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Updated: Jun 9, 2026

Characterization of Vascular Morphology of Neovascular Age-Related Macular Degeneration by Indocyanine Green Angiography
Published on: August 11, 2023
Broad spectrum antiangiogenic treatment for ocular neovascular diseases
Ofra Benny1, Kei Nakai, Takeru Yoshimura
1Vascular Biology Program and Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, United States of America. ofra.bennyratsaby@childrens.harvard.edu
Unlabelled:
Pathological neovascularization is a hallmark of late stage neovascular (wet) age-related macular degeneration (AMD) and the leading cause of blindness in people over the age of 50 in the western world. The treatments focus on suppression of choroidal neovascularization (CNV), while current approved therapies are limited to inhibiting vascular endothelial growth factor (VEGF) exclusively. However, this treatment does not address the underlying cause of AMD, and the loss of VEGF's neuroprotective can be a potential side effect. Therapy which targets the key processes in AMD, the pathological neovascularization, vessel leakage and inflammation could bring a major shift in the approach to disease treatment and prevention. In this study we have demonstrated the efficacy of such broad spectrum antiangiogenic therapy on mouse model of AMD.
Methods And Findings:
Lodamin, a polymeric formulation of TNP-470, is a potent broad-spectrum antiangiogenic drug. Lodamin significantly reduced key processes involved in AMD progression as demonstrated in mice and rats. Its suppressive effects on angiogenesis, vascular leakage and inflammation were studied in a wide array of assays including; a Matrigel, delayed-type hypersensitivity (DTH), Miles assay, laser-induced CNV and corneal micropocket assay. Lodamin significantly suppressed the secretion of various pro-inflammatory cytokines in the CNV lesion including monocyte chemotactic protein-1 (MCP-1/Ccl2). Importantly, Lodamin was found to regress established CNV lesions, unlike soluble fms-like tyrosine kinase-1 (sFlk-1). The drug was found to be safe in mice and have little toxicity as demonstrated by electroretinography (ERG) assessing retinal and by histology.
Conclusions:
Lodamin, a polymer formulation of TNP-470, was identified as a first in its class, broad-spectrum antiangiogenic drug that can be administered orally or locally to treat corneal and retinal neovascularization. Several unique properties make Lodamin especially beneficial for ophthalmic use. Our results support the concept that broad spectrum antiangiogenic drugs are promising agents for AMD treatment and prevention.
Insights
Lodamin, a novel broad-spectrum antiangiogenic drug, effectively reduced pathological neovascularization, leakage, and inflammation in an age-related macular degeneration (AMD) mouse model. This therapy shows promise for treating and preventing AMD by targeting key disease processes.
Area of Science:
- Ophthalmology
- Angiogenesis Research
- Pharmacology
Background:
- Pathological neovascularization, particularly choroidal neovascularization (CNV), drives wet age-related macular degeneration (AMD) and leads to vision loss.
- Current treatments primarily inhibit vascular endothelial growth factor (VEGF), which may not address underlying causes and can have neuroprotective side effects.
- A therapeutic strategy targeting neovascularization, leakage, and inflammation offers a potential shift in AMD treatment and prevention.
Purpose of the Study:
- To evaluate the efficacy of a broad-spectrum antiangiogenic therapy in a mouse model of AMD.
- To assess the drug's impact on key pathological processes including neovascularization, vascular leakage, and inflammation.
- To determine the safety and potential for ophthalmic application of the therapeutic agent.
Main Methods:
- Utilized a mouse model of AMD to test Lodamin, a polymeric formulation of TNP-470.
- Assessed antiangiogenic, anti-leakage, and anti-inflammatory effects using various assays (Matrigel, DTH, Miles assay, laser-induced CNV, corneal micropocket).
- Evaluated drug safety and toxicity through electroretinography (ERG) and histology.
Main Results:
- Lodamin significantly reduced angiogenesis, vascular leakage, and inflammation in AMD models.
- The drug suppressed pro-inflammatory cytokines, including monocyte chemotactic protein-1 (MCP-1/Ccl2), in CNV lesions.
- Lodamin demonstrated the ability to regress established CNV lesions and showed minimal toxicity in mice.
Conclusions:
- Lodamin, a first-in-class broad-spectrum antiangiogenic drug, is effective for treating corneal and retinal neovascularization.
- Its properties make it particularly suitable for ophthalmic applications.
- Broad-spectrum antiangiogenic drugs represent a promising therapeutic approach for AMD treatment and prevention.
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