ClinicalTrials.gg
RecruitingNCT06847542SightspireUpdated Nov 6, 2026

A Study of 36-Week Refill Exchanges of Port Delivery System (PDS) With Ranibizumab in nAMD

A Phase 3 interventional study of Susvimo PDS Implant and Ranibizumab in Neovascular Age-related Macular Degeneration, sponsored by Hoffmann-La Roche. Recruiting at 64 sites in 13 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Updated Nov 6, 2026Site recruiting status changed3 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
250
Allocation
Not applicable
Ages
50 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the effectiveness, safety, and PROs of the port delivery system with ranibizumab 100 milligrams/milliliters (mg/mL) refilled every 36 weeks (Q36W) in participants with nAMD.

02

Conditions studied

  • Neovascular Age-related Macular Degeneration
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 planned enrollment of 250 is above the median of 56 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

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

  • Initial diagnosis of nAMD within 24 months prior to screening
  • Previous treatment with at least 3 anti-vascular endothelial growth factor (VEGF) IVT injections for nAMD per standard of care within 6 months prior to screening
  • Demonstrated response to prior anti-VEGF IVT treatment since diagnosis
  • Availability of historical VA data obtained at or after nAMD diagnosis and prior to the first anti-VEGF treatment for nAMD
  • Availability of historical OCT image data obtained at or after nAMD diagnosis and prior to the first anti-VEGF treatment for nAMD
  • BCVA of 34 letters or better using ETDRS chart at a starting distance of 4 meters at screening and enrollment visits

Exclusion criteria

Exclusion Criteria:

A. Prior Ocular Treatment

Study Eye:

  • History of vitrectomy surgery, submacular surgery, or other surgical intervention for age-related macular degeneration (AMD)
  • Previous treatment with intravitreal injection
  • Previous intraocular device implantation
  • History of vitreous hemorrhage
  • History of rhegmatogenous retinal detachment
  • History of glaucoma-filtering surgery, tube shunts, or microinvasive glaucoma surgery
  • History of corneal transplant

Either Eye:

  • History of a severe allergic reaction or anaphylactic reaction to a biologic agent or known to any component of the ranibizumab injections, study-related procedure preparations (including fluorescein), dilating drops, or any of the anesthetic and antimicrobial preparations used by a participant during the study
  • Prior participation in a clinical trial involving any experimental therapies for nAMD
  • Prior treatment with brolucizumab or gene therapy for nAMD

B. Macular Neovascularization/Choroidal Neovascularization (MNV/CNV) Lesion Characteristics:

Study Eye:

  • Subretinal hemorrhage that involves the center of the fovea
  • Subfoveal fibrosis or subfoveal atrophy

Either Eye:

  • CNV due to other causes, such as ocular histoplasmosis, trauma, central serous chorioretinopathy, or pathologic myopia
  • CNV masquerading lesions

C. Concurrent Ocular Conditions:

Study Eye:

  • Subfoveal and/or juxtafoveal retinal pigment epithelial tear
  • Any concurrent intraocular condition that would either require surgical intervention during the study to prevent or treat visual loss that might result from that condition or affect interpretation of study results
  • Active intraocular inflammation
  • Retinal tears or peripheral retinal breaks on depressed fundus exam that are untreated or treated within 3 months prior to the enrollment visit
  • Aphakia or absence of the posterior capsule
  • Uncontrolled ocular hypertension or glaucoma
  • History or presence of severe posterior blepharitis, recurrent chalazia or hordeolum, severe dry eye syndrome, or severe allergic conjunctivitis
  • Trichiasis
  • Corneal neuropathy
  • Lagophthalmos or incomplete blink
  • Active or history of facial nerve palsy/paresis

Fellow (Non-study) Eye:

- Non-functioning non-study eye defined as either: BCVA of hand motion or worse OR no physical presence of non-study eye (i.e., monocular)

Either Eye:

  • Any active or history of uveitis
  • Active or history of keratitis, scleritis, endophthalmitis, or chronic blepharitis
  • Suspected or active ocular or periocular infectious conjunctivitis or endophthalmitis
  • Active or history of floppy eyelid syndrome
  • Active thyroid eye disease

D. Concurrent Systemic Conditions:

  • Uncontrolled blood pressure
  • Active or history of diseases
  • History of stroke within the last 3 months prior to
  • Atrial fibrillation diagnosed or worsened within the last 3 months prior to informed consent
  • History of myocardial infarction (MI) within the last 3 months prior to informed consent
  • Confirmed active systemic infection
  • History of other disease, metabolic dysfunction, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of ranibizumab or placement of the implant and that might affect interpretation of the results of the study
  • Use of any systemic anti-VEGF agents
  • Chronic use of oral corticosteroids
  • Active cancer within 12 months of enrollment except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, and prostate cancer
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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    Port Delivery System (PDS)

    Participants will have the PDS implant (pre-filled with 100 mg/mL of ranibizumab) \[approximately 2-milligrams (mg) dose\] surgically inserted in the study eye on Day 1. Participants who meet the disease activity criteria (DAC) at Week 24 or receive supplemental treatment with intravitreal (IVT) injections of ranibizumab prior to Week 24 will receive implant refill exchanges every 24 weeks (Q24W). Participants who do not meet the DAC at Week 24 and have not received supplemental treatment will receive PDS refill exchanges Q36W.

    Device: Susvimo PDS Implant · Drug: Ranibizumab

Interventions

  • DeviceSusvimo PDS Implant

    Ranizumab will be administered via a PDS implant per the schedule described in the arm.

    Also known as: RO4893594

  • Participants will receive ranibizumab delivered through the PDS implant. Participants will receive ranibizumab, 0.5 mg IVT injections as a supplemental treatment.

    Also known as: RO4893594

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Best Corrected Visual Acuity (BCVA) Score Averaged Over Weeks 68 and 72, as Assessed Using the Early Treatment Diabetic Retinopathy Study (ETDRS) Chart at a Starting Distance of 4 Meters

    BCVA letters were measured using EDTRS chart while participants were at a starting distance of 4 meter. The range of EDTRS is 0 to 100 letters. Higher scores indicate improvement in visual acuity (VA).

    Time frame: Baseline, Week 68, Week 72

Secondary outcomes

  1. Change From Baseline in BCVA Score Over Time

    BCVA letters were measured using EDTRS chart while participants were at a starting distance of 4 meter. The range of EDTRS is 0 to 100 letters. Higher scores indicate improvement in VA.

    Time frame: From baseline up to Week 72

  2. Percentage of Participants Who Lose ≤ 15, ≤ 10, ≤ 5, or Gain ≥ 0 Letters in BCVA Score From Baseline Over Time

    BCVA letters were measured using EDTRS chart while participants were at a starting distance of 4 meter. The range of EDTRS is 0 to 100 letters. Higher scores indicate improvement in VA.

    Time frame: From baseline up to Week 72

  3. Change From Baseline in Center Point Thickness (CPT)

    Time frame: From baseline up to Week 72

  4. Change From Baseline in Central Subfield Thickness (CST)

    Time frame: From baseline up to Week 72

  5. Proportion of Participants Who do not Undergo Supplemental Treatment With IVT Ranibizumab Before Each Refill-exchange Procedure

    Time frame: Up to Week 72

  6. Number of Supplemental Treatments Participants Received in Each Refill Cycle

    Time frame: Up to Week 72

  7. Frequency of Study Visits in Each Refill Cycle

    Time frame: Up to Week 72

  8. Proportion of Participants Who Report Preferring PDS Compared With IVT Ranibizumab Treatment as Measured by the PDS Patient Preference Questionnaire (PPPQ) After First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72

    Time frame: Weeks 24, 36 and 72

  9. Proportion of Participants With Bilateral Disease Who Report Preferring PDS Compared With IVT Ranibizumab Treatment Measured by the PPPQ After First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72

    Time frame: Weeks 24, 36 and 72

  10. Number of Participants With Ocular and Systemic (Non-ocular) Adverse Events (AEs)

    Time frame: Up to approximately 19 months

  11. Number of Participants With Adverse Events of Special Interests (AESIs) and their Severity, Including Ocular AESIs

    Time frame: Up to approximately 19 months

  12. Number of Participants With Ocular AESIs and Severity of Ocular AESIs During the Post-operative and Follow-up Period

    Time frame: Post-operative period: ≤ 37 days of initial implantation surgery Follow-up period: > 37 days after implantation surgery (up to 72 weeks)

  13. Number of Participants With Adverse Device Effects (ADEs) and Severity of ADEs With PDS

    Time frame: Up to approximately 19 months

  14. Number of Participants With Anticipated Serious Adverse Device Effects (ASADEs) and Severity of ASADEs With PDS

    Time frame: Up to approximately 19 months

07

Study locations

63 of 64 sites recruiting
  • Medizinische Universität Innsbruck
    Innsbruck, 6020, Austria
    Recruiting
  • Kepler Universitätskliniken GmbH - Med Campus III
    Linz, 4021, Austria
    Recruiting
  • Landesklinikum Mistelbach
    Mistelbach, 2130, Austria
    Recruiting
  • Klaudianova Nemocnice - Mlada Boleslav;Ophtalmology dpt
    Mladá Boleslav, 293 50, Czechia
    Recruiting
  • Faculty Hospital Ostrava
    Ostrava, 708 52, Czechia
    Recruiting
  • Faculty Hospital Kralovske Vinohrady
    Prague, 100 34, Czechia
    Recruiting
  • Ustredni vojenska nemocnice
    Prague, 169 02, Czechia
    Recruiting
  • Aarhus Universitetshospital
    Aarhus N, 8200, Denmark
    Recruiting
  • Rigshospitalet Glostrup
    Glostrup Municipality, 2600, Denmark
    Recruiting
  • Institut Ophtalmologique De l Ouest Jules Verne
    Nantes, Paris 44300, France
    Recruiting
  • Hopital Edouard Herriot - CHU Lyon
    Lyon, 69003, France
    Recruiting
  • Clinique Honore Cave
    Montauban, 82000, France
    Recruiting
  • CHNO des Quinze Vingts
    Paris, 75012, France
    Recruiting
  • CHU Poitiers - CHR La Miletrie
    Poitiers, 86021, France
    Recruiting
  • CHU Strasbourg - Nouvel Hopital Civil
    Strasbourg, 67091, France
    Recruiting
  • Klinikum Chemnitz gGmbH
    Chemnitz, 09116, Germany
    Recruiting
  • Universitätkslinikum Düsseldorf, Augenklinik
    Düsseldorf, 40225, Germany
    Recruiting
  • Universitätsmedizin Göttingen Georg-August-Universität
    Göttingen, 37075, Germany
    Recruiting
  • Medizinische Hochschule Hannover, Klinik für Augenheilkunde
    Hanover, 30625, Germany
    Recruiting
  • Universitätsmedizin Rostock
    Rostock, 18057, Germany
    Recruiting
  • Universitätsklinikum Würzburg, Augenklinik und Poliklinik
    Würzburg, 97080, Germany
    Recruiting
  • "G.Gennimatas" General Hospital of Athens
    Athens, Attica 115 27, Greece
    Recruiting
  • Attikon University General Hospital
    Chaïdári, 124 62, Greece
    Recruiting
  • University General Hospital of Heraklion
    Heraklon, 711 10, Greece
    Recruiting
  • University Hospital of Larissa
    Larissa, 412 21, Greece
    Recruiting
  • Ospedale Monaldi - AORN dei Colli
    Naples, Campania 80131, Italy
    Recruiting
  • Azienda Ospedaliero - Universitaria di Ferrara - Arcispedale Sant'Anna, Sede Ospedale di Cona;UO di Clinica Oculistica
    Cona (Ferrara), Emilia-Romagna 44122, Italy
    Recruiting
  • Ospedale Isola Tiberina - Gemelli Isola;UOC Chirurgia Vitreoretinica
    Rome, Lazio 00186, Italy
    Recruiting
  • ASST SANTI PAOLO E CARLO - Presidio San Paolo;SC Oculistica
    Milan, Lombardy 20142, Italy
    Recruiting
  • Azienda Ospedaliero-Universitaria Ospedale Maggiore della Carità;S.C.D.U. Oftalmologia
    Novara, Piedmont 28100, Italy
    Recruiting
  • AOU Città della Salute e della Scienza di Torino
    Turin, Piedmont 10126, Italy
    Recruiting
  • A.O.U. Policlinico Paolo Giaccone;Oculistica
    Palermo, Sicily 90142, Italy
    Recruiting
  • MW-med
    Krakow, Lesser Poland Voivodeship 31 416, Poland
    Recruiting
  • Szpital sw. Lukasza
    Bielsko-Biala, 43-309, Poland
    Recruiting
  • Specjalistyczny O?rodek Okulistyczny Oculomedica
    Bydgoszcz, 85-316, Poland
    Recruiting
  • OFTALMIKA Sp. z o.o
    Bydgoszcz, 85-631, Poland
    Recruiting
  • Niepubliczny Zak?ad Opieki Zdrowotnej PRYZMAT-OKULISTYKA
    Gliwice, 44-100, Poland
    Recruiting
  • SP ZOZ Szpital Uniwersytecki w Krakowie Oddzia? Kliniczny Okulistyki i Onkologii Okulistycznej
    Krakow, 31-501, Poland
    Recruiting
  • Klinika Okulistyczna Jasne Błonia Sp. z o. o.
    Lódz, 91-134, Poland
    Recruiting
  • Uniwersytecki Szpital Kliniczny Nr 1 w Lublinie;Klinika Chirurgii Siatkówki i Cia?a Szklistego
    Lublin, 20-079, Poland
    Recruiting
  • Centrum Diagnostyki i Mikrochirurgii Oka LENS
    Olsztyn, 10-424, Poland
    Recruiting
  • Kyungpook National University Hospital
    Daegu, 41944, South Korea
    Recruiting
  • Ajou University Medical Center
    Gyeonggi-do, 16499, South Korea
    Recruiting
  • Korea University Anam Hospital
    Seoul, 02841, South Korea
    Withdrawn

    Not enrolling at this site — choose another above.

  • Severance Hospital, Yonsei University Health System
    Seoul, 03722, South Korea
    Recruiting
  • Seoul St Mary's Hospital
    Seoul, 06591, South Korea
    Recruiting
  • Boramae Medical Center
    Seoul, 07061, South Korea
    Recruiting
  • Hallym University Kangnam Sacred Heart Hospital
    Seoul, 07441, South Korea
    Recruiting
  • Fundacion Jimenez Diaz-UTE
    Madrid, 28040, Spain
    Recruiting
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
    Recruiting
  • Hospital Universitario Virgen del Rocio
    Seville, 41013, Spain
    Recruiting
  • Hospital Arnau de Vilanova (Valencia)
    Valencia, 46015, Spain
    Recruiting
  • Berner Augenklinik
    Bern, 3007, Switzerland
    Recruiting
  • Pallas Klinik Olten
    Olten, 4600, Switzerland
    Recruiting
  • Kantonsspital St. Gallen
    Sankt Gallen, 9007, Switzerland
    Recruiting
  • King Chulalongkorn Memorial Hospital
    Bangkok, 10330, Thailand
    Recruiting
  • Rajavithi Hospital
    Bangkok, 10400, Thailand
    Recruiting
  • Ramathibodi Hospital
    Bangkok, 10400, Thailand
    Recruiting
  • Maharaj Nakorn ChiangMai Hospital
    Chiang Mai, 50200, Thailand
    Recruiting
  • Songklanagarind Hospital
    Songkhla, 90110, Thailand
    Recruiting
  • Leicester Royal Infirmary
    Leicester, Leicestershire LE1 5WW, United Kingdom
    Recruiting
  • Bristol Eye Hospital
    Bristol, BS1 2LX, United Kingdom
    Recruiting
  • Gloucestershire Royal Hospital
    Gloucester, GL1 3NN, United Kingdom
    Recruiting
  • Moorfields Eye Hospital NHS Foundation Trust
    London, EC1V 2PD, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Timeline

2 registry updates 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 2025 (actual). Primary completion is estimated for Nov 2028, 35 months after the start.

Of 77 industry-sponsored phase 3 interventional studies under Macular Degeneration, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 33. This study's planned 35 months is above that.

Counting every sponsor, half of 83 studies reached it within 24 months; a quarter within 20 and three quarters within 35.

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

Registered
Feb 21, 2025
First posted
Feb 26, 2025
StartActual
Nov 27, 2025
Primary completionEst.
Nov 15, 2028
CompletionEst.
Nov 15, 2028
Last update
Nov 6, 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
3 sites added. Korea University Anam Hospital is now Withdrawn
Show 3 added (1 Italy, 1 Spain, 1 United Kingdom)
  • AOU Città della Salute e della Scienza di Torino · Turin, Italy
  • Fundacion Jimenez Diaz-UTE · Madrid, Spain
  • Bristol Eye Hospital · Bristol, United Kingdom
across 2 updates, Oct 15, 2026 – Nov 6, 2026
Secondary outcomes
2 edited
What changed in the outcomes
  • EditedProportion of Participants Who Report Preferring PDS Compared With IVT Ranibizumab Treatment as Measured by the PDS Patient Preference Questionnaire (PPPQ) at WeeksAfter First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72Time frame: Weeks 24 and 72 → Weeks 24, 36 and 72
  • EditedProportion of Participants With Bilateral Disease Who Report Preferring PDS Compared With IVT Ranibizumab Treatment Measured by the PPPQ at WeeksAfter First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72Time frame: Weeks 24 and 72 → Weeks 24, 36 and 72
Oct 15, 2026
Show all 2 updates
  1. Nov 6, 2026
    3 sites added
    Show 3 added (1 Italy, 1 Spain, 1 United Kingdom)
    • AOU Città della Salute e della Scienza di Torino · Turin, Italy
    • Fundacion Jimenez Diaz-UTE · Madrid, Spain
    • Bristol Eye Hospital · Bristol, United Kingdom
    + 1 other change: verification date
  2. Oct 15, 2026
    Korea University Anam Hospital is now Withdrawn
    Secondary outcomes 2 edited
    What changed in the outcomes
    • EditedProportion of Participants Who Report Preferring PDS Compared With IVT Ranibizumab Treatment as Measured by the PDS Patient Preference Questionnaire (PPPQ) at WeeksAfter First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72Time frame: Weeks 24 and 72 → Weeks 24, 36 and 72
    • EditedProportion of Participants With Bilateral Disease Who Report Preferring PDS Compared With IVT Ranibizumab Treatment Measured by the PPPQ at WeeksAfter First Refill (Week 24 or Week 36, Depending on Cohort) and at Week 72Time frame: Weeks 24 and 72 → Weeks 24, 36 and 72
    + 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
NCT06847542
Lead sponsor
Hoffmann-La Roche
Collaborators
Genentech, Inc.
Responsible party
Sponsor
First posted
Feb 26, 2025
Start date
Nov 27, 2025
Primary completion
Nov 15, 2028 (estimated)
Completion
Nov 15, 2028 (estimated)
Last update
Nov 6, 2026

Study contacts

Reference Study ID Number: MR45625 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S.)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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Studies of the drug tested here: Ranibizumab

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