ClinicalTrials.gg
CompletedNCT04465955CATALINAUpdated Jul 1, 2025Results posted

A Study of NGM621 in Participants With Geographic Atrophy

A Phase 2 interventional study of NGM621 and NGM621 in Geographic Atrophy, sponsored by NGM Biopharmaceuticals, Inc. Completed at 65 sites in United States. Open to participants aged 55 Years and older. Per ClinicalTrials.gov, last updated 2025-07-01.

Sponsored by NGM Biopharmaceuticals, Inc · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
320
Allocation
Randomized
Ages
55 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 131 studies in Geographic Atrophy with a site in United States — 35 open to participants now, 45 under way, 5 of them phase 3. Geographic Atrophy · United States.

Enrollment
21st of 107
320 · median 98
Started
2020
with 9 others
Phase 2
43 of 131
11 open now
Registered
70th of 131
by date

Among the 131 studies in Geographic Atrophy with a site in United States, this one is the 21st largest by enrollment of the 107 interventional ones that give a count, is one of 10 that started in 2020, is one of 43 in phase 2, and was the 70th registered.

Geographic Atrophy

188 studies on the registry are indexed under Geographic Atrophy; 52 are open to participants now.

Browse Geographic Atrophy studies →

Open to participants now

35 of the 131 studies in Geographic Atrophy with a site in United States are open now. Recruiting first, the newest first:

30 more — sign in →

All 35 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 40 Geographic Atrophy studies recruiting now, 31 (78%) set no upper age limit and none (0%) stop at 75 or younger; 2 take children under 18; 4 take healthy volunteers.

This study: 55 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a multi-center evaluation of NGM621 in a randomized, double-masked, sham-controlled study in participants with Geographic Atrophy secondary to Age-related Macular Degeneration.

03

Conditions studied

  • Geographic Atrophy

Browse trials for

04

Who can participate

Ages eligible
55 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

  • Male or female (non-pregnant, non-lactating) subjects ≥ 55 years
  • Standard luminance BCVA score of 34 letters or better using ETDRS charts at the starting distance of 4 meters (approximately 20/200 Snellen equivalent or better) in study eye
  • Clinical diagnosis of GA secondary to AMD:

    1. Total GA area must be ≥ 2.5 and ≤ 17.5 mm²
    2. If GA is multifocal, at least one focal lesion must be ≥ 1.25 mm² (0.5 DA), with the overall area of GA ≥ 2.5 and ≤ 17.5 mm²
    3. Well demarcated GA with no anatomical evidence of current or prior CNV in the study eye

Exclusion criteria

Exclusion Criteria:

Study Eye

  • GA secondary to a condition other than AMD in either eye (e.g., monogenetic macular dystrophies like Stargardt disease, cone rod dystrophy, or toxic maculopathies)
  • Any history of or active choroidal neovascularization (CNV)

Both Eyes

  • Any history of or active bacterial, viral, fungal, or parasitic infection in either eye in the 3 months prior to randomization
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
320 participants (actual)

Study arms

  • Experimental
    NGM621 Treatment Group A (every 4 weeks)

    NGM621 single intravitreal (IVT) injection

    Biological: NGM621

  • Experimental
    NGM621 Treatment Group C (every 8 weeks)

    NGM621 single IVT injection

    Biological: NGM621

  • Sham comparator
    Sham Group B (every 4 weeks)

    Sham single IVT injection

    Other: Sham Comparator

  • Sham comparator
    Sham Group D (every 8 weeks)

    Sham single IVT injection

    Other: Sham Comparator

Interventions

  • BiologicalNGM621

    NGM621 Dose 1

  • BiologicalNGM621

    NGM621 Dose 2

  • OtherSham Comparator

    Sham Comparator

06

What researchers measure

Primary outcomes

  1. The Rate of Change From Baseline in Geographic Atrophy (GA) Lesion Area

    The rate of change from baseline in GA lesion area was measured by a non-invasive imaging technique called fundus autofluorescence (FAF) over the 52 weeks of treatment. FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions. The minimal GA lesion area is zero, the maximal GA lesion area is unknown. The higher the GA lesion area, the worse the visual outcome.

    Time frame: Baseline to Week 52

  2. Number of Participants With Ocular Treatment-emergent Adverse Events in the Study Eye

    A treatment-emergent adverse event (TEAE) was an adverse event (AE) that occurred during or after the first dose of study treatment.

    Time frame: Baseline to end of study (Week 56)

Secondary outcomes

  1. The Change From Baseline in Geographic Atrophy (GA) Lesion Area

    Geographic atrophy lesion area was measured by a non-invasive imaging technique called fundus autofluorescence (FAF). FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions. The minimal GA lesion area is zero, the maximal GA lesion area is unknown. The higher the GA lesion area, the worse the visual outcome.

    Time frame: Baseline up to Week 52

  2. The Rate of Change From Baseline in the Square Root of Geographic Atropy (GA) Lesion Area

    Geographic atrophy lesion area was measured by fundus autofluorescence (FAF). FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions.

    Time frame: Baseline up to Week 52

  3. The Change From Baseline in Best Corrected Visual Acuity Score

    Best Corrected Visual Acuity Score is the best possible vision an eye can achieve with corrective lenses, typically glasses or contact lenses. BCVA was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. The change from baseline in BCVA is being report with negative scores indicating an improvement in vision.

    Time frame: Baseline up to Week 52

  4. The Change From Baseline in Low Luminance Visual Acuity Score

    Low Luminance Visual Acuity Score measures vision in low-light conditions. It was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. A lower (negative) LLVA score compared to baseline indicates a decline in visual acuity. A higher (positive) LLVA score compared to baseline indicates an improvement in visual acuity.

    Time frame: Baseline up to Week 52

  5. The Change From Baseline in Low Luminance Deficit Score

    Low Luminance Deficit (LLD) Score was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) letters at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. A LLD is the difference between standard visual acuity and LLVA, with a LLD \>13 ETDRS letters suggesting potential visual abnormality. The change from baseline in LLD is being report with negative scores indicating an improvement in vision.

    Time frame: Baseline up to Week 52

  6. The Change From Baseline in Average Binocular Reading Speed

    Average binocular reading speed was assessed by Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. The change from baseline in average binocular reading speed is reported with a higher (positive) reading speed (wpm) indicates better reading ability, while a lower (negative) reading speed indicates poorer reading ability.

    Time frame: Baseline up to Week 52

  7. The Change From Baseline in Binocular Critical Print Size

    Binocular critical print size was assessed by the Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. MNRead uses a logarithmic scale (LogMAR) to represent print sizes, with each step representing a 0.1 LogMAR difference. The chart ranges from +1.3 LogMAR (equivalent to 20/400 at 40 cm) to -0.5 LogMAR (equivalent to 20/6 at 40 cm). The change from baseline in binocular critical print size is being reported with a higher (positive) LogMAR value for critical print size indicating that a person needs larger print sizes to maintain their maximum reading speed, while a lower (negative) LogMAR value indicates that they can read smaller print sizes at their maximum speed.

    Time frame: Baseline up to Week 52

  8. The Change From Baseline in Binocular Reading Acuity

    Binocular reading acuity was assessed by the Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. MNRead uses a logarithmic scale (LogMAR) to represent print sizes, with each step representing a 0.1 LogMAR difference. The chart ranges from +1.3 LogMAR (equivalent to 20/400 at 40 cm) to -0.5 LogMAR (equivalent to 20/6 at 40 cm). Binocular reading acuity is the smallest print size (in LogMAR) that a person can read easily and accurately. The change from baseline in binocular reading acuity is being reported with a higher LogMAR value for reading acuity indicates poorer reading ability, while a lower LogMAR value indicates better reading ability.

    Time frame: Baseline up to Week 52

  9. The Change From Baseline in Functional Reading Independence Index Composite Score

    The Functional Reading Independence (FRI) Index Composite Score is a 7-item patient questionnaire developed to evaluate the effect of geography atrophy on a patient's ability to independently perform reading activities. The FRI Index yields mean scores ranging from 1-4, with 1=unable to do and 4=totally independent. The FRI Index composite score is calculated by averaging the item-level scores across the seven questions, higher sores indicate better FRI. The change from baseline in FRI is being reported with lower (negative) values indicating a decline in FRI.

    Time frame: Baseline up to Week 52

  10. The Change From Baseline in National Eye Institute Visual Functioning Questionnaire Composite Score

    The National Eye Institute Visual Functioning Questionnaire Composite Score is calculated by averaging the scores of the 11 vision-targeted subscales, excluding the general health rating question, on a scale of 0 to 100, with higher scores indicating better vision-related function. The change from baseline is being reported with a negative value indicating a decline in vision function.

    Time frame: Baseline up to Week 52

  11. The Change From Baseline in Systemic Complement Activity (CH50)

    Systemic Complement Activity is a blood test that measures the overall activity of the complement system, a group of proteins crucial for the immune system's function. Low CH50 levels can be associated with certain infections. CH50 levels of 41 to 90 hemolytic units per mL (U/mL) is considered normal. The change from baseline in CH50 is being reported.

    Time frame: Baseline up to Week 52

  12. Number of Anti-Drug Antibody (ADA)-Negative Participants

    The incidence of anti-drug antibody (ADA) was assessed in serum.

    Time frame: Baseline up to Week 52

07

Results

Posted Jul 1, 2025

Participant flow

A total of 320 participants who met all inclusion criteria and no exclusion criteria were randomized to 1 of 4 treatment groups (NGM621 treatment or sham comparator administered either every 4 weeks or every 8 weeks) at 65 sites in the United States. Participants were randomized to 1 of the 4 treatment groups in a ratio of 2 (NGM621 Q4W):1 (Placebo Q4W):2 (NGM621 Q8W):1 (Placebo Q8W).

Participant flow — Overall Study
MilestoneNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
Started108105107
Received treatment108104106
Completed938993
Not completed151614
Withdrew: Withdrew consent6107
Withdrew: Adverse event651
Withdrew: Lost to follow-up203
Withdrew: Other113

Outcome measures

PrimaryThe Rate of Change From Baseline in Geographic Atrophy (GA) Lesion Area

The rate of change from baseline in GA lesion area was measured by a non-invasive imaging technique called fundus autofluorescence (FAF) over the 52 weeks of treatment. FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions. The minimal GA lesion area is zero, the maximal GA lesion area is unknown. The higher the GA lesion area, the worse the visual outcome.

Time frame:
Baseline to Week 52
Reported as:
Mean · mm^2 per year
The Rate of Change From Baseline in Geographic Atrophy (GA) Lesion Area
mm^2 per yearNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Rate of Change From Baseline in Geographic Atrophy (GA) Lesion Area2.243 ± 0.1382.237 ± 0.1402.393 ± 0.138
Statistical analysis
  • NGM621 Q4W vs Sham Q4W+Q8W · Random coefficient model · p = 0.4345 · Mean difference (final values): -0.150 · 95% CI -0.528 to 0.227Covariates included terms for time, treatment-by-time interaction, baseline fellow eye CNV status, baseline focality, and baseline GA lesion location
  • NGM621 Q8W vs Sham Q4W+Q8W · Random coefficient model · p = 0.4217 · Mean difference (final values): -0.155 · 95% CI -0.536 to 0.225Covariates included terms for time, treatment-by-time interaction, baseline fellow eye CNV status, baseline focality, and baseline GA lesion location
PrimaryNumber of Participants With Ocular Treatment-emergent Adverse Events in the Study Eye

A treatment-emergent adverse event (TEAE) was an adverse event (AE) that occurred during or after the first dose of study treatment.

Time frame:
Baseline to end of study (Week 56)
Reported as:
Count of participants · Participants
Number of Participants With Ocular Treatment-emergent Adverse Events in the Study Eye
ParticipantsNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
Any TEAE575149
Any Treatment-related TEAE651
Any Serious TEAE883
Any TEAE Leading to Treatment Discontinuation010
Any Sight Threatening TEAE663
Any Severe TEAE130
SecondaryThe Change From Baseline in Geographic Atrophy (GA) Lesion Area

Geographic atrophy lesion area was measured by a non-invasive imaging technique called fundus autofluorescence (FAF). FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions. The minimal GA lesion area is zero, the maximal GA lesion area is unknown. The higher the GA lesion area, the worse the visual outcome.

Time frame:
Baseline up to Week 52
Reported as:
Mean · mm^2
The Change From Baseline in Geographic Atrophy (GA) Lesion Area
mm^2NGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Geographic Atrophy (GA) Lesion Area2.172 ± 1.50262.235 ± 1.42032.479 ± 1.4028
SecondaryThe Rate of Change From Baseline in the Square Root of Geographic Atropy (GA) Lesion Area

Geographic atrophy lesion area was measured by fundus autofluorescence (FAF). FAF refers to the spontaneous emission of light by certain substances within the eye when exposed to a specific wavelength of light and involves quantifying the area and progression of atrophic lesions.

Time frame:
Baseline up to Week 52
Reported as:
Mean · mm^2 per year
The Rate of Change From Baseline in the Square Root of Geographic Atropy (GA) Lesion Area
mm^2 per yearNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Rate of Change From Baseline in the Square Root of Geographic Atropy (GA) Lesion Area0.389 ± 0.23520.388 ± 0.22000.423 ± 0.2225
SecondaryThe Change From Baseline in Best Corrected Visual Acuity Score

Best Corrected Visual Acuity Score is the best possible vision an eye can achieve with corrective lenses, typically glasses or contact lenses. BCVA was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. The change from baseline in BCVA is being report with negative scores indicating an improvement in vision.

Time frame:
Baseline up to Week 52
Reported as:
Mean · score on a scale
The Change From Baseline in Best Corrected Visual Acuity Score
score on a scaleNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Best Corrected Visual Acuity Score-2.7 ± 9.55-5.6 ± 12.80-2.7 ± 9.71
SecondaryThe Change From Baseline in Low Luminance Visual Acuity Score

Low Luminance Visual Acuity Score measures vision in low-light conditions. It was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. A lower (negative) LLVA score compared to baseline indicates a decline in visual acuity. A higher (positive) LLVA score compared to baseline indicates an improvement in visual acuity.

Time frame:
Baseline up to Week 52
Reported as:
Mean · score on a scale
The Change From Baseline in Low Luminance Visual Acuity Score
score on a scaleNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Low Luminance Visual Acuity Score0.1 ± 12.38-1.4 ± 12.45-2.31 ± 13.00
SecondaryThe Change From Baseline in Low Luminance Deficit Score

Low Luminance Deficit (LLD) Score was assessed by the Early Treatment of Diabetic Retinopathy Study (ETDRS) letters at a starting distance of 4 meters. ETDRS letter score is calculated when \>20 letters are read correctly at 4.0 meters; the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters plus 30. If \<20 letters are read correctly at 4.0 meters, the visual acuity letter score is equal to the total number of letters read correctly at 4.0 meters (number of letters recorded on line 1.0), plus the total number of letters in the first six lines read correctly at 1.0 meter. Therefore, the ETDRS letter score could result in a score of 0-100, where lower scores indicate better vision. A LLD is the difference between standard visual acuity and LLVA, with a LLD \>13 ETDRS letters suggesting potential visual abnormality. The change from baseline in LLD is being report with negative scores indicating an improvement in vision.

Time frame:
Baseline up to Week 52
Reported as:
Mean · score on a scale
The Change From Baseline in Low Luminance Deficit Score
score on a scaleNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Low Luminance Deficit Score-2.9 ± 13.48-5.3 ± 16.16-0.5 ± 14.10
SecondaryThe Change From Baseline in Average Binocular Reading Speed

Average binocular reading speed was assessed by Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. The change from baseline in average binocular reading speed is reported with a higher (positive) reading speed (wpm) indicates better reading ability, while a lower (negative) reading speed indicates poorer reading ability.

Time frame:
Baseline up to Week 52
Reported as:
Mean · words per minute
The Change From Baseline in Average Binocular Reading Speed
words per minuteNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Average Binocular Reading Speed-9.17 ± 39.154-16.90 ± 36.853-8.70 ± 39.844
SecondaryThe Change From Baseline in Binocular Critical Print Size

Binocular critical print size was assessed by the Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. MNRead uses a logarithmic scale (LogMAR) to represent print sizes, with each step representing a 0.1 LogMAR difference. The chart ranges from +1.3 LogMAR (equivalent to 20/400 at 40 cm) to -0.5 LogMAR (equivalent to 20/6 at 40 cm). The change from baseline in binocular critical print size is being reported with a higher (positive) LogMAR value for critical print size indicating that a person needs larger print sizes to maintain their maximum reading speed, while a lower (negative) LogMAR value indicates that they can read smaller print sizes at their maximum speed.

Time frame:
Baseline up to Week 52
Reported as:
Mean · logMAR
The Change From Baseline in Binocular Critical Print Size
logMARNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Binocular Critical Print Size-0.01 ± 0.290-0.01 ± 0.3340 ± 0.280
SecondaryThe Change From Baseline in Binocular Reading Acuity

Binocular reading acuity was assessed by the Minnesota Low-Vision Reading Test (MNRead) or Radner reading charts. MNRead uses a logarithmic scale (LogMAR) to represent print sizes, with each step representing a 0.1 LogMAR difference. The chart ranges from +1.3 LogMAR (equivalent to 20/400 at 40 cm) to -0.5 LogMAR (equivalent to 20/6 at 40 cm). Binocular reading acuity is the smallest print size (in LogMAR) that a person can read easily and accurately. The change from baseline in binocular reading acuity is being reported with a higher LogMAR value for reading acuity indicates poorer reading ability, while a lower LogMAR value indicates better reading ability.

Time frame:
Baseline up to Week 52
Reported as:
Mean · logMAR
The Change From Baseline in Binocular Reading Acuity
logMARNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Binocular Reading Acuity0.047 ± 0.27600.086 ± 0.28120.058 ± 0.2455
SecondaryThe Change From Baseline in Functional Reading Independence Index Composite Score

The Functional Reading Independence (FRI) Index Composite Score is a 7-item patient questionnaire developed to evaluate the effect of geography atrophy on a patient's ability to independently perform reading activities. The FRI Index yields mean scores ranging from 1-4, with 1=unable to do and 4=totally independent. The FRI Index composite score is calculated by averaging the item-level scores across the seven questions, higher sores indicate better FRI. The change from baseline in FRI is being reported with lower (negative) values indicating a decline in FRI.

Time frame:
Baseline up to Week 52
Reported as:
Mean · score on a scale
The Change From Baseline in Functional Reading Independence Index Composite Score
score on a scaleNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Functional Reading Independence Index Composite Score-0.14 ± 0.597-0.15 ± 0.512-0.20 ± 0.675
SecondaryThe Change From Baseline in National Eye Institute Visual Functioning Questionnaire Composite Score

The National Eye Institute Visual Functioning Questionnaire Composite Score is calculated by averaging the scores of the 11 vision-targeted subscales, excluding the general health rating question, on a scale of 0 to 100, with higher scores indicating better vision-related function. The change from baseline is being reported with a negative value indicating a decline in vision function.

Time frame:
Baseline up to Week 52
Reported as:
Mean · score on a scale
The Change From Baseline in National Eye Institute Visual Functioning Questionnaire Composite Score
score on a scaleNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in National Eye Institute Visual Functioning Questionnaire Composite Score-1.97 ± 11.075-3.74 ± 10.024-2.96 ± 11.549
SecondaryThe Change From Baseline in Systemic Complement Activity (CH50)

Systemic Complement Activity is a blood test that measures the overall activity of the complement system, a group of proteins crucial for the immune system's function. Low CH50 levels can be associated with certain infections. CH50 levels of 41 to 90 hemolytic units per mL (U/mL) is considered normal. The change from baseline in CH50 is being reported.

Time frame:
Baseline up to Week 52
Reported as:
Mean · units/mL
The Change From Baseline in Systemic Complement Activity (CH50)
units/mLNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
The Change From Baseline in Systemic Complement Activity (CH50)18.16 ± 51.33924.17 ± 56.24426.595 ± 54.077
SecondaryNumber of Anti-Drug Antibody (ADA)-Negative Participants

The incidence of anti-drug antibody (ADA) was assessed in serum.

Time frame:
Baseline up to Week 52
Reported as:
Count of participants · Participants
Number of Anti-Drug Antibody (ADA)-Negative Participants
ParticipantsNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
Number of Anti-Drug Antibody (ADA)-Negative Participants938685

Adverse events

Collected over Adverse events were collected from screening, baseline, Week 1 and every 4 weeks thereafter up to end of study (Week 56).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NGM621 Q4W4/108 (3.7%)32/108 (29.6%)33/108 (30.6%)
NGM621 Q8W2/104 (1.9%)24/104 (23.1%)34/104 (32.7%)
Sham Q4W+Q8W2/106 (1.9%)29/106 (27.4%)31/106 (29.2%)
Most frequent serious events
Showing 10 of 79
Most frequent serious events
EventNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
Dry age-related macular degenerationEye disorders4/1084/1043/106
Visual acuity reducedEye disorders2/1083/1040/106
PneumoniaInfections and infestations0/1082/1043/106
FallInjury, poisoning and procedural complications3/1081/1041/106
Visual impairmentEye disorders1/1082/1041/106
Atrial fibrillationCardiac disorders0/1082/1042/106
Cardiac failure acuteCardiac disorders0/1082/1041/106
COVID-19Infections and infestations2/1080/1042/106
Cardiac failure congestiveCardiac disorders2/1080/1041/106
COVID-19 pneumoniaInfections and infestations2/1081/1040/106
Most frequent other events
Most frequent other events
EventNGM621 Q4WNGM621 Q8WSham Q4W+Q8W
Conjunctival haemorrhageEye disorders14/10814/1048/106
Visual acuity reducedEye disorders5/1088/1046/106
Visual impairmentEye disorders5/1087/1044/106
Dry age-related macular degenerationEye disorders7/1085/1047/106
Retinal haemorrhage (fellow eye)Eye disorders2/1080/1046/106

Baseline characteristics

Demographic characteristics were assessed in the modified Intent-to-Treat population.

Age, Continuous
Age, Continuous(years)NGM621 Q4WNGM621 Q8WSham Q4W+Q8WTotal
Mean78.5 ± 8.1779.1 ± 7.5177.6 ± 8.4278.4 ± 8.04
Sex: Female, Male
Sex: Female, Male(Participants)NGM621 Q4WNGM621 Q8WSham Q4W+Q8WTotal
Female676368198
Male414138120
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)NGM621 Q4WNGM621 Q8WSham Q4W+Q8WTotal
American Indian or Alaska Native0011
Asian0123
Black or African American0011
Multiple1001
Other0112
White107102101310
Region of Enrollment
Region of Enrollment(participants)NGM621 Q4WNGM621 Q8WSham Q4W+Q8WTotal
United States108104106318
08

Study locations

65 sites
  • Associated Retina Consultants
    Phoenix, Arizona 85020, United States
  • California Retina Consultants
    Bakersfield, California 93309, United States
  • Retina Vitreous Associates
    Beverly Hills, California 90211, United States
  • Retinal Diagnostic Center
    Campbell, California 95008, United States
  • The Retina Partners
    Encino, California 91436, United States
  • Retina Consultants of Orange County
    Fullerton, California 92835, United States
  • Loma Linda University Health
    Loma Linda, California 92354, United States
  • University of California Los Angeles
    Los Angeles, California 90095, United States
  • Northern California Retina Vitreous Associates
    Mountain View, California 94040, United States
  • Retina Institute of California
    Palm Desert, California 92260, United States
  • California Eye Specialists
    Pasadena, California 91107, United States
  • Retina Consultants San Diego
    Poway, California 92064, United States
  • Retinal Consultants Medical Group Inc
    Sacramento, California 95841, United States
  • University of California San Francisco
    San Francisco, California 94143, United States
  • Orange County Retina Medical Group
    Santa Ana, California 92705, United States
  • California Retina Consultants
    Santa Barbara, California 93103, United States
  • Retina Consultants of Southern Colorado PC
    Colorado Springs, Colorado 80909, United States
  • Colorado Retina Associates PC
    Golden, Colorado 80401, United States
  • New England Retina Associates PC
    Waterford, Connecticut 06385, United States
  • Florida Eye Microsurgical Institute
    Boynton Beach, Florida 33426, United States
  • University of Miami
    Coral Gables, Florida 33146, United States
  • Specialty Retina Center (Coral Springs)
    Coral Springs, Florida 33067, United States
  • Retina Group of Florida
    Fort Lauderdale, Florida 33308, United States
  • National Ophthalmic Research Institute
    Fort Myers, Florida 33912, United States
  • Florida Eye Associates
    Melbourne, Florida 32901, United States
  • Retina Specialty Institute
    Pensacola, Florida 32503, United States
  • Southern Vitreoretinal Associates
    Tallahassee, Florida 32308, United States
  • Retina Vitreous Associates of Florida
    Tampa, Florida 33607, United States
  • Georgia Retina PC
    Marietta, Georgia 30060, United States
  • Gailey Eye Clinic - Bloomington
    Bloomington, Illinois 61704, United States
  • University of Illinois
    Chicago, Illinois 60612, United States
  • University Retina and Macula Associates, PC
    Lemont, Illinois 60439, United States
  • Raj K. Maturi, MD, PC
    Indianapolis, Indiana 46290, United States
  • Retina Associates, PA
    Shawnee Mission, Kansas 66204, United States
  • Thompson Sjaarda, PA
    Baltimore, Maryland 21204, United States
  • Elman Retina Group PA
    Baltimore, Maryland 21237, United States
  • Ophthalmic Consultants of Boston
    Boston, Massachusetts 02114, United States
  • Associated Retina Consultants PC
    Royal Oak, Michigan 48073, United States
  • Associated Retina Consultants PC
    Traverse City, Michigan 49686, United States
  • Vitreoretinal Surgery PA
    Minneapolis, Minnesota 55435, United States
  • Deep Blue Retina Clinical Research
    Southaven, Mississippi 38671, United States
  • Sierra Eye Associates
    Reno, Nevada 89502, United States
  • Long Island Vitreoretinal Consultants
    Great Neck, New York 11021, United States
  • Vitreous Retina Macula Consultants of NY
    New York, New York 10022, United States
  • Albany Troy Cataract & Laser Associates
    Troy, New York 12180, United States
  • Western Carolina Retinal Associates
    Asheville, North Carolina 18803, United States
  • Southeast Clinical Research
    Charlotte, North Carolina 28210, United States
  • Duke University
    Durham, North Carolina 27705, United States
  • Sterling Research Group, Ltd.
    Cincinnati, Ohio 45219, United States
  • Retina Associates of Cleveland
    Cleveland, Ohio 44122, United States
  • The Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Cascade Medical Research Institute
    Springfield, Oregon 97477, United States
  • Eye Care Specialists
    Kingston, Pennsylvania 18704, United States
  • Retinovitreous Associates
    Philadelphia, Pennsylvania 19107, United States
  • Black Hills Regional Eye Institute
    Rapid City, South Dakota 57701, United States
  • Southeastern Retina Associates
    Knoxville, Tennessee 37922, United States
  • Tennessee Retina
    Nashville, Tennessee 37203, United States
  • Texas Retina Associates
    Arlington, Texas 76012, United States
  • Retina Foundation of the Southwest
    Dallas, Texas 75231, United States
  • Texas Retina Associates-Plano
    Dallas, Texas 75231, United States
  • Retina Consultants of Houston
    Houston, Texas 77030, United States
  • Retina Consultants of Houston
    The Woodlands, Texas 77384, United States
  • Strategic Clinical Research Group, LLC
    Willow Park, Texas 76087, United States
  • University of Virginia
    Charlottesville, Virginia 22903, United States
  • Spokane Eye Clinical Research
    Spokane, Washington 99204, United States
09

References and documents

Publications

  • Tzoumas N, Riding G, Williams MA, Steel DH. Complement inhibitors for age-related macular degeneration. Cochrane Database Syst Rev. 2023 Jun 14;6(6):CD009300. doi: 10.1002/14651858.CD009300.pub3. PubMed 37314061 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Since the study did not meet the study endpoints, there is no plan to make IPD available to other researchers.

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 Jul 2020 to primary completion in Aug 2022, 24 months.

Results were first posted in Jul 2025, 2 years 10 months after primary completion. A results delay was requested in May 2023.

Of 24 phase 2 interventional studies under Geographic Atrophy, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 54. This study's 24 months is below that.

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

Registered
Jul 1, 2020
First posted
Jul 10, 2020
StartActual
Jul 22, 2020
Primary completionActual
Aug 16, 2022
CompletionActual
Aug 16, 2022
Results delay requested
May 31, 2023
Results first posted
Jul 1, 2025
Last update
Jul 1, 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 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04465955
Responsible party
Sponsor
First posted
Jul 10, 2020
Start date
Jul 22, 2020
Primary completion
Aug 16, 2022
Completion
Aug 16, 2022
Results posted
Jul 1, 2025
Last update
Jul 1, 2025

Study contacts

NGM Study Director
study director · NGM Biopharmaceuticals

Oversight

Data monitoring committee
No
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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Discussion

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Studies of the drug tested here: NGM-621

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