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CompletedNCT03423823ZEBRAUpdated Oct 6, 2020

Ziv-aflibercept Efficacy in Better Regulating AMD

A Phase 2 interventional study of Ziv-Aflibercept 25 MG/ML [Zaltrap] and Ranibizumab in Wet Macular Degeneration and Wet Age-related Macular Degeneration, sponsored by Kapil Kapoor. Completed at 1 site in United States. Open to participants aged 50 Years to 99 Years. Per ClinicalTrials.gov, last updated 2020-10-06.

Sponsored by Kapil Kapoor · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2020, 6 years 4 months ago, and no results have been posted to the registry.
  • Registered 6 months after the study started (first participant enrolled Jul 2017, registered Jan 2018).
Phase
Phase 2
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
50 Years to 99 Years
Sex
All
01

Study summary

This is a randomized, open-label, interventional, controlled study to determine the effects of Zaltrap on Neovascularized Wet Macular Degeneration as compared to the control anti-vascular endothelial growth factor ("anti-VEGF") injections (bevacizumab, ranibizumab, or aflibercept).

02

Conditions studied

  • Wet Macular Degeneration
  • Wet Age-related Macular Degeneration

Keywords

  • Neovascularization
03

In context

Wet Macular Degeneration

93 studies on the registry are indexed under Wet Macular Degeneration; 10 are open to participants now.

This study's enrollment of 62 is below the median of 101 across 74 interventional studies indexed under Wet Macular Degeneration.

Browse Wet Macular Degeneration studies →

Lead sponsor

This is the only study on the registry with Kapil Kapoor as lead sponsor.

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

04

Who can participate

Ages eligible
50 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Are age 50-99
  • Have neovascular Age-related Macular Degeneration ("AMD") with an eye undergoing maintenance treatment with one or more of the following anti-VEGF drugs: bevacizumab, ranibizumab, or aflibercept.
  • Have an eye undergoing treatment that is of low visual potential (20/200 Snellen equivalent or worse) and the contralateral eye must have better visual potential.
  • Are willing and able to provide signed and willing to undertake all scheduled study-related assessments, visits, and treatments.
  • Have received an intravitreal injection of one of the drugs listed above within 120 days of Day 1 of the trial.
  • Both males and females will be enrolled.

Exclusion criteria

Exclusion Criteria:

  • Active intraocular inflammation or infection
  • History of vitreous hemorrhage within three months prior to Day 1 of the study
  • Uncontrolled ocular hypertension or glaucoma in the study eye (defined as Intraocular Pressure ("IOP") >25 mm Hg or a Cup to Disc ratio > 0.8 despite treatment with anti-glaucoma medication) or any such condition which the investigator feels may warrant a glaucoma filtering surgery during the study
  • History of stroke within the last three months prior to Day 1 of the study
  • History of myocardial infarction within the last three months prior to Day 1 of the study
  • Undergone intraocular surgery or laser treatments within the last three months,
  • Significant Epiretinal Membrane ("ERM") or Vitreomacular Traction ("VMT") causing distortion of macular anatomy
  • No use of ocular within the last six months and no use of systemic corticosteroids at a dose of >10 mg/day
  • Not have active within the last 12 months except appropriately treated carcinoma in situ of the cervix, melanoma, and prostate cancers treated with a curative intent
  • Inability to comply with study or follow-up procedures
  • Women who may become pregnant or lactating or intend to become pregnant during the study
  • Women who are of , including women who have had tubal ligation, must have a blood test within 21 days prior to Day 1 of the study. A woman is considered to not be of childbearing potential if she is or has undergone hysterectomy and/or bilateral oophorectomy. Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause.
Terms in these criteria, in plain language(5)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    Study Drug Arm

    Receiving 1.25mg of 0.05mL of Ziv-aflibercept intravitreal injection every month

    Drug: Ziv-Aflibercept 25 MG/ML [Zaltrap]

  • Other
    Control Arm

    Receiving bevacizumab, ranibizumab, or aflibercept intravitreal injection every 5 to 12 weeks (varied intervals based on individual need for treatment)

    Drug: Ranibizumab

Interventions

  • DrugZiv-Aflibercept 25 MG/ML [Zaltrap]

    Drug page: Aflibercept

    Anti-VEGF injection

  • Anti-VEGF standard of care injection

    Also known as: aflibercept, bevacizumab

06

What researchers measure

Primary outcomes

  1. Efficacy of study drug measured by change in best corrected visual acuity

    Change in Snellen equivalent letters from baseline to end of study

    Time frame: 18 months

  2. Efficacy of study measured by change in central foveal thickness

    Change in microns of macular thickness as assessed by Optical Coherence Tomography ("OCT") from baseline to end of study

    Time frame: 18 months

Secondary outcomes

  1. Safety of study drug as measured by number of adverse events related to study drug

    adverse events, serious adverse events reported causal to drug

    Time frame: 2.5 years

07

Study locations

1 site
  • Wagner Macula & Retina Center
    Virginia Beach, Virginia 23454, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03423823
Lead sponsor
Kapil Kapoor
Responsible party
Kapil Kapoor (Principal Investigator, Wagner Macula & Retina Center) — Sponsor-investigator
First posted
Feb 6, 2018
Start date
Jul 7, 2017
Primary completion
Jun 26, 2020
Completion
Jun 26, 2020
Last update
Oct 6, 2020

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Aflibercept

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