EYLEA HD® (aflibercept) Injection 8 mg Presentations at ARVO Reinforce Continued Safety and Efficacy and Highlight Early Real-World Outcomes for Patients with Serious Retinal Disease
Initial real-world data from nearly 40,000 EYLEA HD patients will provide early insights on effectiveness of EYLEA HD in everyday clinical practice
New indirect comparisons will evaluate EYLEA HD and faricimab on measures of efficacy, dosing frequency and potential economic benefits in patients with wet age-related macular degeneration and diabetic macular edema
"Our data presentations at ARVO reflect the robust and rapidly growing body of evidence that support the use of EYLEA HD becoming the new standard of care for people living with wet age-related macular degeneration, diabetic macular edema and diabetic retinopathy,” said
Notable new presentations at ARVO include:
- Four analyses evaluating initial real-world experiences with EYLEA HD among patients with wAMD or DME, including both those who were previously naive to treatment and those who switched from other anti-vascular endothelial growth factor (VEGF) therapies
- A network meta-analysis indirectly comparing the efficacy and number of injections received for EYLEA HD and faricimab in patients with DME or wAMD, based on the longest follow-up data from Phase 3 clinical trials
- A modeling analysis of the potential economic benefit of EYLEA HD compared to faricimab for the treatment of patients with wAMD or DME in the
U.S. over three years
The most common adverse reactions (≥3%) reported in patients treated with EYLEA HD were cataract, conjunctival hemorrhage, intraocular pressure increased, ocular discomfort/eye pain/eye irritation, vision blurred, vitreous floaters, vitreous detachment, corneal epithelium defect and retinal hemorrhage.
Key EYLEA HD presentations at ARVO:
| Abstract title | Lead author | Presentation date, time (MST), location |
| Early insights on the real-world use of aflibercept 8 mg among treatment-naive eyes with diabetic macular edema |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Early insights from real-world use of aflibercept 8 mg among eyes with diabetic macular edema (DME) switching from other anti-VEGF agents |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Economic benefit of aflibercept 8 mg versus faricimab in the treatment of patients with neovascular age-related macular degeneration (nAMD) or diabetic macular edema (DME) in |
Paper Presentation Date: Time: 4:00–4:15 PM MST Session: Economic Impact of AI Tools and Treatments |
|
| Early real-world use of aflibercept 8mg in treatment- naïve patients with neovascular age-related macular degeneration |
Ferhina Ali, MD | Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
| Early insights from real-world use of aflibercept 8mg among eyes with neovascular age- related macular degeneration (nAMD) switching from other anti-VEGF agents |
Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
|
| Network meta-analyses (NMAs) of number of injections (NoI) with high-dose (HD) aflibercept (AFL) versus faricimab (FAR) in patients with diabetic macular edema (DME) and neovascular age-related macular degeneration (nAMD) |
Poster Presentation Date: Time: 8:00–9:45 AM MST Session: Telemedicine, Health Service Delivery and Health Economic Studies |
|
| Volumetric fluid assessment comparing high-dose aflibercept to standard dose aflibercept in neovascular age-related macular degeneration in the CANDELA phase 2 trial |
Poster Presentation Date: Time: 1:00–2:45 PM MST Session: AMD 1 (Clinical Research) |
|
| PULSAR extension: clinical improvements maintained over 156 weeks with aflibercept 8 mg in patients with neovascular age-related macular degeneration* |
Paper Presentation Date: Time: 1:00–1:15 PM MST Session: AMD antiVEGF I |
|
| A PULSAR phase 3 trial post- hoc analysis: evaluating the timing and magnitude of control of disease activity with aflibercept 8 mg and faricimab, applying similar disease activity criteria across different pivotal Phase 3 trials for nAMD* |
Jean-Francois Korobelnik, MD | Paper Presentation Date: Time: 1:15–1:30 PM MST Session: AMD antiVEGF I |
| SPECTRUM: early clinical experience from the first global real-world study of aflibercept 8 mg in patients with treatment- naïve neovascular age-related macular degeneration* |
Vasileois Konidaris, MD | Paper Presentation Date: Time: 1:30–1:45 PM MST Session: AMD antiVEGF I |
| SPECTRUM: early clinical experience from the first global real-world study of aflibercept 8 mg in patients with pretreated neovascular age-related macular degeneration* |
Paper Presentation Date: Time: 3:00–3:15 PM MST Session: AMD antiVEGF II |
|
| Aflibercept 8 mg in diabetic macular edema: 156-week results from the PHOTON extension study |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Retina: Physiology and Pharmacology |
|
| Intraocular pressure outcomes with aflibercept 8 mg and 2 mg in patients with diabetic macular edema through week 96 of the phase 2/3 PHOTON trial |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Differential anatomic response to aflibercept 8 mg versus 2 mg during the matched dosing phase of the PHOTON trial in patients with diabetic macular edema who subsequently met criteria for shortening |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| SPECTRUM: early clinical experience from the first global real-world study of aflibercept 8 mg in patients with treatment- naïve diabetic macular edema* |
Poster Presentation Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| SPECTRUM: early clinical experience from the first global real-world study of aflibercept 8 mg in patients with pretreated diabetic macular edema* |
Poster Presentation: Date: Time: 3:00–4:45 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Rapid fluid resolution with aflibercept 8 mg may be associated with extended dosing intervals at W96 in nAMD: a PULSAR post-hoc analysis* |
Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
|
| Greater and more durable fluid resolution with aflibercept 8 mg versus aflibercept 2 mg in the PULSAR trial: a 96-week post- hoc analysis* |
Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
|
| Clinical outcomes with aflibercept 8 mg and aflibercept 2 mg are generally comparable in patients grouped by CNV type: a post hoc analysis of the 96-week PULSAR trial* |
Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
|
| A pooled analysis of the CANDELA, PHOTON, and PULSAR trials through 96 weeks: comparably low intraocular inflammation (IOI)- related events with aflibercept 8 mg and 2 mg* |
Justus Garweg, MD | Poster Presentation Date: Time: 8:30–10:15 AM MST Session: AMD 2 (anti-VEGF) |
| Baseline characteristics and outcomes of patients treated with aflibercept 8 mg at shortened, maintained, or extended dosing intervals through 96 weeks in PHOTON |
Paper Presentation Date: Time: 11:15–11:30 AM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Week 96 outcomes in aflibercept 8 mg- and 2 mg- treated patients by prior DME treatment status: a subgroup analysis of the phase 2/3 PHOTON trial |
Paper Presentation Date: Time: 11:30–11:45 AM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| Lower socioeconomic status is associated with increased bevacizumab use among patients initiating anti-vascular endothelial growth factor (anti- VEGF) therapy for diabetic macular edema (DME) |
Paper Presentation Date: Time: 11:45–12:00 PM MST Session: Diabetic Macular Edema: Anti-VEGF |
|
| A pooled analysis of the PULSAR and PHOTON trials through 96 weeks: Minimal impact of aflibercept 8 mg and 2 mg on intraocular pressure changes * |
Poster Presentation Date: Time: 2:00–3:45 PM MST Session: AMD 5 (Clinical Research) |
*Bayer-run trial
About the EYLEA HD Clinical Trial Program
PULSAR in wAMD and PHOTON in DME/diabetic retinopathy (DR) are double-masked, active-controlled pivotal trials that were conducted in multiple centers globally. In both trials, patients were randomized into 3 treatment groups to receive either: EYLEA HD every 3 months, EYLEA HD every 4 months, or EYLEA every 2 months. The lead sponsors of the trials were Bayer for PULSAR and
Patients treated with EYLEA HD in both trials had 3 initial monthly doses, and patients treated with EYLEA received 3 initial doses in PULSAR and 5 in PHOTON. In the first year, patients in the EYLEA HD groups could have their dosing intervals shortened down to an every 2-month interval if protocol-defined criteria for disease progression were observed. Intervals could not be extended until the second year of the trial. Patients in all EYLEA groups maintained a fixed 2-month dosing regimen throughout their participation in the two-year trials.
In both trials, there was an optional extension study starting at week 96, with all participating patients receiving EYLEA HD through week 156. Patients initially randomized to EYLEA in PULSAR, were switched to EYLEA HD at the start of the extension study and immediately assigned to a 3-month dosing interval. Dosing intervals for all patients in the extension study could be shortened or extended by 2-week increments if protocol-defined criteria were met, with a minimum dosing interval of every 2 months and a maximum dosing interval of every 6 months.
CANDELA was a
About wAMD and Diabetic Eye Disease
wAMD is a retinal disease that may affect people as they age. It occurs when abnormal blood vessels grow and leak fluid under the macula, the part of the eye responsible for sharp central vision and seeing fine detail. This fluid can damage and scar the macula, which can cause vision loss. An estimated 1.4 million Americans have wAMD.
DR is an eye disease characterized by microvascular damage to the blood vessels in the retina often caused by poor blood sugar control in people with diabetes. The disease generally starts as nonproliferative diabetic retinopathy (NPDR) and often has no warning signs or symptoms. NPDR may progress to proliferative diabetic retinopathy (PDR), a stage of the disease in which abnormal blood vessels grow onto the surface of the retina and into the vitreous cavity, potentially causing severe vision loss.
DME can occur at any stage of DR as the blood vessels in the retina become increasingly fragile and leak fluid, potentially causing visual impairment. In the
About EYLEA HD
Over a decade ago,
Pushing the boundaries of science further to meet patient needs, EYLEA HD was developed to achieve comparable efficacy and safety to EYLEA, but with fewer injections. EYLEA HD is supported by a robust body of research and is currently approved in the
EYLEA HD (known as Eylea™ 8 mg in the
About
At
IMPORTANT SAFETY INFORMATION AND INDICATIONS
INDICATIONS
EYLEA HD® (aflibercept) Injection 8 mg is a prescription medicine approved for the treatment of patients with Wet Age-Related Macular Degeneration (AMD), Diabetic Macular Edema (DME), and Diabetic Retinopathy (DR).
EYLEA® (aflibercept) Injection 2 mg is a prescription medicine approved for the treatment of patients with Wet Age-Related Macular Degeneration (AMD), Macular Edema following Retinal Vein Occlusion (RVO), Diabetic Macular Edema (DME), Diabetic Retinopathy (DR), and Retinopathy of Prematurity (ROP) (0.4 mg).
IMPORTANT SAFETY INFORMATION
- EYLEA HD and EYLEA are administered by injection into the eye. You should not use EYLEA HD or EYLEA if you have an infection in or around the eye, eye pain or redness, or known allergies to any of the ingredients in EYLEA HD or EYLEA, including aflibercept.
- Injections into the eye with EYLEA HD or EYLEA can result in an infection in the eye, retinal detachment (separation of retina from back of the eye) and, more rarely, serious inflammation of blood vessels in the retina that may include blockage. Call your doctor right away if you or your baby (if being treated with EYLEA for Retinopathy of Prematurity) experience eye pain or redness, light sensitivity, or a change in vision after an injection.
- In some patients, injections with EYLEA HD or EYLEA may cause a temporary increase in eye pressure within 1 hour of the injection. Sustained increases in eye pressure have been reported with repeated injections, and your doctor may monitor this after each injection.
- In infants with Retinopathy of Prematurity (ROP), treatment with EYLEA will need extended periods of ROP monitoring.
- There is a potential but rare risk of serious and sometimes fatal side effects, related to blood clots, leading to heart attack or stroke in patients receiving EYLEA HD or EYLEA.
- The most common side effects reported in patients receiving EYLEA HD were cataract, increased redness in the eye, increased pressure in the eye, eye discomfort, pain, or irritation, blurred vision, vitreous (gel-like substance) floaters, vitreous detachment, injury to the outer layer of the eye, and bleeding in the back of the eye.
- The most common side effects reported in patients receiving EYLEA were increased redness in the eye, eye pain, cataract, vitreous detachment, vitreous floaters, moving spots in the field of vision, and increased pressure in the eye.
- The most common side effects reported in pre-term infants with ROP receiving EYLEA were separation of the retina from the back of the eye, increased redness in the eye, and increased pressure in the eye. Side effects that occurred in adults are considered applicable to pre-term infants with ROP, though not all were seen in clinical studies.
- You may experience temporary visual changes after an EYLEA HD or EYLEA injection and associated eye exams; do not drive or use machinery until your vision recovers sufficiently.
- For additional safety information, please talk to your doctor and see the full Prescribing Information for EYLEA HD and EYLEA.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please click here for full Prescribing Information for EYLEA HD and EYLEA.
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Source: Regeneron Pharmaceuticals, Inc.