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CompletedNCT02204683DRAWUpdated Sep 6, 2023

Pharmacokinetic Study of Intravitreal Aflibercept Injection in Eyes With Wet Age-related Macular Degeneration

A Phase 1 interventional study of Aflibercept in Neovascular Macular Degeneration, sponsored by University of Nebraska. Completed at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2023-09-06.

Sponsored by University of Nebraska · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
5
Allocation
Non-randomized
Ages
50 Years and older
Sex
All
01

Study summary

The main goal is to study way that aflibercept injection behaves in the eye and in the body of patients with wet macular degeneration, in patients who have had previous vitreous removal surgery.

Read the detailed description

A pharmacokinetic study of intravitreal Aflibercept injection vitrectomized and non-vitrectomized eyes with Wet age-related macular degeneration (the DRAW study).

The primary objective is to investigate and characterize the intraocular pharmacokinetics of intravitreal aflibercept injection in vitrectomized and non-vitrectomized eyes with neovascular Age-related Macular Degeneration (AMD). The secondary objective is to assess the systemic pharmacokinetics of intravitreal aflibercept injection.

Little information is known about the intraocular pharmacokinetics of intravitreal aflibercept injection in human eyes. In addition, the durability of intravitreal aflibercept injection in vitrectomized eyes is not known, since individuals with a history of vitrectomy have been excluded from clinical trials in neovascular AMD. There have also been no studies on systemic levels following intravitreal aflibercept injection, which would have implications for normal vascular hemostasis and wound repair in which vascular endothelial growth factor (VEGF) plays an important role. The proposed research will fill in these gaps in the knowledge base for intravitreal aflibercept injection.

Two arms (non-vitrectomized, and vitrectomized) are included in the study to evaluate the intraocular and systemic pharmacokinetics of intravitreal aflibercept injection The study involves neovascular AMD patients divided into two groups: 5 patients with history of vitrectomy and 10 patients with no history of vitrectomy. Plasma blood and aqueous fluid will be collected at baseline, then 2mg of intravitreal aflibercept injection administered at time 0 (day 0). At 4 hours post injection, plasma (blood) and aqueous fluid will be collected again, as well as on days 1, 3, 7,14, and 28. Intravitreal aflibercept injection levels in the samples will be assessed and compared among the two groups.

02

Conditions studied

  • Neovascular Macular Degeneration

Keywords

  • AMD
  • Neovascularization
  • macular degeneration
  • wet macular degeneration
  • vitrectomy
03

In context

Macular Degeneration

1,474 studies on the registry are indexed under Macular Degeneration; 206 are open to participants now.

This study's enrollment of 5 is below the median of 51 across 985 interventional studies indexed under Macular Degeneration.

Browse Macular Degeneration studies →

Lead sponsor

University of Nebraska is the lead sponsor of 473 studies on the registry; 66 are open to participants now.

Of its 75 completed or terminated interventional studies of FDA-regulated products, 46 (61%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age > 50 years
  2. Active neovascular AMD, with no history of treatment in the study eye 2.1 10 patients with non-vitrectomized eyes 2.2 5 patients with vitrectomized eyes
  3. Phakic and pseudophakic eyes are allowed in the study.
  4. Willing and able to provide written informed consent after the nature of the study has been explained, and prior to any research-related procedures
  5. Willing and able to comply with clinic visits and study-related procedures

Exclusion criteria

Exclusion Criteria:

  1. Presence of other retinal vascular diseases (diabetic retinopathy, vein occlusion) that could affect the VEGF levels within the eye
  2. Known hypersensitivity to aflibercept
  3. Autoimmune disease of the anterior segment or posterior chamber including chronic keratoconjunctivitis sicca, uveitis, iritis/scleritis, blepharitis of either eye
  4. Infectious conjunctivitis, keratitis, or endophthalmitis of either eye
  5. Previous participation in any studies of investigational drugs within 1 month preceding Day 0
  6. Any clinically significant acute or chronic medical condition that would preclude participation in a clinical study
  7. Pregnant or breast-feeding women
  8. Sexually active men* or women of childbearing potential** who are unwilling to practice adequate contraception during the study (adequate contraceptive measures include stable use of oral contraceptives or other prescription pharmaceutical contraceptives for 2 or more menstrual cycles prior to screening; intrauterine device (IUD); bilateral tubal ligation; vasectomy; condom plus contraceptive sponge, foam, or jelly, or diaphragm plus contraceptive sponge, foam, or jelly) *Contraception is not required for men with documented vasectomy. **Postmenopausal women must be amenorrheic for at least 12 months in order not to be considered of child bearing potential. Pregnancy testing and contraception are not required for women with documented hysterectomy or tubal ligation.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Other
    Aflibercept

    Subjects who have had a vitrectomy previously

    Drug: Aflibercept

  • Other
    Aflibercept in Non-Vitrectomized eyes

    Patients who have not had vitrectomy.

    Drug: Aflibercept

Interventions

  • DrugAflibercept

    Intravitreal aflibercept

    Also known as: Eylea

06

What researchers measure

Primary outcomes

  1. Pharmacokinetic (PK) aflibercept aqueous

    The primary endpoint in the study consists of intraocular aflibercept (free and bound) concentrations following intravitreal aflibercept injection.

    Time frame: 28 days

Secondary outcomes

  1. PK Aflibercept plasma

    The secondary endpoints are plasma concentrations of aflibercept (free and bound) following intravitreal aflibercept injection.

    Time frame: 28 days

07

Study locations

1 site
  • University of Nebraska Medical Center, Truhlsen Eye Institute
    Omaha, Nebraska 68105, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02204683
Lead sponsor
University of Nebraska
Collaborators
Regeneron Pharmaceuticals
Responsible party
Sponsor
First posted
Jul 30, 2014
Start date
Sep 5, 2014
Primary completion
Dec 14, 2016
Completion
Dec 14, 2016
Last update
Sep 6, 2023

Study contacts

Diana V Do, MD
principal investigator · University of Nebraska

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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