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Aflibercept

Phase 2

Diabetic Macular Edema | Small molecule | Metabolic |Unity Biotechnology, Inc.|Last Updated: Aug 5, 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 Enrollment52
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06011798Assess the Efficacy and Safety of Repeat Intravitreal Injections of Foselutoclax (UBX1325) in Patients With DME (ASPIRE)PHASE2 COMPLETED 52Aug 23, 2023Apr 8, 2025Aug 5, 202519 United States
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Study Endpoints
Primary Endpoints
Mean Change From Baseline to Average of Week 20 and Week 24 in BCVA by ETDRS Letter
Week 24

Mean change from baseline to the average of Week 20 and Week 24 in Best-Corrected Visual Acuity (BCVA) by Early Treatment Diabetic Retinopathy Study (ETDRS) letter

Secondary Endpoints
Assess Other Efficacy Outcome - Changes in BCVA From Baseline to Week 36
36 weeks
Assess Other Efficacy Outcome - Changes in CST From Baseline to Week 36
36 weeks
Assess Other Efficacy Outcome - Rescue Metrics
36 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Anti-VEGF control armACTIVE_COMPARATORPrior to randomization, participants will receive 3 IVT injections of aflibercept over 4-week intervals. Upon randomization, participants will receive 2 mg aflibercept (50 μl of 40 μg/μl solution) IVT on Day 1, Weeks 8, and 16. A sham procedure will also be administered on Day 1.
foselutoclax armEXPERIMENTALPrior to randomization, participants will receive 3 IVT injections of aflibercept over 4-week intervals. Upon randomization, participants will receive 10 μg foselutoclax (50 μl of 0.2 μg/μl solution) IVT on Day 1 and Weeks 8 and 16. 2 mg aflibercept (50 μl of 40 μg/μl solution) will also be administered on Day 1.
Interventions
NameTypeDescription
AfliberceptDRUGAnti-VEGF control
foselutoclaxDRUGExperimental drug
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Patients aged ≥18 years. * Patients with nonproliferative DR and DME * Center-involved DME with Central Subfield Thickness (CST) ≥325-900 μm * BCVA in the SE (most affected) of 70 to 30 ETDRS letters (equivalent to 20/40 to 20/250 on the Snellen chart) Exclusion Criteria: * ...

Countries:United States
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