Gene therapy shot could end monthly eye injections for wet AMD
NCT ID NCT04514653
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a gene therapy called RGX-314 for wet age-related macular degeneration (AMD), a leading cause of vision loss. The treatment is given as one or two injections into the eye and aims to produce proteins that block abnormal blood vessel growth, potentially replacing the need for frequent anti-VEGF injections. About 146 participants who have responded well to standard therapy will be randomly assigned to receive different doses of RGX-314 or the standard drug ranibizumab. The main goal is to see if RGX-314 can maintain or improve vision at 40 weeks compared to monthly ranibizumab injections.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RGX-314 gene therapy (a one-time injection into the eye that produces anti-VEGF proteins)
- What this could lead to
- If successful, this could offer a one-time treatment for wet AMD, reducing or eliminating the need for frequent eye injections.
- What could go wrong
- This is a Phase 2 trial with a small number of participants. The gene therapy may not work as well as current injections, and there are risks like inflammation or infection from the procedure.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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146 people
The number who actually took part.
- Started
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Aug 2020
- Expected to finish
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Feb 2027
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 to 89 years
- 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: * Age \>/= 50 and \</= 89 * Diagnosis of CNV secondary to age-related macular degeneration in the study eye. * Participants must have demonstrated a meaningful response to anti-VEGF therapy. * Willing and able to provide written, signed informed consent for this study. Exclusion Criteria: * CNV or macular edema in the study eye secondary to any causes other than AMD. * Subfoveal fibrosis or atrophy in study eye. * Participants who have had a prior vitrectomy. * Active or history of retinal detachment in the study eye. * History of intravitreal therapy in the study eye, such as intravitreal steroid injection or investigational product (IP), other than anti-VEGF therapy, in the 6 months prior to study entry. * Received any gene therapy. * Any condition preventing visualization of the fundus or VA improvement in the study eye, eg, cataract. * History of intraocular surgery in the study eye within 12 weeks of study entry. * Receipt of any IP within 30 days of study entry or 5 half-lives of the IP. * Myocardial infarction, cerebrovascular accident, or transient ischemic attacks within 6 months of study entry. * Cohorts 1 - 5 only: Uncontrolled glaucoma in the study eye. COHORT 6 AND 7 ONLY: * Active or history of glaucoma or ocular hypertension (steroid-induced ocular hypertension (Cohort 7 only)) in the study eye. * Certain OCT characteristics including: Large Pigment Epithelial Detachments (PED), clinically significant Epiretinal Membrane (ERM) in the study eye at Visit 1. Note: Other inclusion/exclusion criteria apply.
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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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California Retina Consultants - Bakersfield /ID# 255910
Bakersfield, California, 93309-1677, United States
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California Retina Consultants - Santa Barbara /ID# 255923
Santa Barbara, California, 93103, United States
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Charles Retina Institute /ID# 255922
Germantown, Tennessee, 38138, United States
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Duke University Medical Center /ID# 267646
Durham, North Carolina, 27710, United States
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Eye Associates of New Mexico /ID# 255915
Albuquerque, New Mexico, 87109, United States
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Johns Hopkins Hospital /ID# 255919
Baltimore, Maryland, 21287, United States
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Mid Atlantic Retina /ID# 255906
Philadelphia, Pennsylvania, 19107, United States
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Northern California Retina Vitreous Associates Medical Group, Inc /ID# 255920
Mountain View, California, 94040-4101, United States
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Ophthalmic Consultants of Boston /ID# 255917
Boston, Massachusetts, 02114, United States
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Retina Consultants - The Woodlands /ID# 255924
The Woodlands, Texas, 77384, United States
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Retina Consultants of San Diego /ID# 255911
Poway, California, 92064-2530, United States
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Retina Vitreous Assoc Med Grp /ID# 255921
Beverly Hills, California, 90211, United States
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Retinal Diagnostic Center /ID# 272275
Campbell, California, 95008, United States
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Retinal Research Institute /ID# 255925
Phoenix, Arizona, 85053, United States
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Sierra Eye Associates /ID# 255908
Reno, Nevada, 89502, United States
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Southeast Retina Center /ID# 255912
Augusta, Georgia, 30909, United States
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Springfield Clinic - First /ID# 272274
Springfield, Illinois, 62702, United States
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Tennessee Retina - Nashville /ID# 255918
Nashville, Tennessee, 37203-1513, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- One eye injection, four targets: GenSci148 tested against retinal swelling
- 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