Trial Outcomes & Findings for VEGF Trap-Eye: Investigation of Efficacy and Safety in Chinese Subjects With Wet AMD (Age-Related Macular Degeneration) (NCT NCT01482910)

NCT ID: NCT01482910

Last Updated: 2016-11-04

Results Overview

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. A higher score represents better functioning.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

304 participants

Primary outcome timeframe

Baseline and at week 28

Results posted on

2016-11-04

Participant Flow

Participant milestones

Participant milestones
Measure
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed.
PDT Treatments
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48.
Overall Study
STARTED
228
76
Overall Study
Completed Week 28
216
71
Overall Study
COMPLETED
213
67
Overall Study
NOT COMPLETED
15
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed.
PDT Treatments
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48.
Overall Study
Adverse Event
6
5
Overall Study
Lost to Follow-up
0
1
Overall Study
Protocol Violation
1
1
Overall Study
Withdrawal by Subject
7
2
Overall Study
Death
1
0

Baseline Characteristics

VEGF Trap-Eye: Investigation of Efficacy and Safety in Chinese Subjects With Wet AMD (Age-Related Macular Degeneration)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
n=228 Participants
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed.
PDT Treatments
n=76 Participants
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48.
Total
n=304 Participants
Total of all reporting groups
Age, Continuous
65.1 Years
STANDARD_DEVIATION 8.8 • n=93 Participants
64.9 Years
STANDARD_DEVIATION 8.5 • n=4 Participants
65.1 Years
STANDARD_DEVIATION 8.7 • n=27 Participants
Sex: Female, Male
Female
86 Participants
n=93 Participants
22 Participants
n=4 Participants
108 Participants
n=27 Participants
Sex: Female, Male
Male
142 Participants
n=93 Participants
54 Participants
n=4 Participants
196 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline and at week 28

Population: Full analysis set

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. A higher score represents better functioning.

Outcome measures

Outcome measures
Measure
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
n=228 Participants
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed.
PDT Treatments
n=76 Participants
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48.
Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Letter Score at Week 28 - Last Observation Carried Forward (LOCF)
14.0 Letters correctly read
Standard Deviation 12.1
3.9 Letters correctly read
Standard Deviation 14.6

SECONDARY outcome

Timeframe: At week 28

Population: Full analysis set

Visual function of the study eye was assessed using the Early Treatment Diabetic Retinopathy Study (ETDRS) Best Corrected Visual Acuity (BCVA) letter score. A higher score represents better functioning.

Outcome measures

Outcome measures
Measure
Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
n=228 Participants
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed.
PDT Treatments
n=76 Participants
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48.
Percentage of Participants Who Lost Fewer Than 15 Letters at Week 28 - LOCF
98.7 Percentage of participants
92.1 Percentage of participants

Adverse Events

Aflibercept Injection, up to Week 28

Serious events: 13 serious events
Other events: 77 other events
Deaths: 0 deaths

PDT Treatments, up to Week 28

Serious events: 4 serious events
Other events: 33 other events
Deaths: 0 deaths

Aflibercept Injection, From Week 28 to Week 52

Serious events: 5 serious events
Other events: 18 other events
Deaths: 0 deaths

PDT Then Aflibercept Injection, From Week 28 to Week 52

Serious events: 3 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aflibercept Injection, up to Week 28
n=228 participants at risk
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed. The data up to week 28 was reported.
PDT Treatments, up to Week 28
n=76 participants at risk
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48. The data up to week 28 was reported.
Aflibercept Injection, From Week 28 to Week 52
n=216 participants at risk
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed. The data from week 28 up to week 52 was reported.
PDT Then Aflibercept Injection, From Week 28 to Week 52
n=71 participants at risk
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48. The data from week 28 up to week 52 was reported.
Cardiac disorders
Acute myocardial infarction
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Ear and labyrinth disorders
Sudden hearing loss
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.46%
1/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Cataract
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Visual acuity reduced
0.88%
2/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
3.9%
3/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Vitreous haemorrhage
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.46%
1/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Gastrointestinal disorders
Gastric haemorrhage
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Gastrointestinal disorders
Gastritis
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.46%
1/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Gastrointestinal disorders
Pancreatitis acute
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Gastrointestinal disorders
Oesophageal polyp
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Infections and infestations
Pneumonia
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Injury, poisoning and procedural complications
Clavicle fracture
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Injury, poisoning and procedural complications
Joint dislocation
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Injury, poisoning and procedural complications
Rib fracture
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.3%
1/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Musculoskeletal and connective tissue disorders
Pathological fracture
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Musculoskeletal and connective tissue disorders
Periarthritis
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Plasmacytoma
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma metastatic
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular carcinoma
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Nervous system disorders
Cerebral infarction
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Nervous system disorders
Cerebral ischaemia
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.46%
1/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.44%
1/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Vascular disorders
Hypertension
0.00%
0/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.46%
1/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52

Other adverse events

Other adverse events
Measure
Aflibercept Injection, up to Week 28
n=228 participants at risk
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed. The data up to week 28 was reported.
PDT Treatments, up to Week 28
n=76 participants at risk
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48. The data up to week 28 was reported.
Aflibercept Injection, From Week 28 to Week 52
n=216 participants at risk
Participants received 2.0 mg intravitreal aflibercept injection (IAI) every 4 weeks for the first 12 weeks, followed by additional 2.0 mg IAI every 8 weeks until week 48. Additionally, sham photodynamic therapy (PDT) treatments was administered as needed. The data from week 28 up to week 52 was reported.
PDT Then Aflibercept Injection, From Week 28 to Week 52
n=71 participants at risk
Participants received PDT as needed. Additionally, sham IAI injections was administered until week 28. Thereafter, participants received active IAI treatment until week 48. The data from week 28 up to week 52 was reported.
Eye disorders
Conjunctival haemorrhage
6.1%
14/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
5.3%
4/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
6.0%
13/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
5.6%
4/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Retinal haemorrhage
3.9%
9/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
5.3%
4/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Retinal pigment epitheliopathy
5.3%
12/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
10.5%
8/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
2.8%
6/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Visual acuity reduced
7.0%
16/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
14.5%
11/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
2.8%
6/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
7.0%
5/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Subretinal fluid
0.88%
2/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
5.3%
4/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.93%
2/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Eye disorders
Macular fibrosis
11.8%
27/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
10.5%
8/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
2.8%
6/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Infections and infestations
Upper respiratory tract infection
4.4%
10/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
5.3%
4/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
2.8%
6/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.00%
0/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
Investigations
Intraocular pressure increased
5.3%
12/228 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
2.6%
2/76 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
0.93%
2/216 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52
1.4%
1/71 • From the first study drug injection until 30 days after the last study drug injection at the latest up to week 52

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60