ClinicalTrials.gg
CompletedNCT03470103AQUILAUpdated Jun 25, 2021

A Study in Patients With Wet Age-related Macular Degeneration or Diabetic Macular Edema to Assess the freQuency of Use of Intravitreal Aflibercept in Routine Clinical Practices in Latin America

An observational study in Macular Degeneration, sponsored by Bayer. Completed at 4 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-25.

Sponsored by Bayer · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
643
Ages
18 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
11th of 20
643 · median 680
Started
2018
with 2 others
Observational
20 of 30
none open now
Registered
22nd of 30
by date

Among the 30 studies in Macular Degeneration by Bayer, this one is the 11th 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 22nd 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: 18 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

The main objectives of this observational cohort study are to describe the use of intravitreal aflibercept and to describe follow-up as well as treatment patterns in patients with wAMD or DME in routine clinical practice in Latin America for a study population of treatment naive patients and those who have received prior therapy (anti-VEGF injections, laser, steroids, etc.) and are being switched to intravitreal aflibercept injection.

03

Conditions studied

  • Macular Degeneration

Keywords

  • Wet age-related macular degeneration(wAMD)
  • Diabetic macular edema(DME)
04

Who can participate

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

Study population

The study population will consist of patients with wAMD or DME treated with intravitreal aflibercept. If both eyes are eligible, data from both eyes will be captured, but only one eye will be considered the study eye and included in the study analyses. The eye included will be at the physician's discretion and only visits related to the study eye will be captured in the electronic Case Report Form (eCRF).

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

  • Age: ≥18 years of age for DME patients,
  • Age: ≥55 for wAMD patients
  • Decision to treat with intravitreal aflibercept in the study eye prior to patient enrolment as per the physician's routine clinical practice and following the local Product monograph recommendations. Patients who are treatment naïve (no previous intravitreal treatment received, including, anti- VEGF agents, , steroid implants and/or PDT) and patients that are switching from a different anti-VEGF therapy are both eligible to be included. DME patients that have received previous laser only will be classified as treatment naïve.
  • If of , female willing to use effective during treatment and for at least 3 months after the last intravitreal injection of aflibercept

Exclusion criteria

Exclusion Criteria:

  • Patients participating in an program with interventions outside of routine clinical practice.
  • Patients currently being treated with intravitreal aflibercept in the study eye.
  • Patients who are hypersensitive to this drug, to any ingredient in the formulation, or to any component of the container. For a complete listing, see the DOSAGE FORMS, COMPOSITION AND PACKAGING section of the local product monograph.
  • Ocular or peri-ocular infection in either eye.
  • Active intraocular inflammation in the study eye.
  • Scar, fibrosis, or atrophy involving the center of the fovea in the study eye.
  • Patients with advanced glaucoma, visually significant cataracts, or any eye disease likely to require surgery during the study period in the study eye.
  • Concomitant ocular or systemic administration of drugs that could interfere with or potentiate the mechanism of action of intravitreal aflibercept, including anti-VEGF agents.
  • Patients receiving a different anti-VEGF agent other than intravitreal aflibercept for the fellow eye.
Terms in these criteria, in plain language(4)

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.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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
Prospective
Enrollment
643 participants (actual)
Patient registry
No

Groups and cohorts

  • Treatment naïve wAMD

    The decision regarding treatment is made at the discretion of the attending physician, according to his/her medical practice

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

  • Treatment naïve DME

    The decision regarding treatment is made at the discretion of the attending physician, according to his/her medical practice

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

  • Previously treated wAMD

    The decision regarding treatment is made at the discretion of the attending physician, according to his/her medical practice

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

  • Previously treated DME

    The decision regarding treatment is made at the discretion of the attending physician, according to his/her medical practice

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

Interventions

06

What researchers measure

Primary outcomes

  1. Mean change of visual acuity as measured by ETDRS or Snellen chart

    ETDRS: Early treatment diabetic retinopathy study

    Time frame: At baseline and 12 months

Secondary outcomes

  1. Mean change in visual acuity as measured by ETDRS or Snellen chart

    Mean change in visual acuity between baseline and 12 months for the overall population (treatment naïve + previously treated patients) by indication, wAMD and DME.

    Time frame: At baseline and 12 months

  2. Change in retinal thickness as measured by OCT

    OCT: Optical coherence tomography

    Time frame: At baseline and 12 months

  3. Mean time between injections by indication

    Time frame: Up to 12 months

  4. Mean number of injections by indication

    Time frame: At 12 months

  5. Duration of previous treatments by indication

    In the previously treated subpopulation

    Time frame: Up to 12 months

  6. Type (anti-VEGF, laser, steroids, etc) of previous treatments by indication

    In the previously treated subpopulation

    Time frame: Up to 12 months

  7. Percentage of patients with no fluid determined by OCT

    Absence of fluid includes all types of fluid and would be determined by physicians judgment

    Time frame: At 12 months

  8. Percentage of patients achieving a Snellen equivalent of 20/40 or better

    About 70 ETDRS(Early treatment diabetic retinopathy study) letters

    Time frame: At 12 months

  9. Percentage of patients gaining ≥15 ETDRS letter

    Time frame: At 12 months

  10. Presence/absence of pigment epithelium detachments (PED)

    In the wAMD population

    Time frame: At 12 months

  11. Number of adjunctive therapies

    In the DME population

    Time frame: At 12 months

  12. Type of adjunctive therapies based on medical records or on interviewing the patient

    Time frame: At 12 months

  13. Diabetic retinopathy severity (mild, moderate, severe)

    In the DME population

    Time frame: At 12 months

  14. Reason to switch to intravitreal aflibercept based on medical records or on interviewing the patient

    Time frame: At 12 months

  15. Number of monitoring visits

    Visits only for diagnostic purposes, but without injections

    Time frame: At 12 months

  16. Number of combined visits

    Visits for monitoring and injection

    Time frame: At 12 months

  17. Number of visits outside the study center

    Visits with other non-ophthalmology specialists, i.e. endocrinologists, family physician, etc.

    Time frame: At 12 months

  18. Number of optical coherence tomography (OCT) assessments per patient

    Time frame: At 12 months

  19. Number of visual acuity tests

    Time frame: At 12 months

  20. Number of fundoscopy examinations

    Time frame: At 12 months

07

Study locations

4 sites
  • Many locations
    Multiple Locations, Argentina
  • Many locations
    Multiple Locations, Colombia
  • Many locations
    Multiple Locations, Costa Rica
  • Many locations
    Multiple Locations, Mexico
08

References and documents

Publications

  • Wu L, Bordon AF, Charles M, Rodriguez FJ, Lee J, Machewitz T, Mueller M, Del Carmen Gay G, Fromow-Guerra J; AQUILA investigators. Intravitreal aflibercept for the treatment of patients with neovascular age-related macular degeneration in routine clinical practice in Latin America: the AQUILA study. Int J Retina Vitreous. 2022 Oct 18;8(1):76. doi: 10.1186/s40942-022-00425-w. PubMed 36258240 ↗
  • Rodriguez FJ, Wu L, Bordon AF, Charles M, Lee J, Machewitz T, Mueller M, Gay GDC, Fromow-Guerra J; AQUILA Investigators. Intravitreal aflibercept for the treatment of patients with diabetic macular edema in routine clinical practice in Latin America: the AQUILA study. Int J Retina Vitreous. 2022 Aug 2;8(1):52. doi: 10.1186/s40942-022-00396-y. PubMed 35918743 ↗

Individual participant data

Plan to share: Undecided — Availability of this study's data will be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

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 Mar 2018 to primary completion in Sep 2020, 29 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 29 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
Feb 5, 2018
First posted
Mar 19, 2018
StartActual
Mar 28, 2018
Primary completionActual
Sep 21, 2020
CompletionActual
Jan 15, 2021
Last update
Jun 25, 2021
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 25, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03470103
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Mar 28, 2018
Primary completion
Sep 21, 2020
Completion
Jan 15, 2021
Last update
Jun 25, 2021

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 2021. You cannot join it, but the record below documents what was studied.

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