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New dosing strategy could mean fewer eye injections for Diabetes-Related vision loss

NCT ID NCT07612904

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

Summary

This study tests whether a treat-and-extend schedule for aflibercept eye injections works better than the standard as-needed approach for people with diabetic macular edema who have not had prior treatment. About 186 participants will receive three monthly injections, then either extend the time between injections based on eye health or get injections only when fluid returns. The main goal is to see which schedule leads to better vision after one year.

What this could mean

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

Active substance
aflibercept (Zhuochuming®) eye injection
What this could lead to
If successful, this could show that a treat-and-extend schedule works as well as or better than the standard as-needed approach, potentially reducing the number of injections needed over time.
What could go wrong
This is a phase 4 trial, so the drug is already approved. However, the treat-and-extend regimen may not prove superior, and some patients may still need frequent injections. Eye injections carry risks like infection or inflammation.

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

Phase 4

Runs after approval, following long-term safety and how well the treatment works in everyday use.

Participants

About 186 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Jun 2026

An estimate. Start dates often move.

Expected to finish

Jul 2028

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Subject voluntarily participates in the study and signs the informed consent form. 2. Subject is aged ≥18 years and has a diagnosis of type 1 or type 2 diabetes mellitus. 3. Refractive status and axial length of the study eye: -6.00D \< spherical equivalent \< +6.00D, or 21 mm \< axial length \< 26 mm. 4. Best-corrected visual acuity (BCVA) of the study eye at screening and baseline is between 78 and 24 ETDRS letters (approximately equivalent to Snellen 20/32 to 20/320). 5. Female subjects of childbearing potential must have a negative urine or serum pregnancy test within 3 days before the first dose and must use an acceptable method of contraception. 6. Subject is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study requirements. 7. The study eye has center-involving diabetic macular edema (DME), defined as central retinal thickness (CRT) ≥300 μm (or ≥320 μm assessed by Heidelberg Spectralis) confirmed by the reading center of the Third People's Hospital of Dalian (primary center) at baseline visit. The reading center is composed of three senior vitreoretinal specialists and experts from the functional examination department of the Third People's Hospital of Dalian. 8. Visual impairment is primarily caused by DME. Exclusion Criteria: 1. Known hypersensitivity to any component of the study drug. 2. Prior intraocular surgery in the study eye, including macular laser photocoagulation, panretinal photocoagulation, etc. 3. Prior intraocular or periocular steroid treatment in the study eye. 4. Prior intravitreal anti-VEGF therapy (e.g., ranibizumab, conbercept, bevacizumab) in the study eye. 5. Prior photodynamic therapy in the study eye. 6. Active ocular inflammation (including trace or more) in either eye. 7. Aphakia or absence of the posterior capsule in the study eye (excluding pseudophakic eyes). 8. History of corneal transplantation in the study eye. 9. History of idiopathic or autoimmune uveitis in either eye. 10. Uncontrolled glaucoma in the study eye (defined as intraocular pressure \>25 mmHg despite anti-glaucoma medication) or history of glaucoma filtering surgery. 11. Any history of vitreous hemorrhage in the study eye within 4 weeks prior to screening. 12. Presence of other retinal diseases in the study eye, such as retinal detachment, retinal vein occlusion, etc. 13. Inadequately controlled hypertension (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥95 mmHg based on average of ≥2 measurements), allowing improvement with antihypertensive treatment; or history of hypertensive crisis or hypertensive encephalopathy. 14. Severe cardiovascular disease (myocardial infarction or cerebrovascular accident), unstable arrhythmia, or unstable angina within 3 months prior to the first dose. 15. Renal failure requiring dialysis or kidney transplantation. 16. Female subjects who are pregnant, breastfeeding, or planning to become pregnant during the study period. 17. History of schizophrenia or substance abuse (psychoactive drugs). 18. Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) study or the follow-up phase of an interventional study. 19. Glycated hemoglobin (HbA1c) level ≥10%, and/or recent signs of uncontrolled diabetes (≥3 episodes of severe hypoglycemia within 3 months before baseline, or hospitalization due to acute hyperglycemia-related complications such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), or other emergencies caused by severe hyperglycemia (e.g., dehydration, electrolyte disturbance, altered consciousness); or ≥2 episodes of DKA within 1 year before baseline, or ≥1 episode of DKA within 3 months before baseline). 20. Presence of proliferative diabetic retinopathy (PDR) in the study eye. 21. Ocular disease in the study eye that may confound interpretation of study results, including choroidal neovascularization (CNV) of any cause (e.g., age-related macular degeneration, ocular histoplasmosis, or pathologic myopia). 22. Cataract in the study eye that causes visual impairment, or patients judged by the investigator as likely to undergo cataract surgery during the study period. 23. The study eye is aphakic (post-vitrectomy), silicone oil-filled, or gas-filled. 24. Best-corrected visual acuity (BCVA) of the non-study eye \<19 ETDRS letters (approximately equivalent to Snellen 20/400) at screening and baseline. 25. Any other condition that, in the opinion of the investigator, makes the subject unsuitable for participation in the study.

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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.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • The Third Peoples Hospital of Dalian

    Dalian, Liaoning, 1160033, China

More trials for these conditions

Other studies related to the condition(s) this trial covers.