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Aflibercept High Dose VEGF Trap-Eye

Phase 3

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

Aflibercept High Dose VEGF Trap-Eye target and mechanism

Molecular targetPGF, VEGFA
Target classInhibitor
ModalitySmall molecule

Also known as Aflibercept High Dose VEGF Trap-Eye (BAY86-5321)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,011

FDA Designations

PRIORITY_REVIEW

Aflibercept High Dose VEGF Trap-Eye clinical trials

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?

Aflibercept High Dose VEGF Trap-Eye is an investigational ophthalmic therapy developed by Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) for neovascular age-related macular degeneration, a condition in which abnormal blood vessels grow at the back of the eye and cause vision loss. It is a high dose formulation studied as an intravitreal injection.

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

It is being studied for the treatment of neovascular age-related macular degeneration, an age-related disorder that causes loss of vision due to growth of abnormal blood vessels at the back of the eye. The Phase 3 trial enrolled patients 50 years of age and older with this condition.

What does Aflibercept High Dose VEGF Trap-Eye target?

Aflibercept High Dose VEGF Trap-Eye targets PGF and VEGFA. It acts as an inhibitor of these targets, which are proteins involved in the growth of abnormal blood vessels. By binding these targets, the therapy is designed to counteract the vascular growth underlying neovascular age-related macular degeneration.

Who is developing Aflibercept High Dose VEGF Trap-Eye?

Regeneron Pharmaceuticals, Inc., which trades under the ticker REGN, is the developer of Aflibercept High Dose VEGF Trap-Eye. The company is studying the high dose formulation in a Phase 3 clinical program for 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 development. It is investigational and has not been approved. The program includes one completed Phase 3 trial, and the drug has received a Priority Review designation from the FDA.

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

Aflibercept High Dose VEGF Trap-Eye has been evaluated in the Phase 3 trial NCT04423718, titled a 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. The trial completed with 1,011 patients enrolled.

Is Aflibercept High Dose VEGF Trap-Eye the same as BAY86-5321?

Yes. Aflibercept High Dose VEGF Trap-Eye is also known as BAY86-5321, so the two names refer to the same investigational compound. It is a high dose VEGF Trap-Eye formulation developed by Regeneron Pharmaceuticals, Inc. for neovascular age-related macular degeneration.