What this study is
This is a multi-center, randomized, double-masked, active-comparator-controlled, Phase 3 study in a broad participant population (treatment-naïve and treatment-experienced) with neovascular (wet) age-related macular degeneration (nAMD). The study will evaluate a single intravitreal (IVT) injection of Ixo-vec compared to intravitreal aflibercept (active comparator). The primary endpoint of this study is the mean change in best corrected visual acuity (BCVA) of Ixo-vec compared to an active comparator measured as an average at Weeks 52 and 56.
Safety, tolerability, and efficacy will be evaluated throughout the study.
What's being tested
- Ixo-vec
Intervention · GENETIC
Ixo-vec will be administered intravitreally.
- Aflibercept
Intervention · DRUG
Aflibercept will be administered intravitreally.
Study details
- Official title
- A Multi-center, Randomized, Double-masked, Active-comparator-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Ixoberogene Soroparvovec (Ixo-vec) in Participants With Neovascular Age-related Macular Degeneration (AQUARIUS)
- Sponsor
- Adverum Biotechnologies, Inc.
- Conditions
- Neovascular Age-Related Macular Degeneration (nAMD) · Wet AMD
- Enrolling
- 534 people
- Starts
- 2026-03-16
- Est. completion
- 2031-10-20
- Design
- Double-blind, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 50 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Able and willing to provide informed consent (or have a legally authorized representative who is able and willing to provide informed consent) prior to any study assessments and procedures and comply with the study requirements and visits.
- Male or female with a diagnosis of CNV secondary to nAMD in the study eye, with nAMD disease activity at Screening Visit 1.
- At least 50 years old at Screening Visit 1.
- An ETDRS BCVA letter score of 35 - 78 (approximate Snellen equivalent of 20/200 to 20/32) in the study eye at Screening Visit 1.
- Demonstrated a meaningful anatomic response to anti-VEGF therapy during screening.
- Able to reliably use eye drops per protocol.
You can't join if
- History of a medical condition giving reasonable suspicion of a condition that contraindicates the use of Ixo-vec, compromises the participant's ability to comply with the planned study activities, or that might affect the interpretation of the results of the study or render the participant at high risk for treatment complications in the opinion of the Investigator. History of severe coronavirus disease (COVID-19) infection may meet this exclusion criterion if, in the opinion of the Investigator, it is likely to lead to any important complications.
- Received any prior gene therapy.
- Prior treatment with any non-gene therapy investigational medicinal product (IMP) or medical device in the study eye within 3 months of Screening Visit 1 or 5 half-lives of the IMP prior to dosing with Ixo-vec, whichever is longer.
- Female participants who are pregnant or breastfeeding or who intend to become pregnant or breastfeed in the future.
- History or evidence of any of the following cardiovascular diseases:; Myocardial infarction in the 6-month period prior to Week 1.; Uncontrolled hypertension defined as systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg during screening.; Stroke in the 6-month period prior to Week 1.
- History of ongoing bleeding disorders. The use of aspirin or other anticoagulants (e.g., Factor Xa inhibitors) is permitted.
- Use of systemic immunosuppressive drugs within 90 days prior to Screening Visit 1. Short courses of oral corticosteroids are permitted, as well as any inhaled, intra-articular, nasal or dermal steroid use.
- Evidence of poorly controlled diabetes or glycated hemoglobin (HbA1c) ≥ 8.0% during screening.
- Any active ocular or periocular infection in the study eye from Screening Visit 1.
- History or evidence of the following in the study eye:; Intraocular or refractive surgery within 5 months prior to Week 1.; Any previous penetrating keratoplasty or vitrectomy.; Any previous panretinal photocoagulation.; Any previous submacular surgery, other surgical intervention (including port delivery system) or laser treatment for age-related macular degeneration.
- Any history or evidence of retinal detachment (with or without repair) or retinal pigment epithelium rip/tear in the study eye, as determined by the Investigator during screening or at Week 1.
- Uncontrolled ocular hypertension or glaucoma in the study eye from Screening Visit 1 to Week 1 or current use of ≥ 2 intraocular pressure (IOP) lowering medications or normal tension glaucoma/suspect in the study eye or history of any of the following procedures in the study eye prior to Week 1:; Incisional glaucoma surgery (i.e., glaucoma drainage implant/shunt or trabeculectomy); Ocular angle-based surgery (i.e., goniotomy or canaloplasty); Minimally Invasive Glaucoma Surgery (MIGS) in the study eye.; Angle-based glaucoma surgery (e.g., Argon or Selective Laser Trabeculoplasty)
- Any history of IOP elevation related to topical steroid administration in either eye.
- Any history of uveitis or inflammation (grade trace or above) except mild anticipated post operative inflammation that resolved in either eye.
- Any history of treatment with complement inhibitors for geographic atrophy in the study eye.
- Known history of ocular herpes simplex virus, varicella-zoster virus, or cytomegalovirus, including viral uveitis, retinitis, or keratitis in either eye.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (79)
79 openAdverum Clinical Site 245
Mesa, Arizona, United States
RecruitingAdverum Clinical Site 126
Phoenix, Arizona, United States
RecruitingAdverum Clinical Site 178
Phoenix, Arizona, United States
RecruitingAdverum Clinical Site 223
Phoenix, Arizona, United States
RecruitingAdverum Clinical Site 229
Scottsdale, Arizona, United States
RecruitingAdverum Clinical Site 242
Sun City, Arizona, United States
RecruitingAdverum Clinical Site 198
Springdale, Arkansas, United States
RecruitingAdverum Clinical Site 109
Bakersfield, California, United States
RecruitingAdverum Clinical Site 100
Beverly Hills, California, United States
RecruitingAdverum Clinical Site 201
Campbell, California, United States
RecruitingAdverum Clinical Site 172
Encino, California, United States
RecruitingAdverum Clinical Site 169
Fullerton, California, United States
RecruitingAdverum Clinical Site 224
Huntington Beach, California, United States
RecruitingAdverum Clinical Site 130
Poway, California, United States
RecruitingAdverum Clinical Site 215
Redlands, California, United States
RecruitingAdverum Clinical Site 140
Sacramento, California, United States
RecruitingAdverum Clinical Site 212
Sacramento, California, United States
RecruitingAdverum Clinical Site 175
Santa Barbara, California, United States
RecruitingAdverum Clinical Site 202
Torrance, California, United States
RecruitingAdverum Clinical Site 189
Walnut Creek, California, United States
RecruitingAdverum Clinical Site 200
Denver, Colorado, United States
RecruitingAdverum Clinical Site 116
Denver, Colorado, United States
RecruitingAdverum Clinical Site 165
Waterford, Connecticut, United States
RecruitingAdverum Clinical Site 124
Deerfield Beach, Florida, United States
RecruitingAdverum Clinical Site 184
Deerfield Beach, Florida, United States
RecruitingAdverum Clinical Site 176
Fort Lauderdale, Florida, United States
RecruitingAdverum Clinical Site 221
Fort Myers, Florida, United States
RecruitingAdverum Clinical Site 236
Gainesville, Florida, United States
RecruitingAdverum Clinical Site 214
Lakeland, Florida, United States
RecruitingAdverum Clinical Site 168
Miami Springs, Florida, United States
RecruitingAdverum Clinical Site 213
Orlando, Florida, United States
RecruitingAdverum Clinical Site 206
Plantation, Florida, United States
RecruitingAdverum Clinical Site 183
South Miami, Florida, United States
RecruitingAdverum Clinical Site 120
St. Petersburg, Florida, United States
RecruitingAdverum Clinical Site 148
Tampa, Florida, United States
RecruitingAdverum Clinical Site 238
Winter Haven, Florida, United States
RecruitingAdverum Clinical Site 182
Augusta, Georgia, United States
RecruitingAdverum Clinical Site 246
Chicago, Illinois, United States
RecruitingAdverum Clinical Site 179
Oak Forest, Illinois, United States
RecruitingAdverum Clinical Site 207
Oak Park, Illinois, United States
RecruitingAdverum Clinical Site 195
Carmel, Indiana, United States
RecruitingAdverum Clinical Site 205
Carmel, Indiana, United States
RecruitingAdverum Clinical Site 253
Carmel, Indiana, United States
RecruitingAdverum Clinical Site 197
Hagerstown, Maryland, United States
RecruitingAdverum Clinical Site 204
Hagerstown, Maryland, United States
RecruitingAdverum Clinical Site 216
Jackson, Mississippi, United States
RecruitingAdverum Clinical Site 240
Bloomfield, New Jersey, United States
RecruitingAdverum Clinical Site 171
Teaneck, New Jersey, United States
RecruitingAdverum Clinical Site 225
Liverpool, New York, United States
RecruitingAdverum Clinical Site 244
Rochester, New York, United States
RecruitingAdverum Clinical Site 196
Asheville, North Carolina, United States
RecruitingAdverum Clinical Site 234
Cary, North Carolina, United States
RecruitingAdverum Clinical Site 211
Greensboro, North Carolina, United States
RecruitingAdverum Clinical Site 219
Greensboro, North Carolina, United States
RecruitingAdverum Clinical Site 220
Hickory, North Carolina, United States
RecruitingAdverum Clinical Site 209
Wake Forest, North Carolina, United States
RecruitingAdverum Clinical Site 248
Beachwood, Ohio, United States
RecruitingAdverum Clinical Site 247
Cleveland, Ohio, United States
RecruitingAdverum Clinical Site 254
Edmond, Oklahoma, United States
RecruitingAdverum Clinical Site 252
Portland, Oregon, United States
RecruitingAdverum Clinical Site 181
Erie, Pennsylvania, United States
RecruitingAdverum Clinical Site 239
Philadelphia, Pennsylvania, United States
RecruitingAdverum Clinical Site 110
Philadelphia, Pennsylvania, United States
RecruitingAdverum Clinical Site 241
Bluffton, South Carolina, United States
RecruitingAdverum Clinical Site 222
Ladson, South Carolina, United States
RecruitingAdverum Clinical Site 101
Nashville, Tennessee, United States
RecruitingAdverum Clinical Site 145
Arlington, Texas, United States
RecruitingAdverum Clinical Site 127
Austin, Texas, United States
RecruitingAdverum Clinical Site 243
Austin, Texas, United States
RecruitingAdverum Clinical Site 107
Conroe, Texas, United States
RecruitingAdverum Clinical Site 194
Dallas, Texas, United States
RecruitingAdverum Clinical Site 162
McAllen, Texas, United States
RecruitingAdverum Clinical Site 185
San Antonio, Texas, United States
RecruitingAdverum Clinical Site 232
San Marcos, Texas, United States
RecruitingAdverum Clinical Site 228
Schertz, Texas, United States
RecruitingAdverum Clinical Site 231
The Woodlands, Texas, United States
RecruitingAdverum Clinical Site 237
Tyler, Texas, United States
RecruitingAdverum Clinical Site 199
Lynchburg, Virginia, United States
RecruitingAdverum Clinical Site 249
Silverdale, Washington, United States
Recruiting
Study team
Sponsor
Adverum Biotechnologies, Inc.
Study ID ADVM-022-13
Study director
Adam Turpcu, PhD
Adverum Biotechnologies, Inc.
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.