Macular DegenerationPhase 3VIEW 2NCT00637377
Vascular Endothelial Growth Factor (VEGF) Trap-Eye: Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration (AMD)
A Phase 3 study testing Ranibizumab and Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321) in people with Macular Degeneration, run by Bayer at 189 sites in 26 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Macular Degeneration
- What is being tested?
- Ranibizumab and Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,240 participants
- Where
- 189 sitesin 26 countries
- Study dates
- Apr 2008to Aug 2011
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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.
Show all 15Show fewer
- 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.
Trial locations and contacts
189 sites in 26 countries.
189 sites in 26 countries
Germany21 sites
Study site
Aachen, North Rhine-Westphalia, 52074
Study site
Berlin, State of Berlin, 12200
Study site
Bonn, North Rhine-Westphalia, 53105
Study site
Cologne, North Rhine-Westphalia, 50924
Study site
Darmstadt, Hesse, 64297
Study site
Dresden, Saxony, 01307
Study site
Dresden, Saxony, 06067
Study site
Essen, North Rhine-Westphalia, 45122
Study site
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Study site
Hamburg, Free and Hanseatic City of Hamburg, 20251
Study site
Heidelberg, Baden-Wurttemberg, 69120
Study site
Homburg, Saarland, 66421
Study site
Kiel, Schleswig-Holstein, 24105
Study site
Leipzig, Saxony, 04103
Study site
Lübeck, Schleswig-Holstein, 23538
Study site
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
Study site
Mainz, Rhineland-Palatinate, 55131
Study site
München, Bavaria, 81675
Study site
Münster, North Rhine-Westphalia, 48145
Study site
Regensburg, Bavaria, 93053
Study site
Tübingen, Baden-Wurttemberg, 72076
Spain16 sites
Study site
Alicante, Alicante, 03016
Study site
Barcelona, 08017
Study site
Barcelona, 08022
Study site
Barcelona, 08035
Study site
Barcelona, 08036
Study site
Madrid, Madrid, 28002
Study site
Madrid, 28046
Study site
Málaga, 29010
Study site
Oviedo, Principality of Asturias, 33012
Study site
Pamplona, Navarre, 31008
Study site
Santiago de Compostela, A Coruña, 15705
Study site
Seville, 41009
Study site
Seville, 41013
Study site
Valencia, 46014
Study site
Valencia, 46015
Study site
Valladolid, 47005
India15 sites
Study site
Ahemedabad - 4, Gujarat, 380009
Study site
Bangalore, 560010
Study site
Chandigarh, 160012
Study site
Chennai, Tamil Nadu, 600 006
Study site
Coimbatore, Tamil Nadu, 641014
Study site
Hyderabad, 500 034
Study site
Kerala, 683572
Study site
Kolkata, 700073
Study site
Madurai, Tamil Nadu, 625 020
Study site
Mumbai, 400 050
Study site
New Delhi, 110002
Study site
New Delhi, 110029
Study site
Orissa, 751 024
Study site
Pondicherry, Tamil Nadu, 600007
Study site
Wadala, Mumbai, Maharashtra, 400031
Italy15 sites
Study site
Ancona, 60126
Study site
Bari, 70124
Study site
Catania, 95123
Study site
Genova, 16132
Study site
Milan, 20122
Study site
Milan, 20132
Study site
Milan, 20157
Study site
Padova, 35128
Study site
Roma, 00133
Study site
Roma, 00168
Study site
Roma, 00198
Study site
Torino, 10122
Study site
Udine, 33100
Study site
Varese, 21100
Study site
Verona, 37121
Japan15 sites
Study site
Chiyoda-ku, Tokyo, 101-8309
Study site
Fukuoka, Fukuoka, 812-8582
Study site
Fukushima, Fukushima, 960-1295
Study site
Hirakata, Osaka, 573-1191
Study site
Kagoshima, Kagoshima-ken, 890-8520
Study site
Kita, Kagawa-ken, 761-0793
Study site
Kyoto, Kyoto, 606-8507
Study site
Maebashi, Gunma, 371-8511
Study site
Nagoya, Aichi-ken, 466-8560
Study site
Nagoya, Aichi-ken, 467-8602
Study site
Ōtsu, Shiga, 520-2192
Study site
Sapporo, Hokkaido, 060-8604
Study site
Shinjuku-ku, Tokyo, 160-8582
Study site
Suita, Osaka, 565-0871
Study site
Urayasu, Chiba, 279-0021
France10 sites
Study site
Besançon, 25030
Study site
Bordeaux, 33000
Study site
Dijon, 21079
Study site
Lyon, 69003
Study site
Lyon, 69006
Study site
Marseille, 13008
Study site
Nantes, Cedex 1, 44093
Study site
Paris, Cedex 12, 75557
Study site
Paris, 75010
Study site
Paris, 75015
Israel10 sites
Study site
Afula
Study site
Beersheba
Study site
Haifa, Israel, 34362
Study site
Jerusalem, 91120
Study site
Kfar Saba, Israel
Study site
Petah Tikva, Israel, 49100
Study site
Rehovot, 76100
Study site
Tel Aviv, 64239
Study site
Tel HaShomer
Study site
Zrifin, Israel, 70300
United Kingdom10 sites
Study site
Aberdeen, AB25 2ZN
Study site
Belfast, BT12 6BA
Study site
Birmingham, B4 7ET
Study site
Camberley, Surrey, GU16 5UJ
Study site
Liverpool, L7 8XP
Study site
London, NW1 5QH
Study site
London, SE5 9RS
Study site
Plymouth, PL4 6PL
Study site
Southampton, Hampshire, SO16 6YD
Study site
Torquay, TQ2 7AA
Mexico8 sites
Study site
Chihuahua City, Chihuahua, 31238
Study site
Metepec, State of Mexico, 52140
Study site
Mexico City, Mexico City, 06800
Study site
Mexico City, 06030
Study site
México D.F., 04030
Study site
Monterrey, Nuevo León, 64060
Study site
Monterrey, Nuevo León, 64480
Study site
Zapopan, Jalisco, 45060
Australia7 sites
Study site
Chatswood, New South Wales, 2067
Study site
East Melbourne, Victoria, 3002
Study site
Nedlands, Western Australia, 6009
Study site
Parkville, Victoria, 3050
Study site
Parramatta, 2150
Study site
Sydney, New South Wales, 2000
Study site
Westmead, New South Wales, 2145
Poland7 sites
Study site
Bydgoszcz, 85-631
Study site
Gdansk, 80-952
Study site
Katowice, 40-760
Study site
Poznan, 61-848
Study site
Warsaw, 00-416
Study site
Warszaa, 02-005
Study site
Wroclaw, 50-368
Argentina6 sites
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, C1015ABO
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, C1023AAQ
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, C1122AAI
Study site
Buenos Aires, Ciudad Auton. de Buenos Aires, C1181ACH
Study site
Córdoba, Córdoba Province, X5000IIT
Study site
Rosario, Santa Fe Province, S2000ANJ
South Korea6 sites
Study site
Incheon, 405-760
Study site
Seongnam, Gyeonggido, 463 707
Study site
Seoul, 110 744
Study site
Seoul, 137 701
Study site
Seoul, 138-736
Study site
Seoul, 152-703
Czechia5 sites
Study site
Brno, 63400
Study site
Olomouc, 77520
Study site
Prague, 10034
Study site
Prague, 14000
Study site
Ústí nad Labem, 401 13
Netherlands5 sites
Study site
Amsterdam, 1100 DD
Study site
Groningen, 9713 GZ
Study site
Leiden, ZA, 2333
Study site
Nijmegen, 6525 EX
Study site
Rotterdam, 3000 CA
Brazil4 sites
Study site
Minas Gerais, 30150-270
Study site
Ribeirão Preto, São Paulo, 14048-900
Study site
São Paulo, São Paulo, 04023-062
Study site
São Paulo, São Paulo, 05651-901
Hungary4 sites
Study site
Budapest, 1083
Study site
Budapest, 1106
Study site
Budapest, 1133
Study site
Veszprém, 8200
Singapore4 sites
Study site
Singapore, 119074
Study site
Singapore, 159964
Study site
Singapore, 168751
Study site
Singapore, 308433
Switzerland4 sites
Study site
Basel, 4031
Study site
Bern, 3010
Study site
Geneva, 1211
Study site
Zurich, 8091
Austria3 sites
Study site
Innsbruck, 6020
Study site
Linz, 4021
Study site
Vienna, 1090
Colombia3 sites
Study site
Bogotá, Bogota D.C.
Study site
Cali, Cauca Department
Study site
Medellín, Antioquia
Sweden3 sites
Study site
Linköping, 58185
Study site
Örebro, 70185
Study site
Stockholm, 11282
Slovakia2 sites
Study site
Banská Bystrica, 97517
Study site
Bratislava, 81369
About this study
Official title: A Randomized, Double Masked, Active Controlled, Phase 3 Study of the Efficacy, Safety, and Tolerability of Repeated Doses of Intravitreal VEGF Trap in Subjects With Neovascular Age-related Macular Degeneration (AMD)
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.
Read the detailed description
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
- Macular Degeneration
- Being tested
- Ranibizumab, Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321)
- Keywords
- Eye diseases, Vision Impairment and Blindness, Eyes and Vision, Seniors, Neovascular Age-Related Macular Degeneration (AMD), Retinal Disease
- Medical subject headings
- Macular Degeneration, Eye Diseases, Vision Disorders, Blindness, Retinal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RanibizumabDrug
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, BAY86-5321)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, BAY86-5321)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, BAY86-5321)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.
| Study group | Role | What they receive |
|---|---|---|
| Ranibizumab 0.5mg Q4 | Active comparator | 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. Receives: Drug: Ranibizumab |
| Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q4 | Experimental | 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. Receives: Biological: Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321) |
| Aflibercept Injection (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | Experimental | 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. Receives: Biological: Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321) |
| Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q8 | Experimental | 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. Receives: Biological: Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF)
Maintenance of vision was defined as a loss of < 15 letters in the ETDRS (Early Treatment Diabetic Retinopathy Study) letter score (defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.
Measured: At week 52
Secondary outcomes (4)
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Letter Score at Week 52 - LOCF
Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Measured: Baseline and at week 52
Percentage of Participants Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score in the Study Eye at Week 52 - LOCF
Defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning.
Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.
Measured: At week 52
Mean Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score at Week 52 - LOCF
The possible range of the NEI VFQ-25 total score is between 0 (worst possible) and 100 (best possible).
Measured: Baseline and at week 52
Mean Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 52 - LOCF
CNV area values measured in square millimeters; lower values represent better outcomes.
Measured: Baseline and at week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2008 (estimated)
- Study startApr 2008
- Primary completionSep 2010
- Study completionAug 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Macular DegenerationStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,240 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00637377
- Sponsor's protocol ID
- 91689
- Other IDs
- 2007-000583-25
- Acronym
- VIEW 2
- Status last verified
- Nov 2014
- First submitted
- 12 Mar 2008
- Last updated
- 12 Dec 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
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.
PubMed 23084240Schmidt-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.
PubMed 24084500Lukacs 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.
PubMed 36932356Moshfeghi 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.
PubMed 31826853Yuzawa 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.
PubMed 25439429Ogura 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.
PubMed 25107900
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double Masked, Active Controlled, Phase 3 Study of the Efficacy, Safety, and Tolerability of Repeated Doses of Intravitreal VEGF Trap in Subjects With Neovascular Age-related Macular Degeneration (AMD)
- ClinicalTrials.gov ID
- NCT00637377
- Acronym / sponsor ID
- VIEW 2 / 91689
- Conditions
- Macular Degeneration
- Keywords
- Eye diseases, Vision Impairment and Blindness, Eyes and Vision, Seniors, Neovascular Age-Related Macular Degeneration (AMD), Retinal Disease
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,240 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Collaborators
- Regeneron Pharmaceuticals
- Study start
- Apr 2008
- Primary completion
- Sep 2010 (actual)
- Study completion
- Aug 2011 (actual)
- First posted
- 18 Mar 2008 (estimated)
- Results
- Posted 23 Jan 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Ranibizumab 0.5mg Q4 | Active comparator | Drug: RanibizumabParticipants 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 | Experimental | Biological: 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. |
| Aflibercept Injection (EYLEA, VEGF Trap-Eye) 0.5mg Q4 | Experimental | 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. |
| Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q8 | Experimental | 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. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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.
Key exclusion criteria (15 listed)
- 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).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RanibizumabParticipants 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. | Drug | Ranibizumab 0.5mg Q4 |
| 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. | Biological | Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q4 |
| 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. | Biological | Aflibercept Injection (EYLEA, VEGF Trap-Eye) 0.5mg Q4 |
| 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. | Biological | Aflibercept Injection (EYLEA, VEGF Trap-Eye) 2mg Q8 |
Primary outcome
Percentage of Participants Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF)
Time frame: At week 52
Maintenance of vision was defined as a loss of < 15 letters in the ETDRS (Early Treatment Diabetic Retinopathy Study) letter score (defined study baseline range of ETDRS Best Corrected Visual Acuity letter score of 73 to 25 (= Acuity of 20/40 to 20/320) in the study eye; a higher score represents better functioning. Nominator = (Number of participants who maintained vision * 100); Denominator = Number of participants analyzed.
4 secondary outcomes
Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) as Measured by ETDRS Letter Score at Week 52 - LOCF
Time frame: Baseline and at week 52
Percentage of Participants Who Gained at Least 15 Letters of Vision in the ETDRS Letter Score in the Study Eye at Week 52 - LOCF
Time frame: At week 52
Mean Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Total Score at Week 52 - LOCF
Time frame: Baseline and at week 52
Mean Change From Baseline in Choroidal Neovascularization (CNV) Area at Week 52 - LOCF
Time frame: Baseline and at week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 23084240Heier 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.
- Results publication: PubMed 24084500Schmidt-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.
- Derived from this study: PubMed 36932356Lukacs 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.
- Derived from this study: PubMed 31826853Moshfeghi 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.
- Derived from this study: PubMed 25439429Yuzawa 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.
- Derived from this study: PubMed 25107900Ogura 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.
- Click here to view the data of the twin trial conducted by the collaboration partner.Link provided by the sponsor.
- Click here to find information about studies related to Bayer Healthcare products conducted in EuropeLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
189 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ranibizumab and Aflibercept Injection (EYLEA, VEGF Trap-Eye, BAY86-5321) in people with Macular Degeneration, run by Bayer at 189 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Dec 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 189 sites in Germany, Spain, India, Italy, Japan and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Jan 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Maintained Vision at Week 52 - Last Observation Carried Forward (LOCF) (time frame: At week 52). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00637377, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2014.