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Intravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 mg) Intravitreal Implants vs Observation for Prevention of VA Loss Due to Radiation Retinopathy

RecruitingPhase 3

A Trial Evaluating Intravitreal Faricimab (6.0 mg) Injections or Fluocinolone Acetonide (0.19 mg Intravitreal Implants vs Observation for Prevention of Visual Acuity Loss Due to Radiation Retinopathy

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria

* Primary uveal melanoma (excluding iris melanoma) receiving primary treatment with plaque brachytherapy
* Absence of unrelated cause of visual loss
* Baseline visual acuity ≥ 34 letters (20/200 Snellen equivalent or better)
* Posterior tumor margin \>0 mm from the center of the macula (i.e., tumor is NOT under the geometric center of the fovea)
* Posterior tumor margin \>0 mm from the closest disc margin (i.e., tumor is not touching the edge of the optic disc)
* Calculated total dose to center of the macula ≥30 Gy

Key Exclusion Criteria

* Opaque media
* Inability to undergo fluorescein angiography
* Less than 18 years of age
* Prior vitrectomy
* Intraocular pressure (IOP) ≥ 25 mmHg or history of steroid- induced IOP elevation that required treatment at baseline
* IOP ≥ 25 mmHg at randomization or increase in IOP ≥ 8 mmHg from baseline to randomization (following steroid challenge

About the study

This randomized controlled trial will evaluate the effect of intravitreal faricimab or fluocinolone acetonide (FAc) intravitreal implant compared with observation on long-term visual acuity following treatment of choroidal melanoma with iodine-125 plaque brachytherapy.

What is being tested

Sponsor: Jaeb Center for Health Research · Participants: 600 · Started: Nov 21, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05844982

Locations in the U.S.

CaliforniaByers Eye Institute at Stanford University, Palo Alto
ConnecticutRetina Consultants, Manchester
FloridaRetina Associates of Florida, LLC, Tampa
GeorgiaEmory Eye Center, Atlanta
IllinoisIL Eye and Ear Infirmary-University of Illinois at Chicago, Chicago
Northwestern Memorial Group, Chicago
IndianaMidwest Eye Institute, Indianapolis
IowaUniversity of Iowa Department of Ophthalmology and Visual Sciences, Iowa City
KentuckyUniversity of Kentucky Advanced Eye Care, Lexington
MassachusettsMassachusetts Eye and Ear, Boston
MichiganFoundation for Vision Research and Retina Specialists of Michigan, P.C., Grand Rapids
Associated Retinal Consultants, P.C., Royal Oak
MinnesotaMayo Clinic, Rochester
MissouriRetina Research Institute, LLC, St Louis
Washington University Ophthalmology, St Louis
OhioThe Cleveland Clinic Foundation DBA Cleveland Clinic Lerner College of Medicine, Celveland
OregonOregon Health & Science University, Portland
PennsylvaniaRetina-Vitreous Consultants, Inc., Monroeville
Wills Eye Hospital, Philadelphia
Pittsburgh Clinical Trial Consortium, Sewickley
South CarolinaRetina Consultants of Carolina, PA, Greenville
TennesseeSoutheastern Retina Associates, Hixson
Tennessee Retina, PC, Nashville
TexasRetina Consultants of Texas, PA, Bellaire
UT Southwestern Medical Center, Dallas
Texas Retina Associates, Lubbock
WisconsinThe Board of Regents of the University of Wisconsin System, Madison

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.