NCT04661358Active, not recruitingPhase 3
Fenofibrate for Prevention of DR Worsening
A Randomized Clinical Trial Evaluating Fenofibrate for Prevention of Diabetic Retinopathy Worsening
Source: ClinicalTrials.gov · Last updated 29 Jun 2026
Brief summary (registry, in English)
This randomized trial will evaluate the effect of fenofibrate compared with placebo for prevention of diabetic retinopathy (DR) worsening through 6 years of follow-up in eyes with mild to moderately severe non-proliferative DR (NPDR) and no CI-DME at baseline. In addition to evaluating efficacy, this study aims to evaluate the feasibility of a model for ophthalmologists to prescribe or collaborate with a primary care provider such as an internist/endocrinologist to prescribe and monitor the drug safely. If this study demonstrates that fenofibrate is effective for reducing the onset of proliferative diabetic retinopathy (PDR) or and the results are adopted by the community of retina specialists, a new strategy to prevent vision threatening complications of diabetes could be widely adopted. Widespread use of an oral agent effective at reducing worsening of DR would decrease the numbers of patients who undergo more invasive and much more expensive treatment for DR and who are consequently at risk for side effects that adversely affect visual function. This study will also assess the relationship of glycemic variability, as measured by continuous glucose monitoring with DR outcomes. Ancillary studies will characterize functional and structural outcomes in this cohort.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 563 (actual)
- First submitted
- 3 Dec 2020
- Start date
- 5 Mar 2021
- Primary completion date
- Dec 2029
- Lead sponsor
- Jaeb Center for Health Research
- Diseases
- Diabetic eye disease
- NCT number
- NCT04661358
What you commit to
- Study type: Interventional · Phase 3
- Participants enrolled: 563
- From 5 Mar 2021 to the primary completion date, Dec 2029
- 66 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Any prior treatment for DME or DR, other than focal/grid laser. If the eye has a history of focal/grid laser, it must be at least 12 months prior.
- History of intraocular anti-VEGF or corticosteroid treatment within the prior year for any indication
- Participant-level exclusion criterion (the participant is ineligible if the following criterion is met):
Lab values
- Decreased renal function, defined as requiring dialysis or central laboratory eGFR value \< 45 mL/min/1.73 m2
Other
- Eye-level exclusion criteria (the eye is ineligible if any of the following is met):
- Current CI-DME based on clinical exam or OCT central subfield thickness (CST)
- Zeiss Cirrus: CST ≥290 µm in women or ≥ 305 µm in men
- Heidelberg Spectralis: CST ≥305 µm in women or ≥320 µm in men
Who the study is looking for
- Age ≥18 years and \< 80 years.
- Type 1 or type 2 diabetes.
- At least one eye with the following:
- Mild to moderately severe NPDR (defined by ETDRS DR severity level 35 to 47), confirmed by central Reading Center grading of fundus photographs.
- Best-corrected E-ETDRS visual acuity letter score of ≥74 (approximate Snellen equivalent 20/32 or better). If best corrected letter score is 74-78, investigator must verify that vision loss is not due to the presence of CI-DME, cataract, or other condition that may affect visual acuity during the course of the study.
- If only one eye is eligible, the non-study eye must have at least microaneurysms only (DR severity level 20)
Age in the registry: 18 years to 80 years · Sex: All · Does not accept healthy volunteers
Sites (66)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Southeast Retina Center, P.C. Coordinator of this site? Confirm its status | Augusta | United States | Unknown status |
| Austin Retina Associates Coordinator of this site? Confirm its status | Austin | United States | Unknown status |
| Austin Research Center for Retina Coordinator of this site? Confirm its status | Austin | United States | Unknown status |
| Valley Eye Physicians and Surgeons Coordinator of this site? Confirm its status | Ayer | United States | Unknown status |
| Elman Retina Group, P.A. Coordinator of this site? Confirm its status | Baltimore | United States | Unknown status |
| Retina Consultants of Texas Coordinator of this site? Confirm its status | Beaumont | United States | Unknown status |
| Retina Consultants of Texas, PA Coordinator of this site? Confirm its status | Bellaire | United States | Unknown status |
| Boston Medical Center Corporation Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| Joslin Diabetes Center Coordinator of this site? Confirm its status | Boston | United States | Unknown status |
| University of North Carolina at Chapel Hill Coordinator of this site? Confirm its status | Chapel Hill | United States | Unknown status |
| UIC - Dept of Ophthalmology & Visual Sciences Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| Northwestern University Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| Rush University Medical Center Coordinator of this site? Confirm its status | Chicago | United States | Unknown status |
| The Cleveland Clinic Foundation DBA Cleveland Clinic Lerner College of Medicine Coordinator of this site? Confirm its status | Cleveland | United States | Unknown status |
| The Curators of the University of Missouri Coordinator of this site? Confirm its status | Columbia | United States | Unknown status |
| Henry Ford Health System Coordinator of this site? Confirm its status | Detroit | United States | Unknown status |
| Verum Research, LLC Coordinator of this site? Confirm its status | Eugene | United States | Unknown status |
| National Ophthalmic Research Institute Coordinator of this site? Confirm its status | Fort Myers | United States | Unknown status |
| Kent W. Small, MD, AMC Coordinator of this site? Confirm its status | Glendale | United States | Unknown status |
| Vitreo-Retinal Associates Coordinator of this site? Confirm its status | Grand Rapids | United States | Unknown status |
| Foundation for Vision Research and Retina Specialists of Michigan, P.C. Coordinator of this site? Confirm its status | Grand Rapids | United States | Unknown status |
| Wolfe Eye Clinic-Cedar Rapids Coordinator of this site? Confirm its status | Hiawatha | United States | Unknown status |
| Baylor College of Medicine, Baylor Eye Physicians and Surgeons Coordinator of this site? Confirm its status | Houston | United States | Unknown status |
| Salehi Retina Institute, Inc Coordinator of this site? Confirm its status | Huntington Beach | United States | Unknown status |
| Midwest Eye Institute Coordinator of this site? Confirm its status | Indianapolis | United States | Unknown status |
| University of Florida - Jacksonville Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| Florida Retina Institute, James A. Staman, MD, PA- Jacksonville Coordinator of this site? Confirm its status | Jacksonville | United States | Unknown status |
| Southeastern Retina Associates, P.C. Coordinator of this site? Confirm its status | Knoxville | United States | Unknown status |
| Gunderson Health System Coordinator of this site? Confirm its status | La Crosse | United States | Unknown status |
| Florida Retina Consultants Coordinator of this site? Confirm its status | Lakeland | United States | Unknown status |
| Retina Vitreous Surgeons of Central NY, PC Coordinator of this site? Confirm its status | Liverpool | United States | Unknown status |
| Loma Linda University Coordinator of this site? Confirm its status | Loma Linda | United States | Unknown status |
| Texas Retina Associates Coordinator of this site? Confirm its status | Lubbock | United States | Unknown status |
| Marietta Eye Clinic Coordinator of this site? Confirm its status | Marietta | United States | Unknown status |
| Retina Center, PA DBA Retina Center of Minnesota Coordinator of this site? Confirm its status | Minneapolis | United States | Unknown status |
| Retina-Vitreous Consultants, Inc. Coordinator of this site? Confirm its status | Monroeville | United States | Unknown status |
| Vanderbilt Eye Institute Coordinator of this site? Confirm its status | Nashville | United States | Unknown status |
| John Kenyon American Eye Institute, LLC Coordinator of this site? Confirm its status | New Albany | United States | Unknown status |
| MaculaCare Coordinator of this site? Confirm its status | New York | United States | Unknown status |
| Illinois Retina Associates SC - Oak Park Site Coordinator of this site? Confirm its status | Oak Park | United States | Unknown status |
| Dean A. McGee Eye Institute Coordinator of this site? Confirm its status | Oklahoma City | United States | Unknown status |
| Florida Retina Institute, James A. Staman, MD, PA- Orlando Coordinator of this site? Confirm its status | Orlando | United States | Unknown status |
| Mid-America Retina Consultants, P.A. Coordinator of this site? Confirm its status | Overland Park | United States | Unknown status |
| UCLA Stein Eye Institute Coordinator of this site? Confirm its status | Pasadena | United States | Unknown status |
| Southeast Eye Institute, P.A. dba Eye Associates of Pinellas Coordinator of this site? Confirm its status | Pinellas Park | United States | Unknown status |
| Oregon Health Science University Coordinator of this site? Confirm its status | Portland | United States | Unknown status |
| University of Kansas Medical Center Research Institute, Inc. Coordinator of this site? Confirm its status | Prairie Village | United States | Unknown status |
| Retina Associates of Western NY, P.C. Coordinator of this site? Confirm its status | Rochester | United States | Unknown status |
| Mayo Clinic Coordinator of this site? Confirm its status | Rochester | United States | Unknown status |
| Regents of the University of California, Davis, DBA University of California, Davis Coordinator of this site? Confirm its status | Sacramento | United States | Unknown status |
| Retina Consultants, LLC Coordinator of this site? Confirm its status | Salem | United States | Unknown status |
| Retinal Consultants of San Antonio Coordinator of this site? Confirm its status | San Antonio | United States | Unknown status |
| Thomas Eye Group Coordinator of this site? Confirm its status | Sandy Springs | United States | Unknown status |
| The Regents of the University of California, San Francisco Coordinator of this site? Confirm its status | San Francisco | United States | Unknown status |
| Sarasota Retina Institute Coordinator of this site? Confirm its status | Sarasota | United States | Unknown status |
| Retina Vitreous Consultants, LLP Coordinator of this site? Confirm its status | Sarasota | United States | Unknown status |
| University of Washington Coordinator of this site? Confirm its status | Seattle | United States | Unknown status |
| Pittsburg Clinical Trial Consortium Coordinator of this site? Confirm its status | Sewickley | United States | Unknown status |
| Pamela Weber, MD/Island Retina Coordinator of this site? Confirm its status | Shirley | United States | Unknown status |
| Cascade Medical Research Institute, LLC Coordinator of this site? Confirm its status | Springfield | United States | Unknown status |
| Retina Research Institute, LLC Coordinator of this site? Confirm its status | St Louis | United States | Unknown status |
| Washington University Ophthalmology Coordinator of this site? Confirm its status | St Louis | United States | Unknown status |
| Eye Clinic of Wisconsin Coordinator of this site? Confirm its status | Wausau | United States | Unknown status |
| SEASHORE RETINA LLC DBA Retina Specialists of Tampa Coordinator of this site? Confirm its status | Wesley Chapel | United States | Unknown status |
| Wolfe Clinic, P.C.- West Des Moines Coordinator of this site? Confirm its status | West Des Moines | United States | Unknown status |
| Joseph E. Humble and Raymond Haik PTRS DBA Eye Assoc of Northeast Louisiana Coordinator of this site? Confirm its status | West Monroe | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.