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Prompt aflibercept

Phase 3

Diabetic Macular Edema | Small molecule | Other |Regeneron Pharmaceuticals, Inc.|Last Updated: Jul 31, 2020

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 Enrollment702
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01909791Treatment for CI-DME in Eyes With Very Good VA StudyPHASE3 COMPLETED 702Oct 1, 2013Sep 11, 2018Jul 31, 2020103 United States, Canada
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Study Endpoints
Primary Endpoints
Number of Eyes With at Least 5-letter Decrease in E-ETDRS Visual Acuity Letter Score From Baseline
2 years

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 20/12) to 0 letters (Snellen equivalent of 20/800).

Secondary Endpoints
Number of Eyes With at Least 5-letter Increase or at Least 5-, 10-, or 15-letter Decrease in E-ETDRS Visual Acuity Letter Score From Baseline
1 year
Change in E-ETDRS Visual Acuity Letter Score From Baseline
1 year
Change in E-ETDRS Visual Acuity Letter Score From Baseline Over 2 Years (Area Under the Curve)
2 year
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Prompt Laser + Deferred AfliberceptEXPERIMENTALFocal/grid laser followed by intravitreal aflibercept if vision worsens
Observation + Deferred AfliberceptACTIVE_COMPARATORNo treatment to start followed by intravitreal aflibercept if vision worsens (deferred laser may be added to intravitreal aflibercept if certain criteria are met)
Prompt AfliberceptEXPERIMENTALIntravitreal aflibercept at baseline and every 4 weeks as needed (deferred laser may be added to intravitreal aflibercept if certain criteria are met)
Interventions
NameTypeDescription
Prompt LaserPROCEDUREFocal/grid laser performed at baseline and as needed during follow-up
Prompt afliberceptDRUGIntravitreal injection of 2.0mg aflibercept performed on the day of randomization and up to every 4 weeks using defined treatment criteria
Deferred laserPROCEDUREFocal/grid laser is initiated while receiving anti-VEGF injections only if certain criteria are met
Deferred afliberceptDRUGIntravitreal injection of 2.0mg aflibercept performed once certain criteria for vision loss are met and then up to every 4 weeks using defined treatment criteria
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites103

Inclusion Criteria: 1. Age \>= 18 years 2. Diagnosis of diabetes mellitus (type 1 or type 2) Any one of the following will be considered to be sufficient evidence that diabetes is present: 1. Current regular use of insulin for the treatment of diabetes 2. Current regular use of oral anti-...

Countries:United StatesCanada
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