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2-mg Intravitreous Aflibercept

Phase 2

Proliferative Diabetic Retinopathy | Small molecule | Ophthalmology |Regeneron Pharmaceuticals, Inc.|Last Updated: Apr 20, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment205
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02858076Anti-VEGF vs. Prompt Vitrectomy for VH From PDRPHASE2 COMPLETED 205Nov 1, 2016Jan 1, 2020Apr 20, 202162 United States, Canada
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Study Endpoints
Primary Endpoints
E-ETDRS Visual Acuity Letter Score (Area Under the Curve From Baseline)
24 weeks

The area under the curve (units = letters·weeks) was divided by 24 weeks (units = weeks) to obtain an average change in letter score (units = letters) over the 24-weekr follow-up. Best-corrected visual acuity following protocol-defined refraction. Visual Acuity was measured with the Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) visual acuity test on a scale from 100 letters (Snellen equivalent of 20/10) to 0 letters (Snellen equivalent of \<20/800). Higher scores indicate better visual acuity and lower scores indicate worse visual acuity.

Secondary Endpoints
E-ETDRS Visual Acuity Letter Score
4 Weeks
E-ETDRS Visual Acuity Letter Score (Area Under the Curve From Baseline)
2-Years
Snellen Equivalent Range (Visual Acuity Score)
4 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Intravitreous 2 mg aflibercept injectionsACTIVE_COMPARATORInitial injection must be given on the day of randomization. Follow-up injections will be performed as often as every 4 weeks unless criteria for deferral are met.
Prompt vitrectomy plus panretinal photocoagulationACTIVE_COMPARATORFor the prompt vitrectomy + panretinal photocoagulation group, the vitrectomy must be scheduled to be performed within 2 weeks of randomization. Vitrectomy will be performed according to the investigator's usual routine, including pre-operative care, surgical procedure, and post-operative care, although anti-VEGF may not be given post-operatively unless there is recurrent hemorrhage.
Interventions
NameTypeDescription
2-mg Intravitreous Aflibercept InjectionDRUGSoluble decoy receptor fusion protein that has a high binding affinity to all isoforms of VEGF as well as to placental growth factor.
Prompt Vitrectomy Plus Panretinal PhotocoagulationPROCEDURESurgical removal of the vitreous gel and associated hemorrhage, concurrent delivery of panretinal endolaser
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites62

Inclusion Criteria: 1. Age \>= 18 years Participants \<18 years old are not being included because proliferative diabetic retinopathy is so rare in this age group that the diagnosis may be questionable. 2. Diagnosis of diabetes mellitus (type 1 or type 2) Any one of the following will be considere...

Countries:United StatesCanada
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