ClinicalTrials.gg
RecruitingNCT05844982ALUpdated Oct 23, 2026

Intravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 mg) Intravitreal Implants vs Observation for Prevention of VA Loss Due to Radiation Retinopathy

A Phase 3 interventional study of Faricimab and fluocinolone acetonide in Radiation Retinopathy and Visual Impairment, sponsored by Jaeb Center for Health Research. Recruiting at 29 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Jaeb Center for Health Research · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Updated Oct 23, 20262 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomized controlled trial will evaluate the effect of intravitreal faricimab or fluocinolone acetonide (FAc) intravitreal implant compared with observation on long-term visual acuity following treatment of choroidal melanoma with iodine-125 plaque brachytherapy.

Read the detailed description

The primary objectives are to compare long-term visual acuity outcomes in eyes that receive repeated treatment with faricimab or fluocinolone acetonide intravitreal implants with those observed initially and treated only if macular edema (ME) develops. The secondary objectives are to determine if repeated treatment with faricimab or fluocinolone acetonide intravitreal implants versus observation can prevent or alter the course of ME from radiation retinopathy and to evaluate the natural history of radiation retinopathy with multimodal imaging including widefield color photographs, widefield fluorescein angiography and OCTA.

02

Conditions studied

  • Radiation Retinopathy
  • Visual Impairment

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Keywords

  • Visual Acuity
  • Radiation retinopathy
  • Faricima
  • Fluocinolone Acetonide
03

In context

Vision Disorders

360 studies on the registry are indexed under Vision Disorders; 84 are open to participants now.

This study's planned enrollment of 600 is above the median of 78 across 244 interventional studies indexed under Vision Disorders.

Browse Vision Disorders studies →

Lead sponsor

Jaeb Center for Health Research is the lead sponsor of 129 studies on the registry; 16 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 15 (88%) have results posted.

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

Eligibility criteria

Key Inclusion Criteria

  • Primary uveal melanoma (excluding iris melanoma) receiving primary treatment with plaque brachytherapy
  • Absence of unrelated cause of visual loss
  • Baseline visual acuity ≥ 34 letters (20/200 Snellen equivalent or better)
  • Posterior tumor margin >0 mm from the center of the macula (i.e., tumor is NOT under the geometric center of the fovea)
  • Posterior tumor margin >0 mm from the closest disc margin (i.e., tumor is not touching the edge of the optic disc)
  • Calculated total dose to center of the macula ≥30 Gy

Key Exclusion Criteria

  • Opaque media
  • Inability to undergo fluorescein angiography
  • Less than 18 years of age
  • Prior vitrectomy
  • Intraocular pressure (IOP) ≥ 25 mmHg or history of - induced IOP elevation that required treatment at baseline
  • IOP ≥ 25 mmHg at randomization or increase in IOP ≥ 8 mmHg from baseline to randomization (following steroid challenge
Terms in these criteria, in plain language(1)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Active comparator
    Intravitreal faricimab

    Study eyes assigned to receive faricimab will receive a dose of 6.0 mg of faricimab. Faricimab is supplied in a single use vial.

    Drug: Faricimab

  • Active comparator
    Fluocinolone Acetonide Intravitreal Implants

    Study eyes assigned to receive fluocinolone acetonide intravitreal implant will receive a dose of 0.19 mg fluocinolone acetonide intravitreal implant (Iluvien). The implant is supplied in a sterile single use applicator with a 25-gauge needle

    Drug: fluocinolone acetonide

  • No intervention
    Observation

Interventions

  • 6.0 mg intravitreal injection at randomization and every 3 months

  • 0.19 mg fluocinolone acetonide intravitreal implant (Iluvien) at randomization and at 24 months

06

What researchers measure

Primary outcomes

  1. Change in visual acuity from baseline

    Visual acuity is measured as a continuous integer letter score from 0 to 100, with higher numbers indicating better visual acuity. A letter score of 85 is approximately 20/20 and a letter score of 70 is approximately 20/40, the legal unrestricted driving limit in most states. A 5-letter change for an individual is approximately equal to a 1-line change on a vision chart.

    Time frame: from baseline at 3 years

  2. Loss of 15 or more letters of visual acuity from baseline

    Visual acuity is measured as a continuous integer letter score from 0 to 100, with higher numbers indicating better visual acuity. A letter score of 85 is approximately 20/20 and a letter score of 70 is approximately 20/40, the legal unrestricted driving limit in most states. A 5-letter change for an individual is approximately equal to a 1-line change on a vision chart.

    Time frame: from baseline at 3 years

07

Study locations

29 of 29 sites recruiting
08

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

Started Nov 2023 (actual). Primary completion is estimated for Dec 2029, 73 months after the start.

Of 17 phase 3 interventional studies under Vision Disorders, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 21 and three quarters within 28. This study's planned 73 months is above that.

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

Registered
Apr 25, 2023
First posted
May 6, 2023
StartActual
Nov 21, 2023
Primary completionEst.
Dec 26, 2029
CompletionEst.
Dec 26, 2029
Last update
Oct 23, 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.
Sites
2 sites added
Show 2 added (2 United States)
  • Duke Eye Center · Durham, United States
  • Eye Cancer Associates of Texas · Houston, United States
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    2 sites added
    Show 2 added (2 United States)
    • Duke Eye Center · Durham, United States
    • Eye Cancer Associates of Texas · Houston, United States
    + 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 ↗

09

Registry details

Key details

Study ID
NCT05844982
Responsible party
Sponsor
First posted
May 6, 2023
Start date
Nov 21, 2023
Primary completion
Dec 26, 2029 (estimated)
Completion
Dec 26, 2029 (estimated)
Last update
Oct 23, 2026

Study contacts

Cynthia Stockdale, MPH
Contact
DRCRNET@JAEB.ORG
8139758690

Oversight

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

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Studies of the drugs tested here: Faricimab · Fluocinolone Acetonide

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