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RecruitingNCT07520045Updated Apr 9, 2026

Biomarkers in Diabetic Retinopathy Treated With Faricimab vs Biosimilar Ranibizumab

An interventional study of Faricimab and Biosimilar ranibizumab in Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME), sponsored by Osijek University Hospital. Recruiting at 1 site in Croatia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by Osijek University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to see if treatment with faricimab or biosimilar ranibizumab leads to different early imaging changes in adults with diabetic retinopathy requiring anti-VEGF treatment and to identify OCT and OCTA biomarkers predictive of differential early treatment response between the two therapies. The main questions it aims to answer are:

Which OCT and OCT angiography biomarkers predict early treatment response? How do imaging biomarkers change after three loading doses of treatment? Are imaging biomarkers associated with systemic laboratory parameters? Researchers will compare faricimab to biosimilar ranibizumab to see if there are differences in imaging biomarkers and early treatment response.

Participants will:

  • be randomized in a 1:1 ratio using a computer-generated randomization sequence
  • undergo comprehensive ophthalmic examinations, including visual acuity and intraocular pressure measurement
  • undergo OCT and OCT angiography imaging at each visit
  • receive three intravitreal injections during the loading phase
  • attend follow-up visits from baseline to 4-5 weeks after the third injection
  • provide blood samples for systemic laboratory analysis
02

Conditions studied

  • Diabetic Retinopathy (DR)
  • Diabetic Macular Edema (DME)

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Keywords

  • Diabetic Retinopathy
  • ranibizumab
  • faricimab
  • biomarkers
  • OCT
03

In context

Diabetic Retinopathy

773 studies on the registry are indexed under Diabetic Retinopathy; 139 are open to participants now.

This study's planned enrollment of 100 is above the median of 78 across 480 interventional studies indexed under Diabetic Retinopathy.

Browse Diabetic Retinopathy studies →

Lead sponsor

Osijek University Hospital is the lead sponsor of 30 studies on the registry; 9 are open to participants now.

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

Inclusion criteria

  • Adults aged ≥18 years
  • Diabetic retinopathy with or without central macular edema
  • Indication for intravitreal anti-VEGF therapy according to current clinical guidelines
  • Ability to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Intravitreal anti-VEGF or corticosteroid treatment in the study eye within 5 months prior to enrollment
  • Any intraocular surgery (including cataract surgery) 3 months prior intraocular surgery to enrollment
  • Retinal laser photocoagulation in the study eye within 3 months prior to enrollment
  • Presence of other ocular, retinal or macular diseases that may affect OCT/OCTA findings or visual acuity (e.g., age-related macular degeneration, retinal vascular occlusions)
  • Retinal detachment, preretinal fibrosis, vitreomacular traction
  • Significant media opacities (e.g., dense cataract, vitreous hemorrhage) precluding reliable OCT/OCTA imaging
  • Uncontrolled glaucoma (intraocular pressure > 30 mmHg in study eye)
  • Active ocular inflammation
  • Suspected active ocular infection in either eye
  • Any febrile illness within 1 week prior to first injection
  • History or presence of any clinically significant disease, non-diabetic metabolic disorder, abnormal physical examination finding, or laboratory abnormality that, in the opinion of the investigator, may contraindicate treatment with faricimab or biosimilar ranibizumab, interfere with the interpretation of study results, or place the participant at increased risk of treatment-related complications.
  • Women who are pregnant, breastfeeding, or planning pregnancy within the next 100 weeks
  • Known hypersensitivity to faricimab or biosimilar ranibizumab or any of its excipients
  • Participation in another clinical trial that may affect study outcomes
  • Inability to comply with study procedures or follow-up
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Faricimab

    Participants will receive intravitreal faricimab 6 mg (0.05 mL per injection) administered as 3 loading doses at 4- to 5-week intervals, in accordance with standard clinical practice. Ophthalmic assessments, including visual acuity, OCT and OCT angiography, are performed at each visit, with the final assessment 4-5 weeks after the third injection.

    Drug: Faricimab

  • Active comparator
    Biosimilar Ranibizumab

    Participants will receive intravitreal biosimilar ranibizumab 0.5 mg (0.05 mL per injection) administered as 3 loading doses at 4- to 5-week intervals, in accordance with standard clinical practice. Ophthalmic assessments, including visual acuity, OCT and OCT angiography, are performed at each visit, with the final assessment 4-5 weeks after the third injection.

    Drug: Biosimilar ranibizumab

Interventions

  • DrugFaricimab

    Faricimab will be administered via intravitreal injection.

  • DrugBiosimilar ranibizumab

    Biosimilar ranibizumab will be administered via intravitreal injection.

06

What researchers measure

Primary outcomes

  1. Comparison of OCT and OCTA biomarkers associated with early anatomical treatment response to faricimab and biosimilar ranibizumab

    Time frame: From enrollment to 4-5 weeks after the third intravitreal injection

Secondary outcomes

  1. Association between blood-derived laboratory parameters and imaging-based treatment response

    Blood samples will be analyzed for complete blood count (CBC) with differential, C-reactive protein (CRP), lipid profile, urea, creatinine, glycated hemoglobin (HbA1c), and plasma glucose.

    Time frame: From enrollment to 4-5 weeks after the third intravitreal injection

07

Study locations

1 of 1 sites recruiting
  • University Hospital Osijek
    Osijek, 31000, Croatia
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07520045
Lead sponsor
Osijek University Hospital
Responsible party
Ivanka Maduna (MD, PhD Candidate, Josip Juraj Strossmayer University of Osijek) — Principal investigator
First posted
Apr 9, 2026
Start date
Mar 12, 2026
Primary completion
Jun 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Apr 9, 2026

Study contacts

Ivanka Maduna, MD
Contact
ivankamadun@gmail.com
+385981962588
Andrijana Kopić, MD, PhD
Contact
andrijanakopic@gmail.com
+385981776750

Oversight

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

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