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ranibizumab

Phase 3

Macular Degeneration | Monoclonal antibody | Ophthalmology |Regeneron Pharmaceuticals, Inc.|Last Updated: Dec 12, 2014

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 Trials2
Total Enrollment2,457
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00637377Vascular Endothelial Growth Factor (VEGF) Trap-Eye: Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration (AMD)PHASE3 COMPLETED 1,240Apr 1, 2008Aug 1, 2011Dec 12, 2014189 Argentina, Australia +24
NCT00509795Vascular Endothelial Growth Factor VEGF Trap-Eye:Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration(AMD)PHASE3 COMPLETED 1,217Aug 1, 2007Jul 1, 2011Dec 28, 2012188 United States, Canada
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Study Endpoints
Primary Endpoints
Percentage of Participants Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF)
At week 52

Maintenance of vision was defined as a loss of \< 15 letters in the ETDRS (Early Treatment Diabetic Retinopathy Study) letter score (defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision \* 100); Denominator = Number of participants analyzed.

Percentage of Patients Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF)
Baseline and at week 52

Defined "maintenance of vision" as patients who lost fewer than 15 letters in Early Treatment Diabetic Retinopathy Study (ETDRS) letter score compared to baseline.

Secondary Endpoints
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Letter Score at Week 52 - LOCF
Baseline and at week 52
Percentage of Participants Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score in the Study Eye at Week 52 - LOCF
At week 52
Mean Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score at Week 52 - LOCF
Baseline and at week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ranibizumab 0.5mg Q4ACTIVE_COMPARATORParticipants received a 0.5 mg dose of Ranibizumab via intravitreal (IVT) injection administered every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q4EXPERIMENTALParticipants received a 2.0 mg dose of Aflibercept Injection administered every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
Aflibercept Injection (EYLEA, VEGF Trap-Eye) 0.5mg Q4EXPERIMENTALParticipants received a 0.5 mg dose of Aflibercept Injection administered every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q8EXPERIMENTALParticipants received a 2.0 mg dose of Aflibercept Injection administered every 8 weeks (including one additional 2,0 mg dose at Week 4) for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
aflibercept injection 2.0mg Q4EXPERIMENTAL -
aflibercept injection 0.5mg Q4EXPERIMENTAL -
aflibercept injection 2.0mg Q8EXPERIMENTAL -
Interventions
NameTypeDescription
RanibizumabDRUGParticipants received a 0.5 mg dose of Ranibizumab via intravitreal (IVT) injection administered every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)BIOLOGICALParticipants received a 2.0 mg dose of Aflibercept Injection administered every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
aflibercept injection (VEGF Trap-Eye, BAY86-5321)BIOLOGICALParticipants received a 2.0mg dose of aflibercept injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites189

Inclusion Criteria: * Signed informed consent. * Men and women \>/=50 years of age. * Active primary or recurrent subfoveal CNV lesions secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by Fluorescein angiography (FA) in the study eye. * ETDRS Best-Corrected Visual ...

Countries:ArgentinaAustraliaAustriaBelgiumBrazilColombiaCzechiaFranceGermanyHungaryIndiaIsraelItalyJapanLatviaMexicoNetherlandsPolandPortugalSingaporeSlovakiaSouth KoreaSpainSwedenSwitzerlandUnited KingdomUnited StatesCanada
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