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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

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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,011
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 EyePHASE3 COMPLETED 1,011Aug 11, 2020Aug 7, 2024Aug 29, 2025235 United States, Argentina +25
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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 — 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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