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AVT29

Phase 3

Diabetic Macular Edema | Small molecule | Ophthalmology |Alvotech|Last Updated: Apr 30, 2026

Target and mechanism

ModalitySmall molecule

Also known as AVT29 (proposed aflibercept HD biosimilar)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment256

FDA Designations

No designations recorded

Clinical trial landscape

AVT29 · 1 trial · 1 indication

Phase 3 1
NCT07489131Clinical Study to Compare Efficacy and Safety of AVT29 and Eylea HD in Participants With Diabetic Macular EdemaDiabetic Macular Edema
RECRUITING256 Analytics
PHASE3RECRUITING
Clinical Study to Compare Efficacy and Safety of AVT29 and Eylea HD in Participants With Diabetic Macular Edema
Diabetic Macular EdemaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline to Week 8 in BCVA as measured by ETDRS letter score
week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AVT29 (proposed aflibercept HD biosimilar)EXPERIMENTALParticipants will receive 1 IVT injection of AVT29 at baseline and every 4 weeks for 2 consecutive monthly visits (at Week 4 and Week 8), followed by 1 IVT injection every 8 to 16 weeks based on DRM criteria through study completion.
Eylea HD (aflibercept HD)ACTIVE_COMPARATORParticipants will receive 1 IVT injection of Eylea HD at baseline and every 4 weeks for 2 consecutive monthly visits (at Week 4 and Week 8), followed by 1 IVT injection every 8 to 16 weeks based on DRM criteria through study completion.

Interventions

NameTypeDescription
AVT29 (proposed aflibercept HD biosimilar)DRUGPatients will receive IVT injections of AVT29
Eylea HD (aflibercept HD)DRUGPatients will receive IVT injections of Eylea HD
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Main Inclusion Criteria: * Participant is ≥18 years old at the time of signing the ICF. * Participant is willing and able to comply with all study procedures and likely to complete the study, based on the investigator's judgment. * Participant has a diagnosis of DME secondary to DM with central inv...

Countries:Hungary
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Frequently asked questions about AVT29

What is AVT29 used for?

AVT29 is an investigational biosimilar being developed for diabetic macular edema, a condition that causes vision loss due to fluid buildup in the macula. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities.

What does AVT29 target?

AVT29 is a proposed biosimilar to aflibercept HD, which targets vascular endothelial growth factor (VEGF). By binding to VEGF, it is intended to reduce abnormal blood vessel growth and leakage in the eye, which are key drivers of diabetic macular edema.

Who makes AVT29?

AVT29 is being developed by Alvotech, a biopharmaceutical company listed on the Nasdaq under the ticker ALVO. Alvotech specializes in biosimilars and is conducting a Phase 3 clinical trial to evaluate AVT29 in patients with diabetic macular edema.

What phase is AVT29 in?

AVT29 is in Phase 3 clinical development. It is an investigational drug and has not yet been approved by the FDA or other regulatory agencies. The ongoing Phase 3 trial is actively recruiting participants to assess its efficacy and safety compared to Eylea HD.

What clinical trials is AVT29 in?

AVT29 is being studied in a Phase 3 clinical trial with the identifier NCT07489131. This randomized, double-blind, active-controlled study is comparing AVT29 to Eylea HD in 256 participants with diabetic macular edema. The trial is currently recruiting and is being conducted in Hungary.

Is AVT29 the same as Eylea HD?

AVT29 is not the same as Eylea HD; it is a proposed biosimilar to Eylea HD (aflibercept HD). Biosimilars are designed to be highly similar to an approved biologic and are intended to have no clinically meaningful differences in safety and efficacy. AVT29 is still under investigation.