A Phase 3 interventional study of ranibizumab and aflibercept injection (VEGF Trap-Eye, BAY86-5321) in Macular Degeneration, sponsored by Regeneron Pharmaceuticals. Completed at 188 sites in 2 countries. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2012-12-28.
Sponsored by Regeneron Pharmaceuticals · Phase 3, Interventional, and Treatment
This study is a phase 3, double-masked, randomized, study of the efficacy and safety of VEGF Trap-Eye in patients with neovascular age-related macular degeneration. Approximately 1200 patients will be randomized in the US and Canada.
1,474 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.
This study's enrollment of 1,217 is above the median of 51 across 985 interventional studies indexed under Macular Degeneration.
Browse Macular Degeneration studies →Regeneron Pharmaceuticals is the lead sponsor of 400 studies on the registry; 91 are open to participants now.
Of its 120 completed or terminated interventional studies of FDA-regulated products, 77 (64%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key
Exclusion Criteria:
Biological: ranibizumab
Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
Participants received a 0.5mg dose of ranibizumab via intravitreal (IVT) 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.
Also known as: Lucentis
Participants 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.
Also known as: VEGF Trap-Eye, BAY86-5321
Participants received a 0.5mg 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.
Also known as: VEGF Trap-Eye, BAY86-5321
Participants received a 2.0mg dose of aflibercept injection every 8 weeks (including one additional 2.0 mg dose at Week 4) for the first year and were to receive sham injections at interim monthly visits. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.
Also known as: VEGF Trap-Eye, BAY86-5321
Percentage of Patients Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF)
Defined "maintenance of vision" as patients who lost fewer than 15 letters in Early Treatment Diabetic Retinopathy Study (ETDRS) letter score compared to baseline.
Time frame: Baseline and at week 52
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 52 - LOCF
Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning.
Time frame: Baseline and at week 52
Percentage of Patients Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score in the Study Eye at Week 52 - LOCF.
Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning.
Time frame: Baseline and at week 52
Mean Change From Baseline in National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) Total Score at Week 52 - LOCF
The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100. To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight.
Time frame: Baseline and at Week 52
Mean Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 52 (LOCF)
CNV area values measured in square millimeters (mm\^2); lower values represent better outcomes.
Time frame: Baseline and at week 52
The study was conducted at 164 sites in the United States and Canada. Recruitment period: 02 Aug 2007 to 15 Sep 2009.
| Milestone | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 |
|---|---|---|---|---|
| Started | 306 | 304 | 304 | 303 |
| Patients received treatment (saf) | 304 | 304 | 304 | 303 |
| Full analysis set (fas) population | 304 | 304 | 301 | 301 |
| Per protocol set (pps) population | 269 | 285 | 270 | 265 |
| Completed | 284 | 293 | 277 | 276 |
| Not completed | 22 | 11 | 27 | 27 |
| Withdrew: Adverse event | 4 | 3 | 5 | 4 |
| Withdrew: Death | 3 | 1 | 2 | 7 |
| Withdrew: Lack of efficacy | 0 | 0 | 2 | 2 |
| Withdrew: Lost to follow-up | 1 | 2 | 4 | 4 |
| Withdrew: Other | 1 | 0 | 4 | 1 |
| Withdrew: Protocol violation | 3 | 0 | 3 | 1 |
| Withdrew: Withdrawal by subject | 10 | 5 | 7 | 8 |
Defined "maintenance of vision" as patients who lost fewer than 15 letters in Early Treatment Diabetic Retinopathy Study (ETDRS) letter score compared to baseline.
| percentage of patients | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Percentage of Patients Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF) | 94.4 ± 0 | 95.1 ± 0 | 95.9 ± 0 | 95.1 ± 0 | 95.1 ± 0 |
Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning.
| letters read | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 52 - LOCF | 8.1 ± 15.25 | 10.9 ± 13.77 | 6.9 ± 13.41 | 7.9 ± 15.00 | 8.5 ± 14.44 |
Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning.
| percentage of patients | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Percentage of Patients Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score in the Study Eye at Week 52 - LOCF. | 30.9 ± 0 | 37.5 ± 0 | 24.9 ± 0 | 30.6 ± 0 | 31.1 ± 0 |
The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100. To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight.
| scores on a scale | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean Change From Baseline in National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) Total Score at Week 52 - LOCF | 4.9 ± 14.01 | 6.7 ± 13.50 | 4.5 ± 11.87 | 5.1 ± 14.74 | 5.3 ± 13.59 |
CNV area values measured in square millimeters (mm\^2); lower values represent better outcomes.
| mm^2 | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 52 (LOCF) | -4.2 ± 5.59 | -4.6 ± 5.47 | -3.5 ± 5.27 | -3.4 ± 6.02 | -3.9 ± 5.61 |
Collected over AEs reported from Day 1 to Wk 96. Yr 1 of tx (Day 1 to Wk 52): 21-day screening period followed by administration of study drug every 4 or 8 wks including sham injections at interim study visits (when study drug was not administered) for 48 wks.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Ranibizumab 0.5mg Q4 | — | 94/304 (30.9%) | 261/304 (85.9%) |
| IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | — | 70/304 (23%) | 254/304 (83.6%) |
| IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | — | 88/304 (28.9%) | 262/304 (86.2%) |
| IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | — | 90/303 (29.7%) | 258/303 (85.1%) |
| Event | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 |
|---|---|---|---|---|
| FALLInjury, poisoning and procedural complications | 8/304 | 13/304 | 7/304 | 16/303 |
| PNEUMONIAInfections and infestations | 14/304 | 6/304 | 5/304 | 8/303 |
| CARDIAC FAILURE CONGESTIVEEar and labyrinth disorders | 4/304 | 2/304 | 4/304 | 8/303 |
| ATRIAL FIBRILLATIONEar and labyrinth disorders | 3/304 | 2/304 | 7/304 | 7/303 |
| TRANSIENT ISCHAEMIC ATTACKNervous system disorders | 0/304 | 3/304 | 7/304 | 5/303 |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASERespiratory, thoracic and mediastinal disorders | 3/304 | 3/304 | 6/304 | 6/303 |
| CORONARY ARTERY DISEASEEar and labyrinth disorders | 5/304 | 0/304 | 6/304 | 1/303 |
| MYOCARDIAL INFARCTIONEar and labyrinth disorders | 6/304 | 1/304 | 5/304 | 2/303 |
| CEREBROVASCULAR ACCIDENTNervous system disorders | 2/304 | 3/304 | 1/304 | 5/303 |
| SQUAMOUS CELL CARCINOMA OF Skin and subcutaneous tissue disordersNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 5/304 | 3/304 | 2/304 | 4/303 |
| Event | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 |
|---|---|---|---|---|
| VITREOUS FLOATERSEye disorders | 47/304 | 49/304 | 30/304 | 29/303 |
| NASOPHARYNGITISInfections and infestations | 36/304 | 46/304 | 41/304 | 39/303 |
| RETINAL HAEMORRHAGEEye disorders | 43/304 | 36/304 | 36/304 | 22/303 |
| Eye disorders PAINEye disorders | 34/304 | 39/304 | 35/304 | 31/303 |
| HYPERTENSIONVascular disorders | 35/304 | 30/304 | 32/304 | 33/303 |
| VISUAL ACUITY REDUCEDEye disorders | 27/304 | 10/304 | 20/304 | 19/303 |
| UPPER RESPIRATORY TRACT Infections and infestationsIONInfections and infestations | 18/304 | 18/304 | 19/304 | 26/303 |
| URINARY TRACT Infections and infestationsIONInfections and infestations | 26/304 | 22/304 | 25/304 | 23/303 |
| VITREOUS DETACHMENTEye disorders | 16/304 | 24/304 | 25/304 | 24/303 |
| BRONCHITISInfections and infestations | 23/304 | 19/304 | 16/304 | 24/303 |
| Age Continuous(years) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean | 78.2 ± 7.59 | 77.7 ± 7.93 | 78.3 ± 8.10 | 77.9 ± 8.39 | 78.0 ± 8.00 |
| Sex: Female, Male(Participants) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Female | 172 | 194 | 169 | 179 | 714 |
| Male | 132 | 110 | 135 | 124 | 501 |
| Ethnicity (NIH/OMB)(Participants) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 7 ± 0 | 11 ± 0 | 11 ± 0 | 12 ± 0 | 41 |
| Not Hispanic or Latino | 297 | 293 | 293 | 291 | 1174 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 2 ± 0 | 0 ± 0 | 2 ± 0 | 1 ± 0 | 5 |
| Asian | 0 ± 0 | 3 ± 0 | 5 ± 0 | 4 ± 0 | 12 |
| Native Hawaiian or Other Pacific Islander | 1 ± 0 | 0 ± 0 | 0 ± 0 | 1 ± 0 | 2 |
| Black or African American | 1 ± 0 | 1 ± 0 | 0 ± 0 | 1 ± 0 | 3 |
| White | 296 ± 0 | 295 ± 0 | 294 ± 0 | 289 ± 0 | 1174 |
| More than one race | 0 ± 0 | 0 ± 0 | 0 ± 0 | 1 ± 0 | 1 |
| Unknown or Not Reported | 4 ± 0 | 5 ± 0 | 3 ± 0 | 6 ± 0 | 18 |
| Baseline National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) total score(scores on a scale) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean | 71.7 ± 17.29 | 70.4 ± 16.60 | 71.1 ± 17.72 | 69.5 ± 16.82 | 70.7 ± 17.11 |
| Baseline Area of Choroidal Neovascularization (CNV)(mm^2) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean | 6.52 ± 5.245 | 6.59 ± 5.052 | 6.49 ± 4.437 | 6.56 ± 5.129 | 6.54 ± 4.968 |
| Baseline Lesion Type(patients) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Occult | 115 ± 0 | 110 ± 0 | 123 ± 0 | 118 ± 0 | 466 |
| Minimally Classic | 101 ± 0 | 105 ± 0 | 97 ± 0 | 112 ± 0 | 415 |
| Predominantly Classic | 82 ± 0 | 87 ± 0 | 82 ± 0 | 71 ± 0 | 322 |
| Missing | 6 ± 0 | 2 ± 0 | 2 ± 0 | 2 ± 0 | 12 |
| Baseline Total Lesion Size(mm^2) | Ranibizumab 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | IAI (EYLEA, VEGF Trap-Eye) 2.0mg Q8 | Total |
|---|---|---|---|---|---|
| Mean | 6.99 ± 5.491 | 6.98 ± 5.388 | 6.96 ± 4.711 | 6.88 ± 5.214 | 6.95 ± 5.202 |
1 further baseline measures are reported on the registry.
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Regeneron Pharmaceuticals