ClinicalTrials.gg
CompletedNCT04418427INFINITYUpdated Jul 10, 2025Results posted

ADVM-022 Intravitreal Gene Therapy for DME

A Phase 2 interventional study of 6E11 vg/eye of ADVM-022 and 2E11 vg/eye of ADVM-022 in Diabetic Macular Edema and Diabetic Retinopathy, sponsored by Adverum Biotechnologies, Inc.. Completed at 14 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-10.

Sponsored by Adverum Biotechnologies, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Phase 2, Multi-Center, Randomized, Double-Masked*, Active Controlled Study of ADVM-022 (AAV.7m8-aflibercept) in Subjects with Diabetic Macular Edema [INFINITY]

Read the detailed description

ADVM-022 (also known as Ixo-vec and AAV.7m8-aflibercept) is an investigational gene therapy product developed for the treatment of serious retinal vascular diseases including Diabetic Macular Edema (DME), a vision-threatening complication of diabetic retinopathy. DME can affect up to 10% of individuals with both type 1 and type 2 diabetes mellitus. Current therapies for treating DME include anti-vascular endothelial growth factor (anti-VEGF) agents that require frequent and long-term intravitreal (IVT) injections to achieve and maintain efficacy. ADVM-022 is intended provide sustained intraocular expression of aflibercept from a single IVT injection to potentially reduce the current treatment burden and prevent disease progression and vision loss due to undertreatment.

This Phase 2, randomized, controlled study (INFINITY) enrolled 36 eligible participants with DME. The participants were randomized to receive one of the two dose levels of ADVM-022 or assigned to the control arm to receive a sham ocular injection with a preceding aflibercept injection. Participants randomized to the ADVM-022 arms were assigned to receive a preceding aflibercept or sham ocular injection. All participants were monitored regularly for disease activity and may have received supplemental aflibercept based on predefined retreatment criteria. All participants were to be followed over a 96- week follow-up period.

To enhance safety monitoring for participants in this study, the sponsor unmasked treatment assignment (in April 2021) due to the occurrence of a suspected unexpected serious adverse reaction (SUSAR) which occurred early in the study in the high dose (ADVM-022 6E11 vg/eye) arm. Interpretation of the results of this study should consider the potential confounding nature of this unmasking in the context of the observed dose-limiting events and the associated additional use of topical/intravitreal/systemic steroids, particularly in the high dose ADVM-022 arm.

In this study ADVM-022 (Ixo-vec) demonstrated improved efficacy across endpoints, reducing the need for supplemental aflibercept in DME management and demonstrating a clinically meaningful delay in DME worsening and improved outcomes across multiple endpoints compared to the control arm (sham + Aflibercept). However, the benefit of the ADVM-022 6E11 vg/eye dose was affected by dose-limiting toxicities in some participants. In terms of safety outcomes, the most common ADVM-022-related adverse events were mild-to-moderate intraocular inflammation, a known and expected side effect of ocular gene therapy, which was generally responsive to corticosteroid eye drops. No Ixo-vec-related events were reported in the fellow eye or systemically, indicating no off-target effects.

02

Conditions studied

  • Diabetic Macular Edema
  • Diabetic Retinopathy

Keywords

  • ADVM-022
  • ADVM-022-04
  • AAV.7m8
  • Anti-VEGF therapy
  • Blindness
  • INFINITY
  • Gene therapy
  • Aflibercept (Eylea)
  • Retinal Diseases
  • Eye Diseases
  • AAV Vector
  • Adverum
  • DME
  • Diabetic macular edema
  • Diabetic eye disease
  • Diabetic retinopathy
  • DR
  • AAV.7m8-aflibercept
  • Ixoberogene soroparvovec
  • Ixo-vec
03

In context

Diabetic Retinopathy

778 studies on the registry are indexed under Diabetic Retinopathy; 142 are open to participants now.

This study's enrollment of 36 is below the median of 80 across 481 interventional studies indexed under Diabetic Retinopathy.

Browse Diabetic Retinopathy studies →

Lead sponsor

Adverum Biotechnologies, Inc. is the lead sponsor of 11 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18
  • Type 1 or Type 2 diabetes mellitus
  • Willing and able to provide
  • Vision impairment due to center involving diabetic macular edema

Exclusion criteria

Exclusion Criteria:

  • Uncontrolled diabetes defined as >10%, or history of diabetic ketoacidosis within 3 months prior to randomization; or subjects who, within the last 3 months, initiated intensive insulin treatment (a pump or multiple daily injection) or plan to do so in the next 3 months.
  • Acute coronary syndrome, myocardial infarction or coronary artery revascularization, CVA, in the last 6 months
  • Uncontrolled hypertension defined as average SBP ≥160 mmHg or an average DBP ≥100 mmHg
  • Known severe renal impairment
  • High risk Proliferative Diabetic Retinopathy
  • History of retinal disease in the study eye other than diabetic retinopathy
  • History of retinal detachment (with or without repair) in the study eye
  • History of vitrectomy, trabeculectomy, or other filtration surgery in the study eye
  • Any prior focal or grid laser photocoagulation or any prior PRP in the study eye
  • Current or planned pregnancy or breastfeeding
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    1

    6E11 vg/eye ADVM-022 +/- aflibercept 2mg IVT

    Biological: 6E11 vg/eye of ADVM-022 · Biological: Aflibercept

  • Experimental
    2

    2E11 vg/eye ADVM-022 +/- aflibercept 2mg IVT

    Biological: 2E11 vg/eye of ADVM-022 · Biological: Aflibercept

  • Active comparator
    3

    Aflibercept 2mg IVT

    Biological: Aflibercept

Interventions

  • Biological6E11 vg/eye of ADVM-022

    ADVM-022 (AAV.7m8-aflibercept) is a recombinant, replication-incompetent adeno-associated virus (AAV.7m8) gene therapy vector carrying a coding sequence for aflibercept

    Also known as: AAV.7m8-aflibercept

  • Biological2E11 vg/eye of ADVM-022

    ADVM-022 (AAV.7m8-aflibercept) is a recombinant, replication-incompetent adeno-associated virus (AAV.7m8) gene therapy vector carrying a coding sequence for aflibercept

    Also known as: AAV.7m8-aflibercept

  • BiologicalAflibercept

    Commercially available Active Comparator

    Also known as: Eylea

06

What researchers measure

Primary outcomes

  1. Time to Worsening of DME Disease Activity in the Study Eye.

    Time to worsening of DME disease activity in the study eye through 96 weeks. Time to worsening of DME disease activity defined by either: An increase in CST \> 50 µm as assessed by SD-OCT compared to the lower of the two CST measurements recorded at Day 1 or Week 4; A loss of \> 5 letters in BCVA due to worsening DME disease activity compared to the higher of the two BCVA measurements recorded at Day 1 or Week 4. Number of weeks was relative to Day 1.

    Time frame: Day 1 through 96 weeks

Secondary outcomes

  1. Incidence of Ocular Adverse Events (AEs)

    Incidence of ocular adverse events (AEs) through 96 weeks

    Time frame: 96 weeks

  2. Incidence of Non-ocular Adverse Events (AEs)

    Incidence of non-ocular adverse events (AEs) through 96 weeks.

    Time frame: Day 1 through 96 weeks

  3. Change From Baseline Central Subfield Thickness (CST) in Study Eye

    Central subfield thickness is a measurement of the thickness of the retina in a circular area around the fovea. Least squares mean change from Baseline in central subfield thickness at Week 96 is presented for the study eye.

    Time frame: Baseline through 96 weeks

  4. Change From Baseline in Best Corrected Visual Acuity (BCVA) Score Over Time in the Study Eye

    Least squares mean change from Baseline in BCVA score over time was measured over time through week 96 in the study eye by ETDRS letters.

    Time frame: 96 weeks

  5. Frequency of Supplemental Aflibercept Injections (2 mg IVT) in the Study Eye Over Time During the Study

    Frequency of supplemental aflibercept (2 mg IVT) injections was assessed in the study eye over time during the study. Participants were analyzed according to the study treatments they actually received on Days 1 and 8. The rate of supplemental aflibercept per year = Total number of supplemental aflibercept injections / Total years at-risk (at-risk duration starting at Day 8).

    Time frame: Day 1 through 96 weeks

  6. Incidence of 2-step Improvement in Diabetic Retinopathy Severity Score (DRSS) in the Study Eye Over Time

    Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 2-step improvement indicates an improvement in a participant across 2 steps of the 13-step scale.

    Time frame: From Day 1 through 96 weeks

  7. Incidence of 3-step Improvement in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

    Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 3-step improvement indicates an improvement in a participant across 3 steps of the 13-step scale.

    Time frame: From Day 1 through 96 weeks

  8. Incidence of 2-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

    Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 2-step worsening indicates a worsening across 2 steps of the 13-step scale. Note: 2-step worsening in DRSS was observed in 2 participants in both the control arm and the ADVM-022 6E11 vg/eye arm. These participants experienced ocular adverse events which may have contributed, at least in part, to the worsening in DRSS. This included one participant in the ADVM-022 6E11 vg/eye arm who had a SUSAR of Hypotony of eye (secondary to intraocular inflammation).

    Time frame: From Day 1 through 96 weeks

  9. Incidence of 3-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

    Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 with higher scored indicating more advanced stages of Diabetic Retinopathy. The incidence of 3-step worsening in DRSS score over time at Week 96 is presented. Visits with a 3-step or greater worsening in DRSS were considered separate events. Note: 3-step worsening in DRSS was observed in one participant each in the control arm and the ADVM-022 6E11 vg/eye arm. Both participants experienced ocular adverse events which may have contributed, at least in part, to the worsening in DRSS. This included one participant in the ADVM-022 6E11 vg/eye arm who had a SUSAR of Hypotony of eye (secondary to intraocular inflammation).

    Time frame: From Day 1 through 96 weeks

  10. Occurrence of Any Vision Threatening Complications in the Study Eye (Anterior Segment Neovascularization, Vitreous Hemorrhage, or Any Other High-risk Proliferative DR, or Tractional Retinal Detachment) Over Time Through Week 96

    Occurrence of any vision threatening complication over time though 96 weeks. Results present the incidence of participants who experienced "Any Vision Threatening Complications" (defined as any Vitreous Haemorrhage adverse event (AE), Anterior Segment Neovascularization AE, High-risk proliferative DR (defined as DSSR \>= 71), or Tractional Retinal Detachment AE) in the study eye from Day 1 through 96 weeks. Note: AEs of Vitreous Haemorrhage and High-risk proliferative DR were reported in 1 participant in the control arm and in 2 separate participants in the 6E11 vg/eye arm. No AE of Tractional Retinal Detachment or Anterior Segment Neovascularization occurred.

    Time frame: From Day 1 through 96 weeks

  11. Incidence of CST <300 μm Over Time Through Week 96 in the Study Eye

    Central subfield thickness is a measurement of the thickness of the retina in a circular area around the fovea. Incidence of participants with Central subfield thickness of less than 300 μm over time in the study eye through Week 96 is presented.

    Time frame: Day 1 through 96 weeks

07

Results

Posted Jul 10, 2025
Limitations and caveats
Although this study was initiated as a randomized, double-masked study, the Sponsor and the independent data monitoring committee agreed to unmask the study following an ocular suspected unexpected serious adverse reaction (SUSAR) of Hypotony and concerns regarding the appropriate management of ocular inflammation and hypotony. All participants had reached the 12-week assessment at the time of unmasking.

Participant flow

Two doses of ADVM-022 (Ixo-vec) were investigated, administered with or without a prior loading dose of Aflibercept. The control group received the initial loading dose of Aflibercept (Day 1) but received a Sham injection on Day 8 instead of Ixo-vec. Only one eye was selected as the study eye. After the assigned intravitreal (IVT) injections on Days 1 and 8, clinic visits were on Weeks 2, 4, and every 4 weeks up to Week 96. Consenting participants then entered a long-term follow-up study.

Participant flow — Overall Study
MilestoneADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Started131310
Modified itt (mitt) population12139
Completed1297
Not completed143
Withdrew: Death010
Withdrew: Lost to follow-up022
Withdrew: Subject discontinued by the sponsor101
Withdrew: Pre-existing medical condition010

Outcome measures

PrimaryTime to Worsening of DME Disease Activity in the Study Eye.

Time to worsening of DME disease activity in the study eye through 96 weeks. Time to worsening of DME disease activity defined by either: An increase in CST \> 50 µm as assessed by SD-OCT compared to the lower of the two CST measurements recorded at Day 1 or Week 4; A loss of \> 5 letters in BCVA due to worsening DME disease activity compared to the higher of the two BCVA measurements recorded at Day 1 or Week 4. Number of weeks was relative to Day 1.

Time frame:
Day 1 through 96 weeks
Reported as:
Median · Weeks
Time to Worsening of DME Disease Activity in the Study Eye.
WeeksADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Time to Worsening of DME Disease Activity in the Study Eye.82.1 (12.1 to NA)96.1 (20.6 to NA)19.1 (12.7 to 24.0)
SecondaryIncidence of Ocular Adverse Events (AEs)

Incidence of ocular adverse events (AEs) through 96 weeks

Time frame:
96 weeks
Reported as:
Count of participants · Participants
Incidence of Ocular Adverse Events (AEs)
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of Ocular Adverse Events (AEs)12139
SecondaryIncidence of Non-ocular Adverse Events (AEs)

Incidence of non-ocular adverse events (AEs) through 96 weeks.

Time frame:
Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of Non-ocular Adverse Events (AEs)
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of Non-ocular Adverse Events (AEs)997
SecondaryChange From Baseline Central Subfield Thickness (CST) in Study Eye

Central subfield thickness is a measurement of the thickness of the retina in a circular area around the fovea. Least squares mean change from Baseline in central subfield thickness at Week 96 is presented for the study eye.

Time frame:
Baseline through 96 weeks
Reported as:
Least squares mean · micrometers
Change From Baseline Central Subfield Thickness (CST) in Study Eye
micrometersADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Change From Baseline Central Subfield Thickness (CST) in Study Eye-84.4 (-124.0 to -44.9)-129.7 (-172.2 to -87.3)-129.7 (-176.9 to -82.4)
SecondaryChange From Baseline in Best Corrected Visual Acuity (BCVA) Score Over Time in the Study Eye

Least squares mean change from Baseline in BCVA score over time was measured over time through week 96 in the study eye by ETDRS letters.

Time frame:
96 weeks
Reported as:
Least squares mean · ETDRS letters
Change From Baseline in Best Corrected Visual Acuity (BCVA) Score Over Time in the Study Eye
ETDRS lettersADVM-022 6E11vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Change From Baseline in Best Corrected Visual Acuity (BCVA) Score Over Time in the Study Eye-11.9 (-20.7 to -3.2)10.1 (0.4 to 19.8)17.1 (7.1 to 27.0)
SecondaryFrequency of Supplemental Aflibercept Injections (2 mg IVT) in the Study Eye Over Time During the Study

Frequency of supplemental aflibercept (2 mg IVT) injections was assessed in the study eye over time during the study. Participants were analyzed according to the study treatments they actually received on Days 1 and 8. The rate of supplemental aflibercept per year = Total number of supplemental aflibercept injections / Total years at-risk (at-risk duration starting at Day 8).

Time frame:
Day 1 through 96 weeks
Reported as:
Mean · Injections/year
Frequency of Supplemental Aflibercept Injections (2 mg IVT) in the Study Eye Over Time During the Study
Injections/yearADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Frequency of Supplemental Aflibercept Injections (2 mg IVT) in the Study Eye Over Time During the Study1.001 (0.022 to 1.979)0.423 (0.055 to 0.792)5.54 (3.058 to 8.029)
SecondaryIncidence of 2-step Improvement in Diabetic Retinopathy Severity Score (DRSS) in the Study Eye Over Time

Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 2-step improvement indicates an improvement in a participant across 2 steps of the 13-step scale.

Time frame:
From Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of 2-step Improvement in Diabetic Retinopathy Severity Score (DRSS) in the Study Eye Over Time
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of 2-step Improvement in Diabetic Retinopathy Severity Score (DRSS) in the Study Eye Over Time884
SecondaryIncidence of 3-step Improvement in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 3-step improvement indicates an improvement in a participant across 3 steps of the 13-step scale.

Time frame:
From Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of 3-step Improvement in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of 3-step Improvement in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time340
SecondaryIncidence of 2-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 and is divided into 13-steps used to classify increasing diabetic retinopathy severity (with higher scored indicating more advanced stages of Diabetic Retinopathy). In this endpoint a 2-step worsening indicates a worsening across 2 steps of the 13-step scale. Note: 2-step worsening in DRSS was observed in 2 participants in both the control arm and the ADVM-022 6E11 vg/eye arm. These participants experienced ocular adverse events which may have contributed, at least in part, to the worsening in DRSS. This included one participant in the ADVM-022 6E11 vg/eye arm who had a SUSAR of Hypotony of eye (secondary to intraocular inflammation).

Time frame:
From Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of 2-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of 2-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time202
SecondaryIncidence of 3-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time

Diabetic Retinopathy Severity Score was determined by the Central Reading Center using ultra-wide field color retinopathy fundus photography. The score represents a comprehensive evaluation of retinal health, including the presence of microaneurysms, hemorrhages, and other abnormalities in the retina of the study eye. The score ranges from 10 to 85 with higher scored indicating more advanced stages of Diabetic Retinopathy. The incidence of 3-step worsening in DRSS score over time at Week 96 is presented. Visits with a 3-step or greater worsening in DRSS were considered separate events. Note: 3-step worsening in DRSS was observed in one participant each in the control arm and the ADVM-022 6E11 vg/eye arm. Both participants experienced ocular adverse events which may have contributed, at least in part, to the worsening in DRSS. This included one participant in the ADVM-022 6E11 vg/eye arm who had a SUSAR of Hypotony of eye (secondary to intraocular inflammation).

Time frame:
From Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of 3-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of 3-step Worsening in DRSS (Diabetic Retinopathy Severity Score) in the Study Eye Over Time101
SecondaryOccurrence of Any Vision Threatening Complications in the Study Eye (Anterior Segment Neovascularization, Vitreous Hemorrhage, or Any Other High-risk Proliferative DR, or Tractional Retinal Detachment) Over Time Through Week 96

Occurrence of any vision threatening complication over time though 96 weeks. Results present the incidence of participants who experienced "Any Vision Threatening Complications" (defined as any Vitreous Haemorrhage adverse event (AE), Anterior Segment Neovascularization AE, High-risk proliferative DR (defined as DSSR \>= 71), or Tractional Retinal Detachment AE) in the study eye from Day 1 through 96 weeks. Note: AEs of Vitreous Haemorrhage and High-risk proliferative DR were reported in 1 participant in the control arm and in 2 separate participants in the 6E11 vg/eye arm. No AE of Tractional Retinal Detachment or Anterior Segment Neovascularization occurred.

Time frame:
From Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Occurrence of Any Vision Threatening Complications in the Study Eye (Anterior Segment Neovascularization, Vitreous Hemorrhage, or Any Other High-risk Proliferative DR, or Tractional Retinal Detachment) Over Time Through Week 96
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Occurrence of Any Vision Threatening Complications in the Study Eye (Anterior Segment Neovascularization, Vitreous Hemorrhage, or Any Other High-risk Proliferative DR, or Tractional Retinal Detachment) Over Time Through Week 96201
SecondaryIncidence of CST <300 μm Over Time Through Week 96 in the Study Eye

Central subfield thickness is a measurement of the thickness of the retina in a circular area around the fovea. Incidence of participants with Central subfield thickness of less than 300 μm over time in the study eye through Week 96 is presented.

Time frame:
Day 1 through 96 weeks
Reported as:
Count of participants · Participants
Incidence of CST <300 μm Over Time Through Week 96 in the Study Eye
ParticipantsADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Incidence of CST <300 μm Over Time Through Week 96 in the Study Eye864

Adverse events

Collected over Adverse event data are presented from study treatment on Day 1 through Week 96.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ADVM-022 6E11 vg/Eye0/12 (0%)9/12 (75%)12/12 (100%)
ADVM-022 2E11 vg/Eye1/13 (7.7%)8/13 (61.5%)13/13 (100%)
Aflibercept + Sham0/9 (0%)4/9 (44.4%)9/9 (100%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
CataractEye disorders4/122/131/9
Visual impairmentEye disorders4/120/130/9
Hypotony of eyeEye disorders3/120/130/9
Cataract subcapsularEye disorders2/123/130/9
IridocyclitisEye disorders2/120/130/9
Acute kidney injuryRenal and urinary disorders1/122/131/9
Cardiac failure acuteCardiac disorders0/120/131/9
Cystoid macular oedemaEye disorders0/120/131/9
Localised infectionInfections and infestations0/120/131/9
Diabetic neuropathyNervous system disorders0/120/131/9
Most frequent other events
Showing 10 of 122
Most frequent other events
EventADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + Sham
Iris transillumination defectEye disorders8/124/130/9
IridocyclitisEye disorders7/126/130/9
Anterior chamber cellEye disorders6/124/133/9
Iris adhesionsEye disorders6/125/130/9
Ocular hypertensionEye disorders3/123/134/9
Conjunctival haemorrhageEye disorders5/123/132/9
Diabetic retinal oedemaEye disorders4/123/133/9
CataractEye disorders4/122/130/9
Vitreous floatersEye disorders4/121/130/9
Cataract subcapsularEye disorders4/121/130/9

Baseline characteristics

ITT (Intent to Treat) Population included all participants randomized to treatment. Participants were analyzed as randomized.

Age, Continuous
Age, Continuous(Years)ADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + ShamTotal
Mean62.8 ± 5.9460.5 ± 8.2856.6 ± 5.6860.3 ± 7.09
Sex: Female, Male
Sex: Female, Male(Participants)ADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + ShamTotal
Female64515
Male79521
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + ShamTotal
Hispanic or Latino77620
Not Hispanic or Latino66416
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ADVM-022 6E11 vg/EyeADVM-022 2E11 vg/EyeAflibercept + ShamTotal
American Indian or Alaska Native1001
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American1304
White11101031
More than one race0000
Unknown or Not Reported0000
08

Study locations

14 sites
  • Adverum Clinical Site
    Phoenix, Arizona 85014, United States
  • Adverum Clinical Site
    Bakersfield, California 93309, United States
  • Adverum Clinical Site
    Beverly Hills, California 90211, United States
  • Adverum Clinical Site
    Golden, Colorado 80401, United States
  • Adverum Clinical Site
    Deerfield Beach, Florida 33064, United States
  • Adverum Clinical Site
    Reno, Nevada 89502, United States
  • Adverum Clinical Site
    Philadelphia, Pennsylvania 19107, United States
  • Adverum Clinical Site
    West Columbia, South Carolina 29169, United States
  • Adverum Clinical Site
    Nashville, Tennessee 37203, United States
  • Adverum Clinical Site
    Abilene, Texas 79606, United States
  • Adverum Clinical Site
    Austin, Texas 78705, United States
  • Adverum Clinical Site
    Houston, Texas 77030, United States
  • Adverum Clinical Site
    The Woodlands, Texas 77384, United States
  • Adverum Clinical Site
    Arecibo, 00612, Puerto Rico
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2020 to primary completion in Nov 2022, 29 months.

Results were first posted in Jul 2025, 2 years 7 months after primary completion.

Of 30 industry-sponsored phase 2 interventional studies under Diabetic Retinopathy, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 37. This study's 29 months is close to that.

Counting every sponsor, half of 43 studies reached it within 31 months; a quarter within 17 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
May 28, 2020
First posted
Jun 5, 2020
StartActual
May 28, 2020
Primary completionActual
Nov 22, 2022
CompletionActual
Jun 14, 2023
Results first posted
Jul 10, 2025
Last update
Jul 10, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04418427
Lead sponsor
Adverum Biotechnologies, Inc.
Responsible party
Sponsor
First posted
Jun 5, 2020
Start date
May 28, 2020
Primary completion
Nov 22, 2022
Completion
Jun 14, 2023
Results posted
Jul 10, 2025
Last update
Jul 10, 2025

Study contacts

INFINITY Medical Monitor, MD
study chair · Adverum Biotechnologies, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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