New eye implant could cut wet AMD treatments to twice a year
NCT ID NCT06847542
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 3 times
Summary
This study tests a refillable eye implant (Port Delivery System) that slowly releases the drug ranibizumab to treat wet age-related macular degeneration. The implant is refilled every 36 weeks, potentially reducing the need for frequent eye injections. About 250 participants who have already responded to standard injections will receive the implant and be followed for safety and vision outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ranibizumab
- What this could lead to
- If successful, this could offer a convenient treatment option for wet AMD, requiring fewer doctor visits for eye injections.
- What could go wrong
- This is a single-arm study without a comparison group, so results may be less definitive. The implant requires a surgical procedure and may carry risks like infection or device issues.
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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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Nov 2028
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: * Initial diagnosis of nAMD within 24 months prior to screening * Previous treatment with at least 3 anti-vascular endothelial growth factor (VEGF) IVT injections for nAMD per standard of care within 6 months prior to screening * Demonstrated response to prior anti-VEGF IVT treatment since diagnosis * Availability of historical VA data obtained at or after nAMD diagnosis and prior to the first anti-VEGF treatment for nAMD * Availability of historical OCT image data obtained at or after nAMD diagnosis and prior to the first anti-VEGF treatment for nAMD * BCVA of 34 letters or better using ETDRS chart at a starting distance of 4 meters at screening and enrollment visits Exclusion Criteria: A. Prior Ocular Treatment Study Eye: * History of vitrectomy surgery, submacular surgery, or other surgical intervention for age-related macular degeneration (AMD) * Previous treatment with corticosteroid intravitreal injection * Previous intraocular device implantation * History of vitreous hemorrhage * History of rhegmatogenous retinal detachment * History of glaucoma-filtering surgery, tube shunts, or microinvasive glaucoma surgery * History of corneal transplant Either Eye: * History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known hypersensitivity to any component of the ranibizumab injections, study-related procedure preparations (including fluorescein), dilating drops, or any of the anesthetic and antimicrobial preparations used by a participant during the study * Prior participation in a clinical trial involving any experimental therapies for nAMD * Prior treatment with brolucizumab or gene therapy for nAMD B. Macular Neovascularization/Choroidal Neovascularization (MNV/CNV) Lesion Characteristics: Study Eye: * Subretinal hemorrhage that involves the center of the fovea * Subfoveal fibrosis or subfoveal atrophy Either Eye: * CNV due to other causes, such as ocular histoplasmosis, trauma, central serous chorioretinopathy, or pathologic myopia * CNV masquerading lesions C. Concurrent Ocular Conditions: Study Eye: * Subfoveal and/or juxtafoveal retinal pigment epithelial tear * Any concurrent intraocular condition that would either require surgical intervention during the study to prevent or treat visual loss that might result from that condition or affect interpretation of study results * Active intraocular inflammation * Retinal tears or peripheral retinal breaks on depressed fundus exam that are untreated or treated within 3 months prior to the enrollment visit * Aphakia or absence of the posterior capsule * Uncontrolled ocular hypertension or glaucoma * History or presence of severe posterior blepharitis, recurrent chalazia or hordeolum, severe dry eye syndrome, or severe allergic conjunctivitis * Trichiasis * Corneal neuropathy * Lagophthalmos or incomplete blink * Active or history of facial nerve palsy/paresis Fellow (Non-study) Eye: \- Non-functioning non-study eye defined as either: BCVA of hand motion or worse OR no physical presence of non-study eye (i.e., monocular) Either Eye: * Any active or history of uveitis * Active or history of keratitis, scleritis, endophthalmitis, or chronic blepharitis * Suspected or active ocular or periocular infectious conjunctivitis or endophthalmitis * Active or history of floppy eyelid syndrome * Active thyroid eye disease D. Concurrent Systemic Conditions: * Uncontrolled blood pressure * Active or history of autoimmune diseases * History of stroke within the last 3 months prior to informed consent * Atrial fibrillation diagnosed or worsened within the last 3 months prior to informed consent * History of myocardial infarction (MI) within the last 3 months prior to informed consent * Confirmed active systemic infection * History of other disease, metabolic dysfunction, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of ranibizumab or placement of the implant and that might affect interpretation of the results of the study * Use of any systemic anti-VEGF agents * Chronic use of oral corticosteroids * Active cancer within 12 months of enrollment except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, and prostate cancer
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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.
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The places running it
60 sites in 13 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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"G.Gennimatas" General Hospital of Athens
RECRUITINGAthens, Attica, 115 27, Greece
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A.O.U. Policlinico Paolo Giaccone;Oculistica
RECRUITINGPalermo, Sicily, 90142, Italy
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ASST SANTI PAOLO E CARLO - Presidio San Paolo;SC Oculistica
RECRUITINGMilan, Lombardy, 20142, Italy
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Aarhus Universitetshospital
RECRUITINGAarhus N, 8200, Denmark
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Ajou University Medical Center
RECRUITINGGyeonggi-do, 16499, South Korea
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Attikon University General Hospital
RECRUITINGChaïdári, 124 62, Greece
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Azienda Ospedaliero - Universitaria di Ferrara - Arcispedale Sant'Anna, Sede Ospedale di Cona;UO di Clinica Oculistica
RECRUITINGCona (Ferrara), Emilia-Romagna, 44122, Italy
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Azienda Ospedaliero-Universitaria Ospedale Maggiore della Carità;S.C.D.U. Oftalmologia
RECRUITINGNovara, Piedmont, 28100, Italy
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Berner Augenklinik
RECRUITINGBern, 3007, Switzerland
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Boramae Medical Center
RECRUITINGSeoul, 07061, South Korea
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CHNO des Quinze Vingts
RECRUITINGParis, 75012, France
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CHU Poitiers - CHR La Miletrie
RECRUITINGPoitiers, 86021, France
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CHU Strasbourg - Nouvel Hopital Civil
RECRUITINGStrasbourg, 67091, France
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Centrum Diagnostyki i Mikrochirurgii Oka LENS
RECRUITINGOlsztyn, 10-424, Poland
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Clinique Honore Cave
RECRUITINGMontauban, 82000, France
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Faculty Hospital Kralovske Vinohrady
RECRUITINGPrague, 100 34, Czechia
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Faculty Hospital Ostrava
RECRUITINGOstrava, 708 52, Czechia
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Gloucestershire Royal Hospital
RECRUITINGGloucester, GL1 3NN, United Kingdom
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Hallym University Kangnam Sacred Heart Hospital
RECRUITINGSeoul, 07441, South Korea
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Hopital Edouard Herriot - CHU Lyon
RECRUITINGLyon, 69003, France
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Hospital Arnau de Vilanova (Valencia)
RECRUITINGValencia, 46015, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Virgen del Rocio
RECRUITINGSeville, 41013, Spain
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Institut Ophtalmologique De l Ouest Jules Verne
RECRUITINGNantes, Paris, 44300, France
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Kantonsspital St. Gallen
RECRUITINGSankt Gallen, 9007, Switzerland
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Kepler Universitätskliniken GmbH - Med Campus III
RECRUITINGLinz, 4021, Austria
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King Chulalongkorn Memorial Hospital
RECRUITINGBangkok, 10330, Thailand
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Klaudianova Nemocnice - Mlada Boleslav;Ophtalmology dpt
RECRUITINGMladá Boleslav, 293 50, Czechia
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Klinika Okulistyczna Jasne Błonia Sp. z o. o.
RECRUITINGLódz, 91-134, Poland
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Klinikum Chemnitz gGmbH
RECRUITINGChemnitz, 09116, Germany
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Korea University Anam Hospital
RECRUITINGSeoul, 02841, South Korea
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Kyungpook National University Hospital
RECRUITINGDaegu, 41944, South Korea
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Landesklinikum Mistelbach
RECRUITINGMistelbach, 2130, Austria
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Leicester Royal Infirmary
RECRUITINGLeicester, Leicestershire, LE1 5WW, United Kingdom
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MW-med
RECRUITINGKrakow, Lesser Poland Voivodeship, 31 416, Poland
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Maharaj Nakorn ChiangMai Hospital
RECRUITINGChiang Mai, 50200, Thailand
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Medizinische Hochschule Hannover, Klinik für Augenheilkunde
RECRUITINGHanover, 30625, Germany
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Medizinische Universität Innsbruck
RECRUITINGInnsbruck, 6020, Austria
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Moorfields Eye Hospital NHS Foundation Trust
RECRUITINGLondon, EC1V 2PD, United Kingdom
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Niepubliczny Zak?ad Opieki Zdrowotnej PRYZMAT-OKULISTYKA
RECRUITINGGliwice, 44-100, Poland
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OFTALMIKA Sp. z o.o
RECRUITINGBydgoszcz, 85-631, Poland
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Ospedale Isola Tiberina - Gemelli Isola;UOC Chirurgia Vitreoretinica
RECRUITINGRome, Lazio, 00186, Italy
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Ospedale Monaldi - AORN dei Colli
RECRUITINGNaples, Campania, 80131, Italy
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Pallas Klinik Olten
RECRUITINGOlten, 4600, Switzerland
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Rajavithi Hospital
RECRUITINGBangkok, 10400, Thailand
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Ramathibodi Hospital
RECRUITINGBangkok, 10400, Thailand
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Rigshospitalet Glostrup
RECRUITINGGlostrup Municipality, 2600, Denmark
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Seoul St Mary's Hospital
RECRUITINGSeoul, 06591, South Korea
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Severance Hospital, Yonsei University Health System
RECRUITINGSeoul, 03722, South Korea
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Songklanagarind Hospital
RECRUITINGSongkhla, 90110, Thailand
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Specjalistyczny O?rodek Okulistyczny Oculomedica
RECRUITINGBydgoszcz, 85-316, Poland
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Szpital sw. Lukasza
RECRUITINGBielsko-Biala, 43-309, Poland
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University General Hospital of Heraklion
RECRUITINGHeraklon, 711 10, Greece
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University Hospital of Larissa
RECRUITINGLarissa, 412 21, Greece
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Universitätkslinikum Düsseldorf, Augenklinik
RECRUITINGDüsseldorf, 40225, Germany
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Universitätsklinikum Würzburg, Augenklinik und Poliklinik
RECRUITINGWürzburg, 97080, Germany
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Universitätsmedizin Göttingen Georg-August-Universität
RECRUITINGGöttingen, 37075, Germany
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Universitätsmedizin Rostock
RECRUITINGRostock, 18057, Germany
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Uniwersytecki Szpital Kliniczny Nr 1 w Lublinie;Klinika Chirurgii Siatkówki i Cia?a Szklistego
RECRUITINGLublin, 20-079, Poland
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Ustredni vojenska nemocnice
RECRUITINGPrague, 169 02, Czechia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can fewer eye injections dry the retina in wet AMD?
- The 20-Minute squeeze: how eye injections push pressure up
- Could years of eye injections weigh down the upper eyelid?
- One shot in the eye: gene therapy aims to replace repeated injections for wet AMD
- Can a One-Time gene injection ease the burden of wet AMD?
- Longer-Lasting eye injection could cut treatment visits for macular disease