ClinicalTrials.gg
CompletedNCT03411941REALEUpdated Dec 5, 2019

Evaluate the Effectiveness of Intravitreal (IVT) Aflibercept Injection in Clinical Practice in naïve Patients With Neovascular Age-related Macular Degeneration (nAMD)

An observational study in Macular Degeneration, sponsored by Bayer. Completed at 1 site in Spain. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2019-12-05.

Sponsored by Bayer · Observational

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Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
116
Ages
50 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
17th of 20
116 · median 680
Started
2018
with 2 others
Observational
20 of 30
none open now
Registered
21st of 30
by date

Among the 30 studies in Macular Degeneration by Bayer, this one is the 17th largest by enrollment of the 20 observational ones that give a count, is one of 3 that started in 2018, is one of 20 observational ones, and was the 21st 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: 50 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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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

There is a need to investigate the effectiveness of IVT aflibercept injection in routine clinical practice.

The aim of this study is to collect 12-month real-world clinical data from treatment-naïve nAMD patients who started first-line treatment with IVT aflibercept injection, according to the SmPC (Summary of Product Characteristics) and the SERV (Spanish Society of Retina and Vitreous) guidelines. The effectiveness of IVT aflibercept will be assessed by the changes in VA (Visual Acuity) and CRT (Central Retinal Thickness) during treatment.

03

Conditions studied

  • Macular Degeneration

Keywords

  • nAMD: neovascular Age-related Macular Degeneration
04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study will include data from adult patients newly diagnosed with nAMD who initiated and maintained anti-VEGF treatment with IVT aflibercept injection in 8 Spanish centers which treat AMD patients routinely.

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

  • Adult patient aged 50 years or more at aflibercept treatment initiation.
  • Treatment-naïve patients with nAMD
  • Patients who initated treatment with IVT aflibercept injection between 1st April 2014 to 31st May 2016
  • Patients that have been decided to be treated with IVT aflibercept with a minimum treatment follow-up with IVT aflibercept injection of at least 12-months, in accordance with the approved SmPC.
  • Patients who have been provided with appropriate information about the study objectives and procedures and who have given their written .

Exclusion criteria

Exclusion Criteria:

  • Patients who have previously been treated with anti-VEGF intravitreal injections, systemic anti-VEGF or pro-VEGF treatments, as well as other intravitreal or steroid implants for the study eye.
  • Patients that switched to another treatment alternative different from IVT aflibercept injection during observation period of 12 months
  • Patients with another retinal disease: diabetic retinopathy, diabetic macular edema (DME), myopic choroidal neovascularization, retinal vein occlusion (RVO), central serous chorioretinopathy (CSC), angioid streaks.
  • Patients with scarring, fibrosis, or atrophy involving the center of the fovea in the study eye at treatment initiation
  • Patients with advanced cataract or advanced glaucoma
  • Patients with presence of retinal pigment epithelial tears or rips involving the macula in the study eye prior to treatment initiation.
  • Patients who do not meet the local Guideline criteria for aflibercept treatment. listed in the SmPC must be taken into account.
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
116 participants (actual)
Patient registry
No

Groups and cohorts

  • Treatment-naïve nAMD patients

    Patient data for whom treatment with IVT aflibercept injection was initiated as first-line treatment according to the SmPC and the SERV Guideline, in treatment-naive patients with newly diagnosed of nAMD in routine clinical practice.

    Drug: Eylea (Aflibercept, VEGF Trap-Eye, BAY86-5321)

Interventions

06

What researchers measure

Primary outcomes

  1. Mean change in VA

    The mean change in VA from baseline (i.e. just prior to the start of treatment) to 12 months in treatment-naïve patients with nAMD in routine clinical practice in Spain.

    Time frame: From baseline to month 12

Secondary outcomes

  1. Mean change in VA

    Time frame: From baseline to month 6

  2. Proportion of patients gaining 15 or more letters

    Time frame: At month 6 and 12

  3. Mean change in CRT in µm (measured by OCT)

    OCT:Optical Coherence Tomography

    Time frame: From baseline to months 6 and 12

  4. Presence/absence of SRF (subretinal fluid) by OCT (yes/no)

    Time frame: At months 6 and 12

  5. Presence/absence of IRF (intraretinal fluid) by OCT (yes/no)

    Time frame: At months 6 and 12

  6. Presence/absence of PED (pigment epithelium detachment) (measured by OCT)

    Absence of PED: when the maximum distance between the outer border of the RPE and the inner border of the Bruch membrane is \<30 μm

    Time frame: At months 6 and 12

  7. Presence/absence of PED Height

    Subfoveal and 500µm nasal and temporal; PED height defined as the distance between the outer border of the retinal pigment epithelium (RPE) and the inner border of the Bruch membrane

    Time frame: At months 6 and 12

  8. Presence/absence of PED type

    Serous-vascularized or fibrovascular

    Time frame: At months 6 and 12

  9. Correlation of the mean gain in VA with the total number of injections administered

    Time frame: 12 months

  10. Mean number of IVT aflibercept injections per study eye

    Time frame: The first 12 months

  11. Mean number of monitoring visits per study eye

    Visits only for diagnostic/follow-up purposes, but without injections

    Time frame: The first 12 months

  12. Mean number of combined visits per study eye

    Visits for monitoring and injection

    Time frame: The first 12 months

  13. Mean number of OCT assessments per study eye

    Time frame: The first 12 months

07

Study locations

1 site
  • Many locations
    Multiple Locations, Spain
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Mar 2019, 12 months.

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

Registered
Jan 21, 2018
First posted
Jan 26, 2018
StartActual
Feb 28, 2018
Primary completionActual
Mar 1, 2019
CompletionActual
Mar 1, 2019
Last update
Dec 5, 2019
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 Dec 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03411941
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jan 26, 2018
Start date
Feb 28, 2018
Primary completion
Mar 1, 2019
Completion
Mar 1, 2019
Last update
Dec 5, 2019

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 Dec 2019. You cannot join it, but the record below documents what was studied.

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