Trial Outcomes & Findings for Efficacy and Safety of VEGF Trap Eye in Diabetic Macular Edema (DME) With Central Involvement (NCT NCT01783886)

NCT ID: NCT01783886

Last Updated: 2016-05-12

Results Overview

Visual function of the study eye was assessed using the ETDRS protocol, which is a widely accepted international standard for macular laser photocoagulation treatment. A higher score represents better functioning. LOCF censored measurements after additional treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

381 participants

Primary outcome timeframe

Baseline up to week 52

Results posted on

2016-05-12

Participant Flow

The study was conducted at centers in China, Hong Kong, South Korea, and Russian Federation between 18 February 2013 (first participant first visit) and 09 March 2015 (last participant last visit) (data cut-off date).

Overall 539 participants were screened, of them 381 participants were randomized, and 378 participants were allocated to treatment.

Participant milestones

Participant milestones
Measure
Intravitreal Aflibercept Injection 2Q4
Participants received 2 milligram (mg) Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Overall Study
STARTED
127
127
127
Overall Study
Participants Received Treatment
127
127
124
Overall Study
COMPLETED
122
116
117
Overall Study
NOT COMPLETED
5
11
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Intravitreal Aflibercept Injection 2Q4
Participants received 2 milligram (mg) Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Overall Study
Lost to Follow-up
0
3
0
Overall Study
Protocol deviation
0
0
2
Overall Study
Withdrawal of consent by participant
1
3
4
Overall Study
Adverse Event
4
5
4

Baseline Characteristics

Efficacy and Safety of VEGF Trap Eye in Diabetic Macular Edema (DME) With Central Involvement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) 2Q4 over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=127 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Total
n=378 Participants
Total of all reporting groups
Age, Continuous
59.3 years
STANDARD_DEVIATION 10.3 • n=5 Participants
57.6 years
STANDARD_DEVIATION 10.1 • n=7 Participants
58.8 years
STANDARD_DEVIATION 10.5 • n=5 Participants
58.5 years
STANDARD_DEVIATION 10.3 • n=4 Participants
Sex: Female, Male
Female
68 Participants
n=5 Participants
60 Participants
n=7 Participants
60 Participants
n=5 Participants
188 Participants
n=4 Participants
Sex: Female, Male
Male
59 Participants
n=5 Participants
67 Participants
n=7 Participants
64 Participants
n=5 Participants
190 Participants
n=4 Participants
Region of Enrollment
China
101 participants
n=5 Participants
101 participants
n=7 Participants
99 participants
n=5 Participants
301 participants
n=4 Participants
Region of Enrollment
Russia
10 participants
n=5 Participants
10 participants
n=7 Participants
9 participants
n=5 Participants
29 participants
n=4 Participants
Region of Enrollment
Other Asia-Pacific (Hong Kong, Korea)
16 participants
n=5 Participants
16 participants
n=7 Participants
16 participants
n=5 Participants
48 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline up to week 52

Population: Full analysis set (FAS) included all randomized participants who received any study treatment, had a baseline measurement of BCVA, and had at least 1 post-baseline assessment of BCVA. FAS with assessment for this outcome measure.

Visual function of the study eye was assessed using the ETDRS protocol, which is a widely accepted international standard for macular laser photocoagulation treatment. A higher score represents better functioning. LOCF censored measurements after additional treatment.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=126 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 52 - Last Observation Carried Forward (LOCF)
13.7 Letters correctly read
Standard Deviation 8.4
12.8 Letters correctly read
Standard Deviation 9.5
-0.2 Letters correctly read
Standard Deviation 13.5

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS.

Visual function of the study eye was assessed using the ETDRS protocol. A higher score represents better functioning.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=126 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Percentage of Participants Who Gained at Least 10 Letters in BCVA as Measured by ETDRS Letter Score Compared With Baseline at Week 52 - LOCF
70.9 Percentage of participants
62.7 Percentage of participants
23.4 Percentage of participants

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS.

Visual function of the study eye was assessed using the ETDRS protocol. A higher score represents better functioning.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=126 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Percentage of Participants Who Gained at Least 15 Letters in BCVA as Measured by ETDRS Letter Score Compared With Baseline at Week 52 - LOCF
43.3 Percentage of participants
36.5 Percentage of participants
12.1 Percentage of participants

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS.

ETDRS DRSS: None (level 10); Mild to moderate nonproliferative diabetic retinopathy (DR) (levels 14, 15, 20, 35, and 43); Moderately severe/severe nonproliferative DR (levels 47 and 53); Mild/moderate/high-risk/advanced proliferative DR (levels 61, 65, 71,75, 81, and 85)

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=122 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=122 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=120 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Percentage of Participants With a Greater Than Equal (>=) Two-step Improvement From Baseline in the ETDRS Diabetic Retinopathy Severity Score (DRSS) as Assessed by Fundus Photography (FP) at Week 52 - LOCF
60.7 Percentage of participants
62.3 Percentage of participants
21.7 Percentage of participants

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS with assessment for this outcome measure.

CRT was assessed using spectral domain optical coherence tomography (SD-OCT), a non-invasive diagnostic system providing high-resolution imaging sections of the retina. SD-OCT was performed in the study eye after pupil dilation. A negative change from Baseline indicated improvement.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=126 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=126 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Change From Baseline in Central Retinal Thickness (CRT) at Week 52 as Assessed on Optical Coherence Tomography (OCT) - LOCF
-238.7 micrometer
Standard Deviation 172.5
-234.7 micrometer
Standard Deviation 160.8
-109.3 micrometer
Standard Deviation 206.9

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS with assessment for this outcome measure.

The NEI VFQ-25 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 that are all scored from 0-100. Near activities are defined as reading ordinary print in newspapers, performing work or hobbies requiring near vision, or finding something on a crowded shelf.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=124 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=122 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=119 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Near Activities Subscale at Week 52 - LOCF
6.65 Scores on a scale
Standard Deviation 23.86
7.28 Scores on a scale
Standard Deviation 22.95
0.04 Scores on a scale
Standard Deviation 24.39

SECONDARY outcome

Timeframe: Baseline up to week 52

Population: FAS with assessment for this outcome measure.

The NEI VFQ-25 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 that are all scored from 0-100. Distance activities are defined as reading street signs or names on stores, and going down stairs, steps, or curbs.

Outcome measures

Outcome measures
Measure
Intravitreal Aflibercept Injection 2Q4
n=124 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=122 Participants
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=119 Participants
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Distance Activities Subscale at Week 52 - LOCF
3.93 Scores on a scale
Standard Deviation 22.36
10.25 Scores on a scale
Standard Deviation 21.44
0.04 Scores on a scale
Standard Deviation 23.14

Adverse Events

Intravitreal Aflibercept Injection 2Q4

Serious events: 19 serious events
Other events: 87 other events
Deaths: 0 deaths

Intravitreal Aflibercept Injection 2Q8

Serious events: 22 serious events
Other events: 83 other events
Deaths: 0 deaths

Macular Laser Photocoagulation

Serious events: 24 serious events
Other events: 89 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 participants at risk
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=127 participants at risk
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 participants at risk
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Blood and lymphatic system disorders
Nephrogenic anaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Acute myocardial infarction
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Angina pectoris
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Cardiac failure
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Coronary artery disease
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Myocardial infarction
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Cardiac disorders
Right ventricular hypertrophy
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Eye disorders
Cataract
1.6%
2/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Eye disorders
Diabetic retinopathy
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Eye disorders
Glaucoma
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
1.6%
2/124 • From the start of study treatment up to 52 weeks
Eye disorders
Hyphaema
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Eye disorders
Papilloedema
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Eye disorders
Ulcerative keratitis
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Eye disorders
Visual acuity reduced
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
1.6%
2/124 • From the start of study treatment up to 52 weeks
Eye disorders
Vitreous haemorrhage
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
3.2%
4/124 • From the start of study treatment up to 52 weeks
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Gastrointestinal disorders
Large intestine polyp
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Gastrointestinal disorders
Vomiting
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
General disorders
Impaired healing
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Hepatobiliary disorders
Cholecystitis
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Dacryocystitis
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Lung infection
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Peritonitis
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Respiratory tract infection
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Upper respiratory tract infection
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Injury, poisoning and procedural complications
Comminuted fracture
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Injury, poisoning and procedural complications
Contusion
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Injury, poisoning and procedural complications
Foot fracture
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Injury, poisoning and procedural complications
Meniscus injury
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Injury, poisoning and procedural complications
Thoracic vertebral fracture
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Investigations
Blood glucose increased
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Hyperglycaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Hyperkalaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Hypocalcaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Hypoglycaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
1.6%
2/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Metabolic acidosis
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Type 2 diabetes mellitus
0.00%
0/127 • From the start of study treatment up to 52 weeks
1.6%
2/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Musculoskeletal and connective tissue disorders
Renal osteodystrophy
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Musculoskeletal and connective tissue disorders
Spondylolisthesis
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukaemia
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant lymphoid neoplasm
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Cerebral infarction
1.6%
2/127 • From the start of study treatment up to 52 weeks
1.6%
2/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Diabetic neuropathy
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Hypoglycaemic coma
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
IIIrd nerve paralysis
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Ischaemic stroke
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Lacunar infarction
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Neuropathy peripheral
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Nervous system disorders
Tremor
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks
Renal and urinary disorders
Chronic kidney disease
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Renal and urinary disorders
Diabetic nephropathy
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.79%
1/127 • From the start of study treatment up to 52 weeks
1.6%
2/124 • From the start of study treatment up to 52 weeks
Renal and urinary disorders
Renal impairment
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Skin and subcutaneous tissue disorders
Diabetic foot
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Vascular disorders
Hypertension
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.81%
1/124 • From the start of study treatment up to 52 weeks
Vascular disorders
Hypertensive crisis
0.79%
1/127 • From the start of study treatment up to 52 weeks
0.00%
0/127 • From the start of study treatment up to 52 weeks
0.00%
0/124 • From the start of study treatment up to 52 weeks

Other adverse events

Other adverse events
Measure
Intravitreal Aflibercept Injection 2Q4
n=127 participants at risk
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF \[vascular endothelial growth factor\] Trap-Eye, BAY86-5321) every 4 weeks (2Q4) over 48 weeks.
Intravitreal Aflibercept Injection 2Q8
n=127 participants at risk
Participants received 2 mg Intravitreal aflibercept injection (IAI) (Eylea, VEGF Trap-Eye, BAY86-5321) every 4 weeks until Week 16 and every 8 weeks (2Q8) thereafter, over 48 weeks.
Macular Laser Photocoagulation
n=124 participants at risk
Participants received laser treatment at baseline and as needed at visits at which laser retreatment criteria were met, but no more frequently than every 12 weeks over 48 weeks.
Blood and lymphatic system disorders
Anaemia
0.79%
1/127 • From the start of study treatment up to 52 weeks
3.1%
4/127 • From the start of study treatment up to 52 weeks
5.6%
7/124 • From the start of study treatment up to 52 weeks
Eye disorders
Conjunctival haemorrhage
14.2%
18/127 • From the start of study treatment up to 52 weeks
10.2%
13/127 • From the start of study treatment up to 52 weeks
4.8%
6/124 • From the start of study treatment up to 52 weeks
Eye disorders
Diabetic retinal oedema
13.4%
17/127 • From the start of study treatment up to 52 weeks
10.2%
13/127 • From the start of study treatment up to 52 weeks
12.1%
15/124 • From the start of study treatment up to 52 weeks
Eye disorders
Diabetic retinopathy
3.9%
5/127 • From the start of study treatment up to 52 weeks
5.5%
7/127 • From the start of study treatment up to 52 weeks
5.6%
7/124 • From the start of study treatment up to 52 weeks
Eye disorders
Macular fibrosis
4.7%
6/127 • From the start of study treatment up to 52 weeks
5.5%
7/127 • From the start of study treatment up to 52 weeks
3.2%
4/124 • From the start of study treatment up to 52 weeks
Eye disorders
Macular oedema
6.3%
8/127 • From the start of study treatment up to 52 weeks
7.9%
10/127 • From the start of study treatment up to 52 weeks
7.3%
9/124 • From the start of study treatment up to 52 weeks
Eye disorders
Retinal aneurysm
7.1%
9/127 • From the start of study treatment up to 52 weeks
10.2%
13/127 • From the start of study treatment up to 52 weeks
8.1%
10/124 • From the start of study treatment up to 52 weeks
Eye disorders
Retinal exudates
6.3%
8/127 • From the start of study treatment up to 52 weeks
10.2%
13/127 • From the start of study treatment up to 52 weeks
4.0%
5/124 • From the start of study treatment up to 52 weeks
Eye disorders
Retinal haemorrhage
11.0%
14/127 • From the start of study treatment up to 52 weeks
13.4%
17/127 • From the start of study treatment up to 52 weeks
9.7%
12/124 • From the start of study treatment up to 52 weeks
Eye disorders
Vision blurred
3.1%
4/127 • From the start of study treatment up to 52 weeks
5.5%
7/127 • From the start of study treatment up to 52 weeks
2.4%
3/124 • From the start of study treatment up to 52 weeks
Eye disorders
Visual acuity reduced
9.4%
12/127 • From the start of study treatment up to 52 weeks
11.0%
14/127 • From the start of study treatment up to 52 weeks
19.4%
24/124 • From the start of study treatment up to 52 weeks
Eye disorders
Vitreous haemorrhage
3.1%
4/127 • From the start of study treatment up to 52 weeks
2.4%
3/127 • From the start of study treatment up to 52 weeks
5.6%
7/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Conjunctivitis
6.3%
8/127 • From the start of study treatment up to 52 weeks
2.4%
3/127 • From the start of study treatment up to 52 weeks
4.0%
5/124 • From the start of study treatment up to 52 weeks
Infections and infestations
Upper respiratory tract infection
6.3%
8/127 • From the start of study treatment up to 52 weeks
7.1%
9/127 • From the start of study treatment up to 52 weeks
5.6%
7/124 • From the start of study treatment up to 52 weeks
Investigations
Glycosylated haemoglobin increased
3.9%
5/127 • From the start of study treatment up to 52 weeks
7.1%
9/127 • From the start of study treatment up to 52 weeks
4.0%
5/124 • From the start of study treatment up to 52 weeks
Investigations
Visual acuity tests abnormal
7.1%
9/127 • From the start of study treatment up to 52 weeks
2.4%
3/127 • From the start of study treatment up to 52 weeks
12.1%
15/124 • From the start of study treatment up to 52 weeks
Metabolism and nutrition disorders
Diabetes mellitus
9.4%
12/127 • From the start of study treatment up to 52 weeks
7.9%
10/127 • From the start of study treatment up to 52 weeks
8.9%
11/124 • From the start of study treatment up to 52 weeks
Respiratory, thoracic and mediastinal disorders
Cough
5.5%
7/127 • From the start of study treatment up to 52 weeks
2.4%
3/127 • From the start of study treatment up to 52 weeks
2.4%
3/124 • From the start of study treatment up to 52 weeks
Vascular disorders
Hypertension
7.9%
10/127 • From the start of study treatment up to 52 weeks
11.8%
15/127 • From the start of study treatment up to 52 weeks
6.5%
8/124 • From the start of study treatment up to 52 weeks

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER