted
- 23 Oct 2024
- Last updated
- 10 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Multicenter, Randomized, Double-masked, Sham-controlled, Reference-arm Study to Evaluate Efficacy and Safety of ONL1204 in Patients With Geographic Atrophy (GA) Associated With Age-related Macular Degeneration (AMD)
- ClinicalTrials.gov ID
- NCT06659445
- Acronym / sponsor ID
- ONL1204-GA-002
- Keywords
- Phase 2, ONL1204, Geographic Atrophy (GA), Age-related Macular Degeneration (AMD)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 324 participants (estimated)
- Lead sponsor
- ONL TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 28 Oct 2025 (actual)
- Primary completion
- Nov 2028 (estimated)
- Study completion
- Nov 2028 (estimated)
- First posted
- 26 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to collect efficacy and safety information of intravitreal injection for 3 experimental arms, including 2 dose levels of ONL1204 and 2 treatment frequencies in patients with GA associated with AMD.
GA associated with AMD is one of the world's leading causes of visual disability and legal blindness globally. Associated with aging, cigarette smoking, obesity, diets low in certain nutrients, a lifestyle related to cardiac risk, and a growing list of genetic factors, AMD is becoming an increasingly prevalent public health concern, especially as the global population ages. ONL1204 is a first-in-class inhibitor of fragment apoptosis stimulator receptor-mediated cell death that has demonstrated protection of multiple retinal cell types in numerous preclinical models of retinal disease, including models of dry AMD.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| ONL1204 Opthalmic solution (1 of 6 Treatment Groups) administered by intravitreal injection | Active comparator | Drug: ONL1204 Opthalmic solutionONL1204 100 µg administered by intravitreal (IVT) injection every 12 weeks |
| ONL1204 Opthalmic solution (2 of 6 Treatment Groups) administered by intravitreal injection | Active comparator | Drug: ONL1204 Opthalmic solutionONL1204 200 µg administered by intravitreal (IVT) injection every 12 weeks |
| ONL1204 Opthalmic solution (3 of 6 Treatment Groups) administered by intravitreal injection | Experimental | Drug: ONL1204 Opthalmic solutionONL1204 200 µg administered by intravitreal (IVT) injection every 24 weeks |
| Sham Comparator (4 of 6 Treatment Groups) | Sham comparator | Other: ShamSham injection every 12 weeks |
| Sham Comparator (5 of 6 Treatment Groups) | Sham comparator | Other: ShamSham injection every 24 weeks |
| Avacincaptad pegol intravitreal solution (6 of 6 Treatment Groups - US ONLY) | Active comparator | Drug: Avacincaptad Pegol intravitreal solutionAvacincaptad pegol administered by intravitreal (IVT) injection - (2 mg (0.1 mL of 20 mg/mL solution) once monthly |
Who may qualify
- Ages
- 55 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- 55 years of age or older at Screening.
- Able and willing to give informed consent and attend study visits.
- Women or intersex individuals must be willing to use 2 forms of effective contraception during the study and for at least 90 days following the last dose of study drug, be postmenopausal for at least 12 months prior to study entry, or surgically sterile. If of childbearing potential, a negative urine pregnancy test is required at Screening and prior to the administration of study drug at each visit.
- Men or intersex individuals with partners of childbearing potential must be willing to use permissible methods of contraception and refrain from sperm donation during the study and for at least 90 days following the last dose of study drug.
- If currently using Age-related Eye Disease Study 2 (AREDS, AREDS2, or similar nutraceutical therapy at Screening, patient must be willing to continue use for the duration of the study. If not currently using AREDS2 or similar, patient must be willing to continue not to use therapy for the duration of the study. Patient must agree to choose either approach.
Key exclusion criteria (28 listed)
- Current or planned participation in another investigational clinical study or use of any other investigational drugs or devices at least 6 months prior to enrollment or during the study period without prior written Sponsor approval.
- Previous ophthalmic disease gene therapy or planned participation in any gene therapy clinical study during the study period.
- Current or planned use of systemic complement inhibitors during the study period.
- Any ocular or systemic condition that, in the opinion of the Investigator, makes the patient unsuitable for treatment with an investigational drug or that would compromise the safety or efficacy assessments of the study.
- Treatment with any ocular or systemic medication that is known to be toxic to the lens, retina, or optic nerve (including, but not limited to, aminoglycosides, vancomycin, hydroxychloroquine, interferon, tacrolimus, cisplatin, bis-chloroethyl nitrosourea, carmustine, ethambutol, and tamoxifen) within 90 days prior to Screening or anticipated during the study period.
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 |
|---|---|---|
| ONL1204 Opthalmic solutionLiquid formulation ONL1204 Ophthalmic Solution administered by intravitreal (IVT) injection | Drug | ONL1204 Opthalmic solution (1 of 6 Treatment Groups) administered by intravitreal injection, ONL1204 Opthalmic solution (2 of 6 Treatment Groups) administered by intravitreal injection, ONL1204 Opthalmic solution (3 of 6 Treatment Groups) administered by intravitreal injection |
| Avacincaptad Pegol intravitreal solutionLiquid formulation Avacincaptad Pegol administered by intravitreal (IVT) injection | Drug | Avacincaptad pegol intravitreal solution (6 of 6 Treatment Groups - US ONLY) |
| ShamSham injection | Other | Sham Comparator (4 of 6 Treatment Groups), Sham Comparator (5 of 6 Treatment Groups) |
Primary outcome
Primary Endpoint
Time frame: From enrollment to the end of treatment at 48 weeks.
GA lesion area
2 secondary outcomes
Secondary Endpoints (Safety)
Time frame: From enrollment to the end of treatment at 48 weeks.
Secondary Endpoints (Safety)
Time frame: From enrollment to the end of treatment at 48 weeks.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2026.
- Individual participant dataSharing planned: Yes
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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.
120 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing ONL1204 Opthalmic solution and Avacincaptad Pegol intravitreal solution in people with Geographic Atrophy (GA) and Age - Related Macular Degeneration (AMD), run by ONL Therapeutics at 120 sites in 12 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 17 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: looking for participants now, as of the sponsor's last update on 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in United States, Hungary, Spain, United Kingdom, Poland and 7 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Coordinator (734-412-8787, info@onltherapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Primary Endpoint (time frame: From enrollment to the end of treatment at 48 weeks.). 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 10 Sep 2026.