ClinicalTrials.gg
CompletedNCT03382587ASTERIAUpdated Jun 5, 2023

Observational Study to Assess Intravitreal Aflibercept Injections Used in a "Treat and Extend" Regimen in Treatment-naïve Wet Age-related Macular Degeneration Patients

An observational study in Wet Age-related Macular Degeneration, sponsored by Bayer. Completed at 1 site in Switzerland. Open to participants aged 55 Years and older. Per ClinicalTrials.gov, last updated 2023-06-05.

Sponsored by Bayer · Observational

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Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
163
Ages
55 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 30 studies in Macular Degeneration by Bayer — none open to participants now, 1 under way, none of them phase 3. Macular Degeneration · Bayer.

Enrollment
14th of 20
163 · median 680
Started
2017
the only one that year
Observational
20 of 30
none open now
Registered
20th of 30
by date

Among the 30 studies in Macular Degeneration by Bayer, this one is the 14th largest by enrollment of the 20 observational ones that give a count, is the only one that started in 2017, is one of 20 observational ones, and was the 20th registered.

Macular Degeneration

1,459 studies on the registry are indexed under Macular Degeneration; 236 are open to participants now.

Browse Macular Degeneration studies →

Open to participants now

None of the 30 studies in Macular Degeneration by Bayer is open now. The open studies under Macular Degeneration, anywhere →

Who these studies take

Of the 165 Macular Degeneration studies recruiting now, 116 (70%) set no upper age limit and 5 (3%) stop at 75 or younger; 19 take children under 18; 35 take healthy volunteers.

This study: 55 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 30 studies in Macular Degeneration by Bayer as a file.
02

Study summary

The purpose of this observational study lies in the analysis of a treat-and-extend injection scheme with intravitreal aflibercept (i.e. injection into the eye), as applied in routine practice in previously untreated patients diagnosed with wet age-related macular degeneration.

Read the detailed description

Data will be collected from the medical files retro- and prospectively. If patients are still under treatment at study initiation and have not yet completed 24 months of treatment with intravitreal aflibercept in a treat-and-extend regimen, data of the remaining observation period will be collected prospectively.

03

Conditions studied

  • Wet Age-related Macular Degeneration
04

Who can participate

Ages eligible
55 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Treatment-naive wet age-related macular degeneration patients under routine intravitreal aflibercept treatment in a treat-and-extend scheme

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of wet age-related macular degeneration.
  • No prior therapy for wet age-related macular degeneration.
  • Patients for whom the decision to initiate treatment with IVT-AFL in a T\&E regimen was made as per routine clinical practice.
  • Patient age >55 years of age

Exclusion criteria

Exclusion Criteria:

  • Participation in an program with therapeutical interventions outside of clinical routine practice.
  • Patients with eye diseases e.g. advanced glaucoma or visually significant cataracts, likely to require surgery during the observation period in the study eye.
  • Concomitant ocular or systemic administration of drugs up to 3 months before commencement of IVT-AFL treatment that could interfere with or potentiate the mechanism of action of aflibercept, including anti-VEGF agents. This includes patients receiving a different anti-VEGF agent for the fellow eye
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
163 participants (actual)
Patient registry
No

Groups and cohorts

  • Aflibercept

    Treatment-naive wet age-related macular degeneration patients under routine intravitreal aflibercept treatment in a treat-and-extend scheme

    Drug: Aflibercept (Eylea, BAY86-5321)

Interventions

  • Intravitreal aflibercept injections used in a routine "treat and extend" regimen, under which the intervals between the injections are extended if disease stability is maintained and no signs of worsening disease are observed on the injection day

06

What researchers measure

Primary outcomes

  1. Mean change from baseline in best-corrected visual acuity in Early Treatment Diabetic Retinopathy Study letters (ETDRS letters)

    mean change in ETDRS letters

    Time frame: Baseline and at 12 months

Secondary outcomes

  1. Mean change from baseline in best-corrected visual acuity (in Early Treatment Diabetic Retinopathy Study (ETDRS) letters)

    mean change in ETDRS letters

    Time frame: Baseline and at 24 months

  2. Mean change in best-corrected visual acuity in relation to the number of injections administered

    Numbers of injections will be predefined as categories and analyzed in relation to the BCVA changes

    Time frame: Baseline and at 12 months; Baseline and at 24 months

  3. Mean interval between injections

    mean interval displayed in weeks or days

    Time frame: At 12 and 24 months

  4. Reasons for the interval length

    morphology and / or BCVA /other

    Time frame: At 12 and 24 months

  5. Frequency of disease reactivation

    Disease activity such as hemorrhage, PED, subretinal fluid, cystoid intraretinal fluid, RPE rip assessed at the investigator's discretion as: none / new or increasing / decreasing / stable

    Time frame: Baseline and at 12 months; Baseline and at 24 months

  6. Proportion of eyes gaining or losing ≥ 15 Early Treatment Diabetic Retinopathy Study letters compared to baseline

    Proportion evaluated as percentage (%) of eyes

    Time frame: Baseline and at 12 months; Baseline and at 24 months

  7. Mean changes from baseline in central retinal thickness (CRT)

    micro meter (µm)

    Time frame: Baseline and at 3 months; Baseline and at 12 months; Baseline and 24 months

  8. Changes from baseline in retinal fluid

    intraretinal or subretinal fluid or pigment epithelial detachment (PED)

    Time frame: Baseline and at 12 months; Baseline and at 24 months

  9. Reasons for termination of therapy (including subsequent therapy at time of discontinuation)

    Categorized into typical reasons for discontinuation such as e.g. death, lost to Follow-up, withdrawal of informed consent, change of treatment regimen, discontinuation of IVT-AFL treatment, interfering surgery or treatment, adverse event, other

    Time frame: At 12 and 24 months

  10. Severity of disease reactivation

    Severity of disease reactivation assessed at the investigator's discretion as: no new disease activity / mild / severe

    Time frame: Baseline and at 12 months; Baseline and at 24 months

07

Study locations

1 site
  • Many Locations
    Multiple Locations, Switzerland
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Nov 2018, 11 months.

Of 56 industry-sponsored observational studies under Macular Degeneration, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 69. This study's 11 months is below that.

Counting every sponsor, half of 162 studies reached it within 45 months; a quarter within 15 and three quarters within 77.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 11, 2017
First posted
Dec 26, 2017
StartActual
Dec 5, 2017
Primary completionActual
Nov 9, 2018
CompletionActual
Nov 27, 2018
Last update
Jun 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03382587
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Dec 26, 2017
Start date
Dec 5, 2017
Primary completion
Nov 9, 2018
Completion
Nov 27, 2018
Last update
Jun 5, 2023

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Discussion

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