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Condition Guide

New Treatments & Clinical Trials for Wet Age-related Macular Degeneration

Last updated August 2026Data from ClinicalTrials.gov64 active trials
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Wet age-related macular degeneration happens when abnormal blood vessels grow under the retina and leak fluid, blurring central vision. It affects about 1 in 50 people over 75. Anti-VEGF injections into the eye have transformed treatment since 2006, preserving vision for many, but require frequent doctor visits.

What's actually going on in research

Trials are testing longer-lasting drugs that could reduce injection frequency from monthly to twice yearly, new mechanisms beyond VEGF blockade, gene therapies that may eliminate injections entirely, and implantable drug delivery devices. Researchers are also studying ways to predict who will respond best to treatment and whether earlier intervention prevents wet AMD from starting.

Longer-acting anti-VEGF drugs

Faricimab, approved in 2022, blocks both VEGF and angiopoietin-2 and lets many people go 16 weeks between injections. Several other drugs in trials aim for similar or longer intervals.

Gene therapy

One-time gene therapy injections could deliver anti-VEGF continuously from inside the eye. Early trials show some people maintaining vision for years without additional injections.

Port delivery systems

A tiny refillable implant sits in the eye and releases ranibizumab slowly. FDA-approved in 2021, it reduces visits to about twice yearly for refills instead of monthly injections.

What to know before you search

Eligibility typically depends on how recently wet AMD was diagnosed, current vision level, whether you've had prior anti-VEGF treatment, and retinal thickness on imaging.

What types of trials are currently open

  • Anti-VEGF trialsTesting new drugs or formulations that block vascular endothelial growth factor, aiming for longer intervals between injections or better vision outcomes than current drugs.
  • Gene therapy trialsTesting one-time injections that deliver genetic instructions for the eye to produce its own anti-VEGF protein, potentially eliminating the need for repeated injections.
  • Combination therapy trialsTesting whether combining anti-VEGF with other drugs that target different pathways improves vision or reduces treatment burden.
  • Device trialsStudies of implantable ports or drug delivery systems that release medication slowly inside the eye.
  • Prevention trialsTesting whether treating high-risk dry AMD or early wet AMD changes can prevent vision loss before it becomes severe.

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