Safety and Efficacy of Repeated Intravitreal Administration of Vascular Endothelial Growth Factor (VEGF) Trap in Patients With Wet Age-Related Macular Degeneration (AMD)

Sponsor
Regeneron Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT00320788
Collaborator
Bayer (Industry)
159
18
5
28
8.8
0.3

Study Details

Study Description

Brief Summary

This study examines the effect of intravitreally administered VEGF Trap in patients with wet AMD.

The purpose of this trial is to assess the ocular and systemic safety and tolerability of repeated intravitreal doses of VEGF Trap in patients with subfoveal choroidal neovascularization (CNV) due to AMD.

Condition or Disease Intervention/Treatment Phase
  • Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
  • Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
  • Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
  • Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
  • Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
Phase 2

Detailed Description

This is a double masked, prospective, randomized study in which five groups of approximately 30 patients meeting the eligibility criteria will be randomly assigned in a balanced ratio to receive a series of intravitreal (IVT) injections of VEGF Trap into the study eye at 4- or 12 -week intervals over a 12-week period.

After Week 12, patients will be evaluated every 4 weeks. Patients will remain on study or may be eligible to enter a long-term extension study, in which they will continue to receive VEGF Trap.

Study Design

Study Type:
Interventional
Actual Enrollment :
159 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Controlled Study of the Safety, Tolerability and Biological Effect of Repeated Intravitreal Administration of VEGF Trap in Patients With Neovascular Age-Related Macular Degeneration
Study Start Date :
Apr 1, 2006
Actual Primary Completion Date :
Jun 1, 2008
Actual Study Completion Date :
Aug 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: aflibercept injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q4

Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12
Other Names:
  • VEGF Trap-Eye
  • BAY86-5321
  • Experimental: aflibercept injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q12

    Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
    Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.
    Other Names:
  • VEGF Trap-Eye
  • BAY86-5321
  • Experimental: aflibercept injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q4

    Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
    Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12
    Other Names:
  • VEGF Trap-Eye
  • BAY86-5321
  • Experimental: aflibercept injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q12

    Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
    Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.
    Other Names:
  • VEGF Trap-Eye
  • BAY86-5321
  • Experimental: aflibercept injection (VEGF Trap-Eye, BAY86-5321) 4.0mg q12

    Biological: aflibercept injection (VEGF Trap-Eye, BAY86-5321)
    Participants received 4.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.
    Other Names:
  • VEGF Trap-Eye
  • BAY86-5321
  • Outcome Measures

    Primary Outcome Measures

    1. Mean Change of CR/LT From Baseline at Week 12 [Baseline and at Week 12]

      CR/LT measured in micrometers (µm); lower individual values represent better outcomes.

    Secondary Outcome Measures

    1. Mean Percent Change of CR/LT From Baseline at Week 12 [Baseline and at Week 12]

      CR/LT measured in micrometers (µm); a more negative percentage represents a better outcome

    2. Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) From Baseline at Week 12 [Baseline and at week 12]

      Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning

    3. Percentage of Participants Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score From Baseline at Week 12 [At Week 12]

      Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    50 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subfoveal CNV secondary to AMD.

    • Central retinal (including lesion) thickness ≥ 300 µm as measured by Optical Coherence Tomography (OCT).

    • Early Treatment of Diabetic Retinopathy Study (ETDRS) best-corrected visual acuity of 73 letters to 34 letters.

    Exclusion Criteria:
    • History of any vitreous hemorrhage within 4 weeks prior to Day 1.

    • Aphakia.

    • Significant subfoveal atrophy or scarring.

    • Prior treatment with the following in the study eye:

    • Subfoveal thermal laser therapy.

    • Submacular surgery or other surgical intervention for the treatment of AMD.

    • Extrafoveal laser coagulation treatment within 12 weeks prior to Day 1.

    • Photodynamic therapy (PDT) within 12 weeks prior to Visit 2 (Day 1).

    • Pegaptanib sodium (Macugen) within 8 weeks of Visit 2 (Day 1).

    • Juxtascleral steroids or anecortave acetate within 24 weeks (6 months) prior to Visit 2 (Day 1).

    • Intravitreal administration of triamcinolone acetonide or other steroids within 24 weeks prior to Visit 2 (Day 1), unless no visible residue of drug substance can be seen in the vitreous cavity using indirect ophthalmoscopy.

    • Prior systemic or intravitreal treatment with VEGF Trap, ranibizumab (Lucentis) or bevacizumab (Avastin).

    • Presence of any other condition or laboratory abnormality, which, in the opinion of the Investigator, would interfere with the assessment of disease status/progression or jeopardize the patient's appropriate participation in this Phase II study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Associated Retina Consultants Phoenix Arizona United States 85020
    2 Retina Centers, PC Tucson Arizona United States 85704
    3 Retina Vitreous Associates Medical Group Beverly Hills California United States 90211
    4 Loma Linda University Health Care Loma Linda California United States 92354
    5 Southeast Retina Center Augusta Georgia United States 30909
    6 University of Chicago Chicago Illinois United States 60637
    7 Midwest Eye Institute Indianapolis Indiana United States 46280
    8 Johns Hopkins Hospital School of Medicine Baltimore Maryland United States 21287
    9 Ophthalmic Consultants of Boston Boston Massachusetts United States 02114
    10 New England Retina Consultants PC West Springfield Massachusetts United States 10189
    11 Charlotte Eye, Ear, Nose & Throat Asssociates Charlotte North Carolina United States 28210
    12 Dean A. McGee Eye Institute Oklahoma City Oklahoma United States 73104
    13 Retina Northwest PC Portland Oregon United States 97210
    14 Retina Diagnostic and Treatment Assoc., LLC Philadelphia Pennsylvania United States 19107
    15 Black Hills Regional Eye Institute Rapid City South Dakota United States 57701
    16 Retina-Vitreous Associates, P.C. Nashville Tennessee United States 37203
    17 Vitreoretinal Consultants Scurlock Tower Texas Medical Center Houston Texas United States 77030
    18 Medical Center Ophthamology San Antonio Texas United States 78240

    Sponsors and Collaborators

    • Regeneron Pharmaceuticals
    • Bayer

    Investigators

    • Study Director: Clinical Trial Management, Regeneron Pharmaceuticals

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Regeneron Pharmaceuticals
    ClinicalTrials.gov Identifier:
    NCT00320788
    Other Study ID Numbers:
    • VGFT-OD-0508
    First Posted:
    May 3, 2006
    Last Update Posted:
    Mar 1, 2012
    Last Verified:
    Jan 1, 2012
    Keywords provided by Regeneron Pharmaceuticals
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details The study was conducted at 29 study sites in the United States. Recruitment period: May 2006 to April 2007.
    Pre-assignment Detail A total of 301 participants were screened; 159 participants were randomized; 157 participants were included in both the Safety Analysis Set (SAF) and the Full Analysis Set (FAS) as all received study treatment, had baseline assessments and at least 1 post-baseline assessment.
    Arm/Group Title Aflibercept Injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q4 Aflibercept Injection (VEGF Trap-Eye, BAY86-5321) 0.5mg q12 Aflibercept Injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q4 Aflibercept Injection (VEGF Trap-Eye, BAY86-5321) 2.0mg q12 Aflibercept Injection (VEGF Trap-Eye, BAY86-5321) 4.0mg q12
    Arm/Group Description Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection (VEGF Trap-Eye, BAY86-5321) at 12 week intervals through Week 12.
    Period Title: Overall Study
    STARTED 32 32 32 32 31
    Participants Received Treatment (SAF) 32 32 31 31 31
    COMPLETED 26 26 29 27 26
    NOT COMPLETED 6 6 3 5 5

    Baseline Characteristics

    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12. Total of all reporting groups
    Overall Participants 32 32 31 31 31 157
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    79.6
    (7.56)
    78.5
    (10.12)
    74.9
    (7.63)
    79.6
    (8.91)
    78.3
    (5.97)
    78.2
    (8.25)
    Sex: Female, Male (Count of Participants)
    Female
    17
    (0) 53.1%
    25
    (0) 78.1%
    20
    (0) 64.5%
    16
    (0) 51.6%
    20
    (0) 64.5%
    98
    62.4%
    Male
    15
    (0) 46.9%
    7
    (0) 21.9%
    11
    (0) 35.5%
    15
    (0) 48.4%
    11
    (0) 35.5%
    59
    37.6%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    (0) 0%
    1
    (0) 3.1%
    2
    (0) 6.5%
    1
    (0) 3.2%
    0
    (0) 0%
    4
    2.5%
    Not Hispanic or Latino
    32
    (0) 100%
    31
    (0) 96.9%
    29
    (0) 93.5%
    30
    (0) 96.8%
    31
    (0) 100%
    153
    97.5%
    Unknown or Not Reported
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    (0) 0%
    0
    (0) 0%
    1
    (0) 3.2%
    0
    (0) 0%
    0
    (0) 0%
    1
    0.6%
    Asian
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    Black or African American
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    White
    32
    (0) 100%
    32
    (0) 100%
    30
    (0) 96.8%
    31
    (0) 100%
    31
    (0) 100%
    156
    99.4%
    More than one race
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    Unknown or Not Reported
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    (0) 0%
    0
    0%
    Central Retinal/Lesion Thickness (CR/LT) (µm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [µm]
    442.2
    (109.81)
    442.6
    (136.60)
    453.3
    (143.93)
    447.0
    (119.11)
    497.5
    (191.17)
    456.4
    (142.41)
    Best Corrected Visual Acuity (BCVA) (letters read) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [letters read]
    54.1
    (13.77)
    55.6
    (11.75)
    57.9
    (12.02)
    57.2
    (10.47)
    53.0
    (14.52)
    55.5
    (12.57)

    Outcome Measures

    1. Primary Outcome
    Title Mean Change of CR/LT From Baseline at Week 12
    Description CR/LT measured in micrometers (µm); lower individual values represent better outcomes.
    Time Frame Baseline and at Week 12

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set (FAS) used for analysis, Last Observation Carried Forward (LOCF)
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Mean (Standard Deviation) [μm]
    -153.5
    (113.30)
    -75.6
    (110.64)
    -169.2
    (138.46)
    -56.3
    (133.05)
    -139.8
    (228.59)
    -118.8
    (155.31)
    2. Secondary Outcome
    Title Mean Percent Change of CR/LT From Baseline at Week 12
    Description CR/LT measured in micrometers (µm); a more negative percentage represents a better outcome
    Time Frame Baseline and at Week 12

    Outcome Measure Data

    Analysis Population Description
    FAS used for analysis, LOCF
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Mean (Standard Deviation) [percent change]
    -32.4
    (18.92)
    -15.2
    (22.52)
    -33.2
    (19.56)
    -10.3
    (25.49)
    -21.1
    (31.56)
    -22.5
    (25.41)
    3. Secondary Outcome
    Title Mean Change in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) From Baseline at Week 12
    Description Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning
    Time Frame Baseline and at week 12

    Outcome Measure Data

    Analysis Population Description
    FAS used for analysis, LOCF
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Mean (Standard Deviation) [letters read]
    8.8
    (9.20)
    3.8
    (11.55)
    8.3
    (10.14)
    5.2
    (8.46)
    2.6
    (8.72)
    5.7
    (9.87)
    4. Secondary Outcome
    Title Percentage of Participants Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score From Baseline at Week 12
    Description Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning
    Time Frame At Week 12

    Outcome Measure Data

    Analysis Population Description
    FAS used for analysis, LOCF
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Number [percentage of participants]
    18.8
    (0) 58.8%
    21.9
    (0) 68.4%
    25.8
    (0) 83.2%
    16.1
    (0) 51.9%
    9.7
    (0) 31.3%
    18.5
    (0) 11.8%
    5. Post-Hoc Outcome
    Title Mean Change of CR/LT From Baseline at Week 16
    Description CR/LT measured in micrometers (µm); lower individual values represent better outcomes
    Time Frame Baseline and at Week 16

    Outcome Measure Data

    Analysis Population Description
    FAS used for analysis, LOCF
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Mean (Standard Deviation) [µm]
    -163.3
    (108.13)
    -139.6
    (126.41)
    -182.7
    (146.75)
    -107.4
    (112.22)
    -208.6
    (202.07)
    -160.2
    (145.34)
    6. Post-Hoc Outcome
    Title Mean Change in BCVA as Measured by ETDRS From Baseline at Week 16
    Description Defined study baseline range of ETDRS Best Corrected Visual Acuity of: letter score of 73 to 25 (20/40 to 20/320) in the study eye; a higher score represents better functioning
    Time Frame Baseline and at Week 16

    Outcome Measure Data

    Analysis Population Description
    FAS used for analysis, LOCF
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12 Total
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12.
    Measure Participants 32 32 31 31 31 157
    Mean (Standard Deviation) [letters read]
    9.3
    (9.92)
    5.6
    (12.24)
    10.0
    (9.76)
    4.3
    (10.01)
    3.9
    (9.92)
    6.6
    (10.60)

    Adverse Events

    Time Frame Adverse events (AEs) considered related to study treatment were followed until resolution or until the event was considered chronic or stable.
    Adverse Event Reporting Description Safety was assessed through reported AEs, clinical laboratory test results, vital signs, and ophthalmic examinations
    Arm/Group Title Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12
    Arm/Group Description Participants received 0.5 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 0.5 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 4 week intervals through Week 12. Participants received 2.0 mg of aflibercept injection at 12 week intervals through Week 12. Participants received 4.0 mg of aflibercept injection at 12 week intervals through Week 12.
    All Cause Mortality
    Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 11/ (NaN) 5/ (NaN) 10/ (NaN) 7/ (NaN) 2/ (NaN)
    Cardiac disorders
    ANGINA PECTORIS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    ATRIAL FIBRILLATION 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    ATRIOVENTRICULAR BLOCK COMPLETE 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    BRADYCARDIA 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    CARDIAC FAILURE CONGESTIVE 1/32 (3.1%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    CORONARY ARTERY DISEASE 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    Eye disorders
    RETINAL DETACHMENT 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    VISUAL ACUITY REDUCED 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    UVEITIS 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Gastrointestinal disorders
    DYSKINESIA OESOPHAGEAL 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    INTESTINAL OBSTRUCTION 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    SMALL INTESTINAL OBSTRUCTION 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    VOLVULUS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    General disorders
    ASTHENIA 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    NON-CARDIAC CHEST PAIN 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Infections and infestations
    BRONCHITIS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 1/31 (3.2%) 0/31 (0%)
    CELLULITIS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    GASTROENTERITIS 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    PNEUMONIA 2/32 (6.3%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    URINARY TRACT INFECTION 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 1/31 (3.2%) 0/31 (0%)
    Injury, poisoning and procedural complications
    FALL 1/32 (3.1%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    HIP FRACTURE 0/32 (0%) 1/32 (3.1%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    SKIN LACERATION 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    SYNOVIAL RUPTURE 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Investigations
    INTRAOCULAR PRESSURE INCREASED 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    Musculoskeletal and connective tissue disorders
    BACK PAIN 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    OSTEOARTHRITIS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    SPINAL OSTEOARTHRITIS 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BRAIN NEOPLASM MALIGNANT 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    COLON CANCER 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    METASTASES TO LUNG 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    NON-HODGKIN'S LYMPHOMA 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    PANCREATIC CARCINOMA 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    SQUAMOUS CELL CARCINOMA 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    THYROID NEOPLASM 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    TRANSITIONAL CELL CARCINOMA 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    Nervous system disorders
    CAROTID ARTERY OCCLUSION 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    CEREBROVASCULAR ACCIDENT 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    COORDINATION ABNORMAL 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    DYSARTHRIA 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    SPINAL CORD DISORDER 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    TRANSIENT ISCHAEMIC ATTACK 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    Renal and urinary disorders
    RENAL FAILURE 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    STRESS INCONTINENCE 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    URINARY RETENTION 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Respiratory, thoracic and mediastinal disorders
    CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    PNEUMONIA ASPIRATION 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    PULMONARY EMBOLISM 0/32 (0%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 0/31 (0%)
    PULMONARY HYPERTENSION 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    Surgical and medical procedures
    PILONIDAL SINUS REPAIR 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Vascular disorders
    DEEP VEIN THROMBOSIS 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Other (Not Including Serious) Adverse Events
    Aflibercept Injection 0.5mg q4 Aflibercept Injection 0.5mg q12 Aflibercept Injection 2.0mg q4 Aflibercept Injection 2.0mg q12 Aflibercept Injection 4.0mg q12
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 26/ (NaN) 25/ (NaN) 27/ (NaN) 22/ (NaN) 22/ (NaN)
    Blood and lymphatic system disorders
    ANAEMIA 0/32 (0%) 1/32 (3.1%) 3/31 (9.7%) 0/31 (0%) 0/31 (0%)
    Cardiac disorders
    ANGINA PECTORIS 2/32 (6.3%) 0/32 (0%) 1/31 (3.2%) 1/31 (3.2%) 0/31 (0%)
    BRADYCARDIA 1/32 (3.1%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    Eye disorders
    BLEPHARITIS 2/32 (6.3%) 0/32 (0%) 2/31 (6.5%) 3/31 (9.7%) 1/31 (3.2%)
    CATARACT 0/32 (0%) 1/32 (3.1%) 1/31 (3.2%) 1/31 (3.2%) 2/31 (6.5%)
    CATARACT NUCLEAR 3/32 (9.4%) 0/32 (0%) 2/31 (6.5%) 1/31 (3.2%) 0/31 (0%)
    CATARACT SUBCAPSULAR 0/32 (0%) 2/32 (6.3%) 0/31 (0%) 1/31 (3.2%) 2/31 (6.5%)
    CHOROIDAL NEOVASCULARISATION 0/32 (0%) 1/32 (3.1%) 2/31 (6.5%) 1/31 (3.2%) 0/31 (0%)
    CONJUNCTIVAL HAEMORRHAGE 2/32 (6.3%) 0/32 (0%) 2/31 (6.5%) 2/31 (6.5%) 1/31 (3.2%)
    DETACHMENT OF RETINAL PIGMENT EPITHELIUM 2/32 (6.3%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    DRY EYE 1/32 (3.1%) 0/32 (0%) 1/31 (3.2%) 2/31 (6.5%) 0/31 (0%)
    LACRIMATION INCREASED 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 2/31 (6.5%)
    REFRACTION DISORDER 1/32 (3.1%) 4/32 (12.5%) 1/31 (3.2%) 1/31 (3.2%) 3/31 (9.7%)
    RETINAL HAEMORRHAGE 0/32 (0%) 2/32 (6.3%) 1/31 (3.2%) 3/31 (9.7%) 0/31 (0%)
    RETINAL OEDEMA 1/32 (3.1%) 2/32 (6.3%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    RETINAL PIGMENT EPITHELIOPATHY 2/32 (6.3%) 3/32 (9.4%) 0/31 (0%) 1/31 (3.2%) 1/31 (3.2%)
    VISUAL ACUITY REDUCED 1/32 (3.1%) 1/32 (3.1%) 4/31 (12.9%) 1/31 (3.2%) 1/31 (3.2%)
    VITREOUS DETACHMENT 4/32 (12.5%) 1/32 (3.1%) 2/31 (6.5%) 3/31 (9.7%) 4/31 (12.9%)
    VITREOUS FLOATERS 2/32 (6.3%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 1/31 (3.2%)
    EYE INFLAMMATION 2/32 (6.3%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 1/31 (3.2%)
    EYE IRRITATION 5/32 (15.6%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 1/31 (3.2%)
    EYE PAIN 5/32 (15.6%) 2/32 (6.3%) 4/31 (12.9%) 1/31 (3.2%) 3/31 (9.7%)
    FOREIGN BODY SENSATION IN EYES 3/32 (9.4%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    LACRIMATION DECREASED 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 2/31 (6.5%)
    MACULAR DEGENERATION 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 2/31 (6.5%)
    MACULOPATHY 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 2/31 (6.5%) 1/31 (3.2%)
    PHOTOPSIA 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 2/31 (6.5%) 3/31 (9.7%)
    PUNCTATE KERATITIS 0/32 (0%) 0/32 (0%) 1/31 (3.2%) 2/31 (6.5%) 2/31 (6.5%)
    RETINAL DEPIGMENTATION 2/32 (6.3%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    SUBRETINAL FIBROSIS 2/32 (6.3%) 1/32 (3.1%) 1/31 (3.2%) 2/31 (6.5%) 2/31 (6.5%)
    VISION BLURRED 2/32 (6.3%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    VISUAL DISTURBANCE 2/32 (6.3%) 1/32 (3.1%) 0/31 (0%) 2/31 (6.5%) 3/31 (9.7%)
    Gastrointestinal disorders
    CONSTIPATION 5/32 (15.6%) 1/32 (3.1%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    DIARRHOEA 1/32 (3.1%) 1/32 (3.1%) 0/31 (0%) 1/31 (3.2%) 2/31 (6.5%)
    FLATULENCE 0/32 (0%) 2/32 (6.3%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    NAUSEA 3/32 (9.4%) 0/32 (0%) 0/31 (0%) 1/31 (3.2%) 1/31 (3.2%)
    General disorders
    CHEST PAIN 2/32 (6.3%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Immune system disorders
    SEASONAL ALLERGY 4/32 (12.5%) 2/32 (6.3%) 0/31 (0%) 0/31 (0%) 1/31 (3.2%)
    Infections and infestations
    BRONCHITIS 5/32 (15.6%) 2/32 (6.3%) 1/31 (3.2%) 1/31 (3.2%) 3/31 (9.7%)
    CELLULITIS 0/32 (0%) 0/32 (0%) 0/31 (0%) 2/31 (6.5%) 1/31 (3.2%)
    CYSTITIS 2/32 (6.3%) 0/32 (0%) 1/31 (3.2%) 1/31 (3.2%) 0/31 (0%)
    GASTROENTERITIS VIRAL 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 1/31 (3.2%)
    HERPES ZOSTER 0/32 (0%) 2/32 (6.3%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    INFLUENZA 0/32 (0%) 2/32 (6.3%) 2/31 (6.5%) 0/31 (0%) 2/31 (6.5%)
    NASOPHARYNGITIS 3/32 (9.4%) 1/32 (3.1%) 3/31 (9.7%) 1/31 (3.2%) 2/31 (6.5%)
    PNEUMONIA 3/32 (9.4%) 0/32 (0%) 2/31 (6.5%) 1/31 (3.2%) 1/31 (3.2%)
    RHINOVIRUS INFECTION 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    SINUSITIS 2/32 (6.3%) 1/32 (3.1%) 2/31 (6.5%) 1/31 (3.2%) 3/31 (9.7%)
    TOOTH ABSCESS 1/32 (3.1%) 1/32 (3.1%) 1/31 (3.2%) 2/31 (6.5%) 0/31 (0%)
    UPPER RESPIRATORY TRACT INFECTION 3/32 (9.4%) 1/32 (3.1%) 2/31 (6.5%) 6/31 (19.4%) 3/31 (9.7%)
    URINARY TRACT INFECTION 1/32 (3.1%) 3/32 (9.4%) 6/31 (19.4%) 1/31 (3.2%) 2/31 (6.5%)
    VULVOVAGINAL MYCOTIC INFECTION 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 2/31 (6.5%) 1/31 (3.2%)
    Injury, poisoning and procedural complications
    FALL 2/32 (6.3%) 1/32 (3.1%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    JOINT SPRAIN 0/32 (0%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 2/31 (6.5%)
    Investigations
    BLOOD CREATININE INCREASED 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 2/31 (6.5%) 1/31 (3.2%)
    BLOOD GLUCOSE INCREASED 0/32 (0%) 2/32 (6.3%) 1/31 (3.2%) 1/31 (3.2%) 0/31 (0%)
    BLOOD UREA INCREASED 0/32 (0%) 1/32 (3.1%) 0/31 (0%) 2/31 (6.5%) 0/31 (0%)
    INTRAOCULAR PRESSURE INCREASED 1/32 (3.1%) 3/32 (9.4%) 3/31 (9.7%) 2/31 (6.5%) 1/31 (3.2%)
    Metabolism and nutrition disorders
    DEHYDRATION 1/32 (3.1%) 1/32 (3.1%) 2/31 (6.5%) 0/31 (0%) 1/31 (3.2%)
    GOUT 1/32 (3.1%) 2/32 (6.3%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    HYPERCHOLESTEROLAEMIA 4/32 (12.5%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    Musculoskeletal and connective tissue disorders
    BACK PAIN 1/32 (3.1%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    OSTEOARTHRITIS 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 1/31 (3.2%)
    Nervous system disorders
    DEMENTIA ALZHEIMER'S TYPE 0/32 (0%) 2/32 (6.3%) 0/31 (0%) 0/31 (0%) 0/31 (0%)
    DIZZINESS 1/32 (3.1%) 0/32 (0%) 2/31 (6.5%) 1/31 (3.2%) 0/31 (0%)
    HEADACHE 1/32 (3.1%) 3/32 (9.4%) 1/31 (3.2%) 0/31 (0%) 1/31 (3.2%)
    SINUS HEADACHE 1/32 (3.1%) 2/32 (6.3%) 2/31 (6.5%) 0/31 (0%) 2/31 (6.5%)
    Psychiatric disorders
    ANXIETY 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    DEPRESSION 0/32 (0%) 1/32 (3.1%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)
    INSOMNIA 2/32 (6.3%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 0/31 (0%)
    Respiratory, thoracic and mediastinal disorders
    COUGH 2/32 (6.3%) 1/32 (3.1%) 2/31 (6.5%) 1/31 (3.2%) 2/31 (6.5%)
    DYSPNOEA 2/32 (6.3%) 0/32 (0%) 1/31 (3.2%) 2/31 (6.5%) 0/31 (0%)
    PHARYNGOLARYNGEAL PAIN 1/32 (3.1%) 0/32 (0%) 0/31 (0%) 0/31 (0%) 2/31 (6.5%)
    Skin and subcutaneous tissue disorders
    RASH 2/32 (6.3%) 0/32 (0%) 1/31 (3.2%) 0/31 (0%) 1/31 (3.2%)
    Vascular disorders
    HYPERTENSION 6/32 (18.8%) 1/32 (3.1%) 2/31 (6.5%) 0/31 (0%) 3/31 (9.7%)
    HYPOTENSION 0/32 (0%) 0/32 (0%) 2/31 (6.5%) 0/31 (0%) 0/31 (0%)

    Limitations/Caveats

    This is a phase 2 study with small numbers of patients per group limiting the conclusions that can be drawn from the resulting data.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    After completion of the trial, the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review; provided that the sponsor can remove confidential or proprietary information from such communications. The sponsor cannot require other changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Clinical Trials Administrator
    Organization Regeneron Pharmaceuticals, Inc.
    Phone
    Email clinicaltrials@regeneron.com
    Responsible Party:
    Regeneron Pharmaceuticals
    ClinicalTrials.gov Identifier:
    NCT00320788
    Other Study ID Numbers:
    • VGFT-OD-0508
    First Posted:
    May 3, 2006
    Last Update Posted:
    Mar 1, 2012
    Last Verified:
    Jan 1, 2012