Aflibercept 8mg demonstrates durable vision gains at extended dosing intervals in wet age related macular degeneration

Regeneron Pharmaceuticals announce positive topline data from the pivotal PULSAR trial investigating aflibercept 8 mg in patients with wet age-related macular degeneration.  The longer-term data follow the positive two-year results for PHOTON with diabetic macular edema , with PULSAR similarly demonstrating that the vast majority of aflibercept 8 mg patients with wAMD were able to maintain or further extend their dosing intervals. Among those who completed the two-year follow-up:

  • 88% were on a ≥12-week dosing interval at the end of two years.
  • 78% maintained ≥12-week dosing intervals throughout the two-year study period, compared to 83% throughout the first year of study (48 weeks).
  • 71% met the extension criteria for even longer dosing intervals, including 47% for ≥20-week intervals and 28% for 24-week intervals.
  • Of those assigned to ≥16-week dosing regimen at baseline, 70% maintained ≥16-week dosing intervals throughout the two-year study period. At the end of two years, 78% were eligible for ≥16-week dosing, with 53% eligible for ≥20-dosing week intervals.

“It is great to see aflibercept 8 mg deliver another set of exciting results,” said Charles C. Wykoff, M.D., Ph.D., Director of Research at Retina Consultants of Texas and a trial investigator. “In the PULSAR trial, aflibercept 8 mg achieved impressive durability, while importantly maintaining visual acuity gains from year one through year two. These data are consistent with the results from the PHOTON trial in diabetic macular edema, with both trials demonstrating a consistent safety profile with substantially fewer treatments than EYLEA. If approved by regulatory authorities, aflibercept 8 mg has the potential to become the new standard of care for diabetic macular edema and wet age-related macular degeneration.”

 

Through 48 weeks (one year) Through 96 weeks (two years)
EYLEA
8-week
regimen
aflibercept
8 mg

12-week
regimen
aflibercept
8 mg

16-week
regimen
EYLEA
8-week
regimen
aflibercept
8 mg

12-week
regimen
aflibercept
8 mg
16-week
regimen
Mean number of injections^ 6.9 6.1 5.2 12.8 9.7 8.2
LS mean (SE) change from baseline, letters 7.0
(0.74)
6.1
(0.77)
5.9
(0.72)
6.6
(0.73)
5.6
(0.77)
5.5
(0.75)
Difference in LS mean (95% CI), letters -0.97*
(-2.87, 0.92)
-1.14
(-2.97, 0.69)
-1.01
(-2.82, 0.80)
-1.08§
(-2.87, 0.71)


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