Recruiting at 3 sites No phase Neovascular Age-related Macular Degeneration (AMD)

Clinical trial for Neovascular Age-related Macular Degeneration (AMD)

Official title Progression Suppression and Retinal Regression in VEGF-resistant AMD

ClinicalTrials.gov ID: NCT07005323

What this study is testing

What it's testing
The study is looking to see if the PAL-222 implant is safe and whether it changes eye health measures in these patients.
Who it's for
Adults with neovascular age‑related macular degeneration who have not improved with existing therapy.
What's involved
Participants will have a thin sheet of PAL-222 placed under the retina during a pars plana vitrectomy (eye surgery) and will undergo eye exams, vital‑sign checks, and pressure measurements before and after the procedure.
Time commitment
The trial involves a baseline visit, the surgery, and several follow‑up visits over a few months to monitor safety and eye changes.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 to 85

You may be able to join if

  • Patients aged between 18 and 85 years at the time of consent acquisition
  • Patients diagnosed neovascular AMD in one or both eyes
  • Patients with corrected letter vision in the subject eye of 20 letters or more (equivalent to decimal vision of 0.05) and less than 70 letters...
  • Patients who apply to one or more of the followings: ① RPE defect site in the RPE tear includes the Fovea ② The Macular atrophy confirmed by low...
  • Patients who had little improvement in exudative changes, with persistent exudative changes to date, and no improvement, or deterioration of vision...

You likely can't join if

  • Patients with fibrovascular pigment epithelial detachment (thickness 150 micrometer or more) in the subject eye.
  • Patients with hard exudates in the subretinal or intraretinal area in the subject eye.
  • Patients in whom polypoid lesions are observed in the subject eye on fundus examination, OCT, fluorescein angiography, etc.
  • Patients with subretinal hemorrhage (1 disc diameter or greater) or hemorrhagic pigment epithelial detachment (of any size) in the study eye.
  • Patients with eye infections
  • Patients with a history of retinal vascular disease other than neovascular AMD, retinal degenerative disease, rhegmatogenous retinal detachment...
See the full eligibility criteria
Who can join
  • Patients aged between 18 and 85 years at the time of consent acquisition
  • Patients diagnosed neovascular AMD in one or both eyes
  • Patients with corrected letter vision in the subject eye of 20 letters or more (equivalent to decimal vision of 0.05) and less than 70 letters (equivalent to decimal vision of 0.5)
  • Patients who apply to one or more of the followings: ① RPE defect site in the RPE tear includes the Fovea ② The Macular atrophy confirmed by low fundus autofluorescence extends to the fovea ③ Patients with choroidal...
  • Patients who had little improvement in exudative changes, with persistent exudative changes to date, and no improvement, or deterioration of vision in two treatments with VEGF inhibitor therapy (two consecutive...
What rules you out
  • Patients with fibrovascular pigment epithelial detachment (thickness 150 micrometer or more) in the subject eye.
  • Patients with hard exudates in the subretinal or intraretinal area in the subject eye.
  • Patients in whom polypoid lesions are observed in the subject eye on fundus examination, OCT, fluorescein angiography, etc.
  • Patients with subretinal hemorrhage (1 disc diameter or greater) or hemorrhagic pigment epithelial detachment (of any size) in the study eye.
  • Patients with eye infections
  • Patients with a history of retinal vascular disease other than neovascular AMD, retinal degenerative disease, rhegmatogenous retinal detachment, macular hole, premacular membrane with retinal wall, uveitis, or other...
  • Patients with optic nerve atrophy in the subject eye
  • Patients with progressive glaucoma in the subject eye (in whom intraocular pressure is not controlled, or visual field loss is progressive or has already spread to the macula)
  • Patients with severe myopia in the subject eye (axial length of 26.5 mm or more, or spherical equivalent of -7.0 D or less in phakic eyes)
  • Patients who have undergone intraocular surgery in the subject eye. (In the case of cataract surgery, patients may be enrolled if they have had no endophthalmitis or other complications, have progressed well, and more...
  • Patients with corrected visual acuity of the non-subject eye 0.1 or less
  • (Missing number)
  • Patients with abnormal findings that pose a problem in clinical trial participation in screening tests.
  • Patients with positive HBs antigen, HCV antibody, HIV antibody, HTLV-1 antibody, syphilis serum reaction
  • Patients with allergies to human serum albumin antibiotics, trypsin
  • Patients with severe blood disorders, heart failure, liver disorders, and renal disorders
  • Patients diagnosed with malignant tumor within 5 years or patients requiring treatment
  • Pregnant women, lactating women, patients wishing to become pregnant during the trial period
  • Patients who cannot discontinue anticoagulant or antiplatelet let drugs within the appropriate timeframe specified by the principal investigator or a sub-investigator
  • Patients with drug addiction or alcoholism

The study team makes the final eligibility decision.

Where it is enrolling

  • Nagoya, Aichi-ken, Japan
  • Amagasaki, Hyōgo, Japan
  • Ube, Ymaguchi, Japan

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years to 85 years. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Nagoya, Aichi-ken, Japan; Amagasaki, Hyōgo, Japan; Ube, Ymaguchi, Japan. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.