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Aflibercept High Dose VEGF Trap-Eye

Phase 3

Neovascular Age-Related Macular Degeneration | Small molecule | Ophthalmology |Regeneron Pharmaceuticals, Inc.|Last Updated: Aug 29, 2025

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,011

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Aflibercept High Dose VEGF Trap-Eye · 1 trial · 1 indication

Phase 3 1
NCT04423718Study of the Effects of High Dose Aflibercept Injected Into the Eye of Patients With an Age-related Disorder That Causes Loss of Vision Due to Growth of Abnormal Blood Vessels at the Back of the EyeNeovascular Age-Related Macular Degeneration
COMPLETED1,011 Analytics
PHASE3COMPLETED
Study of the Effects of High Dose Aflibercept Injected Into the Eye of Patients With an Age-related Disorder That Causes Loss of Vision Due to Growth of Abnormal Blood Vessels at the Back of the Eye
Neovascular Age-Related Macular DegenerationUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in BCVA Measured by the ETDRS Letter Score at Week 48
At baseline and Week 48

Visual function of the study eye was assessed at a distance of 4 meters using the ETDRS BCVA letter score. BCVA scale range is 0 (worst) to 100 (best).

Secondary Endpoints

Change From Baseline in BCVA Measured by the ETDRS Letter Score at Week 60
At baseline and Week 60
Percentage of Participants With no Intraretinal Fluid (IRF) and no Subretinal Fluid (SRF) in Central Subfield at Week 16
At Week 16
Percentage of Participants Gaining at Least 15 Letters in BCVA From Baseline at Week 48
At baseline and Week 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Aflibercept 2q8ACTIVE_COMPARATORIn the double-masked study part (Years 1 and 2), Aflibercept 2 mg administered every 8 weeks after a loading phase. (Active Comparator) In Year 3, high dose aflibercept administered according to individual patient response. (Experimental)
Aflibercept HDq12EXPERIMENTALAflibercept high dose (HD) administered every 12 weeks after an initiation phase. Treatment intervals adjusted according to individual patient response.
Aflibercept HDq16EXPERIMENTALAflibercept high dose administered every 16 weeks after an initiation phase. Treatment intervals adjusted according to individual patient response.

Interventions

NameTypeDescription
Aflibercept High Dose VEGF Trap-Eye (BAY86-5321)DRUGSolution in Vial, intravitreal (IVT) injection
Aflibercept VEGF Trap-Eye (Eylea, BAY86-5321)DRUGSolution in Vial, 2 mg, intravitreal (IVT) injection
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Eligibility Criteria

Age Range50 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites235

Inclusion Criteria: * Active subfoveal CNV secondary to nAMD, including juxtafoveal lesions that affect the fovea as assessed in the study eye. * Total area of CNV (including both classic and occult components) must comprise greater than 50% of the total lesion area in the study eye. * BCVA ETDRS l...

Countries:United StatesArgentinaAustraliaAustriaBulgariaCanadaChinaCzechiaEstoniaFranceGeorgiaHungaryIsraelItalyJapanLatviaLithuaniaPortugalRussiaSerbiaSingaporeSlovakiaSouth KoreaSpainSwitzerlandTaiwanUkraine
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Frequently asked questions about Aflibercept High Dose VEGF Trap-Eye

What is Aflibercept High Dose VEGF Trap-Eye used for?

Aflibercept High Dose VEGF Trap-Eye is an investigational treatment for neovascular age-related macular degeneration, a condition that causes vision loss due to abnormal blood vessel growth at the back of the eye. It is currently in Phase 3 clinical development and has not been approved by the FDA.

What does Aflibercept High Dose VEGF Trap-Eye target?

Aflibercept High Dose VEGF Trap-Eye targets vascular endothelial growth factor, or VEGF, which plays a key role in the abnormal blood vessel growth seen in neovascular age-related macular degeneration. By trapping VEGF, the drug aims to reduce this growth and the associated vision loss.

Who makes Aflibercept High Dose VEGF Trap-Eye?

Aflibercept High Dose VEGF Trap-Eye is developed by Regeneron Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker REGN. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with neovascular age-related macular degeneration.

What phase is Aflibercept High Dose VEGF Trap-Eye in?

Aflibercept High Dose VEGF Trap-Eye is in Phase 3 clinical development. It has received FDA priority review designation, but it remains investigational and is not yet approved for use. The drug is being studied in a completed Phase 3 trial with 1011 participants.

What clinical trials is Aflibercept High Dose VEGF Trap-Eye in?

Aflibercept High Dose VEGF Trap-Eye has one completed Phase 3 trial, NCT04423718, which enrolled 1011 participants with neovascular age-related macular degeneration. The trial was randomized, double-blind, and active-controlled, and it took place across multiple countries including the United States, Japan, and Germany.

Is Aflibercept High Dose VEGF Trap-Eye the same as Eylea?

Aflibercept High Dose VEGF Trap-Eye is a high-dose formulation of aflibercept, the active ingredient in Eylea. While both target VEGF, the high-dose version is being studied specifically for neovascular age-related macular degeneration and is in Phase 3 development, whereas Eylea is already approved for multiple indications.