Faricimab + PRP vs. Vitrectomy + Endolaser for Treatment of PDR
NCT06790784 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 426
Last updated 2026-05-18
Summary
This randomized trial will compare treatment strategies for proliferative diabetic retinopathy (PDR). Participants will receive either combination a of faricimab + PRP or vitrectomy + endolaser. The participants will be followed for 3 years. The study will evaluate long-term visual acuity as well as differences in number of injections, procedures, and complications during follow-up (after completion of randomization treatment), and cost.
Conditions
- Proliferative Diabetic Retinopathy (PDR)
Interventions
- PROCEDURE
-
Vitrectomy
The vitrectomy must occur within 4 weeks of randomization. A single injection of faricimab is allowed at any point before the vitrectomy. It is recommended that this injection is within 1 week of the vitrectomy. Requirement of triamcinolone staining to assist in complete elevation and removal of the posterior hyaloid and in removal of as much peripheral vitreous as is safely possible, 20 gauge not permitted. Allows subconjunctival steroid at investigator discretion; however, sub-tenon's triamcinolone or other long-acting steroid will not be permitted.
- DEVICE
-
Endolaser
Complete panretinal photocoagulation (PRP) during vitrectomy
- DRUG
-
Faricimab
Treatment must be initiated on the day of randomization with one faricumab injection. The remainder of the randomized treatment includes 2 additional injections every 4-weeks. Injections must be completed within 90 days of randomization.
- DEVICE
-
Panretinal Photocoagulation (PRP)
Complete PRP. PRP may be completed in 1-3 sessions, with the timing at the investigator's discretion. All PRP sessions must be completed within 90 days of randomization.
Sponsors & Collaborators
-
National Eye Institute (NEI)
collaborator NIH -
Genentech, Inc.
collaborator INDUSTRY -
Jaeb Center for Health Research
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-04
- Primary Completion
- 2031-08-31
- Completion
- 2031-08-31
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
PRP vs PRP+IVC for Severe nPDR
NCT03863535 ·Status: UNKNOWN ·Phase: NA
-
ETDRS PRP With IVR Versus Retinal Photocoagulation Targeted to Ischemic Retina With IVR for the Treatment of PDR
NCT03904056 ·Status: COMPLETED ·Phase: NA
-
Anti-VEGF Treatment for Prevention of PDR/DME
NCT02634333 ·Status: COMPLETED ·Phase: PHASE3
-
Macular Perfusion Changes After Anti-VEGF Versus Targeted Retinal Photocoagulation in Proliferative Diabetic Retinopathy
NCT04674254 ·Status: COMPLETED ·Phase: PHASE4
-
Phase 1 Study of VEGF Trap in Patients With Diabetic Macular Edema
NCT00320814 ·Status: COMPLETED ·Phase: PHASE1
-
Conbercept vs Panretinal Photocoagulation for the Management of Proliferative Diabetic Retinopathy
NCT02911311 ·Status: UNKNOWN ·Phase: NA
-
Macular Vessels Density Before and After PRP in Patients With Proliferative Diabetic Retinopathy
NCT04976361 ·Status: COMPLETED ·Phase: NA
-
Study to Assess the Efficacy and Safety of Monthly Octreotide Intramuscular Injections in Patients With Proliferative Diabetic Retinopathy After Lasercoagulation This Study is Not Being Conducted in the United States.
NCT00170742 ·Status: TERMINATED ·Phase: PHASE3
-
Pars-plana Vitrectomy vs Panretinal Photocoagulation for Severe NPDR
NCT04103671 ·Status: RECRUITING ·Phase: NA
-
Evaluation of Macular Structural and Functional Function Following Extensive Retinal Laser Therapy in Patients With Proliferative Diabetic Retinopathy
NCT04436900 ·Status: COMPLETED ·Phase: NA
-
Laser (Selective Retina Therapy) and Drug Combined Intervention in Clinically Significant Diabetic Macular Edema
NCT03759860 ·Status: UNKNOWN ·Phase: PHASE4
-
Investigating the Structural and Functional Changes to the Retina Following PRP in Diabetic Retinopathy Patients
NCT02621580 ·Status: COMPLETED ·Phase: NA
-
Assessment of Intravitreous Injections of Vitrase for Inducing Posterior Vitreous Detachment
NCT00198471 ·Status: COMPLETED ·Phase: PHASE2
-
Severe Proliferative Diabetic Retinopathy
NCT01115257 ·Status: COMPLETED ·Phase: NA
-
Combination of Standard Lucentis Therapy With Micropulse Diode Laser for the Treatment of Diabetic Macular Edema
NCT02059772 ·Status: UNKNOWN ·Phase: PHASE4
-
Octreotide Acetate in Microspheres in Patients With Diabetic Retinopathy
NCT00130845 ·Status: COMPLETED ·Phase: PHASE3
-
Genetic Markers and Proliferative Diabetic Retinopathy
NCT02879422 ·Status: COMPLETED ·Phase: NA
-
Long Term Follow-Up of Diabetic Retinopathy
NCT00001395 ·Status: COMPLETED
-
Diabetic Retinopathy and Visual Function Study
NCT00001346 ·Status: COMPLETED
-
The Individually-Marked Panretinal Laser phoTocoagulation for Proliferative Diabetic Retinopathy Study (TREAT)
NCT03113006 ·Status: COMPLETED ·Phase: NA
-
A Phase 2 Study of Intravitreal AVD-104 in Diabetic Macular Edema
NCT06181227 ·Status: TERMINATED ·Phase: PHASE2
-
A Study to Evaluate the Efficacy and Safety of Ocriplasmin in Inducing Total PVD in Subjects With NPDR
NCT02681809 ·Status: TERMINATED ·Phase: PHASE2
-
Subtenon Autologous Platelet-Rich Plasma in Inherited and Degenerative Retinal Diseases
NCT07341919 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Evaluation of RC28-E Injection in Diabetic Retinopathy
NCT04782128 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Intravitreal Conbercept After Vitrectomy
NCT03426540 ·Status: COMPLETED ·Phase: EARLY_PHASE1