Lessons From the ARCHER Trial - Summary - MDSpire

Lessons From the ARCHER Trial

  • By

  • Margaret Chang, MD

  • July 15, 2026

  • 2 min

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Objective:

To discuss findings from the phase 2 ARCHER trial of vonaprument and their implications for the ongoing phase 3 ARCHER II study.

Approach:
  • Trial Overview: The ARCHER trial evaluated vonaprument, a nonpegylated Fab targeting C1q, in patients with geographic atrophy (GA).
  • Risk Factor Analysis: The trial identified baseline risk factors for 15-letter vision loss, focusing on patients with compromised vision and subfoveal lesions.
Key Findings:
  • Patients with vision between 20/40 and 20/100 were at highest risk for 15-letter loss.
  • Subfoveal lesions increased the risk of 15-letter loss compared to nonsubfoveal lesions.
Interpretation:

The findings from the ARCHER trial informed the design of the phase 3 ARCHER II study, aiming to improve outcomes for patients with GA.

Conclusion:

The phase 3 ARCHER II study is expected to read out later this year.

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