A Phase 3 interventional study of 2.0 mg OPT-302 and 2.0 aflibercept in Neovascular Age-related Macular Degeneration, sponsored by Opthea Limited. Terminated at 209 sites in 30 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2025-08-05.
Sponsored by Opthea Limited · Phase 3, Interventional, and Treatment
A 2-year phase 3, multicentre, randomised, parallel-group, sham-controlled, double-masked study. Primary efficacy will be determined at Week 52.
93 studies on the registry are indexed under Wet Macular Degeneration; 10 are open to participants now.
This study's enrollment of 998 is above the median of 101 across 74 interventional studies indexed under Wet Macular Degeneration.
Browse Wet Macular Degeneration studies →Opthea Limited is the lead sponsor of 5 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
Main Exclusion Criteria:
Any current (or history of a) social, psychological, or medical condition that precludes enrolment into the study.
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.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals. 2.0 mg OPT-302 intravitreal injection administered at 4-weekly intervals.
Biological: 2.0 mg OPT-302 · Biological: 2.0 aflibercept
2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals. 2.0 mg OPT-302 intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals, with sham intravitreal injection administered at visits when OPT-302 is not.
Biological: 2.0 mg OPT-302 · Biological: 2.0 aflibercept
2.0 mg aflibercept intravitreal injection administered at 4-weekly intervals for three treatments, and then at 8-weekly intervals. Sham intravitreal injection administered at 4-weekly intervals.
Biological: 2.0 aflibercept · Procedure: Sham
intravitreal injection
intravitreal injection
intravitreal injection
Mean Change in Early Treatment Retinopathy Study (ETDRS) Best-corrected Visual Acuity (BCVA) Letters
To determine the efficacy of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of change in ETDRS BCVA letter score in the study eye from Baseline to Week 52. The primary analysis presented used mixed model for repeated measures in the overall population. (A positive outcome measure means an improvement in ETDRS BCVA letter score from baseline; a negative outcome measure means a deterioration in ETDRS BCVA letter score from baseline)
Time frame: Baseline to Week 52
Proportion of Participants Gaining 15 or More ETDRS BCVA Letters
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants gaining 15 or more letters in ETDRS BCVA in the study eye from Baseline to Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
Time frame: Baseline to Week 52
Proportion of Participants Gaining 10 or More ETDRS BCVA Letters
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants gaining 10 or more letters in ETDRS BCVA in the study eye from Baseline to Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
Time frame: Baseline to Week 52
Change in Choroidal Neovascularisation (CNV) Area by Fluorescein Angiography (FA)
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of change in CNV area as measured by FA in the study eye from Baseline to Week 52. The secondary analysis presented used mixed model for repeated measures in the overall population.
Time frame: Baseline to Week 52
Proportion of Participants With Absence of Both Sub-retinal Fluid and Intra-retinal Cysts by SD-OCT
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants with absence of both sub-retinal fluid and intra-retinal cysts by SD-OCT in the study eye at Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
Time frame: at Week 52
Participants 50 years or older with active subfoveal CNV lesion or juxtafoveal CNV lesion with foveal involvement that is secondary to AMD in the study eye with an ETDRS BCVA score between 60 and 25 (inclusive) letters in the study eye.
| Milestone | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Started | 333 | 330 | 335 |
| Treated | 333 | 330 | 333 |
| Completed week 52 visit | 300 | 305 | 308 |
| Completed | 172 | 173 | 172 |
| Not completed | 161 | 157 | 163 |
| Withdrew: Adverse event | 25 | 8 | 11 |
| Withdrew: Death | 9 | 12 | 6 |
| Withdrew: Lack of efficacy | 2 | 0 | 0 |
| Withdrew: Lost to follow-up | 1 | 6 | 7 |
| Withdrew: Physician decision | 1 | 3 | 4 |
| Withdrew: Withdrawal by subject | 20 | 23 | 18 |
| Withdrew: Discontinued study treatment at or prior to week 52 | 0 | 1 | 0 |
| Withdrew: Study terminated by sponsor | 103 | 104 | 114 |
| Withdrew: Sponsor decision | 0 | 0 | 1 |
| Withdrew: Randomized in error | 0 | 0 | 2 |
To determine the efficacy of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of change in ETDRS BCVA letter score in the study eye from Baseline to Week 52. The primary analysis presented used mixed model for repeated measures in the overall population. (A positive outcome measure means an improvement in ETDRS BCVA letter score from baseline; a negative outcome measure means a deterioration in ETDRS BCVA letter score from baseline)
| Letters read | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Mean Change in Early Treatment Retinopathy Study (ETDRS) Best-corrected Visual Acuity (BCVA) Letters | 13.48 ± 0.729 | 12.82 ± 0.728 | 13.66 ± 0.728 |
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants gaining 15 or more letters in ETDRS BCVA in the study eye from Baseline to Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
| Participants | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Proportion of Participants Gaining 15 or More ETDRS BCVA Letters | 167 | 156 | 162 |
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants gaining 10 or more letters in ETDRS BCVA in the study eye from Baseline to Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
| Participants | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Proportion of Participants Gaining 10 or More ETDRS BCVA Letters | 204 | 197 | 204 |
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of change in CNV area as measured by FA in the study eye from Baseline to Week 52. The secondary analysis presented used mixed model for repeated measures in the overall population.
| mm^2 | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Change in Choroidal Neovascularisation (CNV) Area by Fluorescein Angiography (FA) | -4.91 ± 0.165 | -4.92 ± 0.166 | -4.61 ± 0.166 |
To determine the effects of intravitreal 2.0 mg OPT-302 when administered in combination with intravitreal 2.0 mg aflibercept, in participants with neovascular age-related macular degeneration (nAMD), in terms of proportion of participants with absence of both sub-retinal fluid and intra-retinal cysts by SD-OCT in the study eye at Week 52. The secondary analysis presented used multiple imputation analysis assuming missing at random in the overall population.
| Participants | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| Proportion of Participants With Absence of Both Sub-retinal Fluid and Intra-retinal Cysts by SD-OCT | 30 | 32 | 29 |
Collected over From Baseline to Week 100. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 9/333 (2.7%) | 71/333 (21.3%) | 288/333 (86.5%) |
| 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 12/330 (3.6%) | 61/330 (18.5%) | 290/330 (87.9%) |
| 2.0 mg Aflibercept With Sham | 6/330 (1.8%) | 68/330 (20.6%) | 282/330 (85.5%) |
| Event | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| PneumoniaInfections and infestations | 7/333 | 4/330 | 7/330 |
| Atrial fibrillationCardiac disorders | 2/333 | 4/330 | 4/330 |
| Acute myocardial infarctionCardiac disorders | 4/333 | 1/330 | 1/330 |
| CholecystitisHepatobiliary disorders | 0/333 | 1/330 | 3/330 |
| EndophthalmitisInfections and infestations | 3/333 | 0/330 | 2/330 |
| Cardiac failureCardiac disorders | 3/333 | 2/330 | 2/330 |
| SepsisInfections and infestations | 3/333 | 2/330 | 1/330 |
| Urinary tract infectionInfections and infestations | 3/333 | 0/330 | 0/330 |
| CataractEye disorders | 1/333 | 2/330 | 0/330 |
| Retinal haemorrhageEye disorders | 0/333 | 2/330 | 2/330 |
| Event | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham |
|---|---|---|---|
| CataractEye disorders | 83/333 | 62/330 | 47/330 |
| COVID-19Infections and infestations | 31/333 | 32/330 | 35/330 |
| Intraocular pressure increasedInvestigations | 32/333 | 31/330 | 11/330 |
| HypertensionVascular disorders | 12/333 | 12/330 | 31/330 |
| Neovascular age-related macular degenerationEye disorders | 29/333 | 27/330 | 30/330 |
| NasopharyngitisInfections and infestations | 22/333 | 23/330 | 29/330 |
| Urinary tract infectionInfections and infestations | 18/333 | 25/330 | 20/330 |
| Conjunctival haemorrhageEye disorders | 17/333 | 24/330 | 13/330 |
| Back painMusculoskeletal and connective tissue disorders | 24/333 | 14/330 | 19/330 |
| HeadacheNervous system disorders | 18/333 | 19/330 | 19/330 |
Modified Intent-to-Treat (mITT) dataset comprised all randomised participants with at least one dose of study medication. Participants were analysed according to the study medication to which they were randomised for all efficacy analyses. Data from 3 participants at a single site (all randomised to the Aflibercept + Sham arm) were excluded from all analyses based on study site noncompliance with potentially signficant impact to reliability of data.
| Age, Categorical(Participants) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 39 | 32 | 34 | 105 |
| >=65 years | 294 | 298 | 296 | 888 |
| Age, Continuous(years) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| Mean | 74.3 ± 7.80 | 74.9 ± 7.97 | 75.2 ± 8.28 | 74.8 ± 8.02 |
| Sex: Female, Male(Participants) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| Female | 190 | 183 | 184 | 557 |
| Male | 143 | 147 | 146 | 436 |
| Ethnicity (NIH/OMB)(Participants) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| Hispanic or Latino | 4 | 2 | 6 | 12 |
| Not Hispanic or Latino | 83 | 81 | 77 | 241 |
| Unknown or Not Reported | 246 | 247 | 247 | 740 |
| Race (NIH/OMB)(Participants) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 3 | 9 | 6 | 18 |
| Asian | 29 | 25 | 29 | 83 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 1 |
| White | 288 | 287 | 281 | 856 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 12 | 9 | 14 | 35 |
| Early Treatment Retinopathy Study (ETDRS) Best-Corrected Visual Acuity (BCVA) Letters(letters read) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| Mean | 52.8 ± 9.04 | 52.3 ± 9.63 | 52.4 ± 9.65 | 52.5 ± 9.44 |
| Choroidal Neovascularisation (CNV) Area by Fluorescein Angiography (FA)(mm^2) | 2.0 mg Aflibercept With Standard Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Extended Dosing 2.0 mg OPT-302 | 2.0 mg Aflibercept With Sham | Total |
|---|---|---|---|---|
| Mean | 6.16 ± 3.277 | 6.47 ± 3.137 | 6.54 ± 3.185 | 6.39 ± 3.199 |
Showing the first 100 of 209 sites across 30 countries. Choose a country and city above to see the rest.
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Mar 2021 to primary completion in Mar 2025, 48 months.
Results were first posted in Aug 2025, 4 months after primary completion.
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This study is terminated, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Sozinibercept
Opthea Limited