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4D-150 IVT

Phase 3

Macular Neovascularization Secondary to Age-Related Macular Degeneration | Monoclonal antibody | Ophthalmology |4D Molecular Therapeutics, Inc.|Last Updated: Jun 1, 2026

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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment480
FDA Designations
RMAT
Clinical trial landscape

4D-150 IVT · 4 trials · 5 indications

Phase 3 2Phase 2 1Phase 1 1
NCT07064759Single Intravitreal (IVT) Injection of 4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular DegenerationNeovascular Age-Related Macular Degeneration (nAMD)
RECRUITING480 Analytics
NCT068649884D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular DegenerationMacular Neovascularization Secondary to Age-Related Macular Degeneration
ACTIVE NOT_RECRUITING480 Analytics
PHASE3RECRUITING
Single Intravitreal (IVT) Injection of 4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration
Neovascular Age-Related Macular Degeneration (nAMD)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
4D-150 in Patients With Macular Neovascularization Secondary to Age-Related Macular Degeneration
Macular Neovascularization Secondary to Age-Related Macular DegenerationUnlock trial analytics
Study Endpoints
Primary Endpoints
Mean change from baseline in Best Corrected Visual Accuity (BCVA) Early Treatment for Diabetic Retinopathy (ETDRS) letter score at Week 52
52 Weeks
Mean change from baseline in BCVA ETDRS letter score at Week 52
52 Weeks
Incidence and severity of TEAEs and SAEs, including clinically significant changes in safety parameters (Part 1)
60 months
Annualized number of aflibercept injections in the study eye (Part 2)
52 weeks
Incidence and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs), including clinically significant changes in safety parameters
52 weeks
Secondary Endpoints
Mean annualized number of aflibercept injections after Week 4 through Weeks 52 and 104
104 Weeks
Incidence and timing of aflibercept injections after Week 4 through Weeks 52 and 104
104 Weeks
Proportion of subjects not requiring aflibercept injections after Week 4 through Weeks 52 and 104 in the 4D-150 arm
104 Weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
4D-150 IVT (3E10 vg/eye)EXPERIMENTAL -
Aflibercept (AFLB) 2 mg IVTACTIVE_COMPARATOR -
4D-150 Part 1 Dose Confirmation Dose Level 1EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Part 1 Dose Confirmation Dose Level 2EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Part 2 Dose Expansion Dose Level 1EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Part 2 Dose Expansion Dose Level 2EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Part 2 Dose Expansion ControlACTIVE_COMPARATORAflibercept at a fixed regimen will be administered.
4D-150 Dose Escalation up to 4 dose levelsEXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Dose Expansion Dose 1EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Dose Expansion Dose 2EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Dose Expansion ControlACTIVE_COMPARATORAflibercept at a fixed regimen will be administered.
4D-150 Steroid OptimizationEXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Population Extension Dose 1EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Population Extension Dose 2EXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Population Extension Dose 3EXPERIMENTAL4D-150 will be administered at the assigned dose
4D-150 Contralateral Eye DoseEXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
4D-150 Vector Shedding DoseEXPERIMENTAL4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1.
Interventions
NameTypeDescription
4D-150 IVT (3E10 vg/eye)BIOLOGICALIf randomized to the 4D-150 treatment arm, 4D-150 will be administered at the assigned dose level as a single dose IVT injection on Day 1
EYLEA® (aflibercept) Injection 2 mg (0.05mL)BIOLOGICALEylea (aflibercept) will be administered at applicable visits
4D-150 IVTBIOLOGICAL4D-150: AAV-based gene therapy comprised of miRNA targeting VEGF-C and codon-optimized sequence encoding aflibercept.
Aflibercept IVTBIOLOGICALCommercially available Active Comparator
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Eligibility Criteria
Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites94

Inclusion Criteria: * ≥50 years of age at time of consent * MNV secondary to nAMD with IVT anti-VEGF treatment history in the study eye, defined as EITHER: 1. Treatment naïve, i.e. no prior IVT anti-VEGF therapy OR 2. Previously treated with no more than 4 IVT anti-VEGF injections due to nAMD ...

Countries:United StatesArgentinaAustraliaBulgariaGermanyHungaryItalyJapanLatviaLithuaniaPortugalSingaporeSpainUnited KingdomCanadaPuerto Rico
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT06864988lastUpdatePostDate: changed
LOWJun 2, 2026NCT06864988lastUpdatePostDate: changed
LOWJun 2, 2026NCT06864988lastUpdatePostDate: changed
LOWMay 26, 2026NCT05197270primaryCompletionDate: changed
LOWMay 26, 2026NCT07064759primaryCompletionDate: changed
LOWMay 26, 2026NCT05930561primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT06864988Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT05197270studyFirstPostDate: changed
LOWMay 24, 2026NCT07064759studyFirstPostDate: changed
LOWMay 24, 2026NCT06864988studyFirstPostDate: changed
LOWMay 24, 2026NCT05930561studyFirstPostDate: changed