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Aflibercept

Phase 3

Diabetic Macular Edema | Small molecule | Ophthalmology |Roche Holding AG|Last Updated: Jul 11, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment1,891

FDA Designations

No designations recorded

Clinical trial landscape

Aflibercept · 2 trials · 1 indication

Phase 3 2
NCT03622593A Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Participants With Diabetic Macular EdemaDiabetic Macular Edema
COMPLETED951 Analytics
NCT03622580A Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Participants With Diabetic Macular Edema (YOSEMITE)Diabetic Macular Edema
COMPLETED940 Analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Participants With Diabetic Macular Edema
Diabetic Macular EdemaUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Participants With Diabetic Macular Edema (YOSEMITE)
Diabetic Macular EdemaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in BCVA in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
From Baseline through Week 56

Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (\<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded. 97.5% CI is a rounding of 97.52% CI.

Secondary Endpoints

Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at Week 52, ITT and Treatment-Naive Populations
Baseline and Week 52
Change From Baseline in BCVA in the Study Eye Over Time, ITT Population
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100
Change From Baseline in BCVA in the Study Eye Over Time, Treatment-Naive Population
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
A: Faricimab 6 mg Q8WEXPERIMENTALParticipants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100.
B: Faricimab 6 mg PTIEXPERIMENTALParticipants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100.
C: Aflibercept 2 mg Q8WACTIVE_COMPARATORParticipants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.

Interventions

NameTypeDescription
AfliberceptDRUGAflibercept 2 mg was administered by intravitreal (IVT) injection into the study eye once every 8 weeks (Q8W).
FaricimabDRUGFaricimab 6 mg was administered by IVT injection into the study eye either once every 8 weeks (Q8W) in arm A or according to a personalized treatment interval (PTI) in arm B.
Sham ProcedurePROCEDUREThe sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It was administered to participants in all three treatments arms at applicable visits to maintain masking among treatment arms.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites188

Inclusion Criteria: * Documented diagnosis of diabetes mellitus (Type 1 or Type 2) * Hemoglobin A1c (HbA1c) of less than or equal to (≤)10% within 2 months prior to Day 1 * Macular thickening secondary to diabetic macular edema (DME) involving the center of the fovea * Decreased visual acuity attri...

Countries:United StatesArgentinaAustraliaBrazilCanadaChinaCzechiaDenmarkFranceGermanyHong KongHungaryItalyPolandPortugalRussiaSingaporeSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)United KingdomAustriaBulgariaIsraelJapanMexicoPeruSlovakia
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Frequently asked questions about Aflibercept

What is Aflibercept used for in Diabetic Macular Edema?

Aflibercept is an investigational small molecule being studied for the treatment of Diabetic Macular Edema, a condition that causes vision loss due to fluid buildup in the macula. It is currently in Phase 3 clinical development, though the trials listed for this asset have been completed.

Who makes Aflibercept?

Aflibercept is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting late-stage clinical research on this drug for Diabetic Macular Edema.

What phase is Aflibercept in?

Aflibercept is in Phase 3 clinical development for Diabetic Macular Edema. The two Phase 3 trials associated with this drug have been completed, and it remains an investigational agent, not yet approved for any use.

What clinical trials is Aflibercept in?

Aflibercept has been studied in two completed Phase 3 trials: NCT03622580, which enrolled 940 participants, and NCT03622593, which enrolled 951 participants. Both trials were randomized, double-blind, and active-controlled, and both evaluated the drug in patients with Diabetic Macular Edema.

Is Aflibercept the same as Faricimab?

Aflibercept is also known as Faricimab, with the code name RO6867461. The clinical trials for this drug, including NCT03622580 and NCT03622593, refer to it as Faricimab (RO6867461) in their titles.