ClinicalTrials.gg
Active, not recruitingNCT05536973Updated Oct 27, 2026

Safety and Efficacy of ADVM-022 in Treatment-Experienced Patients With Neovascular Age-related Macular Degeneration [LUNA]

A Phase 2 interventional study of ADVM-022 and ADVM-022 in Neovascular Age-related Macular Degeneration, sponsored by Adverum Biotechnologies, Inc.. Active, not recruiting at 39 sites in 3 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

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

Phase
Phase 2
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

Neovascular or wet age-related macular degeneration (nAMD) is a degenerative ocular disease associated with the infiltration of abnormal blood vessels in the retina from the underlying choroid layer and is a leading cause of blindness in patients over 65 years of age. The abnormal angiogenic process in nAMD is stimulated and modulated by vascular endothelial growth factor (VEGF). Treatment of nAMD requires frequent intravitreal (IVT) injections of VEGF inhibitors (anti-VEGF) administered every 4-16 weeks. ADVM-022 (AAV.7m8-aflibercept) is a gene therapy product being developed for the treatment of nAMD and offers the potential for sustained intraocular expression of aflibercept following a single IVT injection. ADVM-022 is designed to reduce the current treatment burden which often results in undertreatment and vision loss in patients with nAMD receiving anti-VEGF therapy in clinical practice.

Read the detailed description

This Phase 2, multi-center, randomized, double-masked, parallel group study is designed to evaluate the safety, tolerability, and efficacy of a single IVT injection of ADVM-022 at one of two doses (2 × 10\^11 vg/eye [2E11] or 6 × 10\^10 vg/eye [6E10]) accompanied by one of four prophylactic corticosteroid treatment regimens.

Anti-VEGF treatment-experienced study participants meeting the eligibility criteria that will be randomized between the 2E11 vg/eye and 6E10 vg/eye ADVM-022 doses each with 4 prophylaxis arms for a total of 8 treatment arms, and only one eye per study participant will be selected as the study eye.

Safety, tolerability, and efficacy will be evaluated for a period of approximately 5 years from baseline.

02

Conditions studied

  • Neovascular Age-related Macular Degeneration

Keywords

  • Aflibercept
  • Best Corrected Visual Acuity
  • Adverum
  • ADVM
  • ADVM-022
  • ADVM-022-11
  • Age-related macular degeneration
  • Wet macular degeneration
  • Wet AMD
  • Choroidal neovascularization
  • CNV
  • AAV.7m8
  • Anti-VEGF therapy
  • Gene therapy
  • Blindness
  • AAV
  • AAV vector
  • nAMD
  • wAMD
  • Eye disease
  • Eye diseases
03

In context

Macular Degeneration

1,459 studies on the registry are indexed under Macular Degeneration; 238 are open to participants now.

This study's enrollment of 69 is above the median of 56 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration 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
50 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 participants, ≥ 50 years of age
  • Willing and able to provide written, signed for this study
  • Demonstrated a meaningful response to anti-VEGF therapy
  • Participants must be under active anti-VEGF treatment for wet AMD and received a minimum of 2 injections within 4 months prior to screening for the treatment of choroidal neovascularization secondary to nAMD in the study eye
  • Vision of the study eye at Baseline: BCVA in the range of 25 - 83 ETDRS letters, inclusive (approximate Snellen equivalent visual acuity range of 20/25 - 20/320)
  • Vision of the non-study eye at Baseline: BCVA ≥ 35 ETDRS letters (approximate Snellen equivalent of 20/200 or better)

Exclusion criteria

Exclusion Criteria:

  • Any condition that could affect the interpretation of results or render the participant at high risk of treatment complications in the opinion of the Investigator
  • Ocular or periocular infection or intraocular inflammation in either eye within 1 month prior to or at the Randomization Visit (Day -7)
  • Uncontrolled diabetes or ≥ 7.0 %
  • History or evidence of significant uncontrolled concomitant disease within 6 months of the Screening visit
  • Any history of ongoing bleeding disorders or >3.0
  • History or evidence of macular or retinal disease other than nAMD
  • History or evidence of retinal detachment or retinal pigment epithelium rip/tear
  • Uncontrolled ocular hypertension or glaucoma
  • Prior treatment with photodynamic therapy or retinal laser for the treatment of nAMD
  • Any history of vitrectomy or any other vitreoretinal surgery
  • Prior treatment with gene therapy at any time or any non-gene therapy treatment or medical device in the study eye within 3 months of the Screening Visit or 5 half-lives of the investigational medicinal product
Terms in these criteria, in plain language(4)

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
69 participants (actual)

Study arms

  • Experimental
    Dose 1

    A single intravitreal injection of ADVM-022 2E11 vg/eye

    Genetic: ADVM-022

  • Experimental
    Dose 2

    A single intravitreal injection of ADVM-022 6E10 vg/eye

    Genetic: ADVM-022

Interventions

  • GeneticADVM-022

    A single IVT injection of 2E11 vg/eye ADVM-022 dose in combination with one (1) of four (4) corticosteroid treatment regimens

  • GeneticADVM-022

    A single IVT injection of 6E10 vg/eye ADVM-022 dose in combination with one (1) of four (4) corticosteroid treatment regimens

06

What researchers measure

Primary outcomes

  1. Incidence of ocular and non-ocular adverse events

    Incidence of ocular and non-ocular adverse events

    Time frame: Up to Week 52

  2. Severity of ocular and non-ocular adverse events

    Severity of ocular and non-ocular adverse events

    Time frame: Up to Week 52

  3. Mean change in best corrected visual acuity (BCVA) from Baseline

    BCVA measured by Early Treatment Diabetic Retinopathy Study (ETDRS)

    Time frame: Baseline up to Week 52

Secondary outcomes

  1. Percentage of participants from Baseline who lose/gain at least 5, 10 or 15 letters in BCVA

    BCVA measured by ETDRS

    Time frame: Baseline up to 5 years

  2. Mean change in BCVA from Baseline

    BCVA measured by ETDRS

    Time frame: Baseline up to 5 years

  3. Percentage of participants who are supplemental aflibercept injection-free

    Supplemental anti-VEGF treatments required post therapy

    Time frame: Baseline up to 5 years

  4. Percent reduction in annualized anti-VEGF injections

    Supplemental annualized anti-VEGF treatments required post therapy to the year prior

    Time frame: Baseline up to 5 years

  5. Mean change in Central Subfield Thickness (CST) from Baseline

    To evaluate the effect of ADVM-022 on CST

    Time frame: Baseline up to 5 years

  6. Percentage of participants without CST fluctuations

    To evaluate the effect of ADVM-022 on CST

    Time frame: Baseline up to 5 years

  7. Mean number of CST fluctuations from Baseline

    To evaluate the effect of ADVM-022 on CST

    Time frame: Baseline up to 5 years

  8. Percentage of participants without post-prophylactic inflammation

    To assess the long-term safety and tolerability of a single IVT injection of ADVM-022

    Time frame: Baseline up to 5 years

  9. Incidence of ocular and non-ocular adverse events

    To assess the long-term safety and tolerability of a single IVT injection of ADVM-022

    Time frame: Up to 60 months

  10. Severity of ocular and non-ocular adverse events

    To assess the long-term safety and tolerability of a single IVT injection of ADVM-022

    Time frame: Up to 60 months

07

Study locations

39 sites
  • Adverum Clinical Site 178
    Phoenix, Arizona 85020, United States
  • Adverum Clinical Site 126
    Phoenix, Arizona 85053, United States
  • Adverum Clinical Site 159
    Tucson, Arizona 85704, United States
  • Adverum Clinical Site 100
    Beverly Hills, California 90211, United States
  • Adverum Clinical Site 172
    Encino, California 91436, United States
  • Adverum Clinical Site 169
    Fullerton, California 92835, United States
  • Adverum Clinical Site 170
    Pasadena, California 91105, United States
  • Adverum Clinical Site 174
    Poway, California 92064, United States
  • Adverum Clinical Site 164
    Riverside, California 92505, United States
  • Adverum Clinical Site 166
    Sacramento, California 95817, United States
  • Adverum Clinical Site 175
    Santa Barbara, California 93103, United States
  • Adverum Clinical Site 116
    Lakewood, Colorado 80228, United States
  • Adverum Clinical Site 165
    Waterford, Connecticut 06385, United States
  • Adverum Clinical Site 124
    Deerfield Beach, Florida 33064, United States
  • Adverum Clinical Site 176
    Fort Lauderdale, Florida 33308, United States
  • Adverum Clinical Site 168
    Jacksonville, Florida 32216, United States
  • Adverum Clinical Site 149
    ‘Aiea, Hawaii 96701, United States
  • Adverum Clinical Site 167
    Detroit, Michigan 48201, United States
  • Adverum Clinical Site 161
    Royal Oak, Michigan 48073, United States
  • Adverum Clinical Site 163
    Southaven, Mississippi 38671, United States
  • Adverum Clinical Site 177
    Omaha, Nebraska 68105, United States
  • Adverum Clinical Site 119
    Reno, Nevada 89502, United States
  • Adverum Clinical Site 146
    Cherry Hill, New Jersey 08034, United States
  • Adverum Clinical Site 171
    Teaneck, New Jersey 07666, United States
  • Adverum Clinical Site 122
    West Columbia, South Carolina 29169, United States
  • Adverum Clinical Site 144
    Rapid City, South Dakota 57701, United States
  • Adverum Clinical Site 101
    Nashville, Tennessee 37203, United States
  • Adverum Clinical Site 123
    Abilene, Texas 79606, United States
  • Adverum Clinical Site 154
    Austin, Texas 78705, United States
  • Adverum Clinical Site 108
    Bellaire, Texas 77401, United States
  • Adverum Clinical Site 162
    McAllen, Texas 78503, United States
  • Adverum Clinical Site 151
    San Antonio, Texas 78240, United States
  • Adverum Clinical Site 107
    The Woodlands, Texas 77384, United States
  • Adverum Clinical Site 152
    Morgantown, West Virginia 26506, United States
  • Adverum Clinical Site 502
    Nantes, Loire-Atlantique 44093, France
  • Adverum Clinical Site 501
    Lyon, Rhône 69004, France
  • Adverum Clinical Site 500
    Créteil, Val-de-Marne 94000, France
  • Adverum Clinical Site 600
    London, EC1V 2PD, United Kingdom
  • Adverum Clinical Site 601
    Oxford, OX3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 Aug 2022 to primary completion in Aug 2024, 24 months.

Of 66 industry-sponsored phase 2 interventional studies under Macular Degeneration, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 30. This study's 24 months is close to that.

Counting every sponsor, half of 83 studies reached it within 24 months; a quarter within 16 and three quarters within 35.

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

Registered
Sep 8, 2022
First posted
Sep 13, 2022
StartActual
Aug 23, 2022
Primary completionActual
Aug 26, 2024
CompletionEst.
Aug 2028
Results delay requested
Aug 20, 2025
Last update
Oct 27, 2026
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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05536973
Lead sponsor
Adverum Biotechnologies, Inc.
Responsible party
Sponsor
First posted
Sep 13, 2022
Start date
Aug 23, 2022
Primary completion
Aug 26, 2024
Completion
Aug 2028 (estimated)
Last update
Oct 27, 2026

Study contacts

Adam Turpcu, PhD
study director · 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 active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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