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IVT aflibercept

Phase 4FDA approved 2011

Diabetic Macular Edema | Biologics | Ophthalmology |Clearside Biomedical, Inc.|Trials Updated: May 13, 2021

IVT aflibercept development status

FDA approval Nov 18, 2011 as Eylea
Approval holderRegeneron Pharmaceuticals
ApplicationBLA125387
Highest phase Phase 4 run by Bayer (NCT05473715)
Phase scored for CLSDPhase 2
Registered trials 100 across 49 sponsors since Aug 2007

Label indication EYLEA is indicated for the treatment of: EYLEA is a vascular endothelial growth factor (VEGF) inhibitor indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (AMD) ( 1.1 ) Macular Edema Following Retinal Vein Occlusion (RVO) ( 1.2 ) Diabetic Macular Edema (DME) ( 1.3 ) Diabetic Retinopathy (DR) ( 1.4 ) Retinopathy of Prematurity (ROP) ( 1.5 ) 1.1 Neovascular (Wet)… FDA label

IVT aflibercept target and mechanism

ModalityBiologics

Also known as Eylea, Aflibercept

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment91

FDA Designations

No designations recorded

IVT aflibercept clinical trials

IVT aflibercept · 2 trials · 1 indication

Phase 2 1Phase 1/2 1
NCT03126786Suprachoroidal CLS-TA With Intravitreal Aflibercept Versus Aflibercept Alone in Subject With Diabetic Macular EdemaDiabetic Macular Edema
COMPLETED71 Analytics
PHASE2COMPLETED
Suprachoroidal CLS-TA With Intravitreal Aflibercept Versus Aflibercept Alone in Subject With Diabetic Macular Edema
Diabetic Macular EdemaUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change From Baseline in Best Corrected Visual Acuity Letter Score
Baseline, 6 months

Best corrected visual acuity (BCVA) refers to the measurement of the best possible vision that can be achieved following refraction or correction. BCVA was assessed following the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol and was measured in the number of letters read correctly on an ETDRS eye chart. An increase from the pre-treatment state in BCVA of 15 letters or more represents a clinically meaningful improvement.

Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
Over 6 months of follow-up

Number of participants with treatment emergent adverse events and serious adverse events reported over 6 months of follow-up

Secondary Endpoints

Mean Change From Baseline in Central Subfield Thickness
Baseline, 6 months
Mean Change From Baseline in Intraocular Pressure
Baseline and 6 months
Best Corrected Visual Acuity
Baseline and 6 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ActiveACTIVE_COMPARATORTreatment will consist of IVT injection of Aflibercept followed by an SC injection of CLS-TA
ControlSHAM_COMPARATORTreatment will consist of IVT aflibercept injection followed by a sham SC procedure
TX Naïve ArmEXPERIMENTALTreatment in the TX Naive arm will consist of one unilateral injection of IVT aflibercept in combination with one unilateral injection of SC CLS-TA in the same eye.
Previous TX ArmEXPERIMENTALTreatment in the Previous TX arm of the study will consist of one unilateral injection of SC CLS-TA.

Interventions

NameTypeDescription
IVT afliberceptDRUGIVT aflibercept \[2 mg/0.05 mL\]
Sham SCDRUGsham SC
SC CLS-TADRUGCLS-TA \[4 mg/100 μL\] SC injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: * Clinical diagnosis of type 1 or type 2 DM * DME with central involvement (\> 300 µm in the central subfield on spectral-domain optical coherence tomography \[SD-OCT\], in the study eye * ETDRS BCVA score of ≥ 20 letters read and ≤ 70 letters read in the study eye * Naïve to lo...

Countries:United States
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Frequently asked questions about IVT aflibercept

What is IVT Aflibercept used for in diabetic macular edema?

IVT Aflibercept is being studied for diabetic macular edema, a complication of diabetes in which fluid accumulates in the macula and impairs vision. Clearside Biomedical developed it as part of a suprachoroidal delivery program combining intravitreal aflibercept with suprachoroidal CLS-TA. It remains an investigational approach in clinical development.

Who is developing IVT Aflibercept?

IVT Aflibercept is being developed by Clearside Biomedical, Inc., which trades under the ticker CLSD. The company sponsored the clinical program evaluating intravitreal aflibercept given with suprachoroidal CLS-TA in patients with diabetic macular edema, conducted at sites in the United States.

What phase is IVT Aflibercept in?

IVT Aflibercept has been studied in Phase 2 clinical development for diabetic macular edema. Both of its recorded trials are completed, and no trials are currently active. It is an investigational therapy and is not described as FDA approved for this use.

What clinical trials is IVT Aflibercept in?

IVT Aflibercept has been evaluated in two completed trials in diabetic macular edema. NCT03126786 was a Phase 2 study of suprachoroidal CLS-TA with intravitreal aflibercept versus aflibercept alone, enrolling 71 patients. NCT02949024 was a Phase 1/Phase 2 study of suprachoroidal CLS-TA alone or with aflibercept, enrolling 20 patients.

How were the IVT Aflibercept trials designed?

Both IVT Aflibercept trials were randomized, double-blind studies in adults with diabetic macular edema, conducted in the United States. NCT03126786 used an active-controlled design comparing suprachoroidal CLS-TA plus intravitreal aflibercept against aflibercept alone. Together the two completed studies enrolled 91 participants.