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Regeneron to Present New Data and Analyses of High-Dose Aflibercept at ARVO 2023

04/17/2023
Regeneron to Present New data and Analyses of High-Dose Aflibercept at ARVO 2023 image

Regeneron Pharmaceuticals and its collaborator Bayer announced that aflibercept 8 mg and Eylea (aflibercept) Injection will be featured in 18 presentations at the Association for Research in Vision and Ophthalmology (ARVO) 2023 Annual Meeting from April 23-27. Among the presentations will be new subgroup data and further analyses of aflibercept 8 mg treatment from the pivotal PULSAR and PHOTON trials in wet age-related macular degeneration (AMD) and diabetic macular edema (DME), as well as the phase 2 CANDELA trial in wet AMD.

Notable podium presentations will highlight the pivotal aflibercept 8 mg trials PULSAR and PHOTON, respectively, in wet AMD and DME with 48-week efficacy and safety results, in addition to an evaluation of baseline characteristics of patients randomized to aflibercept 8 mg who maintained their dosing intervals and those whose dosing intervals were shortened. A pooled safety analysis of aflibercept 8 mg across the PULSAR, PHOTON, and CANDELA trials will also be presented.

Data from PHOTON and PULSAR were first presented at the American Academy of Ophthalmology’s annual meeting in September 2022. In February 2023, the FDA accepted for Priority Review the Biologics License Application (BLA) for aflibercept 8 mg for treatment of patients with wet AMD, DME and diabetic retinopathy with a target action date of June 27, 2023. Aflibercept 8 mg is investigational, and its safety and efficacy have not been fully evaluated by any regulatory authority.

Aflibercept 8 mg is being jointly developed by Regeneron and Bayer AG. In the U.S., Regeneron maintains exclusive rights to Eylea and aflibercept 8 mg. Bayer has licensed the exclusive marketing rights outside of the US, where the companies share equally the profits from sales of Eylea and future sales of aflibercept 8 mg following any regulatory approvals.

Aflibercept 8 mg and Eylea presentations at ARVO:

Abstract titleAbstractLead authorPresentation date, time (CT), location
Aflibercept 8 mg
Aflibercept 8 mg for diabetic macular edema: 48-week results from the Phase 2/3 PHOTON trial#2814
Podium Presentation
Diana V. Do, M.D.Tuesday, April 25
12:30 – 12:45 PM
La Nouvelle AB
Intravitreal aflibercept 8 mg injection in patients with neovascular age-related macular degeneration: 48-week results from the Phase 3 PULSAR trial*#461
Podium Presentation
Martin S. Spitzer, M.D.Sunday, April 23
12:15 – 12:30 PM
La Nouvelle AB
Baseline disease characteristics of patients who maintained 12- and 16-week aflibercept 8 mg dosing versus patients with shortened treatment intervals through week 48 in the Phase 2/3 PHOTON trial#2813
Podium Presentation
David M. Brown, M.D., FACSTuesday, April 25
12:15 – 12:30 PM
La Nouvelle AB
 
Baseline disease characteristics in patients maintaining q12 and q16 dosing with aflibercept 8 mg versus patients with shortened treatment intervals: A Phase 3 PULSAR post hoc analysis*#2239
Poster Presentation
 
Paolo Lanzetta, M.D.Monday, April 24
3:15 – 5:00 PM
C0192
Pooled safety analysis of aflibercept 8 mg in the CANDELA, PHOTON, and PULSAR trials#3724
Poster Presentation
Eric Schneider, M.D.Tuesday, April 25
3:30 – 5:15 PM
C0501
Additional visual and anatomic outcomes of intravitreal aflibercept injection 8 mg versus 2 mg: A post hoc analysis of the Phase 2 CANDELA study#2180
Poster Presentation
 
Jordana G. Fein, M.D., M.S.Monday, April 24
3:15 – 5:00 PM
C0133
Intravitreal aflibercept 8 mg for diabetic macular edema: Week 48 efficacy outcomes by baseline demographics in the Phase 2/3 PHOTON trial#2707
Poster Presentation
 
Ghassan Ghorayeb, M.D.Tuesday, April 25
8:45 – 10:30 AM
B0529
Subgroup analyses from the Phase 3 PULSAR trial of aflibercept 8 mg in patients with treatment-naïve neovascular age-related macular degeneration*#2238
Poster Presentation
 
Sobha Sivaprasad, M.D.Monday, April 24
3:15 – 5:00 PM
C0191
Tolerability and safety of intravitreal aflibercept 8 mg in the Phase 3 PULSAR trial of patients with neovascular age-related macular degeneration*#278
Poster Presentation
 
Jean-François Korobelnik, M.D., Ph.D.Sunday, April 23
8:00 – 9:45 AM
C0115
Intravitreal aflibercept 8 mg in patients with polypoidal choroidal vasculopathy (PCV): A Phase 3 PULSAR trial subgroup analysis*#2240
Poster Presentation
 
Tien Y. Wong, M.D.Monday, April 24
3:15 – 5:00 PM
C0193
EYLEA
Efficacy of intravitreal aflibercept versus laser photocoagulation for retinopathy of prematurity: Results from the Phase 3 BUTTERFLEYE trial#5126
Podium Presentation
Darius M. Moshfeghi, M.D.Thursday, April 27
11:30 – 11:45 AM
353-355
Impact of initial monthly doses of aflibercept on visual outcomes in eyes with diabetic macular edema in routine clinical practice in the US#3646
Poster Presentation
 
Nitish Mehta, M.D.Tuesday, April 25
3:30 – 5:15 PM
C0423
Impact of baseline vision on visual outcomes and vision-related functions in eyes with diabetic macular edema: A post hoc analysis of VISTA and VIVID trials#2703
Poster Presentation
 
Mark Barakat, M.D.Tuesday, April 25
8:45 – 10:30 AM
B0525
Intravitreal aflibercept in routine clinical practice: 24-month results from the global treatment-naïve cohort with macular edema secondary to central retinal vein occlusion in the AURIGA study*#1762
Poster Presentation
 
Audrey Giocanti-Aurégan, M.D., Ph.D.Monday, April 24
11:30 AM – 1:15 PM
C0221
Intravitreal aflibercept in routine clinical practice: 24-month results from the global cohort of pretreated patients with diabetic macular edema in the AURIGA study*#2637
Poster Presentation
 
Simone Donati, M.D.Tuesday, April 25
8:45 – 10:30 AM
B0459
Two-year results from a global observational study investigating proactive dosing regimens with intravitreal aflibercept in neovascular age-related macular degeneration (nAMD) in routine clinical practice: The XTEND study*#462
Podium Presentation
Clare C. Bailey, M.D.
 
Sunday, April 23
12:30 – 12:45 PM
La Nouvelle AB
Is there more to intravitreal aflibercept than anti-angiogenesis? Evaluating additional effects in DME through an in silico approach*#2701
Poster Presentation
 
Ricardo P. Casaroli-Marano, M.D., M.Sc., Ph.D.Tuesday, April 25
8:45 – 10:30 AM
B0523
A post hoc analysis of intravitreal aflibercept–treated patients from ARIES & ALTAIR applying treatment regimen criteria from TENAYA & LUCERNE*#2223
Poster Presentation
 
Michael Stewart, M.D.Monday, April 24
3:15 – 5:00 PM
C0176

*Bayer-run trial

About the Aflibercept 8 mg Clinical Trial Program

PULSAR in wet AMD and PHOTON in DME are double-masked, active-controlled pivotal trials that are being conducted in multiple centers globally. In both trials, patients were randomized into 3 treatment groups to receive either: aflibercept 8 mg every 12 weeks, aflibercept 8 mg every 16 weeks, or Eylea every 8 weeks. The lead sponsors of the trials were Bayer for PULSAR and Regeneron for PHOTON.

Patients treated with aflibercept 8 mg in both trials had 3 initial monthly doses, and patients treated with Eylea received 5 initial monthly doses in PHOTON and 3 in PULSAR. In the first year, patients in the aflibercept 8 mg groups could have their dosing intervals shortened down to an every 8-week interval if protocol-defined criteria for disease progression were observed. Intervals could not be extended until the second year of the study, with those results still to be assessed. Patients in all Eylea groups maintained a fixed 8-week dosing regimen throughout their participation in the trials.

CANDELA was a phase 2 trial investigating the safety and efficacy of aflibercept 8 mg extended dosing regimens compared to Eylea in wet AMD patients.

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