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Renal Function DisorderNCT06929507

Impact of Intravitreal Faricimab on Renal Function in Diabetic Patients

A study testing Intravitreal injection of Faricimab or Aflibercept 2 mg in people with Renal Function Disorder and Diabetic Macular Edema (DME), run by University Hospital, Alexandroupolis at 2 sites in Greece.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This study aims to investigate the impact of intravitreal injection of anti-vascular endothelial growth factor (anti VEGF) Faricimab on renal function of diabetic patients. Faricimab is a new anti-VEGF drug which inhibits both VEGF-A and Ang-2 and it is used for the treatment of diabetic macular edema and neovascular… Read more about this study

Who is it for?
Any age
What is being tested?
Intravitreal injection of Faricimab or Aflibercept 2 mg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
2 sitesGreece
Study dates
10 Mar 2025to 10 Mar 2027
Phase
Interventional

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Patients with diabetes
  • Patients with DME or nAMD or macular edema secondary to retinal vein occlusion
  • Patients already receiving nephroprotective drugs

Who cannot join

  • Patients with end stage renal disease
  • Pregnancy
  • Patients with other retinal disorders
  • Previous renal transplantation Patients under hemodialysis

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Greece2 sites, 1 recruiting
  • University Hospital of Alexandroupolis

    Alexandroupoli, Evros, 68100

    Asli Perente, 6951577205, asli_perende-90@hotmail.com

    Recruiting
  • University Hospital of Alexandroupolis

    Alexandroupoli, 68100

    Completed

Other trials in Greece

About this study

Official title: The Impact of Intravitreal Injection of Anti-vascular Endothelial Growth Factor Faricimab on Renal Function in Patients With Diabetes Mellitus

This study aims to investigate the impact of intravitreal injection of anti-vascular endothelial growth factor (anti VEGF) Faricimab on renal function of diabetic patients. Faricimab is a new anti-VEGF drug which inhibits both VEGF-A and Ang-2 and it is used for the treatment of diabetic macular edema and neovascular age related macular degeneration. It is known that previous anti-VEGF agents has systematic absorption and may cause deterioration in renal function of the patients. However, the effect of Faricimab on kidney function has not been investigated yet. Taking into account that Ang-2 has destructive effect on kidneys, the investigation of the effect of its inhibition in diabetic patients who have already renal function deterioration may provide a valuable information in scientific community.

Read the detailed description

For the purposes of this study, 60 diabetic patients who need intravitreal injections of anti-VEGF for either diabetic macular edema or neovascular age related macular degeneration will be enrolled. 30 patients will consist the study group and they will receive Faricimab and the remaining 30 patients will receive Aflibercept 2 mg. Before the initiation of therapy, laboratory tests including HbA1c, eGFR, plasma creatinine, urine albumin to urine creatinine ratio (ACR) will be ordered to investigate the glycemic control and the renal function of the patients.The best corrected visual acuity (BCVA), the intraocular pressure (IOP) and the anterior segments will be assessed on each visit. The optical coherence tomography (OCT) will be used for the assessment of centra macular thickness (CMT). The results will be assessed at baseline and then at 6 months and 12 months from the initiation of therapy. The statistical analysis will be performed at the end of study period.

Being tested
Intravitreal injection of Faricimab or Aflibercept 2 mg
Keywords
renal function, intravitreal injection of anti-VEGF, faricimab, diabetic macular edema, diabetes mellitus
Medical subject headings
Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intravitreal injection of Faricimab or Aflibercept 2 mgDrug

    Also called Vabysmo, Eylea

    Anti-VEGF agents Faricimab (Vabysmo) or Aflibercept 2 mg (Eylea) will be delivered intravitreally

Study groups in NCT06929507
Study groupRoleWhat they receive
Patients who will be treated with intravitreal injections of FaricimabActive comparatorDiabetic patients with either diabetic macular edema (DME) or neovascular age related macular degeneration (nAMD) who will be treated with intravitreal injection of Faricimab.
Receives: Drug: Intravitreal injection of Faricimab or Aflibercept 2 mg
Patients who will be treated with intravitreal injections of Aflibercept 2 mgActive comparatorDiabetic patients with either diabetic macular edema (DME) or neovascular age related macular degeneration (nAMD), or macular edema secondary to retinal vein occlusion who will be treated with intravitreal injection of Aflibercept 2 mg.
Receives: Drug: Intravitreal injection of Faricimab or Aflibercept 2 mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. eGFR

    The eGFR before the initiation of treatment and at 6 and 12 months after

    Measured: 12 months

  2. ACR ration

    The ACR ratio before the initiation of treatment and 6 and 12 months after

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Apr 2025
  2. Study start10 Mar 2025
  3. Primary completion10 Mar 2026 (estimated)
  4. Study completion10 Mar 2027 (estimated)

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06929507
Sponsor's protocol ID
12808/10-03-2025
Status last verified
Apr 2025
First submitted
7 Apr 2025
Last updated
24 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Shye M, Hanna RM, Patel SS, Tram-Tran N, Hou J, Mccannel C, Khalid M, Hanna M, Abdelnour L, Kurtz I. Worsening proteinuria and renal function after intravitreal vascular endothelial growth factor blockade for diabetic proliferative retinopathy. Clin Kidney J. 2020 Jun 28;13(6):969-980. doi: 10.1093/ckj/sfaa049. eCollection 2020 Dec.

    PubMed 33391740
  • Fang YC, Lai IP, Lai TT, Chen TC, Yang CH, Ho TC, Yang CM, Hsieh YT. Long-Term Change in Renal Function After Intravitreal Anti-VEGF Treatment for Diabetic Macular Edema: A 2-Year Retrospective Cohort Study. Ophthalmol Ther. 2023 Dec;12(6):2977-2988. doi: 10.1007/s40123-023-00771-4. Epub 2023 Aug 17.

    PubMed 37589931
  • Li M, Popovic Z, Chu C, Reichetzeder C, Pommer W, Kramer BK, Hocher B. Impact of Angiopoietin-2 on Kidney Diseases. Kidney Dis (Basel). 2023 Mar 14;9(3):143-156. doi: 10.1159/000529774. eCollection 2023 May.

    PubMed 38306230

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