Vascular Endothelial Growth Factor (VEGF) Trap-Eye: Investigation of Efficacy and Safety in Central Retinal Vein Occlusion (CRVO)

Sponsor
Regeneron Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT00943072
Collaborator
Bayer (Industry)
189
61
2
33
3.1
0.1

Study Details

Study Description

Brief Summary

This is a phase 3 study to determine the efficacy of VEGF Trap-Eye injected into the eye on vision function in subjects with macular edema as a consequence of central retinal vein occlusion.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
189 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double Masked, Controlled Phase 3 Study of the Efficacy, Safety, and Tolerability of Repeated Intravitreal Administration of Vascular Endothelial Growth Factor Trap-Eye in Subjects With Macular Edema Secondary to Central Retinal Vein Occlusion
Study Start Date :
Jul 1, 2009
Actual Primary Completion Date :
Oct 1, 2010
Actual Study Completion Date :
Apr 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: VEGF Trap-Eye

Monthly IVT injection of VEGF Trap-Eye 2.0 mg until Week 24 Primary Endpoint

Biological: VEGF Trap-Eye 2.0mg
Monthly intravitreal injection out to the Week 24 Primary endpoint

Sham Comparator: Sham

Monthly Sham IVT injection until Week 24 Primary Endpoint

Drug: Sham
Monthly sham intravitreal injection out to Week 24 Primary Endpoint

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants Who Gained at Least 15 Letters in BCVA at Week 24 as Measured by ETDRS Letter Score [Baseline and at Week 24]

    Percentage values indicate the number of subjects in each arm who were able to read an additional 15 letters or more at Week 24 compared to baseline. Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 24 letters (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.

Secondary Outcome Measures

  1. Change From Baseline in BCVA as Measured by ETDRS Letter Score at Week 24 - Last Observation Carried Forward (LOCF) [Baseline and at Week 24]

    Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 24 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.

  2. Change From Baseline in Central Retinal Thickness (CRT) at Week 24 - LOCF [Baseline and at Week 24]

  3. Percentage of Participants Progressing to Any of the Following: Anterior Segment Neovascularization, New Vessels of the Disc (NVD) or New Vessels Elsewhere (NVE) During the First 24 Weeks [Baseline to Week 24]

  4. Change From Baseline in the NEI VFQ-25 in Total Score at Week 24 (LOCF) [Baseline and at Week 24]

    The NEI VFQ-25 assesses visual function and quality of life. Total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100. To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects at least 18 years of age with center-involved macular edema secondary to CRVO with mean central retinal thickness ≥ 250 μm on OCT

  • ETDRS best corrected visual acuity of 20/40 to 20/320 (73 to 24 letters) in the study eye

Exclusion Criteria:
  • Previous treatment with anti-angiogenic drugs in the study eye (Pegaptanib sodium,anecortave acetate, bevacizumab, ranibizumab, etc.)

  • Prior panretinal laser photocoagulation or macular laser photocoagulation in the study eye

  • CRVO disease duration > 9 months from date of diagnosis

  • Previous use of intraocular corticosteroids in the study eye or use of periocular corticosteroids in the study eye within the 3 months prior to Day 1

  • Iris neovascularization, vitreous hemorrhage, traction retinal detachment, or preretinal fibrosis involving the macula in either the study eye or fellow eye

Contacts and Locations

Locations

Site City State Country Postal Code
1 Phoenix Arizona United States 85014
2 Phoenix Arizona United States 85020
3 Tucson Arizona United States 85704
4 Arcadia California United States 91007
5 Beverly Hills California United States 90211
6 La Jolla California United States 92037
7 Mountain View California United States 94040
8 Oakland California United States 94609
9 Sacramento California United States 95841
10 Torrance California United States 90503
11 New London Connecticut United States 06320
12 Altamonte Springs Florida United States 32701
13 Fort Lauderdale Florida United States 33334
14 Fort Myers Florida United States 33907
15 Fort Myers Florida United States 33912
16 Miami Florida United States 33143
17 Palm Beach Gardens Florida United States 33410
18 Winter Haven Florida United States 33880
19 Augusta Georgia United States 30909
20 Chicago Illinois United States 60612
21 Wichita Kansas United States 67214
22 Baltimore Maryland United States 21209
23 Hagerstown Maryland United States 21740
24 Towson Maryland United States 21204
25 Boston Massachusetts United States 02114
26 Grand Rapids Michigan United States 49525
27 Jackson Michigan United States 48104
28 Lincoln Nebraska United States 68506
29 Las Vegas Nevada United States 89135
30 Northfield New Jersey United States 08225
31 Toms River New Jersey United States 08755
32 Rochester New York United States 14620
33 Winston-Salem North Carolina United States 27157
34 Cleveland Ohio United States 44195
35 Oklahoma City Oklahoma United States 73104
36 Portland Oregon United States 97210
37 Salem Oregon United States 97302
38 Kingston Pennsylvania United States 18704
39 Pittsburgh Pennsylvania United States 15213
40 West Columbia South Carolina United States 29169
41 Rapid City South Dakota United States 57701
42 Nashville Tennessee United States 37203
43 Abilene Texas United States 79606
44 Ft Worth Texas United States 76102
45 Houston Texas United States 77030
46 San Antonio Texas United States 78240
47 Vancouver British Columbia Canada V5Z 3N9
48 Victoria British Columbia Canada V8V 4X3
49 Halifax Nova Scotia Canada B3H 2Y9
50 London Ontario Canada N6A 4V2
51 Mississauga Ontario Canada L4W 1W9
52 Toronto Ontario Canada M4N 3M5
53 Medellin Antioquia Colombia
54 Bogota Colombia
55 Hyderabad A.p. India 500034
56 Bangalore Karnataka India 560010
57 Kolkata West Bengal India 700073
58 Kfar-Saba Israel 44281
59 Petah Tikva Israel 49100
60 Rehovot Israel 76100
61 Tel Aviv Israel 64239

Sponsors and Collaborators

  • Regeneron Pharmaceuticals
  • Bayer

Investigators

  • Study Director: Clinical Trial Management, Regeneron Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Regeneron Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00943072
Other Study ID Numbers:
  • VGFT-OD-0819
First Posted:
Jul 21, 2009
Last Update Posted:
May 27, 2013
Last Verified:
Apr 1, 2013

Study Results

Participant Flow

Recruitment Details The study was conducted at 55 study centers in the United States, Canada, Columbia, India, and Israel. The recruitment period occurred between 08 Jul 2009 and 29 Apr 2010.
Pre-assignment Detail 273 participants were screened, 189 randomized, and 188 were included in the Safety Analysis Set (SAF). The Full Analysis Set (FAS) included 187 participants with at least one post-baseline assessment.
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Starting at week 24 through week 52, participants were evaluated monthly to receive either the 2 mg IAI PRN or sham injection according to the protocol re-treatment criteria as assessed by the masked physician. If none of the re-treatment criteria were met, participants received a sham injection. From Week 52 to 100, participants were evaluated every three months, but could receive injections of IAI up to monthly if re-treatment criteria were met; sham injections were not given. Participants were observed from Week 24 to Week 100. Participants in the safety population that completed Week 24 were at risk. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24. Starting at week 24 through week 52, participants were eligible for active treatment and were evaluated monthly to receive either 2 mg IAI PRN or sham injection according to the protocol re-treatment criteria as assessed by the masked physician. From Week 52 to 100, participants were evaluated every three months, but could receive injections of IAI up to monthly if re-treatment criteria were met; sham injections were not given.
Period Title: Overall Study
STARTED 115 74
Participants Received Treatment 114 74
Full Analysis Set (FAS) Population 114 73
COMPLETED 110 60
NOT COMPLETED 5 14

Baseline Characteristics

Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment Total
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24. Total of all reporting groups
Overall Participants 114 74 188
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
65.5
(13.57)
67.5
(14.22)
66.3
(13.83)
Sex: Female, Male (Count of Participants)
Female
45
39.5%
35
47.3%
80
42.6%
Male
69
60.5%
39
52.7%
108
57.4%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
18
15.8%
12
16.2%
30
16%
Not Hispanic or Latino
96
84.2%
62
83.8%
158
84%
Unknown or Not Reported
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
2
1.8%
0
0%
2
1.1%
Asian
7
6.1%
2
2.7%
9
4.8%
Native Hawaiian or Other Pacific Islander
0
0%
1
1.4%
1
0.5%
Black or African American
5
4.4%
5
6.8%
10
5.3%
White
88
77.2%
60
81.1%
148
78.7%
More than one race
12
10.5%
6
8.1%
18
9.6%
Unknown or Not Reported
0
0%
0
0%
0
0%
Baseline Retinal Thickness by Optical Coherence Tomography (OCT) (microns) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [microns]
661.7
(237.37)
678.4
(248.66)
668.1
(241.23)
Baseline National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score (scores on a scale) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [scores on a scale]
77.67
(15.96)
78.01
(16.26)
77.81
(16.04)
Baseline Intraocular Pressure (millimeters of mercury (mmHg)) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [millimeters of mercury (mmHg)]
15.1
(3.26)
15.0
(2.83)
15.1
(3.09)
Number of Participants with Retinal Perfusion at Baseline (participants) [Number]
Perfused
77
67.5%
50
67.6%
127
67.6%
Non-Perfused
17
14.9%
12
16.2%
29
15.4%
Indeterminate
20
17.5%
12
16.2%
32
17%
Baseline Best Corrected Visual Acuity (BCVA) Letter Score (letters correctly read) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [letters correctly read]
50.7
(13.90)
48.7
(14.41)
49.9
(14.10)
Time Since Central Retinal Vein Occlusion (CRVO) Diagnosis (participants) [Number]
</= 2 Months
64
56.1%
53
71.6%
117
62.2%
> 2 Months
49
43%
21
28.4%
70
37.2%
Missing
1
0.9%
0
0%
1
0.5%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants Who Gained at Least 15 Letters in BCVA at Week 24 as Measured by ETDRS Letter Score
Description Percentage values indicate the number of subjects in each arm who were able to read an additional 15 letters or more at Week 24 compared to baseline. Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 24 letters (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Time Frame Baseline and at Week 24

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24.
Measure Participants 114 73
Number [percentage of participants]
64
56.1%
9
12.2%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value < 0.0001
Comments P-value for the primary endpoint was calculated using 2-sided Cochran-Mantel-Haenszel test adjusted by regions (North America vs. Rest of World) and baseline BCVA (BCVA > 20/200 and BCVA ≤ 20/200)
Method Cochran-Mantel-Haenszel
Comments CMH adjusted difference
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value 44.8
Confidence Interval (2-Sided) 95%
33.0 to 56.6
Parameter Dispersion Type:
Value:
Estimation Comments The Risk Difference (RD) indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group.
2. Secondary Outcome
Title Change From Baseline in BCVA as Measured by ETDRS Letter Score at Week 24 - Last Observation Carried Forward (LOCF)
Description Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 24 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Time Frame Baseline and at Week 24

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24.
Measure Participants 114 73
Mean (Standard Deviation) [letters correctly read]
17.3
(12.78)
-4.0
(17.96)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value < 0.0001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value 21.70
Confidence Interval (2-Sided) 95%
17.36 to 26.04
Parameter Dispersion Type:
Value:
Estimation Comments RD is the IAI group minus sham group. 95% confidence interval is for the RD.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Least Square Mean
Estimated Value 16.36
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments LS Mean indicates is the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group.
3. Secondary Outcome
Title Change From Baseline in Central Retinal Thickness (CRT) at Week 24 - LOCF
Description
Time Frame Baseline and at Week 24

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24.
Measure Participants 114 73
Mean (Standard Deviation) [microns]
-457.2
(238.21)
-144.8
(291.07)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value < 0.0001
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value -311.9
Confidence Interval (2-Sided) 95%
-389.4 to -234.4
Parameter Dispersion Type:
Value:
Estimation Comments The Risk Difference (RD) indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group. 95% confidence interval is for the RD.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Least Square Mean
Estimated Value -487.1
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments The Least Square Mean indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group.
4. Secondary Outcome
Title Percentage of Participants Progressing to Any of the Following: Anterior Segment Neovascularization, New Vessels of the Disc (NVD) or New Vessels Elsewhere (NVE) During the First 24 Weeks
Description
Time Frame Baseline to Week 24

Outcome Measure Data

Analysis Population Description
Full Analysis Set
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24.
Measure Participants 114 73
Any neovascularization
0
0%
6.8
9.2%
Anterior segment neovascularization
0
0%
6.8
9.2%
Neovascularization of the optic disc (NVD)
0
0%
0
0%
Neovascularization elsewhere in the fundus (NVE)
0
0%
0
0%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0059
Comments
Method Cochran-Mantel-Haenszel
Comments CMH adjusted difference
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value -6.6
Confidence Interval (2-Sided) 95%
-12.2 to -1.1
Parameter Dispersion Type:
Value:
Estimation Comments The Risk Difference (RD) indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group. 95% confidence interval is for the RD.
5. Secondary Outcome
Title Change From Baseline in the NEI VFQ-25 in Total Score at Week 24 (LOCF)
Description The NEI VFQ-25 assesses visual function and quality of life. Total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales which are all scored from 0-100. To reach the overall composite score, each sub-scale score is averaged in order to give each sub-scale equal weight.
Time Frame Baseline and at Week 24

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye) Sham Treatment
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 24. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 24.
Measure Participants 114 73
Mean (Standard Deviation) [scores on a scale]
7.2
(12.11)
0.8
(9.79)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value 6.26
Confidence Interval (2-Sided) 95%
2.61 to 9.91
Parameter Dispersion Type:
Value:
Estimation Comments The Risk Difference (RD) indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group. 95% confidence interval is for the RD.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Intravitreal Aflibercept Injection (EYLEA, VEGF Trap-Eye), Sham Treatment
Comments
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Least Square Mean
Estimated Value 8.80
Confidence Interval () %
to
Parameter Dispersion Type:
Value:
Estimation Comments Least Square Mean indicates the difference between the IAI (EYLEA, VEGF Trap-Eye) Treatment group minus the Sham Treatment group.

Adverse Events

Time Frame Baseline to Week 24; Week 24 to Week 100
Adverse Event Reporting Description Adverse event data were collected from the sites during the time period from Baseline through Week 24 or/and Week 100. For analysis, adverse events with a start date on or after the Week 24 visit date are summarized in the Week 24 to Week 100 time period.
Arm/Group Title Intravitreal Aflibercept Injection (IAI) (Baseline to Week 24) Sham Treatment (Baseline to Week 24) IAI to IAI (Week 24 to Week 100) Sham Treatment to IAI (Week 24 to Week 100)
Arm/Group Description Participants received a 2 mg Intravitreal Aflibercept Injection (IAI) every 4 weeks (2Q4) from Baseline (Day 1) to Week 20. Participants were observed until Week 24. Participants in the safety population were at risk. Participants received sham treatment every 4 weeks from Baseline (Day 1) to Week 20. Participants were observed until Week 24. Participants in the safety population were at risk. Starting at week 24 through week 52, participants were evaluated monthly to receive either the 2 mg Intravitreal Aflibercept Injection (IAI) PRN or sham injection according to the protocol re-treatment criteria as assessed by the masked physician. If none of the re-treatment criteria were met, participants received a sham injection. From Week 52 to 100, participants were evaluated every three months, but could receive injections of IAI up to monthly if re-treatment criteria were met; sham injections were not given. Participants were observed from Week 24 to Week 100. Participants in the safety population that completed Week 24 were at risk. Starting at week 24 through week 52, participants were eligible for active treatment and were evaluated monthly to receive either 2 mg Intravitreal Aflibercept Injection (IAI) PRN or sham injection according to the protocol re-treatment criteria as assessed by the masked physician. From Week 52 to 100, participants were evaluated every three months, but could receive injections of IAI up to monthly if re-treatment criteria were met; sham injections were not given.
All Cause Mortality
Intravitreal Aflibercept Injection (IAI) (Baseline to Week 24) Sham Treatment (Baseline to Week 24) IAI to IAI (Week 24 to Week 100) Sham Treatment to IAI (Week 24 to Week 100)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Intravitreal Aflibercept Injection (IAI) (Baseline to Week 24) Sham Treatment (Baseline to Week 24) IAI to IAI (Week 24 to Week 100) Sham Treatment to IAI (Week 24 to Week 100)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 6/114 (5.3%) 6/74 (8.1%) 20/110 (18.2%) 14/60 (23.3%)
Blood and lymphatic system disorders
Anaemia 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Neutropenia 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Pernicious anaemia 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Cardiac disorders
Acute myocardial infarction 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Aortic valve stenosis 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Atrial fibrillation 1/114 (0.9%) 0/74 (0%) 1/110 (0.9%) 1/60 (1.7%)
Atrial tachycardia 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Atrioventricular block 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Cardiac failure acute 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Coronary artery disease 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Coronary artery stenosis 0/114 (0%) 0/74 (0%) 2/110 (1.8%) 0/60 (0%)
Myocardial infarction 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Supraventricular tachycardia 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Ventricular extrasystoles 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Eye disorders
Cataract 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Conjunctival haemorrhage 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Cystoid macular oedema 0/114 (0%) 0/74 (0%) 2/110 (1.8%) 0/60 (0%)
Dry eye 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Eye irritation 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Eye pain 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Glaucoma 0/114 (0%) 2/74 (2.7%) 0/110 (0%) 1/60 (1.7%)
Iris neovascularisation 0/114 (0%) 2/74 (2.7%) 0/110 (0%) 0/60 (0%)
Lacrimation increased 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Macular fibrosis 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Macular oedema 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Maculopathy 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Optic disc vascular disorder 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Posterior capsule opacification 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Retinal artery occlusion 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Retinal exudates 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Retinal haemorrhage 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Retinal pigment epitheliopathy 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Retinal tear 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 1/60 (1.7%)
Retinal vascular disorder 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Retinal vein occlusion 0/114 (0%) 1/74 (1.4%) 1/110 (0.9%) 0/60 (0%)
Visual acuity reduced 1/114 (0.9%) 1/74 (1.4%) 1/110 (0.9%) 0/60 (0%)
Vitreous detachment 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Vitreous floaters 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Vitreous haemorrhage 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Gastrointestinal disorders
Abdominal adhesions 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Colitis 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Dysphagia 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Gastrointestinal motility disorder 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Inguinal hernia 0/114 (0%) 0/74 (0%) 2/110 (1.8%) 0/60 (0%)
Intestinal ischaemia 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Intestinal obstruction 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Pancreatitis 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 1/60 (1.7%)
Small intestinal obstruction 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
General disorders
Adhesion 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Chest discomfort 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Chest pain 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Generalised oedema 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Hepatobiliary disorders
Bile duct stone 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Cholecystitis 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Infections and infestations
Arthritis bacterial 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Bacteriuria 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Bronchitis 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Bronchitis viral 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Cellulitis 0/114 (0%) 1/74 (1.4%) 1/110 (0.9%) 0/60 (0%)
Clostridial infection 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Endophthalmitis 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Herpes oesophagitis 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Influenza 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Nasopharyngitis 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Periorbital cellulitis 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Pneumonia 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 3/60 (5%)
Upper respiratory tract infection 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Urinary tract infection 0/114 (0%) 0/74 (0%) 2/110 (1.8%) 0/60 (0%)
Injury, poisoning and procedural complications
Accident 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 1/60 (1.7%)
Brain contusion 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Corneal abrasion 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Craniocerebral injury 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Facial bones fracture 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Fall 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Femur fracture 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
In-stent coronary artery restenosis 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Radius fracture 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Renal haematoma 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Skull fracture 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Spinal column injury 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Investigations
Blood pressure systolic increased 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Blood urine present 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Intraocular pressure increased 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Protein urine present 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Metabolism and nutrition disorders
Abnormal loss of weight 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Dehydration 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Hypokalaemia 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Musculoskeletal and connective tissue disorders
Arthritis 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 1/60 (1.7%)
Intervertebral disc degeneration 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Intervertebral disc protrusion 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Osteoarthritis 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 1/60 (1.7%)
Mantle cell lymphoma 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Metastatic renal cell carcinoma 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Non-small cell lung cancer 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Oesophageal adenocarcinoma stage IV 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Prostate cancer 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Squamous cell carcinoma of skin 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Thyroid cancer 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Nervous system disorders
Carotid artery stenosis 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Convulsion 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Dementia 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Encephalopathy 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Haemorrhagic cerebral infarction 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Loss of consciousness 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Subarachnoid haemorrhage 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Syncope 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Psychiatric disorders
Mental status changes 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Renal and urinary disorders
Haematuria 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Obstructive uropathy 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Renal failure acute 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 2/60 (3.3%)
Renal failure chronic 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Cystocele 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Rectocele 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Respiratory, thoracic and mediastinal disorders
Apnoea 0/114 (0%) 1/74 (1.4%) 0/110 (0%) 0/60 (0%)
Asthma 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Epistaxis 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Pneumonia aspiration 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Pneumothorax 1/114 (0.9%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Respiratory failure 0/114 (0%) 0/74 (0%) 0/110 (0%) 1/60 (1.7%)
Skin and subcutaneous tissue disorders
Dermatitis contact 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Vascular disorders
Hypertension 0/114 (0%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Hypotension 0/114 (0%) 0/74 (0%) 1/110 (0.9%) 0/60 (0%)
Other (Not Including Serious) Adverse Events
Intravitreal Aflibercept Injection (IAI) (Baseline to Week 24) Sham Treatment (Baseline to Week 24) IAI to IAI (Week 24 to Week 100) Sham Treatment to IAI (Week 24 to Week 100)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 57/114 (50%) 34/74 (45.9%) 76/110 (69.1%) 50/60 (83.3%)
Eye disorders
Cataract 0/114 (0%) 0/74 (0%) 6/110 (5.5%) 0/60 (0%)
Cystoid macular oedema 0/114 (0%) 0/74 (0%) 14/110 (12.7%) 4/60 (6.7%)
Dry eye 0/114 (0%) 0/74 (0%) 0/110 (0%) 4/60 (6.7%)
Eye irritation 6/114 (5.3%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Eye pain 16/114 (14%) 4/74 (5.4%) 9/110 (8.2%) 4/60 (6.7%)
Iris neovascularisation 0/114 (0%) 4/74 (5.4%) 0/110 (0%) 0/60 (0%)
Lacrimation increased 0/114 (0%) 0/74 (0%) 0/110 (0%) 4/60 (6.7%)
Macular oedema 0/114 (0%) 0/74 (0%) 20/110 (18.2%) 0/60 (0%)
Maculopathy 10/114 (8.8%) 0/74 (0%) 6/110 (5.5%) 0/60 (0%)
Optic disc vascular disorder 8/114 (7%) 0/74 (0%) 6/110 (5.5%) 5/60 (8.3%)
Retinal exudates 7/114 (6.1%) 0/74 (0%) 0/110 (0%) 5/60 (8.3%)
Retinal haemorrhage 0/114 (0%) 0/74 (0%) 6/110 (5.5%) 4/60 (6.7%)
Retinal pigment epitheliopathy 0/114 (0%) 0/74 (0%) 0/110 (0%) 12/60 (20%)
Retinal vascular disorder 6/114 (5.3%) 4/74 (5.4%) 8/110 (7.3%) 0/60 (0%)
Visual acuity reduced 7/114 (6.1%) 12/74 (16.2%) 27/110 (24.5%) 8/60 (13.3%)
Vitreous detachment 0/114 (0%) 5/74 (6.8%) 8/110 (7.3%) 0/60 (0%)
Vitreous floaters 6/114 (5.3%) 0/74 (0%) 0/110 (0%) 0/60 (0%)
Infections and infestations
Influenza 0/114 (0%) 0/74 (0%) 7/110 (6.4%) 0/60 (0%)
Nasopharyngitis 0/114 (0%) 4/74 (5.4%) 6/110 (5.5%) 0/60 (0%)
Upper respiratory tract infection 6/114 (5.3%) 0/74 (0%) 6/110 (5.5%) 0/60 (0%)
Investigations
Blood pressure systolic increased 0/114 (0%) 0/74 (0%) 0/110 (0%) 4/60 (6.7%)
Blood urine present 0/114 (0%) 0/74 (0%) 0/110 (0%) 4/60 (6.7%)
Intraocular pressure increased 0/114 (0%) 0/74 (0%) 0/110 (0%) 4/60 (6.7%)
Protein urine present 0/114 (0%) 0/74 (0%) 0/110 (0%) 5/60 (8.3%)
Vascular disorders
Hypertension 10/114 (8.8%) 4/74 (5.4%) 13/110 (11.8%) 9/60 (15%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

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

The only disclosure restriction on the PI, after completion of the trial and multi-center publication, is that the sponsor can review results communications prior to public release & may have the right to embargo communications regarding results for a period between 60 & 180 days from the time submitted to the sponsor for review; provided that the sponsor can remove confidential/proprietary information. 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
Phone 914 847 5385
Email clinicaltrials@regeneron.com
Responsible Party:
Regeneron Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00943072
Other Study ID Numbers:
  • VGFT-OD-0819
First Posted:
Jul 21, 2009
Last Update Posted:
May 27, 2013
Last Verified:
Apr 1, 2013