Geographic AtrophyNCT06779773
A Study to Learn How Avacincaptad Pegol (Izervay™) is Used in Clinical Practice in People Who Have Geographic Atrophy
An observational study of Geographic Atrophy and Macular Degeneration, run by Astellas Pharma Global Development, Inc. at 58 sites in United States.
Trial summary
This study is for people who have geographic atrophy due to age-related macular degeneration (AMD). AMD happens when the macula, the light-sensitive layer at the back of the eye called the retina, becomes damaged and causes a person's central vision to worsen. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Geographic Atrophy, Macular Degeneration
- What is being tested?
- Avacincaptad pegol (ACP)
- Type of treatment
- Injection or infusion
- How many people
- 488 participants
- Where
- 58 sitesUnited States
- Study dates
- 22 Jan 2025to 31 Oct 2030
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Participants from both academic and non-academic sites, urban and rural across the US to ensure a heterogenous population that is representative of the US GA secondary to AMD population and reflective of real-world practice patterns.
Who may be able to join
- Patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 or both eyes
- Patient with a decision to treat with intravitreal avacincaptad pegol (ACP) prior to enrollment
- Patient willingness to complete the patient reported outcome (PRO).
Who cannot join
- Patients who have any contraindication or are not eligible for treatment with ACP, including the following:
- Active ocular or peri-ocular infection in either eye
- Active, suspected intraocular inflammation in either eye
- Hypersensitive to ACP or to any ingredient in the formulation
- Patients currently participating in an investigational program with interventions outside of routine clinical practice.
- Patients who have received ACP in the eye being considered for enrollment. Note: Patients who have received or are receiving ACP in the fellow eye at baseline are eligible to be included in the study.
- Patients who have received any intravitreal complement inhibitor other than ACP in either eye. Note: Patients who have received an intravitreal complement inhibitor other than ACP in either eye and have completed the 90-day washout period are eligible to be included in the study.
Trial locations and contacts
58 sites in 1 country.
58 sites in 1 country
United States58 sites
Retina Research Institute of Texas
Abilene, Texas, 79606
Southeast Retina Center, P.C.
Augusta, Georgia, 30909
Rocky Mountain Lions Eye Institute
Aurora, Colorado, 80045
Advanced Retina Institute
Bonita Springs, Florida, 34134
SightMD
Brentwood, New York, 11717
Retina Consultants of Southern Colorado
Colorado Springs, Colorado, 80909
The Ohio State University
Columbus, Ohio, 43221
University of Miami
Coral Gables, Florida, 33146
Retina of North Texas
Dallas, Texas, 75243
CEI Physicians PSC, LLC dba
Dayton, Ohio, 45459
Eye Associates of North Jersey PA
Dover, New Jersey, 07801
NJ Retina
Edison, New Jersey, 08820
Erie Retina Research
Erie, Pennsylvania, 16507
Verum Research, LLC
Eugene, Oregon, 97401
The Retina Group of Washington
Fairfax, Virginia, 22031
Retina Associates of Michigan
Grand Blanc, Michigan, 48439
Coastal Eye Surgeons
Greenwich, Connecticut, 05830
Cumberland Valley Retina Consultants,P.C.
Hagerstown, Maryland, 21740
Southeastern Retina Associates, P.C.
Knoxville, Tennessee, 37920
Southeastern Retina Associates, P.C.
Knoxville, Tennessee, 37923
Harvard Eye Associates
Laguna Hills, California, 92653
Colorado Retina Associates, PLLC
Lakewood, Colorado, 80228
NJ Retina
Lakewood, New Jersey, 08701
Retina-Vitreous Surgeons of Central NY
Liverpool, New York, 13088
Piedmont Eye Center, Inc.
Lynchburg, Virginia, 24502
Mississippi Retina Associates
Madison, Mississippi, 39110
NY Retina Ophthalmology PLLC
Massapequa, New York, 11758
Valley Retina Institute
McAllen, Texas, 78503
Mid South Retina Associates
Memphis, Tennessee, 38119
Retina & Vitreous Consultants of Wisconsin
Milwaukee, Wisconsin, 53226
Retina Associates of Utah, P.C.
Murray, Utah, 84107
Tennessee Retina, PC
Nashville, Tennessee, 37203
Retina Associates of New York
New York, New York, 10075
University Retina and Macula Associates, P.C.
Oak Forest, Illinois, 60452
Illinois Retina Associates
Oak Park, Illinois, 60304
Brown Family Retina PLLC
Olive Branch, Mississippi, 38654
University of California Irvine Medical Center
Orange, California, 92868
Retina Care Specialists
Palm Beach Gardens, Florida, 33410
Illinois Eye Center
Peoria, Illinois, 61615
Retinal Consultants of AZ
Phoenix, Arizona, 85053
Retina Consultants of Southern CA
Redlands, California, 92374
Sierra Eye Associates
Reno, Nevada, 89502
Retinal Consultants Medical Group Inc
Sacramento, California, 95825
Retina Consultants of Minnesota PLLC
Saint Louis Park, Minnesota, 55416
Salt Lake Retina
Salt Lake City, Utah, 84120
Medical Center Ophthalmology Associates
San Antonio, Texas, 78240
Retina Associates Of South Texas, Pa
San Antonio, Texas, 78240
Long Island Vitreoretinal Consultants
Scarsdale, New York, 10583
Retina Macula Institute of Arizona
Scottsdale, Arizona, 85255
Vitreoretinal Consultants
Shirley, New York, 11967
Deep Blue Retina Clinical Research
Southaven, Mississippi, 38671
Eye Physicians of Pinellas PA dba Eye Institute of West Florida
Tampa, Florida, 33606
NJ Retina
Toms River, New Jersey, 08755
Retina Macula Institute
Torrance, California, 90503
North Carolina Retina Associates
Wake Forest, North Carolina, 27587
Virginia Retina Center
Warrenton, Virginia, 20186
Retina Specialists of Tampa
Wesley Chapel, Florida, 33544
Wolfe Eye Clinic
West Des Moines, Iowa, 50266
About this study
Official title: A Non-interventional, Observational Study to Evaluate Treatment Patterns and Safety of Avacincaptad Pegol (ACP/IZERVAY™) in Routine Clinical Practice in Patients With Geographic Atrophy Secondary to Age-related Macular Degeneration
This study is for people who have geographic atrophy due to age-related macular degeneration (AMD). AMD happens when the macula, the light-sensitive layer at the back of the eye called the retina, becomes damaged and causes a person's central vision to worsen. Geographic atrophy is an advanced form of AMD where cells in the retina waste away and die. Over time this can lead to permanent loss of vision.
Avacincaptad pegol can help slow down the worsening or progression of geographic atrophy. Avacincaptad pegol is a treatment approved in the US to treat geographic atrophy.
Read more
This study is about collecting information on how people with geographic atrophy are treated in routine clinical practice. This includes recording any medical problems from avacincaptad pegol. This is known as an observational study. Information will be collected from the peoples' medical records during and after treatment. The people in this study will have geographic atrophy in 1 or both eyes and they and their doctor have decided they will be treated with avacincaptad pegol. The individual's doctor decides on treatment, not the study sponsor (Astellas).
People that want to take part in the study will have eye examinations that they would usually have as part of their routine care. People will also be asked to complete surveys about their eye health. These surveys will occur when treatment starts and then every 6 months for the first 2 years. After 2 years the surveys will happen once a year. The people on the study can take part if their doctor provides treatment with avacincaptad pegol and they want to continue with the study. The people on the study can take part for around 5 years.
- Conditions
- Geographic Atrophy, Macular Degeneration
- Being tested
- Avacincaptad pegol (ACP)
- Keywords
- Avacincaptad Pegol, IZERVAY™, Treatment patterns, Safety, Functional Outcomes
- Medical subject headings
- Geographic Atrophy, Macular Degeneration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Avacincaptad pegol (ACP)Drug
Also called IZERVAY™
intravitreal injection
| Study group | Role | What they receive |
|---|---|---|
| Izervay | Patients with geographic atrophy (GA) secondary to AMD who have made decision to begin treatment with Izervay Receives: Drug: Avacincaptad pegol (ACP) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of ACP injections
The number of ACP injections.
Measured: Up to 61 Months
Duration of treatment
The duration of treatment will be calculated as the difference between the date of the last injection and the date of the first injection plus 31 days (as the next injection would be expected at least 30 days after the last one).
Measured: Up to 61 Months
Annual frequency of ACP injection
The annual frequency of ACP injections will be calculated as the total number of injections divided by the treatment duration in years.
Measured: Up to 61 Months
Reasons for discontinuation of treatment with ACP
The reasons for discontinuation of treatment with ACP will be recorded.
Measured: Up to 61 Months
Duration of the treatment interval
The treatment interval is defined as mean number of days between injections, if a study eye receives more than 1 injection.
Measured: Up to 61 Months
Site characteristics
Characteristics of interest will be recorded including the type of setting (e.g., public/private facility, rural/urban).
Measured: Day 1
Characteristics of patients with geographic atrophy (GA) secondary to AMD beginning treatment with Izervay
Characteristics of interest will be recorded.
Measured: Day 1
Secondary outcomes (7)
Number of participants with Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a participant administered a study drug, and which does not necessarily have to have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product whether or not considered related to the medicinal (investigational) product.
Measured: Up to 61 Months
Number of participants with Serious Adverse Events (SAEs)
An SAE is defined as an AE that results in death, is life-threatening, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, requires inpatient hospitalization or prolongation of existing hospitalization or other medically important events.
Measured: Up to 61 Months
Number of participants with Treatment Emergent Adverse Events (TEAEs)
TEAE is defined an AE observed after starting administration of the study drug and will continue until 30 days after the last administration or until last study visit, whichever is sooner.
Measured: Up to 61 Months
Number of participants with Adverse Event of Special Interest (AESI)
AESIs are defined as the following AEs:
- Endophthalmitis
- choroidal neovascularization (CNV)
- Intraocular inflammation (including retinal vasculitis)
- Increased intraocular pressure (IOP) ≥ 30 mmHg at 30 minutes post injection deemed clinically significant by the investigator
- Elevation of IOP post injection requiring surgical/procedural intervention
- Ischemic optic neuropathy
Measured: Up to 61 Months
Number of Participants maintaining vision
Maintaining vision is defined as not losing ≥ 15 letters on Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
Measured: Up to 61 Months
Time to vision loss using various thresholds
Time to vision loss is defined as the difference between the date when vision loss was reported for the first time and the start date of treatment.
Measured: Up to 61 Months
Time to thresholds associated with ability to drive
Time to thresholds associated with the ability to drive will be based on visual acuity data captured as per standard of care.
Measured: Up to 61 Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2025
- Study start22 Jan 2025
- Primary completion31 Oct 2030 (estimated)
- Study completion31 Oct 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Geographic AtrophyStudies of the same condition, open and under way.
- More trials run by Astellas Pharma Global Development, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 488 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Global Development, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Astellas Pharma Global Development, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06779773
- Sponsor's protocol ID
- 3021-MA-3543
- Status last verified
- Oct 2026
- First submitted
- 16 Dec 2024
- Last updated
- 27 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Non-interventional, Observational Study to Evaluate Treatment Patterns and Safety of Avacincaptad Pegol (ACP/IZERVAY™) in Routine Clinical Practice in Patients With Geographic Atrophy Secondary to Age-related Macular Degeneration
- ClinicalTrials.gov ID
- NCT06779773
- Acronym / sponsor ID
- 3021-MA-3543
- Conditions
- Geographic Atrophy, Macular Degeneration
- Keywords
- Avacincaptad Pegol, IZERVAY™, Treatment patterns, Safety, Functional Outcomes
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 488 participants (actual)
- Lead sponsor
- Astellas Pharma Global Development, Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Jan 2025 (actual)
- Primary completion
- 31 Oct 2030 (estimated)
- Study completion
- 31 Oct 2030 (estimated)
- First posted
- 17 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is for people who have geographic atrophy due to age-related macular degeneration (AMD). AMD happens when the macula, the light-sensitive layer at the back of the eye called the retina, becomes damaged and causes a person's central vision to worsen. Geographic atrophy is an advanced form of AMD where cells in the retina waste away and die. Over time this can lead to permanent loss of vision.
Avacincaptad pegol can help slow down the worsening or progression of geographic atrophy. Avacincaptad pegol is a treatment approved in the US to treat geographic atrophy.
This study is about collecting information on how people with geographic atrophy are treated in routine clinical practice. This includes recording any medical problems from avacincaptad pegol. This is known as an observational study. Information will be collected from the peoples' medical records during and after treatment. The people in this study will have geographic atrophy in 1 or both eyes and they and their doctor have decided they will be treated with avacincaptad pegol. The individual's doctor decides on treatment, not the study sponsor (Astellas).
People that want to take part in the study will have eye examinations that they would usually have as part of their routine care. People will also be asked to complete surveys about their eye health. These surveys will occur when treatment starts and then every 6 months for the first 2 years. After 2 years the surveys will happen once a year. The people on the study can take part if their doctor provides treatment with avacincaptad pegol and they want to continue with the study. The people on the study can take part for around 5 years.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Izervay | – | Drug: Avacincaptad pegol (ACP)Patients with geographic atrophy (GA) secondary to AMD who have made decision to begin treatment with Izervay |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Participants from both academic and non-academic sites, urban and rural across the US to ensure a heterogenous population that is representative of the US GA secondary to AMD population and reflective of real-world practice patterns.
Key inclusion criteria (3 listed)
- Patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 or both eyes
- Patient with a decision to treat with intravitreal avacincaptad pegol (ACP) prior to enrollment
- Patient willingness to complete the patient reported outcome (PRO).
Key exclusion criteria (7 listed)
- Patients who have any contraindication or are not eligible for treatment with ACP, including the following:
- Patients currently participating in an investigational program with interventions outside of routine clinical practice.
- Patients who have received ACP in the eye being considered for enrollment. Note: Patients who have received or are receiving ACP in the fellow eye at baseline are eligible to be included in the study.
- Patients who have received any intravitreal complement inhibitor other than ACP in either eye. Note: Patients who have received an intravitreal complement inhibitor other than ACP in either eye and have completed the 90-day washout period are eligible to be included in the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Avacincaptad pegol (ACP)Also: IZERVAY™intravitreal injection | Drug | Izervay |
Primary outcome
Number of ACP injections
Time frame: Up to 61 Months
The number of ACP injections.
Duration of treatment
Time frame: Up to 61 Months
The duration of treatment will be calculated as the difference between the date of the last injection and the date of the first injection plus 31 days (as the next injection would be expected at least 30 days after the last one).
Annual frequency of ACP injection
Time frame: Up to 61 Months
The annual frequency of ACP injections will be calculated as the total number of injections divided by the treatment duration in years.
Reasons for discontinuation of treatment with ACP
Time frame: Up to 61 Months
The reasons for discontinuation of treatment with ACP will be recorded.
Duration of the treatment interval
Time frame: Up to 61 Months
The treatment interval is defined as mean number of days between injections, if a study eye receives more than 1 injection.
Site characteristics
Time frame: Day 1
Characteristics of interest will be recorded including the type of setting (e.g., public/private facility, rural/urban).
Characteristics of patients with geographic atrophy (GA) secondary to AMD beginning treatment with Izervay
Time frame: Day 1
Characteristics of interest will be recorded.
7 secondary outcomes
Number of participants with Adverse Events (AEs)
Time frame: Up to 61 Months
Number of participants with Serious Adverse Events (SAEs)
Time frame: Up to 61 Months
Number of participants with Treatment Emergent Adverse Events (TEAEs)
Time frame: Up to 61 Months
Number of participants with Adverse Event of Special Interest (AESI)
Time frame: Up to 61 Months
Number of Participants maintaining vision
Time frame: Up to 61 Months
Time to vision loss using various thresholds
Time frame: Up to 61 Months
Time to thresholds associated with ability to drive
Time frame: Up to 61 Months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2026.
- Individual participant dataSharing planned: No. Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Related trials for Geographic Atrophy
Active, not recruitingPhase 4
A Study About the Safety of ASP3021 Eye Injections and if They Help People in Japan With Vision Loss From Age-related Macular Degeneration
Geographic Atrophy, Age-Related Macular Degeneration
Active, not recruitingPhase 1/2
Study to Assess the Safety and Efficacy of OCU410 for Geographic Atrophy
Geographic Atrophy
RecruitingPhase 1/2
Autologous Transplantation of Induced Pluripotent Stem Cell-Derived Retinal Pigment Epithelium for Geographic Atrophy Associated With Age-Related Macular Degeneration
Dry Age-Related Macular Degeneration, Geographic Atrophy
RecruitingPhase 2
A Study to Assess the Efficacy and Safety of RO7965032 in Participants With Geographic Atrophy Secondary to Age-Related Macular Degeneration
Geographic Atrophy Secondary to Age-Related Macular Degeneration
Enrolling by invitation
Adaptive Optics Scanning Light Ophthalmoscopy (AOSLO) and Microperimetry (MP) Sub-study
Geographic Atrophy
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Astellas Pharma Global Development, Inc.
58 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Geographic Atrophy and Macular Degeneration, run by Astellas Pharma Global Development, Inc. at 58 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 58 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of ACP injections (time frame: Up to 61 Months). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.