Vascular Endothelial Growth Factor VEGF Trap-Eye:Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration(AMD)

NCT ID: NCT00509795

Last Updated: 2012-12-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1217 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2011-07-31

Brief Summary

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This study is a phase 3, double-masked, randomized, study of the efficacy and safety of VEGF Trap-Eye in patients with neovascular age-related macular degeneration. Approximately 1200 patients will be randomized in the US and Canada.

Detailed Description

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Conditions

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Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ranibizumab 0.5mg Q4

Group Type ACTIVE_COMPARATOR

ranibizumab

Intervention Type BIOLOGICAL

Participants received a 0.5mg dose of ranibizumab via intravitreal (IVT) injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

aflibercept injection 2.0mg Q4

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 2.0mg dose of aflibercept injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

aflibercept injection 0.5mg Q4

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 0.5mg dose of aflibercept injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

aflibercept injection 2.0mg Q8

Group Type EXPERIMENTAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 2.0mg dose of aflibercept injection every 8 weeks (including one additional 2.0 mg dose at Week 4) for the first year and were to receive sham injections at interim monthly visits. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Interventions

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ranibizumab

Participants received a 0.5mg dose of ranibizumab via intravitreal (IVT) injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received a 2.0mg dose of aflibercept injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received a 0.5mg dose of aflibercept injection every 4 weeks for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Intervention Type BIOLOGICAL

aflibercept injection (VEGF Trap-Eye, BAY86-5321)

Participants received a 2.0mg dose of aflibercept injection every 8 weeks (including one additional 2.0 mg dose at Week 4) for the first year and were to receive sham injections at interim monthly visits. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Intervention Type BIOLOGICAL

Other Intervention Names

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Lucentis VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321 VEGF Trap-Eye BAY86-5321

Eligibility Criteria

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Inclusion Criteria

1. Signed Informed Consent.
2. Men and women ≥ 50 years of age.
3. Active primary or recurrent subfoveal CNV lesions secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by FA in the study eye.
4. Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) of: letter score of 73 to 25 (20/40 to 20/320) in the study eye at 4 meters.
5. Willing, committed, and able to return for ALL clinic visits and complete all study-related procedures.
6. Able to read, (or, if unable to read due to visual impairment, be read to verbatim by the person administering the informed consent or a family member. See Appendix J.4) understand and willing to sign the informed consent form.

Key

Exclusion Criteria

1. Any prior ocular (in the study eye) or systemic treatment or surgery for neovascular AMD except dietary supplements or vitamins.
2. Any prior or concomitant therapy with another investigational agent to treat neovascular AMD in the study eye, except dietary supplements or vitamins.
3. Any prior treatment with anti-VEGF agents in the study eye.
4. Total lesion size \> 12 disc areas (30.5 mm\^2, including blood, scars and neovascularization) as assessed by FA in the study eye.
5. Subretinal hemorrhage that is either 50% or more of the total lesion area, or if the blood is under the fovea and is 1 or more disc areas in size in the study eye. (If the blood is under the fovea, then the fovea must be surrounded 270 degrees by visible CNV.)
6. Scar or fibrosis, making up \> 50% of total lesion in the study eye.
7. Scar, fibrosis, or atrophy involving the center of the fovea.
8. Presence of retinal pigment epithelial tears or rips involving the macula in the study eye.
9. History of any vitreous hemorrhage within 4 weeks prior to Visit 1 in the study eye.
10. Presence of other causes of CNV in the study eye.
11. History or clinical evidence of diabetic retinopathy, diabetic macular edema or any other vascular disease affecting the retina,other than AMD, in either eye.
12. Prior vitrectomy in the study eye.
13. History of retinal detachment or treatment or surgery for retinal detachment in the study eye.
14. Any history of macular hole of stage 2 and above in the study eye.
15. Any intraocular or periocular surgery within 3 months of Day 1 on the study eye, except lid surgery, which may not have taken place within 1 month of day 1, as long as its unlikely to interfere with the injection.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Vitti, MD

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Birmingham, Alabama, United States

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Birmingham, Alabama, United States

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Phoenix, Arizona, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Tucson, Arizona, United States

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Beverly Hills, California, United States

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Campbell, California, United States

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Fullerton, California, United States

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Glendale, California, United States

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Irvine, California, United States

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La Jolla, California, United States

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Loma Linda, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Menlo Park, California, United States

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Mountain View, California, United States

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Oakland, California, United States

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Palm Springs, California, United States

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Pasadena, California, United States

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Poway, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Santa Ana, California, United States

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Torrance, California, United States

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Ventura, California, United States

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Westlake Village, California, United States

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Yorba Linda, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Denver, Colorado, United States

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Bridgeport, Connecticut, United States

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Hamden, Connecticut, United States

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New Haven, Connecticut, United States

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New London, Connecticut, United States

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Altamonte Springs, Florida, United States

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Boynton Beach, Florida, United States

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Fort Lauderdale, Florida, United States

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Fort Myers, Florida, United States

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Fort Myers, Florida, United States

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Gainesville, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Miami, Florida, United States

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Mt. Dora, Florida, United States

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Orlando, Florida, United States

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Orlando, Florida, United States

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Oscala, Florida, United States

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Palm Beach Gardens, Florida, United States

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Pensacola, Florida, United States

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Sarasota, Florida, United States

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Stuart, Florida, United States

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Tampa, Florida, United States

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Winter Haven, Florida, United States

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Augusta, Georgia, United States

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Honolulu, Hawaii, United States

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‘Aiea, Hawaii, United States

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Oak Brook, Illinois, United States

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Fort Wayne, Indiana, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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Indianapolis, Indiana, United States

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New Albany, Indiana, United States

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Iowa City, Iowa, United States

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Wichita, Kansas, United States

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Louisville, Kentucky, United States

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Louisville, Kentucky, United States

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Paducah, Kentucky, United States

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New Orleans, Louisiana, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Bangor, Maine, United States

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Portland, Maine, United States

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Baltimore, Maryland, United States

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Baltimore, Maryland, United States

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Chevy Chase, Maryland, United States

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Hagerstown, Maryland, United States

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Towson, Maryland, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Peabody, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Battle Creek, Michigan, United States

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Detroit, Michigan, United States

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Grand Rapids, Michigan, United States

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Jackson, Michigan, United States

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Royal Oak, Michigan, United States

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Southfield, Michigan, United States

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West Bloomfield, Michigan, United States

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Edina, Minnesota, United States

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Minneapolis, Minnesota, United States

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Rochester, Minnesota, United States

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Florissant, Missouri, United States

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Kansas City, Missouri, United States

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Kansas City, Missouri, United States

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Springfield, Missouri, United States

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St Louis, Missouri, United States

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Missoula, Montana, United States

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Lincoln, Nebraska, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Lawrenceville, New Jersey, United States

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New Brunswick, New Jersey, United States

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Northfield, New Jersey, United States

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Teaneck, New Jersey, United States

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Toms River, New Jersey, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Brooklyn, New York, United States

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Lynbrook, New York, United States

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New York, New York, United States

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New York, New York, United States

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New York, New York, United States

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Poughkeepsie, New York, United States

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Rochester, New York, United States

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Rochester, New York, United States

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Slingerlands, New York, United States

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Syracuse, New York, United States

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Asheville, North Carolina, United States

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Charlotte, North Carolina, United States

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Raleigh, North Carolina, United States

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Southern Pines, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Toledo, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Ashland, Oregon, United States

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Portland, Oregon, United States

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Portland, Oregon, United States

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Salem, Oregon, United States

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Kingston, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsberg, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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West Mifflin, Pennsylvania, United States

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Wyomissing, Pennsylvania, United States

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Providence, Rhode Island, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Greenville, South Carolina, United States

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West Columbia, South Carolina, United States

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Rapid City, South Dakota, United States

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Memphis, Tennessee, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Abilene, Texas, United States

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Austin, Texas, United States

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Corpus Cristi, Texas, United States

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Dallas, Texas, United States

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DeSoto, Texas, United States

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Fort Worth, Texas, United States

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Fort Worth, Texas, United States

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Galveston, Texas, United States

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Houston, Texas, United States

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McAllen, Texas, United States

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Odessa, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Salt Lake City, Utah, United States

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Burlington, Vermont, United States

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Charlottesville, Virginia, United States

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Fairfax, Virginia, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Silverdale, Washington, United States

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Madison, Wisconsin, United States

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Madison, Wisconsin, United States

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Milwaukee, Wisconsin, United States

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Victoria, British Columbia, Canada

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Halifax, Nova Scotia, Canada

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London, Ontario, Canada

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Mississauga, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Regina, Saskatchewan, Canada

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Countries

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United States Canada

References

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Li E, Donati S, Lindsley KB, Krzystolik MG, Virgili G. Treatment regimens for administration of anti-vascular endothelial growth factor agents for neovascular age-related macular degeneration. Cochrane Database Syst Rev. 2020 May 5;5(5):CD012208. doi: 10.1002/14651858.CD012208.pub2.

Reference Type DERIVED
PMID: 32374423 (View on PubMed)

Moshfeghi DM, Thompson D, Saroj N. Changes in neovascular activity following fixed dosing with an anti-vascular endothelial growth factor agent over 52 weeks in the phase III VIEW 1 and VIEW 2 studies. Br J Ophthalmol. 2020 Sep;104(9):1223-1227. doi: 10.1136/bjophthalmol-2019-315021. Epub 2019 Dec 11.

Reference Type DERIVED
PMID: 31826853 (View on PubMed)

Yuzawa M, Fujita K, Wittrup-Jensen KU, Norenberg C, Zeitz O, Adachi K, Wang EC, Heier J, Kaiser P, Chong V, Korobelnik JF. Improvement in vision-related function with intravitreal aflibercept: data from phase 3 studies in wet age-related macular degeneration. Ophthalmology. 2015 Mar;122(3):571-8. doi: 10.1016/j.ophtha.2014.09.024. Epub 2014 Nov 6.

Reference Type DERIVED
PMID: 25439429 (View on PubMed)

Other Identifiers

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VGFT-OD-0605

Identifier Type: -

Identifier Source: org_study_id