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NCT07867080PHASE3Recruiting

A Phase 3 Trial for Intravitreal Injection of 4D-150 in Adults With Diabetic Macular Edema (DME).

4D Molecular Therapeutics

Start Date

9/18/2026

Completion Date

1/1/2030

Summary

A Phase 3, Randomized, Double-Masked, Active-Controlled Trial to Evaluate the Safety, Efficacy, and Durability of a Single Intravitreal Injection of 4D-150 versus Aflibercept in Adults with Diabetic Macular Edema (4SIGHT)

Eligibility Criteria

Age Range: 18 years to No maximum

5.2 Inclusion Criteria Individuals eligible to participate in the trial must meet the following inclusion criteria: General Inclusion Criteria 1. Signed informed consent before any protocol-specified assessment is performed 2. Ability and willingness to comply with the protocol-specified procedures (including IVT injection) and visits, in the Investigator's judgment 3. ≥18 years of age at time of signing informed consent 4. Documented diagnosis of diabetes mellitus (Type 1 or Type 2) 5. WOCBP must agree to use highly effective contraception from the time of informed consent, through duration of trial participation 6. Agree to use a barrier method (e.g., condom) during intercourse for 3 months after Day 1 to prevent fluid transmission; sexually active males should not father a child or donate sperm during this period Ocular Inclusion Criteria 7. Macular thickening secondary to DME involving the center of the fovea (confirmed by the Reading Center) in the study eye 8. Study eye amenable to IVT injection identified 9. Presence of intraretinal fluid and/or subretinal fluid secondary to DME 10. Decreased visual acuity attributable primarily to DME, as determined by the Investigator 11. Demonstrated clinical response to aflibercept and functional stability in the study eye Exclusion Criteria: Individuals who meet any of the following exclusion criteria will not be eligible to participate: Ocular Condition 1. Macular conditions other than DME 2. History or presence of moderate Proliferative Diabetic Retinopathy or worse 3. History of retinal detachment in the study eye 4. History or presence of active inflammation or infection in either eye 5. History or presence of low Intraocular Pressure 6. Uncontrolled glaucoma or intraocular hypertension Ocular Treatments/Interventions: 7. Any prior concomitant treatment for DME 8. History of prior significant ocular surgery or treatment 9. Any prior investigational drug, agent, device, or gene therapy

Interventions

BIOLOGICAL

4D-150 IVT (3x10^10 vg)

BIOLOGICAL

EYELEA ® (aflibercept) Injection 2 mg (0.05mL)

Interested in This Trial?

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Conditions

Diabetic Macular Edema (DME)

Locations

Research Network Arizona

Scottsdale, Arizona 85255

United States

The Retina Partners

Encino, California 91436

United States

Retina Consultants of Orange County

Fullerton, California 92835

United States

Retinal Consultants Medical Group Inc.

Sacramento, California 95825

United States

Retina Consultants San Diego

San Diego, California 92064

United States

Retina Institute of New England

San Mateo, California 94401

United States

Bay Area Retina Associates - Walnut Creek

Walnut Creek, California 94598

United States

Retina Specialists of Colorado - Aurora

Aurora, Colorado 80012

United States

Retina Consultants of Southern Colorado P.C.

Colorado Springs, Colorado 80909

United States

Southwest Retina Consultants

Durango, Colorado 81303

United States

Coastal Eye- Greenwich

Greenwich, Connecticut 06830

United States

Retina Institute of New England, PC

Waterford, Connecticut 06385

United States

Florida Retina Institute

Orlando, Florida 32806

United States

Retinal Specialty Institute

Pensacola, Florida 32503

United States

Fort Lauderdale Eye Institute (FLEI)-Plantation

Plantation, Florida 33324

United States

Retina Vitreous Associates of Florida

Tampa, Florida 33607

United States

Retina Associates, Ltd.

Elmhurst, Illinois 60126

United States

University Retina and Macula Associates

Oak Forest, Illinois 60452

United States

Illinois Retina Associates

Oak Park, Illinois 60304

United States

Springfield Clinic

Springfield, Illinois 62703

United States

Midwest Eye Institute

Carmel, Indiana 46032

United States

The Retina Group of Washington

Chevy Chase, Maryland 20815

United States

Cumberland Valley Retina Consultants

Hagerstown, Maryland 21740

United States

Mid Atlantic Retina Specialist

Hagerstown, Maryland 21740

United States

Mississippi Retina Associates

Madison, Mississippi 39110

United States

Deep Blue Retina Clinical Research, PLLC

Southaven, Mississippi 38671

United States

The Retina Institute

St Louis, Missouri 63128

United States

Sierra Eye Associates

Reno, Nevada 89502

United States

Envision Ocular, LLC

Bloomfield, New Jersey 07003

United States

NJ Retina

Edison, New Jersey 08820

United States

NYU Langone Health

New York, New York 10017

United States

Retina Vitreous Surgeons of CNY, PC

New York, New York 13088

United States

Vitreoretinal Consultants of New York (VRCNY)

Westbury, New York 11590

United States

Asheville Eye Associates - Retina Division

Asheville, North Carolina 28803

United States

North Carolina Retina Associates- Wake Forest

Wake Forest, North Carolina 27587

United States

Retina Vitreous Center

Edmund, Oklahoma 73013

United States

EyeHealth Northwest

Portland, Oregon 97233

United States

Mid Atlantic Retina

Bethlehem, Pennsylvania 18017

United States

Black Hills Regional Eye Institute

Rapid City, South Dakota 57701

United States

West Texas Retina Consultants

Abilene, Texas 79606

United States

Austin Clinical Research

Austin, Texas 78750

United States

Texas Retina Associate

Dallas, Texas 75231

United States

Texas Retina Center

Houston, Texas 77030

United States

Retina Consultants of Texas - Katy

Katy, Texas 77494

United States

Retina Consultants of Texas

The Woodlands, Texas 77384

United States

Tyler Retina Consultants

Tyler, Texas 75703

United States

The Retina Group of Washington

Fairfax, Virginia 22031

United States

Piedmont Eye Center

Lynchburg, Virginia 24502

United States

Eye Clinic of Wisconsin

Wausau, Wisconsin 55403

United States

Beijing Tongren Hospital

Beijing, 100730

China

The Second Hospital of Jilin University

Changchun, 130041

China

The Second Xiangya Hospital of Central South University

Changsha, 410300

China

The Second Affiliated Hospital of Harbin Medical University

Haerbin, 150001

China

Zhejiang Provincial People's Hospital

Hangzhou, 310015

China

Eye Hospital of Shandong First Medical University

Jinan, 250021

China

Zhengzhou Second Peoples Hospital

Jinan, 450006

China

Lanzhou University Second Hospital

Lanzhou, 730030

China

Nanchang University Affiliated Eye Hospital

Nanchang, 330006

China

Fudan University - Eye & ENT Hospital

Shanghai, 200031

China

Shanghai First People's Hospital

Shanghai, 200080

China

Shanxi Academy of Medical Sciences - Shanxi Bethune Hospital

Taiyuan, 030032

China

Taizhou Hospital of Zhejiang Province

Taizhou, 317000

China

Tianjin Medical University Eye Hospital

Tianjin, 300384

China

Weifang Eye Hospital

Weifang, 261021

China

Huazhong University of Science and Technology-Tongji Medical College-The Central Hospital of Wuhan

Wuhan, 430014

China

Wuhan University Renmin Hospital (Hubei General Hospital)

Wuhan, 430060

China

Henan Eye Hospital, Henan Provincial People's Hospital

Zhengzhou, 450003

China

Kozawa Eye Hospital and Diabetes Center

Mito, Ibaraki 310-0845

Japan

Hyogo Prefectural Amagasaki General Medical Center (Hyogo AGMC)

Amagasaki-shi, 660-8550

Japan

Hayashi Eye Hospital

Fukuoka, 812-0011

Japan

Kyushu University Hospital

Fukuoka, 812-8582

Japan

Fukushima Medical University Hospital

Fukushima, 960-1295

Japan

Tokyo Medical University Hachioji Medical Center

Hachioji-shi, 193-0998

Japan

Kagoshima University Hospital

Kagoshima, 890-8520

Japan

Kagawa University Hospital

Kita-Gun, 761-0793

Japan

Kobe City Eye Hospital

Kobe, 650-0047

Japan

Kyoto University Hospital

Kyoto, 606-8507

Japan

University of Miyazaki Hospital

Miyazaki, 889-1692

Japan

Nagoya University Hospital

Nagoya, 466-8560

Japan

Toho University Sakura Medical Center

Sakura-shi, 285-8741

Japan

Juntendo University Hospital

Tokyo, 113-8431

Japan

National Hospital Organization Tokyo Medical Center

Tokyo, 152-8902

Japan