New surgery trial aims to restore vision after macular bleeding

NCT ID NCT04663750

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This phase 3 trial tests whether adding surgery (vitrectomy, clot-busting drug, and gas bubble) to standard anti-VEGF injections can improve vision more than injections alone for people with a macular bleed from wet AMD. About 210 participants across Europe will be randomly assigned to one of the two treatments. The main goal is to see if more patients gain at least 10 letters on an eye chart after 12 months.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
aflibercept (anti-VEGF injection) and alteplase (tissue plasminogen activator)
What this could lead to
If successful, this could offer a new treatment option that improves vision recovery after a macular bleed in wet AMD.
What could go wrong
This is a surgical trial with added risks from the procedure, and it is still recruiting. The benefit over standard injections alone is not yet proven.

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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

  • Augenzentrum am St. Franziskus-Hospital Münster

    RECRUITING

    Münster, Germany

  • Barts Health NHST trust - Whipps Cross University Hospital

    RECRUITING

    London, E11 1NR, United Kingdom

  • Belfast Health and Social Care Trust

    RECRUITING

    Belfast, BT9 7AB, United Kingdom

  • Bristol Eye Hospital

    RECRUITING

    Bristol, BS1 2LX, United Kingdom

  • Gartnavel General Hospital

    WITHDRAWN

    Glasgow, United Kingdom

  • Hull Royal Infirmary

    RECRUITING

    Hull, Yorkshire, HU3 2JZ, United Kingdom

  • Imperial College Healthcare NHS Foundation Trust (The Western Eye Hospital)

    RECRUITING

    London, NW1 5QH, United Kingdom

  • James Cook University Hospital, (South Tees NHSFT)

    RECRUITING

    Middlesbrough, United Kingdom

  • Kent & Canterbury Hospital (East Kent University)

    RECRUITING

    Canterbury, Kent, CT1 3 NG, United Kingdom

  • King's College Hospital NHS Foundation Trust

    RECRUITING

    London, London, SE5 9RS, United Kingdom

  • Knappschaft Kliniken Saar GmbH, Sulzbach

    RECRUITING

    Sulzbach, Germany

  • Leicester Royal Infirmary

    RECRUITING

    Leicester, United Kingdom

  • Ludwig Maximilians-University München

    RECRUITING

    München, Germany

  • Maidstone and Tunbridge Wells NHS Trust

    RECRUITING

    Maidstone, ME16 9QQ, United Kingdom

  • Manchester Royal Eye Hospital

    RECRUITING

    Manchester, United Kingdom

  • Mid and South Essex NHS Foundation Trust

    RECRUITING

    Chelmsford, Essex, CM1 7ET, United Kingdom

  • Moorfields Eye Hospital

    RECRUITING

    London, EC1V 2PD, United Kingdom

  • New Cross Hosp, Royal Wolverhampton NHST

    RECRUITING

    Wolverhampton, United Kingdom

  • Nottingham University Hospitals

    RECRUITING

    Nottingham, United Kingdom

  • Ophthalmology Clinic Jasne Błonia

    RECRUITING

    Lodz, Poland

  • Oxford University Hospitals NHS Foundation Trust

    RECRUITING

    Oxford, OX3 9DU, United Kingdom

  • Royal Devon and Exeter Hospital

    RECRUITING

    Exeter, United Kingdom

  • Royal Liverpool University Hospital

    RECRUITING

    Liverpool, L7 8 XP, United Kingdom

  • Royal Victoria Infirmary

    RECRUITING

    Newcastle upon Tyne, NE1 4LP, United Kingdom

  • Sunderland Eye Infimary

    RECRUITING

    Sunderland, Tyne and Wear, SR2 9HP, United Kingdom

  • The Institute of Eye Surgery

    RECRUITING

    Waterford, Ireland

  • The Princess Alexandra Eye Pavilion

    RECRUITING

    Edinburgh, Scotlan, EH3 9HA, United Kingdom

  • Torbay and South Devon NHS

    RECRUITING

    Torquay, TQ2 7AA, United Kingdom

  • Ulm University Hospital

    RECRUITING

    Ulm, Germany

  • University Hospital Bern

    RECRUITING

    Bern, Switzerland

  • University Hospital Southampton NHS foundation Trust

    RECRUITING

    Southampton, SO16 6YD, United Kingdom

  • University Hospitals Plymouth NHST

    RECRUITING

    Plymouth, United Kingdom

  • University Hospitals Sussex NHS Trust

    WITHDRAWN

    Brighton, United Kingdom

  • University Medical Center Hamburg Eppendorf

    RECRUITING

    Hamburg, Germany

  • University hospital of Würzburg

    RECRUITING

    Würzburg, Germany

  • University of Bonn

    RECRUITING

    Bonn, Germany

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