ClinicalTrials.gg
RecruitingNCT06790784APUpdated Sep 18, 2026

Faricimab + PRP vs. Vitrectomy + Endolaser for Treatment of PDR

A Phase 3 interventional study of Vitrectomy and Endolaser in Proliferative Diabetic Retinopathy (PDR), sponsored by Jaeb Center for Health Research. Recruiting at 34 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-18.

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

From the registry’s dates

  • Started Aug 2025; still recruiting 1 year 3 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
426
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 11 studies in Diabetic Retinopathy by Jaeb Center for Health Research — 1 open to participants now, 2 under way, 2 of them phase 3. Diabetic Retinopathy · Jaeb Center for Health Research.

Started
2025
the only one that year
Phase 3
8 of 11
1 open now
Registered
11th of 11
by date

Among the 11 studies in Diabetic Retinopathy by Jaeb Center for Health Research, this one is the only one that started in 2025, is one of 8 in phase 3, and was the 11th registered.

Diabetic Retinopathy

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

Browse Diabetic Retinopathy studies →

Open to participants now

1 of the 11 studies in Diabetic Retinopathy by Jaeb Center for Health Research is open now, in 1 country.

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 92 Diabetic Retinopathy studies recruiting now, 60 (65%) set no upper age limit and 10 (11%) stop at 75 or younger; 8 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This randomized trial will compare treatment strategies for proliferative diabetic retinopathy (PDR). Participants will receive either combination a of faricimab + PRP or vitrectomy + endolaser. The participants will be followed for 3 years. The study will evaluate long-term visual acuity as well as differences in number of injections, procedures, and complications during follow-up (after completion of randomization treatment), and cost.

Read the detailed description

Although some combination of anti-VEGF plus PRP is the most common treatment approach for PDR with and without DME, there are currently no long-term data on a standardized approach. Vitrectomy is not currently used as first-line treatment for early PDR but advances in surgical technique have reduced associated complications and the ability to remove the posterior hyaloid during surgery may have advantages over nonsurgical approaches, especially in the reduction of vitreous hemorrhage and/or traction retinal detachment that may occur later when the hyaloid separates naturally. Protocol S demonstrated both PRP and anti-VEGF alone result in good visual acuity results long-term so it is expected that a combination treatment would also result in good visual acuity results.

This study will evaluate the safety and efficacy of two treatment strategies for PDR: faricimab plus PRP and Vitrectomy with endolaser with the goal to determine whether either approach decreases visit and treatment burden along with decreasing complications compared with the other treatment method while maintaining good visual acuity. The primary objectives of this study are to compare visual acuity at 3 years following vitrectomy with endolaser or faricimab+PRP and to compare number of treatments for PDR (i.e., injections, PRP, vitrectomy) following the end of randomized treatment over 3 years.

03

Conditions studied

  • Proliferative Diabetic Retinopathy (PDR)

Browse trials for

Keywords

  • faricimab
  • vitrectomy
  • endolaser
  • panretinal photocoagulation
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

Individual:

  • ≥ 18 years old
  • Diagnosis of diabetes mellitus (type 1 or type 2)

Study Eye:(A participant can have one or two study eyes if both eyes are eligible at screening.)

  • Presence of PDR requiring treatment, defined as moderate PDR or worse on global grading of ultrawide field fundus photos or NV meeting criteria for moderate PDR or worse on global grading of ultrawide field FA, confirmed by a central reading center
  • Best corrected visual acuity ≥49 letters (20/100 Snellen equivalent or better)

Exclusion criteria

Exclusion Criteria:

  • Individual:

    • Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
    • Blood pressure > 160/100 (systolic above 160 or diastolic above 100).

      o If blood pressure is brought below 160/100 by anti-hypertensive treatment, individual can become eligible.

    • For women of : pregnant or lactating or intending to become pregnant within the next 3 years.

      • Women of childbearing potential will be required to have pregnancy testing or use an acceptable method of pregnancy prevention. Women who are potential study participants should be questioned about the potential for pregnancy at baseline and prior to each injection. Pregnancy test is required for all women of childbearing potential at baseline. Investigator judgment is used to determine when a pregnancy test is needed during follow up.

Study Eye: (A participant can have two study eyes.)

  • Traction retinal detachment involving the macula
  • Significant vitreous hemorrhage that would preclude completion of a full PRP
  • Significant vitreomacular traction
  • Any prior vitrectomy
  • Any prior PRP (defined as ≥100 burns outside of the posterior pole)
  • Treatment for DME within the prior 6 months
  • Intravitreal anti-VEGF for any indication, other than DME, within the prior year
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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

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

Study arms

  • Experimental
    Faricimab + PRP

    PRP = Panretinal Photocoagulation

    Drug: Faricimab · Device: Panretinal Photocoagulation (PRP)

  • Active comparator
    Vitrectomy + Endolaser

    Procedure: Vitrectomy · Device: Endolaser

Interventions

  • ProcedureVitrectomy

    The vitrectomy must occur within 4 weeks of randomization. A single injection of faricimab is allowed at any point before the vitrectomy. It is recommended that this injection is within 1 week of the vitrectomy. Requirement of triamcinolone staining to assist in complete elevation and removal of the posterior hyaloid and in removal of as much peripheral vitreous as is safely possible, 20 gauge not permitted. Allows subconjunctival steroid at investigator discretion; however, sub-tenon's triamcinolone or other long-acting steroid will not be permitted.

  • DeviceEndolaser

    Complete panretinal photocoagulation (PRP) during vitrectomy

  • Treatment must be initiated on the day of randomization with one faricumab injection. The remainder of the randomized treatment includes 2 additional injections every 4-weeks. Injections must be completed within 90 days of randomization.

  • DevicePanretinal Photocoagulation (PRP)

    Complete PRP. PRP may be completed in 1-3 sessions, with the timing at the investigator's discretion. All PRP sessions must be completed within 90 days of randomization.

06

What researchers measure

Primary outcomes

  1. Visual Acuity Change 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.

    Time frame: Baseline to 3- years

  2. Number of Post-Randomization Treatments for Proliferative Diabetic Retinopathy

    Initial randomized treatment will be excluded.

    Time frame: Over 3 Years

07

Study locations

34 of 34 sites recruiting
08

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

Started Aug 2025 (actual). Primary completion is estimated for Aug 2031, 72 months after the start.

Of 21 phase 3 interventional studies under Diabetic Retinopathy, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 41. This study's planned 72 months is above that.

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

Registered
Jan 10, 2025
First posted
Jan 24, 2025
StartActual
Aug 4, 2025
Primary completionEst.
Aug 2031
CompletionEst.
Aug 2031
Last update
Sep 18, 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.
No changes since tracking began. The registry record was last updated on Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06790784
Responsible party
Sponsor
First posted
Jan 24, 2025
Start date
Aug 4, 2025
Primary completion
Aug 2031 (estimated)
Completion
Aug 2031 (estimated)
Last update
Sep 18, 2026

Study contacts

Cynthia Stockdale
Contact
drcrnet@jaeb.org
8139758690

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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