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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
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

Full criteria on ClinicalTrials.gov

Sites (66)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Southeast Retina Center, P.C.
Coordinator of this site? Confirm its status
AugustaUnited StatesUnknown status
Austin Retina Associates
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AustinUnited StatesUnknown status
Austin Research Center for Retina
Coordinator of this site? Confirm its status
AustinUnited StatesUnknown status
Valley Eye Physicians and Surgeons
Coordinator of this site? Confirm its status
AyerUnited StatesUnknown status
Elman Retina Group, P.A.
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BaltimoreUnited StatesUnknown status
Retina Consultants of Texas
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BeaumontUnited StatesUnknown status
Retina Consultants of Texas, PA
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BellaireUnited StatesUnknown status
Boston Medical Center Corporation
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BostonUnited StatesUnknown status
Joslin Diabetes Center
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BostonUnited StatesUnknown status
University of North Carolina at Chapel Hill
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Chapel HillUnited StatesUnknown status
UIC - Dept of Ophthalmology & Visual Sciences
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ChicagoUnited StatesUnknown status
Northwestern University
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ChicagoUnited StatesUnknown status
Rush University Medical Center
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ChicagoUnited StatesUnknown status
The Cleveland Clinic Foundation DBA Cleveland Clinic Lerner College of Medicine
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ClevelandUnited StatesUnknown status
The Curators of the University of Missouri
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ColumbiaUnited StatesUnknown status
Henry Ford Health System
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DetroitUnited StatesUnknown status
Verum Research, LLC
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EugeneUnited StatesUnknown status
National Ophthalmic Research Institute
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Fort MyersUnited StatesUnknown status
Kent W. Small, MD, AMC
Coordinator of this site? Confirm its status
GlendaleUnited StatesUnknown status
Vitreo-Retinal Associates
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Grand RapidsUnited StatesUnknown status
Foundation for Vision Research and Retina Specialists of Michigan, P.C.
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Grand RapidsUnited StatesUnknown status
Wolfe Eye Clinic-Cedar Rapids
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HiawathaUnited StatesUnknown status
Baylor College of Medicine, Baylor Eye Physicians and Surgeons
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HoustonUnited StatesUnknown status
Salehi Retina Institute, Inc
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Huntington BeachUnited StatesUnknown status
Midwest Eye Institute
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IndianapolisUnited StatesUnknown status
University of Florida - Jacksonville
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JacksonvilleUnited StatesUnknown status
Florida Retina Institute, James A. Staman, MD, PA- Jacksonville
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JacksonvilleUnited StatesUnknown status
Southeastern Retina Associates, P.C.
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KnoxvilleUnited StatesUnknown status
Gunderson Health System
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La CrosseUnited StatesUnknown status
Florida Retina Consultants
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LakelandUnited StatesUnknown status
Retina Vitreous Surgeons of Central NY, PC
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LiverpoolUnited StatesUnknown status
Loma Linda University
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Loma LindaUnited StatesUnknown status
Texas Retina Associates
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LubbockUnited StatesUnknown status
Marietta Eye Clinic
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MariettaUnited StatesUnknown status
Retina Center, PA DBA Retina Center of Minnesota
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MinneapolisUnited StatesUnknown status
Retina-Vitreous Consultants, Inc.
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MonroevilleUnited StatesUnknown status
Vanderbilt Eye Institute
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NashvilleUnited StatesUnknown status
John Kenyon American Eye Institute, LLC
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New AlbanyUnited StatesUnknown status
MaculaCare
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New YorkUnited StatesUnknown status
Illinois Retina Associates SC - Oak Park Site
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Oak ParkUnited StatesUnknown status
Dean A. McGee Eye Institute
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Oklahoma CityUnited StatesUnknown status
Florida Retina Institute, James A. Staman, MD, PA- Orlando
Coordinator of this site? Confirm its status
OrlandoUnited StatesUnknown status
Mid-America Retina Consultants, P.A.
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Overland ParkUnited StatesUnknown status
UCLA Stein Eye Institute
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PasadenaUnited StatesUnknown status
Southeast Eye Institute, P.A. dba Eye Associates of Pinellas
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Pinellas ParkUnited StatesUnknown status
Oregon Health Science University
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PortlandUnited StatesUnknown status
University of Kansas Medical Center Research Institute, Inc.
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Prairie VillageUnited StatesUnknown status
Retina Associates of Western NY, P.C.
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RochesterUnited StatesUnknown status
Mayo Clinic
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RochesterUnited StatesUnknown status
Regents of the University of California, Davis, DBA University of California, Davis
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SacramentoUnited StatesUnknown status
Retina Consultants, LLC
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SalemUnited StatesUnknown status
Retinal Consultants of San Antonio
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San AntonioUnited StatesUnknown status
Thomas Eye Group
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Sandy SpringsUnited StatesUnknown status
The Regents of the University of California, San Francisco
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San FranciscoUnited StatesUnknown status
Sarasota Retina Institute
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SarasotaUnited StatesUnknown status
Retina Vitreous Consultants, LLP
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SarasotaUnited StatesUnknown status
University of Washington
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SeattleUnited StatesUnknown status
Pittsburg Clinical Trial Consortium
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SewickleyUnited StatesUnknown status
Pamela Weber, MD/Island Retina
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ShirleyUnited StatesUnknown status
Cascade Medical Research Institute, LLC
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SpringfieldUnited StatesUnknown status
Retina Research Institute, LLC
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St LouisUnited StatesUnknown status
Washington University Ophthalmology
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St LouisUnited StatesUnknown status
Eye Clinic of Wisconsin
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WausauUnited StatesUnknown status
SEASHORE RETINA LLC DBA Retina Specialists of Tampa
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Wesley ChapelUnited StatesUnknown status
Wolfe Clinic, P.C.- West Des Moines
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West Des MoinesUnited StatesUnknown status
Joseph E. Humble and Raymond Haik PTRS DBA Eye Assoc of Northeast Louisiana
Coordinator of this site? Confirm its status
West MonroeUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.