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Active, Not Recruiting

NCT Number: NCT04645212

Long-term Study of ADVM-022 in Neovascular (Wet) AMD [OPTIC-EXT]

ADVM-022-07 is an observational long-term extension (OPTIC-EXT) study assessing safety and efficacy of ADVM-022 gene therapy product, in participants with neovascular, or exudative (wet), age-related macular degeneration (nAMD).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

About this study

ADVM-022 (AAV.7m8-aflibercept) is a gene therapy product developed for the treatment of neovascular (wet) age-related macular degeneration (wet AMD). Wet AMD is a serious condition and the leading cause of blindness in the elderly. The available therapies for treating wet AMD require life-long intravitreal (IVT) injections every 4-12 weeks to maintain efficacy. A one-time IVT administration of ADVM-022 has the potential to treat wet AMD by providing durable expression of therapeutic levels of intraocular anti-VEGF protein (aflibercept) and maintaining the vision of patients. ADVM-022 is designed to reduce the current treatment burden which often results in undertreatment and vision loss in patients with wet AMD receiving anti-VEGF therapy in clinical practice.

ADVM-022-07 is an observational long-term extension (OPTIC-EXT) study assessing safety and efficacy of ADVM-022 gene therapy product in participants with neovascular or exudative (wet), age-related macular degeneration (nAMD) previously treated in the OPTIC parent study (Clinical Protocol No. ADVM-022-01 [OPTIC] - NCT03748784). There is no investigational treatment administered in this study.

In Part 1 of the OPTIC-EXT study participants will roll over from the OPTIC parent study and will be followed for 3 additional years (following 2-years of assessment period in the OPTIC parent study). In Part 2 of the OPTIC-EXT study consenting participants will have 5 annual in-clinic assessments for an additional 5 years of long-term follow-up following the completion of OPTIC-EXT (Part 1). As such participants who complete the parent study as well as Part 1 and Part 2 of the OPTIC-EXT study will have had 10 years of total long-term follow-up.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants who received a single dose of ADVM-022 at any dose in the OPTIC study
  • Willing and able to provide informed consent

Exclusion criteria

  • None

Treatment and study plan

ADVM-022

Biological

Long term follow-up of subjects that received ADVM-022

Other names: AAV.7m8-aflibercept

Primary outcomes

  1. Severity and incidence of ocular and systemic adverse events (AEs).

    Time frame: 416 weeks (8 years)

    Severity and incidence of ocular and systemic adverse events

Secondary outcomes

  1. Mean change in best corrected visual acuity (BCVA) from baseline, over time

    Time frame: 416 weeks (8 years)

    Mean change in best corrected visual acuity (BCVA) from baseline, over time

  2. Mean change in central subfield thickness (CST) and macular volume from baseline, over time

    Time frame: 416 weeks (8 years)

    Mean change in central subfield thickness (CST) and macular volume from baseline, over time

  3. Mean number of supplemental aflibercept injections over time

    Time frame: 416 weeks (8 years)

    Mean number of supplemental aflibercept injections over time

  4. Percentage of participants requiring supplemental bolus aflibercept over time

    Time frame: 416 weeks (8 years)

    Percentage of participants requiring supplemental bolus aflibercept over time

  5. Time to first supplemental aflibercept requirement

    Time frame: 416 weeks (8 years)

    Time to first supplemental aflibercept requirement

  6. Percentage of participants without intraretinal fluid (IRF) by spectral domain optical coherence tomography (SD-OCT), over time

    Time frame: 416 weeks (8 years)

    Percentage of participants without intraretinal fluid (IRF) by spectral domain optical coherence tomography (SD-OCT), over time

  7. Percentage of participants without subretinal fluid (SRF) by SD-OCT over time

    Time frame: 416 weeks (8 years)

    Percentage of participants without subretinal fluid (SRF) by SD-OCT over time

  8. Time to first dry retina (defined as no IRF or SRF by SD-OCT)

    Time frame: 416 weeks (8 years)

    Time to first dry retina (defined as no IRF or SRF by SD-OCT)

  9. Duration of fluid free status (defined as no IRF or SRF by SD-OCT)

    Time frame: 416 weeks (8 years)

    Duration of fluid free status (defined as no IRF or SRF by SD-OCT)

  10. Percentage of participants developing geographic atrophy over time (as assessed by multiple imaging modalities)

    Time frame: 416 weeks (8 years)

    Percentage of participants developing geographic atrophy over time (as assessed by multiple imaging modalities)

  11. Growth of geographic atrophy over time, as assessed by multiple imaging modalities

    Time frame: 416 weeks (8 years)

    Growth of geographic atrophy over time, as assessed by multiple imaging modalities

  12. Percentage of participants with CST fluctuations > 50 μm over time

    Time frame: 416 weeks (8 years)

    Percentage of participants with CST fluctuations > 50 μm over time

Sponsors and collaborators

Lead sponsor

Adverum Biotechnologies, Inc.

Industry

Registry information

Official study title

A Long-term Study of ADVM-022 in Neovascular (Wet) AMD - OPTIC Extension

Important dates

Study start
2020
Primary completion
2030
Study completion
2030
First posted
Nov 27, 2020
Registry last updated
Feb 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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