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

NCT ID: NCT00637377

Last Updated: 2014-12-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2011-08-31

Brief Summary

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This study is a phase III, 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 Europe, Asia, Japan, Australia and South America.

Detailed Description

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Data of this trial ("VIEW 2") was pooled with data of a sister trial ("VIEW 1", NCT00509795), and an integrated analyses of the combined data was performed.

Conditions

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Macular Degeneration

Keywords

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Eye diseases Vision Impairment and Blindness Eyes and Vision Seniors Neovascular Age-Related Macular Degeneration (AMD) Retinal Disease

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

Participants received a 0.5 mg dose of Ranibizumab via intravitreal (IVT) injection administered 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.

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

Participants received a 0.5 mg dose of Ranibizumab via intravitreal (IVT) injection administered 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 (EYLEA, VEGF Trap-Eye) 2mg Q4

Participants received a 2.0 mg dose of Aflibercept Injection administered 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.

Group Type EXPERIMENTAL

Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 2.0 mg dose of Aflibercept Injection administered 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 (EYLEA, VEGF Trap-Eye) 0.5mg Q4

Participants received a 0.5 mg dose of Aflibercept Injection administered 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.

Group Type EXPERIMENTAL

Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 0.5 mg dose of Aflibercept Injection administered 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 (EYLEA, VEGF Trap-Eye) 2mg Q8

Participants received a 2.0 mg dose of Aflibercept Injection administered every 8 weeks (including one additional 2,0 mg dose at Week 4) for the first year. Thereafter a dose may be administered as frequently as every 4 weeks, but no less frequently than every 12 weeks.

Group Type EXPERIMENTAL

Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)

Intervention Type BIOLOGICAL

Participants received a 2.0 mg dose of Aflibercept Injection administered every 8 weeks (including one additional 2,0 mg dose at Week 4) for the first year. 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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Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)

Participants received a 2.0 mg dose of Aflibercept Injection administered 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 (EYLEA, VEGF Trap-Eye, BAY86-5321)

Participants received a 0.5 mg dose of Aflibercept Injection administered 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 (EYLEA, VEGF Trap-Eye, BAY86-5321)

Participants received a 2.0 mg dose of Aflibercept Injection administered every 8 weeks (including one additional 2,0 mg dose at Week 4) 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

Ranibizumab

Participants received a 0.5 mg dose of Ranibizumab via intravitreal (IVT) injection administered 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 DRUG

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent.
* Men and women \>/=50 years of age.
* Active primary or recurrent subfoveal CNV lesions secondary to AMD, including juxtafoveal lesions that affect the fovea as evidenced by Fluorescein angiography (FA) in the study eye.
* ETDRS Best-Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye at 4 meters.
* Willing, committed, and able to return for ALL clinic visits and complete all study-related procedures.
* 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) understand and willing to sign the informed consent form.

Exclusion Criteria

* Any prior ocular (in the study eye) or systemic treatment or surgery for neovascular AMD, except dietary supplements or vitamins.
* Any prior or concomitant therapy with another investigational agent to treat neovascular AMD in the study eye.
* Any prior treatment with anti-VEGF agents in the study eye.
* Total lesion size \>12 disc areas (30.5 mm, including blood, scars and neovascularization) as assessed by FA in the study eye.
* Subretinal hemorrhages 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 by 270 degrees by visible CNV).
* Scar or fibrosis making up \>50% of the total lesion in the study eye.
* Scar, fibrosis, or atrophy involving the center of the fovea in the study eye.
* Presence of retinal pigment epithelial tears or rips involving the macula in the study eye.
* History of any vitreous hemorrhage within 4 weeks prior to Visit 1 in the study eye.
* Presence of other causes of CNV in the study eye.
* Prior vitrectomy in the study eye.
* History of retinal detachment or treatment or surgery for retinal detachment in the study eye.
* Any history of macular hole of stage 2 and above in the study eye.
* 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 it is unlikely to interfere with the injection.
* History or clinical evidence of diabetic retinopathy, diabetic macular edema or any retinal vascular disease other than AMD in either eye.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Regeneron Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

Site Status

Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Buenos Aires, Ciudad Auton. de Buenos Aires, Argentina

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Córdoba, Córdoba Province, Argentina

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Rosario, Santa Fe Province, Argentina

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Chatswood, New South Wales, Australia

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Sydney, New South Wales, Australia

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Westmead, New South Wales, Australia

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East Melbourne, Victoria, Australia

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Parkville, Victoria, Australia

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Nedlands, Western Australia, Australia

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Parramatta, , Australia

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Liège, , Belgium

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Ribeirão Preto, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Minas Gerais, , Brazil

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Medellín, Antioquia, Colombia

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Bogotá, Bogota D.C., Colombia

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Cali, Cauca Department, Colombia

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Brno, , Czechia

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Olomouc, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Ústí nad Labem, , Czechia

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Paris, Cedex 12, France

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Nantes, Cedex 1, France

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Besançon, , France

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Bordeaux, , France

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Dijon, , France

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Lyon, , France

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Lyon, , France

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Marseille, , France

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Paris, , France

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Paris, , France

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Freiburg im Breisgau, Baden-Wurttemberg, Germany

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Heidelberg, Baden-Wurttemberg, Germany

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Tübingen, Baden-Wurttemberg, Germany

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München, Bavaria, Germany

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Regensburg, Bavaria, Germany

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Hamburg, City state of Hamburg, Germany

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Darmstadt, Hesse, Germany

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Aachen, North Rhine-Westphalia, Germany

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Bonn, North Rhine-Westphalia, Germany

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Cologne, North Rhine-Westphalia, Germany

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Essen, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Ludwigshafen am Rhein, Rhineland-Palatinate, Germany

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Mainz, Rhineland-Palatinate, Germany

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Homburg, Saarland, Germany

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Dresden, Saxony, Germany

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Dresden, Saxony, Germany

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Leipzig, Saxony, Germany

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Kiel, Schleswig-Holstein, Germany

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Lübeck, Schleswig-Holstein, Germany

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Berlin, State of Berlin, Germany

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Veszprém, , Hungary

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Ahemedabad - 4, Gujarat, India

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Wadala, Mumbai, Maharashtra, India

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Chennai, Tamil Nadu, India

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Coimbatore, Tamil Nadu, India

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Madurai, Tamil Nadu, India

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Pondicherry, Tamil Nadu, India

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Bangalore, , India

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Chandigarh, , India

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Hyderabad, , India

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Kerala, , India

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Kolkata, , India

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Mumbai, , India

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New Delhi, , India

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New Delhi, , India

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Orissa, , India

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Haifa, Israel, Israel

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Kfar Saba, Israel, Israel

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Petah Tikva, Israel, Israel

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Zrifin, Israel, Israel

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Afula, , Israel

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Beersheba, , Israel

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Jerusalem, , Israel

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Rehovot, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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Ancona, , Italy

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Bari, , Italy

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Catania, , Italy

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Genova, , Italy

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Milan, , Italy

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Milan, , Italy

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Milan, , Italy

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Padua, , Italy

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Roma, , Italy

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Roma, , Italy

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Roma, , Italy

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Torino, , Italy

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Udine, , Italy

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Varese, , Italy

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Verona, , Italy

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Urayasu, Chiba, Japan

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Fukuoka, Fukuoka, Japan

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Fukushima, Fukushima, Japan

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Maebashi, Gunma, Japan

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Sapporo, Hokkaido, Japan

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Kita, Kagawa-ken, Japan

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Kagoshima, Kagoshima-ken, Japan

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Kyoto, Kyoto, Japan

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Hirakata, Osaka, Japan

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Suita, Osaka, Japan

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Ōtsu, Shiga, Japan

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Chiyoda-ku, Tokyo, Japan

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Shinjuku-ku, Tokyo, Japan

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Riga, , Latvia

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Riga, , Latvia

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Riga, , Latvia

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Chihuahua City, Chihuahua, Mexico

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Zapopan, Jalisco, Mexico

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Mexico City, Mexico City, Mexico

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Monterrey, Nuevo León, Mexico

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Monterrey, Nuevo León, Mexico

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Metepec, State of Mexico, Mexico

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Mexico City, , Mexico

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México D.F., , Mexico

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Leiden, ZA, Netherlands

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Nijmegen, , Netherlands

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Rotterdam, , Netherlands

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Bydgoszcz, , Poland

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Gdansk, , Poland

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Katowice, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Warszaa, , Poland

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Wroclaw, , Poland

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Coimbra, , Portugal

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Porto, , Portugal

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Singapore, , Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Banská Bystrica, , Slovakia

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Bratislava, , Slovakia

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Seongnam, Gyeonggido, South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Santiago de Compostela, A Coruña, Spain

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Alicante, Alicante, Spain

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Madrid, Madrid, Spain

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Pamplona, Navarre, Spain

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Oviedo, Principality of Asturias, Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Seville, , Spain

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Seville, , Spain

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Valencia, , Spain

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Valencia, , Spain

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Valladolid, , Spain

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Linköping, , Sweden

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Örebro, , Sweden

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Stockholm, , Sweden

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Basel, , Switzerland

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Bern, , Switzerland

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Geneva, , Switzerland

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Zurich, , Switzerland

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Southampton, Hampshire, United Kingdom

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Camberley, Surrey, United Kingdom

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Aberdeen, , United Kingdom

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Belfast, , United Kingdom

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Birmingham, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Plymouth, , United Kingdom

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Torquay, , United Kingdom

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Countries

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Argentina Australia Austria Belgium Brazil Colombia Czechia France Germany Hungary India Israel Italy Japan Latvia Mexico Netherlands Poland Portugal Singapore Slovakia South Korea Spain Sweden Switzerland United Kingdom

References

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Heier JS, Brown DM, Chong V, Korobelnik JF, Kaiser PK, Nguyen QD, Kirchhof B, Ho A, Ogura Y, Yancopoulos GD, Stahl N, Vitti R, Berliner AJ, Soo Y, Anderesi M, Groetzbach G, Sommerauer B, Sandbrink R, Simader C, Schmidt-Erfurth U; VIEW 1 and VIEW 2 Study Groups. Intravitreal aflibercept (VEGF trap-eye) in wet age-related macular degeneration. Ophthalmology. 2012 Dec;119(12):2537-48. doi: 10.1016/j.ophtha.2012.09.006. Epub 2012 Oct 17.

Reference Type RESULT
PMID: 23084240 (View on PubMed)

Schmidt-Erfurth U, Kaiser PK, Korobelnik JF, Brown DM, Chong V, Nguyen QD, Ho AC, Ogura Y, Simader C, Jaffe GJ, Slakter JS, Yancopoulos GD, Stahl N, Vitti R, Berliner AJ, Soo Y, Anderesi M, Sowade O, Zeitz O, Norenberg C, Sandbrink R, Heier JS. Intravitreal aflibercept injection for neovascular age-related macular degeneration: ninety-six-week results of the VIEW studies. Ophthalmology. 2014 Jan;121(1):193-201. doi: 10.1016/j.ophtha.2013.08.011. Epub 2013 Sep 29.

Reference Type RESULT
PMID: 24084500 (View on PubMed)

Lukacs R, Schneider M, Nagy ZZ, Sandor GL, Kaan K, Asztalos A, Enyedi L, Pek G, Barcsay G, Szabo A, Borbandy A, Kovacs I, Resch MD, Papp A. Seven-year outcomes following intensive anti-vascular endothelial growth factor therapy in patients with exudative age-related macular degeneration. BMC Ophthalmol. 2023 Mar 17;23(1):110. doi: 10.1186/s12886-023-02843-2.

Reference Type DERIVED
PMID: 36932356 (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)

Ogura Y, Terasaki H, Gomi F, Yuzawa M, Iida T, Honda M, Nishijo K, Sowade O, Komori T, Schmidt-Erfurth U, Simader C, Chong V; VIEW 2 Investigators. Efficacy and safety of intravitreal aflibercept injection in wet age-related macular degeneration: outcomes in the Japanese subgroup of the VIEW 2 study. Br J Ophthalmol. 2015 Jan;99(1):92-7. doi: 10.1136/bjophthalmol-2014-305076. Epub 2014 Aug 8.

Reference Type DERIVED
PMID: 25107900 (View on PubMed)

Related Links

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http://clinicaltrials.gov/ct2/show/NCT00509795?term=NCT00509795;rank=1

Click here to view the data of the twin trial conducted by the collaboration partner.

http://www.clinicaltrialsregister.eu/

Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Other Identifiers

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2007-000583-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

91689

Identifier Type: -

Identifier Source: org_study_id