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The Ophthalmologist / Issues / 2026 / February / 4DMT Completes Enrollment in Gene Therapy Trial for Wet AMD
Retina Latest News

4DMT Completes Enrollment in Gene Therapy Trial for Wet AMD

Phase 3 4FRONT-1 study compares 4D-150, an investigational gene therapy, against aflibercept 2 mg in treatment-naïve patients

2/18/2026 1 min read

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Clinical Scorecard: 4DMT Completes Enrollment in Gene Therapy Trial for Wet AMD

At a Glance

CategoryDetail
ConditionWet Age-Related Macular Degeneration (AMD)
Key MechanismsGene therapy using an adeno-associated virus vector to deliver aflibercept and anti-VEGF-C components.
Target PopulationTreatment-naïve patients with wet AMD.
Care SettingMulticenter, randomized, double-masked clinical trial.

Key Highlights

  • Enrollment completed for phase 3 trial 4FRONT-1.
  • Comparing 4D-150 with aflibercept (Eylea) administered every 8 weeks.
  • Primary endpoint: noninferiority in best-corrected visual acuity at 52 weeks.
  • Secondary endpoint: reduction in treatment burden of aflibercept injections.
  • Top-line data expected in the first half of 2027.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of wet AMD based on clinical examination and imaging.

Management

  • Consider gene therapy with 4D-150 as a treatment option.

Monitoring & Follow-up

  • Monitor best-corrected visual acuity and treatment burden.

Risks

  • Potential need for supplemental aflibercept injections.

Patient & Prescribing Data

Treatment-naïve patients with wet AMD.

4D-150 aims to provide sustained intraocular anti-VEGF expression.

Clinical Best Practices

  • Utilize a randomized, controlled trial design for evaluating new therapies.
  • Ensure comprehensive patient monitoring for visual acuity and treatment response.

Related Resources & Content

  • Retinal Physician

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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