Study of a High-Dose Aflibercept in Participants With Diabetic Eye Disease

NCT ID: NCT04429503

Last Updated: 2025-08-08

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

660 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-29

Study Completion Date

2024-06-18

Brief Summary

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The primary objective of the study is to determine if treatment with high-dose aflibercept (HD) at intervals of 12 or 16 weeks provides non-inferior best corrected visual acuity (BCVA) compared to aflibercept dosed every 8 weeks.

The secondary objectives of the study are as follows:

* To determine the effect of HD vs. aflibercept on anatomic and other visual measures of response
* To evaluate the safety, immunogenicity, and pharmacokinetics (PK) of aflibercept

Detailed Description

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Conditions

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Diabetic Macular Edema Type 1 Diabetes Mellitus Type 2 Diabetes Mellitus

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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aflibercept Q8

Administered every 8 weeks after a loading phase

Group Type ACTIVE_COMPARATOR

aflibercept

Intervention Type DRUG

Intravitreally (IVT) administered as a liquid formulation in a vial

High-Dose aflibercept Q12

Administered every 12 weeks after a loading phase

Group Type EXPERIMENTAL

High-dose aflibercept

Intervention Type DRUG

Intravitreally (IVT) administered as a liquid formulation in a vial

High-Dose aflibercept Q16

Administered every 16 weeks after a loading phase

Group Type EXPERIMENTAL

High-dose aflibercept

Intervention Type DRUG

Intravitreally (IVT) administered as a liquid formulation in a vial

Interventions

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aflibercept

Intravitreally (IVT) administered as a liquid formulation in a vial

Intervention Type DRUG

High-dose aflibercept

Intravitreally (IVT) administered as a liquid formulation in a vial

Intervention Type DRUG

Other Intervention Names

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EYLEA® BAY86-5321

Eligibility Criteria

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Inclusion Criteria

* Diabetic macular edema (DME) with central involvement in the study eye
* Best corrected visual acuity (BCVA) early treatment diabetic retinopathy study (ETDRS) letter score of 78 to 24 (approximate Snellen equivalent of 20/32 to 20/320) in the study eye with decreased vision determined to be primarily the result of DME
* Willing and able to comply with clinic visits and study-related procedures
* Provide informed consent signed by study participant or legally acceptable representative

Extension Phase: All randomized patients that complete visit 26, week 96, as long as the patient 1) provides informed consent and 2) no treatment for DME has been given in the study eye other than the randomized study treatment.

Exclusion Criteria

* Evidence of macular edema due to any cause other than diabetes mellitus in either eye
* Active proliferative diabetic retinopathy in the study eye
* IVT anti-VEGF treatment (aflibercept, ranibizumab, bevacizumab, brolucizumab, pegaptanib sodium) or panretinal laser photocoagulation (PRP) /macular laser photocoagulation within 12 weeks (84 days) or intraocular or periocular corticosteroids within 16 weeks (112 days) of the screening visit in the study eye
* Prior IVT investigational agents in either eye (eg, anti-ang-2/anti-VEGF bispecific monoclonal antibodies, gene therapy, etc.) at any time
* Treatment with ocriplasmin (JETREA®) in the study eye at any time
Minimum Eligible Age

18 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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Clinical Trial Management

Role: STUDY_DIRECTOR

Regeneron Pharmaceuticals

Locations

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Phoenix, Arizona, United States

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Arcadia, California, United States

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Beverly Hills, California, United States

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Campbell, California, United States

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Encino, California, United States

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Fullerton, California, United States

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Huntington Beach, California, United States

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Long Beach, California, United States

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Palo Alto, California, United States

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Pasadena, California, United States

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Poway, California, United States

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Rancho Cordova, California, United States

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Riverside, California, United States

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Torrance, California, United States

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Colorado Springs, Colorado, United States

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Durango, Colorado, United States

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Lakewood, Colorado, United States

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Waterford, Connecticut, United States

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Clearwater, 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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Jacksonville, Florida, United States

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Lakeland, Florida, United States

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Largo, Florida, United States

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Melbourne, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Pinellas Park, Florida, United States

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Plantation, Florida, United States

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St. Petersburg, Florida, United States

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Stuart, Florida, United States

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Winter Haven, Florida, United States

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Augusta, Georgia, United States

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Marietta, Georgia, United States

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Marietta, Georgia, United States

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‘Aiea, Hawaii, United States

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Oak Forest, Illinois, United States

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Springfield, Illinois, United States

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Springfield, Illinois, United States

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Carmel, Indiana, United States

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Shawnee Mission, Kansas, United States

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Baltimore, Maryland, United States

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Hagerstown, Maryland, United States

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Boston, Massachusetts, United States

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Royal Oak, Michigan, United States

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Southaven, Mississippi, United States

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Henderson, Nevada, United States

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Bloomfield, New Jersey, United States

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Edison, New Jersey, United States

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Teaneck, New Jersey, United States

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Great Neck, New York, United States

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Liverpool, New York, United States

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New York, New York, United States

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Oceanside, New York, United States

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Shirley, 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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Beachwood, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Dublin, Ohio, United States

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Edmond, Oklahoma, United States

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Tulsa, Oklahoma, United States

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Portland, Oregon, United States

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Bethlehem, Pennsylvania, United States

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Kingston, Pennsylvania, United States

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Monroeville, Pennsylvania, United States

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Beaufort, South Carolina, United States

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Ladson, 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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Germantown, Tennessee, United States

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Knoxville, Tennessee, United States

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Nashville, Tennessee, United States

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Abilene, Texas, United States

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Bellaire, Texas, United States

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San Antonio, Texas, United States

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The Woodlands, Texas, United States

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Willow Park, Texas, United States

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Salt Lake City, Utah, United States

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Fairfax, Virginia, United States

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Norfolk, Virginia, United States

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Morgantown, West Virginia, United States

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Calgary, Alberta, Canada

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Mississauga, Ontario, Canada

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North York, Ontario, Canada

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Sherbrooke, Quebec, Canada

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Pardubice, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Neubrandenburg, Mecklenburg-Westfalen, Germany

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Göttingen, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Pécs, Baranya, Hungary

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Szombathely, Vas County, Hungary

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Zalaegerszeg, Zala County, Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Szeged, , Hungary

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Nagakute, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Nagoya, Aichi-ken, Japan

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Yoshida-Gun, Fukui, Japan

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Kurume, Fukuoka, Japan

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Kōriyama, Fukushima, Japan

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Hakodate, Hokkaido, Japan

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Kobe, Hyōgo, Japan

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Mito, Ibaraki, Japan

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Toride, Ibaraki, Japan

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Tsuchiura-shi, Ibaraki, Japan

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Kita-gun, Kagawa-ken, Japan

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Kawasaki, Kanagawa, Japan

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Matsumoto, Nagano, Japan

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Nagasaki, Nagasaki, Japan

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Kashihara, Nara, Japan

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Hirakata, Osaka, Japan

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Tokorozawa, Saitama, Japan

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Susono, Shizuoka, Japan

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Shimotsuke-shi, Tochigi, Japan

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Chiyoda-ku, Tokyo, Japan

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Hachiōji, Tokyo, Japan

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Itabashi-ku, Tokyo, Japan

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Meguro-ku, Tokyo, Japan

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Ube, Yamaguchi, Japan

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Fukuoka, , Japan

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Fukuoka, , Japan

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Kagoshima, , Japan

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Osaka, , Japan

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Saitama, , Japan

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Tokushima, , Japan

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Arecibo, , Puerto Rico

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Sunderland, Tyne and Wear, United Kingdom

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London, , United Kingdom

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Countries

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United States Canada Czechia Germany Hungary Japan Puerto Rico United Kingdom

References

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Brown DM, Boyer DS, Do DV, Wykoff CC, Sakamoto T, Win P, Joshi S, Salehi-Had H, Seres A, Berliner AJ, Leal S, Vitti R, Chu KW, Reed K, Rao R, Cheng Y, Sun W, Voronca D, Bhore R, Schmidt-Ott U, Schmelter T, Schulze A, Zhang X, Hirshberg B, Yancopoulos GD, Sivaprasad S; PHOTON Investigators. Intravitreal aflibercept 8 mg in diabetic macular oedema (PHOTON): 48-week results from a randomised, double-masked, non-inferiority, phase 2/3 trial. Lancet. 2024 Mar 23;403(10432):1153-1163. doi: 10.1016/S0140-6736(23)02577-1. Epub 2024 Mar 7.

Reference Type DERIVED
PMID: 38461843 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2019-003643-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VGFTe-HD-DME-1934

Identifier Type: -

Identifier Source: org_study_id

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