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Diabetic Macular EdemaPhase 3DMENCT03610646

Comparative Study to Evaluate the Efficacy and Safety of MYL-1701P and Eylea® in Subjects With Diabetic Macular Edema (DME)

A Phase 3 study testing MYL-1701P and Eylea in people with Diabetic Macular Edema, run by Mylan Pharmaceuticals Inc at 73 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Three hundred and twenty-four (324) eligible adult subjects with diabetes mellitus with central DME involvement to be randomized 1:1 to intravitreal treatment with MYL-1701P or Eylea®. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Macular Edema
What is being tested?
MYL-1701P and Eylea
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
355 participants
Where
73 sitesin 9 countries
Study dates
23 Aug 2018to 10 Sep 2021
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects age ≥ 18 years.
  • Subjects have type 1 or type 2 diabetes mellitus who present with central DME involvement in the study eye.
  • The cause of decreased vision in the study eye has been attributed primarily to DME by the Investigator.
  • Subject is able to understand and voluntarily provide written informed consent to participate in the study.
  • If female of child bearing potential, the subject must have a negative serum pregnancy test at the Screening visit and a negative urine pregnancy test at baseline visit, and should not be nursing or planning a pregnancy.
  • If female, subject must be:
Show all 11Show fewer
  • Surgically sterilized via hysterectomy, bilateral oophorectomy, or bilateral tubal ligation; or
  • Of childbearing potential and practicing an acceptable form of birth control (defined as the use of an intrauterine device; a barrier method, like condom, with spermicide; any form of hormonal contraceptives; or abstinence from sexual intercourse) starting 60 days prior to dosing and continuing at least 90 days following the last treatment.
  • Of non-childbearing potential (i.e., postmenopausal for at least 1 year).
  • If male, subject must be surgically or biologically sterile. If not sterile, the subject must agree to use an acceptable form of birth control with sexual partner (as described in inclusion criteria #6b of protocol) or abstain from sexual relations during the study period and up to 90 days following the last treatment dose.
  • Subject is willing to comply with the study duration, study visits and study related procedures.

Who cannot join

  • Subjects with known hypersensitivity to aflibercept or any of the excipients
  • Subjects with current or planned use of systemic medications known to be toxic to the lens, retina or optic nerve, including deferoxamine, chloroquine/hydroxychloroquine, tamoxifen, phenothiazines and ethambutol
  • Subjects with uncontrolled hypertension defined as systolic blood pressure >160mm Hg or diastolic blood pressure > 95 mm of Hg.
  • Subjects with a history of cerebrovascular accident or myocardial infarction within 6 months of randomization.
  • Subjects with history of use of intraocular corticosteroids anytime in the past or periocular (subconjunctival, intra-scleral, sub-tenon or retrobulbar) corticosteroids within 4 months of randomization
  • Subjects who have only one functional eye, even if the eye met all other study requirements, or who have an ocular condition on the fellow eye with a poorer prognosis than the study eye.

Trial locations and contacts

73 sites in 9 countries.

73 sites in 9 countries

India15 sites
  • Mylan Investigator Site

    Ahmedabad, Gujarat, 380015

  • Mylan Investigator Site

    Ahmedabad, Gujarat, 380016

  • Mylan Investigator Site

    Bangalore, Karnataka, 560010

  • Mylan Investigator site

    Bangalore, Karnataka, 560037

  • Mylan Investigator Site

    Bangalore, Karnataka, 560094

  • Mylan Investigator Site

    Bhubaneswar, Odisha, 751024

  • Mylan Investigator Site

    Chandigarh, Punjab, 160012

  • Mylan Investigator Site

    Hyderabad, Telangana, 500034

  • Mylan Investigator Site

    Jaipur, Rajasthan, 302015

  • Mylan Investigator Site

    Madurai, Tamil Nadu, 625020

  • Mylan Investigator Site

    Mumbai, Maharashtra, 400050

  • Mylan Investigator Site

    New Delhi, National Capital Territory of Delhi, 110029

  • Mylan Investigator Site

    Noida, Uttar Pradesh, 201301

  • Mylan Investigator Site

    Tirunelveli, Tamil Nadu, 627002

  • Mylan Investigator Site

    Visakhapatnam, Andhra Pradesh, 530040

Other trials in India

Japan14 sites
  • Mylan Investigator Site

    Fukuoka, 8110213

  • Mylan Investigator Site

    Fukushima, 9601295

  • Mylan Investigator Site

    Kagoshima, 8920824

  • Mylan Investigator Site

    Kofu, Yamanashi, 4008506

  • Mylan Investigator Site

    Kōriyama, Fukushima, 9638052

  • Mylan Investigator Site

    Kumamoto, 8600027

  • Mylan Investigator Site

    Mito, Ibaraki, 3100845

  • Mylan Investigator Site

    Nagasaki, 8528501

  • Mylan Investigator Site

    Nagoya, Aichi-ken, 4578510

  • National Hospital Organization Osaka National Hospital

    Osaka, 5400006

  • Mylan Investigator Site

    Saitama, 3308553

  • Mylan Investigator Site

    Sapporo, Hokkaido, 0608604

  • Mylan Investigator Site

    Susono, Shizuoka, 4101102

  • Mylan Investigator Site

    Yamato, Kanagawa, 2420001

Other trials in Japan

United States13 sites
  • Mylan Investigator Site

    Abilene, Texas, 79606

  • Mylan Investigator Site

    Augusta, Georgia, 30909

  • Mylan Investigator Site

    Chevy Chase, Maryland, 20815

  • Mylan Investigator Site

    Ladson, South Carolina, 29456

  • Mylan Investigator Site

    Morgantown, West Virginia, 26506

  • Mylan Investigator Site

    Nashville, Tennessee, 37203

  • Mylan Investigator Site

    Paducah, Kentucky, 42001

  • Mylan Investigator Site

    Phoenix, Arizona, 85014

  • Mylan Investigator Site

    Phoenix, Arizona, 85020

  • Mylan Investigator Site

    Sacramento, California, 95841

  • Mylan Investigator Site

    Shawnee Mission, Kansas, 66204

  • Mylan Investigator Site

    St. Petersburg, Florida, 33711

  • Mylan Investigator Site

    Winter Haven, Florida, 33880

Other trials in United States

Czechia7 sites
  • Mylan Investigator Site

    Hradec Králové, 50005

  • Mylan Investigator Site

    Olomouc, 77900

  • Mylan Investigator Site

    Pardubice, 53002

  • Mylan Investigator Site

    Prague, Vinohrady, 10034

  • Mylan Investigator Site

    Prague, 12808

  • Mylan Investigator Site

    Prague, 15000

  • Mylan Investigator Site

    Zlín, 76275

Other trials in Czechia

Hungary7 sites
  • Mylan Investigator Site

    Budapest, 1076

  • Mylan Investigator Site

    Budapest, 1106

  • Mylan Investigator Site

    Debrecen, 4032

  • Mylan Investigator Site

    Nyíregyháza, 4400

  • Mylan Investigator Site

    Pécs, 7621

  • Mylan Investigator Site

    Szeged, 6720

  • Mylan Investigator Site

    Zalaegerszeg, 8900

Other trials in Hungary

Poland6 sites
  • Mylan Investigator Site

    Katowice, Silesian Voivodeship, 40594

  • Mylan Investigator Site

    Lodz, Łódź Voivodeship, 91134

  • Mylan Investigator Site

    Olsztyn, Warmian-Masurian Voivodeship, 10424

  • Mylan Investigator Site

    Rzeszów, 35017

  • Mylan Investigator Site

    Tarnów, Tarnow, 33100

  • Mylan Investigator Site

    Wałbrzych, 58309

Other trials in Poland

Russia5 sites
  • Mylan Investigator Site

    Kazan', Tatarstan Resp., 420012

  • Mylan Investigator Site

    Moscow, 119021

  • Mylan Investigator Site

    Novosibirsk, 630096

  • Mylan Investigator Site

    Omsk, 644042

  • Mylan Investigator Site

    Saint Petersburg, 197022

Other trials in Russia

Germany3 sites
  • Mylan Investigator Site

    Göttingen, Lower Saxony, 37075

  • Mylan Investigator Site

    Mainz, Rheinland-Pflaz, 55131

  • Mylan Investigator Site

    Marburg, 35043

Other trials in Germany

Latvia3 sites
  • Mylan Investigator Site

    Jelgava, LV-3001

  • Mylan Investigator Site

    Riga, LV-1002

  • Mylan Investigator Site

    Riga, LV-1006

Other trials in Latvia

About this study

Official title: A Multi Center, Randomized, Double-Masked, Active-Controlled, Comparative Clinical Study to Evaluate the Efficacy and Safety of MYL-1701P and Eylea® in Subjects With Diabetic Macular Edema (DME)

Three hundred and twenty-four (324) eligible adult subjects with diabetes mellitus with central DME involvement to be randomized 1:1 to intravitreal treatment with MYL-1701P or Eylea®.

The primary endpoint is mean change from baseline in Best Corrected Visual Acuity (BCVA) as assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) letters. Pharmacokinetics (PK) and immunogenicity to be evaluated in the subjects participating in the study.

Read the detailed description

Three hundred and twenty-four (324) eligible adult subjects with diabetes mellitus with central DME involvement to be randomized 1:1 to intravitreal treatment with MYL-1701P or Eylea®. Subjects to receive the assigned treatment until Week 48.

All subjects to return to clinic every 4 weeks to assess safety, efficacy and to guide treatment. Additional visits allowed during the study as specified in the study schedule for safety and pharmacokinetic evaluation.

Pharmacokinetics (PK) and Immunogenicity to be assessed in the subjects participating in the study.

Being tested
MYL-1701P, Eylea
Keywords
Diabetic Macular Edema,, BCVA,, ETDRS Letters.

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MYL-1701PDrug

    Subjects will receive intravitreal injections of MYL-1701P throughout the 52-week treatment period, with the last dose at 48 weeks.

    The additional doses may be administered in accordance with the protocol.

  • EyleaDrug

    Subjects will receive intravitreal injections of Eylea throughout the 52-week treatment period, with the last dose at 48 weeks.

    The additional doses may be administered in accordance with the protocol.

Study groups in NCT03610646
Study groupRoleWhat they receive
MYL-1701PExperimentalMYL-1701P
Receives: Drug: MYL-1701P
EyleaActive comparatorEylea
Receives: Drug: Eylea

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) at Week 8

    Mean change from baseline in BCVA as assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) letters at week 8.

    Best Corrected Visual Acuity (BCVA) is measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the ETDRS chart, the worse the vision (or visual acuity). A positive change from baseline indicates an improvement and a negative change from baseline indicates a worsening.

    Measured: Baseline and 8 weeks

Secondary outcomes (7)
  1. The Mean Change From Baseline in Central Retinal Thickness (CRT)

    The mean change from baseline in Central Retinal Thickness as determined by Spectral domain- Optical coherence tomography (SD-OCT) over time

    Measured: From baseline to week 52

  2. The Mean Change in BCVA

    Mean change from baseline in BCVA as assessed by ETDRS letters over time. Best Corrected Visual Acuity (BCVA) is measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the ETDRS chart, the worse the vision (or visual acuity). A positive change from baseline indicates an improvement and a negative change from baseline indicates a worsening

    Measured: From baseline to week 52

  3. Number of Subjects Who Gained ≥15 Letters From Baseline in BCVA

    Number of subjects who gained ≥15 letters from baseline in BCVA, assessed in change from baseline in ETDRS letters over time

    Measured: From baseline to week 52

  4. Number of Administrations of Study Drug Required

    The mean number of doses administered during the 52 weeks of study

    Measured: From baseline to week 52

  5. Number of Participants With Treatment Emergent Adverse Events

    Number of Participants with Treatment Emergent Adverse Events (Safety and tolerability)

    Measured: From baseline to week 52

  6. Number of Subjects With Induced and Boosted Anti-Drug Antibodies

    Number of subjects with induced and boosted Anti-Drug Antibodies (ADA) (Immunogenicity)

    Measured: From baseline to week 52

  7. Concentration of Aflibercept in Blood (Pharmacokinetics)

    Free Drug Concentration of aflibercept in blood (Pharmacokinetics)

    Measured: 2 Days after Week 16 Injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2018
  2. Study start23 Aug 2018
  3. Primary completion10 Nov 2020
  4. Study completion10 Sep 2021

Resources

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
Model description
Participants are assigned to either MYL-1701P or Eylea groups in parallel for the duration of the study
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
355 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03610646
Sponsor's protocol ID
MYL-1701P-3001
Acronym
DME
Status last verified
Feb 2023
First submitted
9 Jul 2018
Last updated
7 Mar 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Chauhan R, Gupta V, Natesh S, Vohra R, Agarwal V, Ganapathi PC, Bose D, Loganathan S. Safety and efficacy of biosimilar aflibercept MYL-1701P in diabetic macular oedema: 20-week extension results following the INSIGHT pivotal trial. BMJ Open Ophthalmol. 2026 Jun 29;11(2):e002637. doi: 10.1136/bmjophth-2025-002637.

    PubMed 42373197
  • Bressler SB, Oleksy P, Alfaro DV, Apte RS, Barve A, Baumane K, Beckmann K, Degi R, Ernest J, Gupta V, Kamei M, Kishino G, Lorenz K, Marcus DM, Bose D, Ganapathi PC, Loganathan S. Comparability of aflibercept biosimilar with reference aflibercept in diabetic macular edema: subgroup analysis of the pivotal Phase-III INSIGHT randomized clinical trial. Expert Opin Biol Ther. 2026 May;26(5):525-534. doi: 10.1080/14712598.2026.2672422. Epub 2026 May 18.

    PubMed 42104207
  • Bressler SB, Barve A, Ganapathi PC, Beckmann K, Apte RS, Marcus DM, Baumane K, Agarwal S, Oleksy P, Reichstein DA, Patel SS, Ernest J, Degi R, Gupta V, Kishino G, Kamei M, Loganathan S; INSIGHT Study Group. Aflibercept Biosimilar MYL-1701P vs Reference Aflibercept in Diabetic Macular Edema: The INSIGHT Randomized Clinical Trial. JAMA Ophthalmol. 2024 Oct 1;142(10):952-960. doi: 10.1001/jamaophthalmol.2024.3458.

    PubMed 39264599

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing MYL-1701P and Eylea in people with Diabetic Macular Edema, run by Mylan Pharmaceuticals Inc at 73 sites in 9 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 11 inclusion and 6 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 7 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in India, Japan, United States, Czechia, Hungary and 4 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 7 Mar 2023). 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?

Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) at Week 8 (time frame: Baseline and 8 weeks). 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 NCT03610646, which also lists 3 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 7 Mar 2023.

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