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This LIGHTSITE III study is a double-masked, sham-controlled, parallel design, prospective multi-site study for the use of PBM as a treatment for visual impairment in subjects with dry AMD.
This study is a double-masked, sham-controlled, parallel design prospective, multi-site study on the use of photobiomodulation (PBM) as a treatment for visual impairment in subjects with dry AMD. Subjects will receive repeated sham or PBM treatments at several time-points throughout the 2-year study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PBM Treatment | Experimental | The Valedaâ„¢ Light Delivery System |
|
| Sham Treatment | Sham Comparator | The Valedaâ„¢ Light Delivery System non-effective treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Valeda PBM treatment | Device | The Valeda Light Delivery System |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Best Corrected Visual Acuity | Mean change from baseline in BCVA. | 21 months |
| Measure | Description | Time Frame |
|---|---|---|
| Contrast Sensitivity | Mean change from baseline (pre-treatment) in contrast sensitivity at 40 cm. | 21 months |
| Central Drusen Volume | Mean change from baseline (pre-treatment) in central Drusen volume. |
| Measure | Description | Time Frame |
|---|---|---|
| Contrast Sensitivity | Mean change from baseline (pre-treatment) in contrast sensitivity at 80 cm and 120 cm. | 21 Months |
| Visual Function Questionnaire | Mean change from baseline (pre-treatment) in Visual Function Questionnaire (VFQ-25) composite score. |
Inclusion Criteria:
Male or female at least 50 years of age at Screening visit
ETDRS BCVA letter score of between 50* and 75* (Snellen equivalent of 20/100 to 20/32). *If the subject meets this criterion at the Screening Visit, but the Baseline BCVA letter score is between 48 and 77, the subject may be entered in the study.
Diagnosis of dry AMD as defined by the presence of the following:
Drusen that are intermediate in size or larger (63 μm or larger in diameter) with at least a few (3) being regular drusen and not pseudodrusen and/or geographic atrophy (GA) visible on two of the following: color fundus images, OCT and/or FAF, to be confirmed by the reading center
Able to communicate well with the Investigator and able to understand and comply with the requirements of the study
Informed of the nature of this study and has provided written, informed consent in accordance with institutional, local and national regulatory guidelines
Exclusion Criteria:
Current or history of neovascular maculopathy that includes any of the following (to be confirmed by the reading center):
Presence of center involving GA within the central ETDRS 1 mm diameter at Screening, to be confirmed by the reading center
Media opacities, including cataracts, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require cataract surgery in the study eye in the next 24 months.
Posterior capsule opacification, which might interfere with visual acuity or imaging in the study eye(s). Subjects should not be entered if there is likelihood that they will require surgery in the study eye in the next 24 months.
Invasive eye surgery (e.g. cataract, capsulotomy) on a qualifying eye within three 3 months prior to Screening
Ocular disorder or disease that partially or completely obstructs the pupil (e.g. posterior synechia in uveitis)
Visually significant disease in any ocular structure apart from dry AMD (e.g. diabetic macular edema, glaucoma (using >2 eye drop medications, uncontrolled IOP and/or central/paracentral visual field loss), glaucoma surgery, active uveitis, active vitreous disease, intraocular tumor, retinal vascular diseases)
Ocular disorder or disease other than dry AMD that could cause drusen (glomerulonephritis Type 2, Autosomal dominant drusen), GA (North Carolina dystrophy) or mitochondrial diseases (parafoveal petaloid GA, Stargardt disease)
Presence or history of disease or condition affecting functional vision without obvious structural abnormalities (e.g. amblyopia, stroke, nystagmus)
Serious medical illness that will prevent the subject from performing study activities (including cardiac, hepatic, renal, respiratory, endocrinologic, neurologic, or hematologic disease) or, in the judgement of the Investigator, is likely to require surgical intervention or hospitalization at any point during the study
Presence of or history of malignancy within the past 5 years other than non-melanoma skin or squamous cell cancer or cervical carcinoma in-situ
Is non-ambulatory
Presence or history of known light sensitivity to yellow light, red light, or near infrared radiation (NIR), or if they have a history of light activated CNS disorders (e.g. epilepsy, migraine)
Use of any photosensitizing agent (e.g. topicals, injectables, oral) within 30 days of treatment without consulting subject's physician
History of drug, alcohol or substance abuse within 3 months prior to Screening
Has received an investigational drug or treatment with an investigational device within 3 months prior to Screening
If on any anti-oxidant or vitamin Age-Related Eye Disease Study (AREDS) supplement for dry AMD, has not been stabilized for a minimum of 1 month prior to Screening. Subjects are considered to be stable if they are taking the AREDS supplements consistently as prescribed by their treating doctor.
Has received Low Vision Rehab/Therapy within 30 days prior to Screening or intends to receive during the study
Has an open sore(s) that may come in contact with the Valeda System, has periorbital skin erythema or is prone to such conditions with exposure to light.
In the opinion of the Investigator, is unlikely to comply with the study protocol
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Retina Vitreous Associates Medical Group | Beverly Hills | California | 90211 | United States | ||
| Stanford University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41791029 | Derived | Jaffe GJ, Boyer D, Hu A, Warrow D, Xavier S, Gonzalez V, Lad E, Rosen RB, Do DV, Schneiderman T, Ho AC, Munk MR, Tedford SE, Croissant CL, Ruckert R, Lavin PT, Tedford CE. LONG-TERM EFFICACY AND SAFETY OF PHOTOBIOMODULATION IN DRY AGE-RELATED MACULAR DEGENERATION (LIGHTSITE III: 24-MONTH ANALYSIS). Retina. 2026 May 1;46(5):783-795. doi: 10.1097/IAE.0000000000004822. |
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Valeda Light Delivery System
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| Valeda Sham treatment |
| Device |
The sham mode of the Valeda Light Delivery System. |
|
| 21 Months |
| Central Drusen Thickness | Mean change from baseline (pre-treatment) in central Drusen thickness. | 21 Months |
| 21 Months |
| Reading Speed | Mean change from baseline (pre-treatment) to Month 21 in monocular reading speed assessed by the Radner Reading Chart. | 21 Months |
| Geographic Atrophy | Mean change from baseline in the GA lesion area of the PBM treatment group versus the sham treatment group, as measured by FAF. | 21 Months |
| Low Luminance- Best Corrected Visual Acuity | Mean change from baseline in the LLBVCA. | 21 Months |
| Palo Alto |
| California |
| 94303 |
| United States |
| Florida Eye Clinic | Altamonte Springs | Florida | 32701 | United States |
| Cumberland Valley Retina Consultants | Hagerstown | Maryland | 21749 | United States |
| Mid Atlantic Retina | Cherry Hill | New Jersey | 19107 | United States |
| New York Ear and Eye Infirmary | New York | New York | 10003-4284 | United States |
| Duke Eye Center | Durham | North Carolina | 27705 | United States |
| Cumberland Valley Retina Consultants | Chambersburg | Pennsylvania | 17201 | United States |
| Gulf Coast Eye Institute | McAllen | Texas | 78503 | United States |
| Retina Consultants of Houston | The Woodlands | Texas | 77384 | United States |
| Retina Center Northwest | Silverdale | Washington | 98383 | United States |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 14, 2025 | Feb 5, 2025 | 15 | ||
| Apr 8, 2025 | Apr 24, 2025 | 16 |