Gene therapy shot could end monthly eye injections for wet AMD
NCT ID NCT06856577
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This Phase 3 trial tests a single injection of Ixo-vec gene therapy in 311 people with wet age-related macular degeneration (AMD). The goal is to see if it can maintain or improve vision as well as standard aflibercept injections, but with fewer follow-up treatments. Participants receive either Ixo-vec or aflibercept, and their vision is tracked over two years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ixoberogene soroparvovec (Ixo-vec) gene therapy
- What this could lead to
- If it works, this could offer a one-time treatment for wet AMD, reducing or eliminating the need for regular eye injections.
- What could go wrong
- This is still an early Phase 3 trial with 311 participants. The gene therapy may not improve vision as hoped, and there are risks from the injection itself, such as inflammation or infection.
Why investors are watching
Adverum Biotechnologies is running a Phase 3 trial of Ixo-vec, a one-time gene therapy injection for wet age-related macular degeneration, against an active comparator in 311 patients. For a micro-cap company with few other products, this readout is the main driver of its value, and the result will show whether the therapy can match or beat standard care on vision improvement.
If it works: A positive result could position Ixo-vec as a durable alternative to repeated eye injections, giving Adverum a commercial product in a large patient market. That outcome might attract partnership interest or funding to advance the drug.
If it fails: Phase 3 trials often fail to meet their primary endpoint, and a miss or safety problem could leave Adverum without a lead asset and with limited cash. Any delay in the readout would also pressure the company, given its small size.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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311 people
The number who actually took part.
- Started
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Feb 2025
- Expected to finish
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Nov 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Able and willing to provide informed consent (or have a legally authorized representative who is able and willing to provide informed consent) prior to any study assessments and procedures and comply with the study requirements and visits. 2. Male or female with a diagnosis of CNV secondary to nAMD in the study eye, with nAMD disease activity at Screening Visit 1. 3. At least 50 years old at Screening Visit 1. 4. An Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA letter score of 35 - 78 (approximate Snellen equivalent of 20/200 to 20/32) in the study eye at Screening Visit 1. 5. Demonstrated a meaningful anatomic response to anti-VEGF therapy during screening 6. Able to reliably use eye drops per protocol Exclusion Criteria: General Exclusion Criteria 1. History of a medical condition giving reasonable suspicion of a condition that contraindicates the use of Ixo-vec, compromises the participant's ability to comply with the planned study activities, or that might affect the interpretation of the results of the study or render the participant at high risk for treatment complications in the opinion of the Investigator. History of severe coronavirus disease (COVID-19) infection may meet this exclusion criteria if, in the opinion of the Investigator, it is likely to lead to any important complications. 2. Received any prior gene therapy. 3. Prior treatment with any non-gene therapy investigational medicinal product (IMP) or medical device in the study eye within 3 months of Screening Visit 1 or 5 half-lives of the IMP prior to dosing with Ixo-vec, whichever is longer. 4. Female participants who are pregnant or breastfeeding or who intend to become pregnant or breastfeed in the future. 5. History or evidence of any of the following cardiovascular diseases: 1. Myocardial infarction in the 6-month period prior to Week 1. 2. Uncontrolled hypertension defined as systolic blood pressure \> 160 mmHg or diastolic blood pressure \> 100 mmHg during screening. 3. Stroke in the 6-month period prior to Week 1. 6. History of ongoing bleeding disorders. The use of aspirin or other anticoagulants (e.g., Factor Xa inhibitors) is permitted. 7. Use of systemic immunosuppressive drugs within 90 days prior to Screening Visit 1. Short courses of oral corticosteroids are permitted, as well as any inhaled, intra-articular, nasal or dermal steroid use. 8. Evidence of poorly controlled diabetes or glycated hemoglobin (HbA1c) ≥ 8.0% during screening Ocular Exclusion Criteria 1. Any active ocular or periocular infection in the study eye from Screening Visit 1. 2. History or evidence of the following in the study eye: 1. Intraocular or refractive surgery within 5 months prior to Week 1. 2. Any previous penetrating keratoplasty or vitrectomy. 3. Any previous panretinal photocoagulation. 4. Any previous submacular surgery, other surgical intervention (including port delivery system) or laser treatment for age related macular degeneration. 3. Any history or evidence of retinal detachment (with or without repair) or retinal pigment epithelium rip/tear in the study eye, as determined by the Investigator during screening or at Week 1. 4. Uncontrolled ocular hypertension or glaucoma in the study eye from Screening Visit 1 to Week 1 or current use of ≥ 2 IOP lowering medications or normal tension glaucoma/suspect in the study eye or history of any of the following procedures in the study eye prior to Week 1: * Incisional glaucoma surgery (i.e., glaucoma drainage implant/shunt or trabeculectomy) * Ocular angle-based surgery (i.e., goniotomy or canaloplasty) * Minimally Invasive Glaucoma Surgery (MIGS) in the study eye. * Angle-based glaucoma surgery (e.g., Argon or Selective Laser Trabeculoplasty) 5. Any history of intraocular pressure (IOP) elevation related to topical steroid administration in either eye. 6. Any history of uveitis or inflammation (grade trace or above) except mild anticipated post operative inflammation that resolved in either eye. 7. Any history of treatment with complement inhibitors for geographic atrophy in the study eye. 8. Known history of ocular herpes simplex virus, varicella-zoster virus, or cytomegalovirus, including viral uveitis, retinitis, or keratitis in either eye.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Adverum Clinical Site 100
Beverly Hills, California, 90211, United States
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Adverum Clinical Site 107
The Woodlands, Texas, 77384, United States
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Adverum Clinical Site 108
Bellaire, Texas, 77401, United States
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Adverum Clinical Site 109
Bakersfield, California, 93309, United States
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Adverum Clinical Site 110
Philadelphia, Pennsylvania, 19107, United States
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Adverum Clinical Site 116
Lakewood, Colorado, 80228, United States
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Adverum Clinical Site 120
St. Petersburg, Florida, 33711, United States
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Adverum Clinical Site 122
West Columbia, South Carolina, 29169, United States
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Adverum Clinical Site 123
Abilene, Texas, 79606, United States
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Adverum Clinical Site 124
Pompano Beach, Florida, 33064, United States
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Adverum Clinical Site 126
Phoenix, Arizona, 85053, United States
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Adverum Clinical Site 127
Austin, Texas, 78705, United States
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Adverum Clinical Site 131
Spokane, Washington, 99204, United States
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Adverum Clinical Site 140
Sacramento, California, 95825, United States
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Adverum Clinical Site 144
Rapid City, South Dakota, 57701, United States
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Adverum Clinical Site 159
Tucson, Arizona, 85704, United States
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Adverum Clinical Site 162
McAllen, Texas, 78503, United States
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Adverum Clinical Site 163
Southaven, Mississippi, 38671, United States
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Adverum Clinical Site 164
Riverside, California, 92505, United States
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Adverum Clinical Site 165
Waterford, Connecticut, 06385, United States
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Adverum Clinical Site 167
Detroit, Michigan, 48201, United States
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Adverum Clinical Site 168
Jacksonville, Florida, 32216, United States
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Adverum Clinical Site 169
Fullerton, California, 92835, United States
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Adverum Clinical Site 171
Teaneck, New Jersey, 07666, United States
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Adverum Clinical Site 172
Encino, California, 91436, United States
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Adverum Clinical Site 175
Santa Barbara, California, 93103, United States
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Adverum Clinical Site 176
Fort Lauderdale, Florida, 33308, United States
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Adverum Clinical Site 178
Phoenix, Arizona, 85021, United States
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Adverum Clinical Site 179
Oak Forest, Illinois, 60452, United States
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Adverum Clinical Site 181
Erie, Pennsylvania, 16507, United States
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Adverum Clinical Site 182
Augusta, Georgia, 30909, United States
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Adverum Clinical Site 183
South Miami, Florida, 33143, United States
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Adverum Clinical Site 184
Deerfield Beach, Florida, 33064, United States
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Adverum Clinical Site 185
San Antonio, Texas, 78240, United States
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Adverum Clinical Site 186
Durham, North Carolina, 27705, United States
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Adverum Clinical Site 187
Wausau, Wisconsin, 54403, United States
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Adverum Clinical Site 188
Houston, Texas, 77030, United States
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Adverum Clinical Site 189
Walnut Creek, California, 94598, United States
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Adverum Clinical Site 190
St Louis, Missouri, 63128, United States
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Adverum Clinical Site 193
Tampa, Florida, 33617, United States
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Adverum Clinical Site 194
Dallas, Texas, 75231, United States
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Adverum Clinical Site 195
Carmel, Indiana, 46032, United States
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Adverum Clinical Site 196
Asheville, North Carolina, 28803, United States
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Adverum Clinical Site 197
Hagerstown, Maryland, 21740, United States
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Adverum Clinical Site 198
Springdale, Arkansas, 72764, United States
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Adverum Clinical Site 199
Lynchburg, Virginia, 24502, United States
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Adverum Clinical Site 200
Denver, Colorado, 80222, United States
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Adverum Clinical Site 201
Campbell, California, 95008, United States
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Adverum Clinical Site 202
Torrance, California, 90503, United States
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Adverum Clinical Site 204
Hagerstown, Maryland, 21740, United States
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Adverum Clinical Site 205
Carmel, Indiana, 46032, United States
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Adverum Clinical Site 207
Oak Park, Illinois, 60304, United States
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Adverum Clinical Site 208
Charleston, South Carolina, 29414, United States
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Adverum Clinical Site 209
Wake Forest, North Carolina, 27587, United States
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Adverum Clinical Site 211
Greensboro, North Carolina, 27401, United States
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Adverum Clinical Site 212
Sacramento, California, 95841, United States
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Adverum Clinical Site 213
Orlando, Florida, 32806, United States
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Adverum Clinical Site 214
Lakeland, Florida, 33805, United States
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Adverum Clinical Site 215
Redlands, California, 92374, United States
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Adverum Clinical Site 216
Madison, Mississippi, 39110, United States
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Adverum Clinical Site 218
Katy, Texas, 77494, United States
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Adverum Clinical Site 219
Winston-Salem, North Carolina, 27103, United States
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Adverum Clinical Site 220
Hickory, North Carolina, 28602, United States
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Adverum Clinical Site 221
Fort Myers, Florida, 33912, United States
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Adverum Clinical Site 222
Ladson, South Carolina, 29456, United States
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Adverum Clinical Site 223
Gilbert, Arizona, 85297, United States
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Adverum Clinical Site 224
Huntington Beach, California, 92647, United States
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Adverum Clinical Site 225
Liverpool, New York, 13088, United States
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Adverum Clinical Site 227
Burleson, Texas, 76028, United States
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Adverum Clinical Site 228
Schertz, Texas, 78154, United States
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Adverum Clinical Site 229
Scottsdale, Arizona, 85255, United States
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Adverum Clinical Site 230
Pensacola, Florida, 32503, United States
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Adverum Clinical Site 231
The Woodlands, Texas, 77384, United States
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Adverum Clinical Site 232
San Marcos, Texas, 78666, United States
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Adverum Clinical Site 234
Cary, North Carolina, 27511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new eye injection beat the standard for wet AMD?
- Can a One-Time gene therapy tame wet AMD for years?
- Laser zap before eye injection could cut needle count for wet AMD
- New eye injection shows promise for wet AMD in everyday practice
- New syringe could simplify High-Dose eye treatment
- New eye drug faricimab tested for blinding disease