Trial Condition(s):

Neovascular Age-Related Macular Degeneration

Study of the effects of high dose aflibercept injected into the eye of patients with an age-related disorder that causes loss of vision due to growth of abnormal blood vessels at the back of the eye (PULSAR)

Bayer Identifier:

20968

ClinicalTrials.gov Identifier:

NCT04423718

EudraCT Number:

2019-003851-12

EU CT Number:

Not Available

Recruitment Complete

Trial Purpose

In this study researchers want to learn more about changes in visual acuity (clarity of vision) with a high dose treatment with Aflibercept (Eylea) in patients suffering from neovascular age-related macular degeneration (nAMD). Neovascular AMD is an eye disease that causes blurred vision or a blind spot due to abnormal blood vessels that leak fluid or blood into the light sensitive lining inside the eye (retina). The fluid buildup causes the central part of the retina (macula) responsible for sharp, straight-ahead vision to swell and thicken (edema), which distorts vision.

Inclusion Criteria
- Active subfoveal CNV secondary to nAMD, including juxtafoveal lesions that affect the fovea as assessed in the study eye.
- Total area of CNV (including both classic and occult components) must comprise greater than 50% of the total lesion area in the study eye.
- BCVA ETDRS letter score of 78 to 24 (corresponding to a Snellen equivalent of approximately 20/32 to 20/320) in the study eye.
- Decrease in BCVA determined to be primarily the result of nAMD in the study eye.
- Presence of IRF and/or SRF affecting the central subfield of the study eye on OCT. 
- Contraceptive use by men or women should be consistent with local regulations regarding the methods of highly effective contraception for those participating in clinical studies.
- Other protocol-specified inclusion criteria.
Additional inclusion criteria for Year 3:
- At least one BCVA value and one central subfield retinal thickness (CST) value from measurements at one of the following visits: Visit 24 (Week 84), Visit 25 (Week 88) or Visit 26 (Week 92).
- Participant is enrolled at a site that participates in the extension period.
Exclusion Criteria
- Causes of CNV other than nAMD in the study eye.
- Scar, fibrosis, or atrophy involving the central subfield in the study eye. 
- Presence of retinal pigment epithelial tears or rips involving the central subfield in the study eye. 
- Uncontrolled glaucoma (defined as IOP >25 mmHg despite treatment with anti-glaucoma medication) in the study eye.
- History of idiopathic or autoimmune uveitis in the study eye. 
- Myopia of a spherical equivalent of at least 8 diopters in the study eye prior to any refractive or cataract surgery. 
- History or clinical evidence of diabetic retinopathy, diabetic macular edema, or any retinal vascular disease other than nAMD in either eye. 
- Evidence of extraocular or periocular infection or inflammation (including infectious blepharitis, keratitis, scleritis, or conjunctivitis) in either eye at the time of screening/randomization.
- Uncontrolled blood pressure (defined as systolic >160 mmHg or diastolic >95 mmHg). 
- Any prior or concomitant ocular (in the study eye) or systemic treatment (with an investigational or approved, anti-VEGF or other agent) or surgery for nAMD, except dietary supplements or vitamins.
- Other protocol-specified exclusion criteria

Trial Summary

Enrollment Goal
1011
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
No
Products
Aflibercept (VEGF Trap-Eye, BAY86-5321)
Accepts Healthy Volunteers
No

Where to Participate

Loading...
Locations
Locations
Locations

Kobe University Hospital

Kobe, Japan, 650-0017

Locations

Hyogo Prefectural Amagasaki General Medical Center

Amagasaki, Japan, 660-8550

Locations

Nagoya City University Hospital

Nagoya, Japan, 467-8602

Locations

University of the Ryukyus Hospital

Nakagami, Japan, 903-0215

Locations

AXON Clinical s.r.o.

Praha 5, Czech Republic, 150 00

Locations

Fakultni nemocnice Ostrava

Ostrava, Czech Republic, 708 52

Locations

Fakultni Nemocnice Hradec Kralove

Hradec Kralove, Czech Republic, 500 05

Locations

Charles University in Prague

Prague, Czech Republic, 110 00

Locations

Sydney Retina Clinic

Sydney, Australia, 2000

Locations

Marsden Eye Surgery Center

Parramatta, Australia, 2150

Locations

Westmead Hospital

Westmead, Australia, 2145

Locations

Eyeclinic Albury Wodonga

Albury, Australia, 2640

Locations

Hobart Eye Surgeons

Hobart, Australia, 7000

Locations

Klinikum Klagenfurt am Wörthersee

Klagenfurt, Austria, 9020

Locations

Pusan National University Hospital

Busan, South Korea, 49241

Locations

Asan Medical Center

Seoul, South Korea, 138-736

Locations

Samsung Medical Center

Seoul, South Korea, 6351

Locations

Seoul National University Hospital

Seoul, South Korea, 03080

Locations

Seoul National University Bundang Hospital

Seongnam-si, South Korea, 13620

Locations

New England Retina Associates

New London, United States, 06320

Locations

Ophthalmic Consultants of Boston

Boston, United States, 02114

Locations

Palmetto Retina Center, LLC

West Columbia, United States, 29169

Locations

Medical Center Ophthalmology Associates

San Antonio, United States, 78240

Locations

Hayashi Eye Hospital

Fukuoka, Japan, 812-0011

Locations

Daiyukai Daiichi Hospital

Ichinomiya, Japan, 491-8551

Locations

National Hospital Organization Tokyo Medical Center

Meguro-ku, Japan, 152-8902

Locations

Fakultna nemocnica Trencin

Trencin, Slovakia, 911 71

Locations

Stadtspital Triemli

Zürich, Switzerland, 8063

Locations

Chang Gung Memorial Hospital at Linkou

Taoyuan, Taiwan, China, 33305

Locations

Shin Kong Wu Ho-Su Memorial Hospital

Taipei, Taiwan, China, 111

Locations

National University Hospital

Singapore, Singapore, 119074

Locations

Organizacion Medica de Investigacion (OMI)

Buenos Aires, Argentina, C1015ABO

Locations

Konventhospital Barmherzige Brüder Linz

Linz, Austria, 4021

Locations

Hanusch-Krankenhaus Wien

Wien, Austria, 1140

Locations

Mie University Hospital

Tsu, Japan, 514-8507

Locations

Akita University Hospital

Akita, Japan, 010-8543

Locations

Nagoya University Hospital

Nagoya, Japan, 466-8560

Locations

Kansai Medical University Hospital

Hirakata, Japan, 573-1191

Locations

Hiroshima University Hospital

Hiroshima, Japan, 734-8551

Locations

AIBILI

Coimbra, Portugal, 3000-548

Locations

Oita University Hospital

Yufu, Japan, 879-5593

Locations

Taipei Veterans General Hospital

Taipei, Taiwan, China, 11217

Locations

Fukushima Medical University Hospital

Fukushima, Japan, 960-1295

Locations

Okayama University Hospital

Okayama, Japan, 700-8558

Locations

Kurume University Hospital

Kurume, Japan, 830-0011

Locations

Yamaguchi University Hospital

Ube, Japan, 755-8505

Locations

Kanazawa University Hospital

Kanazawa, Japan, 920-8641

Locations

Fakultni nemocnice Kralovske Vinohrady

Praha 10, Czech Republic, 10034

Locations

Hospital of LT University of Health Sciences Kaunas Clinics

Kaunas, Lithuania, LT-50161

Locations

Vilnius University Hospital Santaros Klinikos

Vilnius, Lithuania, LT-08661

Locations

PI Klaipedos University Hospital

Klaipeda, Lithuania, LT-92288

Locations

East Tallinn Central Hospital

Tallinn, Estonia, 10138

Locations

Latvian American Eye Center

Riga, Latvia, LV-1009

Locations

Department of Ophthalmology

Riga, Latvia, 1002

Locations

Long Island Vitreoretinal Consultants

Great Neck, United States, 11021

Locations

Ophthalmic Consultants of Long Island

Lynbrook, United States, 11563

Locations

Long Island Vitreoretinal Consultants - Hauppauge

Hauppauge, United States, 11788

Locations

NJ Retina

Edison, United States, 08820

Locations

Texas Retina Associates

Fort Worth, United States, 76104

Locations

Retina Northwest, PC

Portland, United States, 97210

Locations

Retina Care Center

Baltimore, United States, 21209

Locations

Retina Consultants of Nevada

Las Vegas, United States, 89144

Locations

Retina Center of New Jersey

Bloomfield, United States, 07003

Locations

Retina Vitreous Associates of Florida - Saint Petersburg

Saint Petersburg, United States, 33711-1141

Locations

West Virginia University

Morgantown, United States, 26505

Locations

Spokane Eye Clinical Research

Spokane, United States, 99204

Locations

Arizona Retina and Vitreous Consultants - Research

Phoenix, United States, 85021

Locations

Florida Retina Institute

Jacksonville, United States, 32204

Locations

California Eye Specialists

Pasadena, United States, 91107

Locations

Retinal Consultants of Texas - San Antonio

San Antonio, United States, 78240

Locations

Mid Atlantic Retina

Bethlehem, United States, 18017

Locations

Retina Consultants of Texas - The Woodlands

The Woodlands, United States, 77384

Locations

Charles Retina Institute

Memphis, United States, 38119

Locations

Retina Consultants of Houston

The Woodlands, United States, 77384

Locations

Vitreo Retinal Surgery PA

Edina, United States, 55435

Locations

Retina Consultants San Diego

Poway, United States, 92064

Locations

University Retina and Macula Associates

Oak Forest, United States, 60452

Locations

Florida Retina Institute

Orlando, United States, 32806

Locations

Southern Vitreoretinal Associates

Tallahassee, United States, 32308

Locations

Vitreo-Retinal Associates

Gainesville, United States, 32607

Locations

Retina Group of Florida

Ft. Lauderdale, United States, 33308

Locations

Vanderbilt University Medical School

Nashville, United States, 37232

Locations

Eye Associates of New Mexico

Albuquerque, United States, 87109-5853

Locations

Black Hills Regional Eye Institute

Rapid City, United States, 57701-7374

Locations

Eye Care Specialists

Kingston, United States, 18704

Locations

Northern California Retina-Vitreous Associates

Mountain View, United States, 94040

Locations

Charleston Neuroscience Center

Charleston, United States, 29414

Locations

Retina Macula Specialists of Miami

Miami, United States, 33126

Locations

Midwest Retina - Main Office

Dublin, United States, 43016

Locations

Retina Consultants of Hawaii

Aiea, United States, 96701

Locations

Fletcher Allen Health Care

Burlington, United States, 05401-1420

Locations

Retina Associates IL

Elmhurst, United States, 60126

Locations

Florida Eye Associates

Melbourne, United States, 32901

Locations

Erie Retinal Surgery, Inc.

Erie, United States, 16507

Locations

Austin Retina Associates

Austin, United States, 78705

Locations

Retina Consultants of Southern California

Redlands, United States, 92374

Locations

University of Wisconsin - Madison

Madison, United States, 53792

Locations

Wake Forest Baptist Health

Winston-Salem, United States, 27103

Locations

University of California San Diego

La Jolla, United States, 92093-0698

Locations

Retina Specialists

Pensacola, United States, 32503

Locations

Retina Consultants of Orange County

Fullerton, United States, 92835

Locations

Ophthalmic Consultants of the Capital Region

Troy, United States, 12180

Locations

Retina Consultants, LLC

Salem, United States, 97302-2152

Locations

Kaiser Permanente Riverside Medical Center

Riverside, United States, 92505

Locations

Kozawa Eye Hospital and Diabetes Center

Mito, Japan, 310-0845

Locations

The University of Tokyo Hospital

Bunkyo-ku, Japan, 113-8655

Locations

Kansai Medical University Medical Center

Moriguchi, Japan, 570-8507

Locations

Kindai University Hospital

Osakasayama, Japan, 589-8511

Locations

Aichi Medical University Hospital

Nagakute, Japan, 480-1195

Locations

Lexum a.s., Evropska ocni klinika

Praha 4, Czech Republic, 140 00

Locations

Fakultni nemocnice Plzen - Lochotin

Plzen, Czech Republic, 32300

Locations

Szent-Gyorgyi Albert Orvostudomanyi Egyetem

Szeged, Hungary, 6720

Locations

Tartu University Hospital

Tartu, Estonia

Locations

Riga East Clinical University Hospital "Gailezers"

Riga, Latvia, LV-1006

Locations

Shinshu University Hospital

Matsumoto, Japan, 390-8621

Locations

Japanese Red Cross Saitama Hospital

Saitama, Japan, 330-8553

Locations

Kokura Memorial Hospital

Kitakyushu, Japan, 802-8555

Locations

Japanese Red Cross Nagasaki Genbaku Hospital

Nagasaki, Japan, 852-8511

Locations

Japanese Red Cross Wakayama Medical center

Wakayama, Japan, 640-8558

Locations

Singapore National Eye Centre

Singapore, Singapore, 168751

Locations

University of Miyazaki Hospital

Miyazaki, Japan, 889-1692

Locations

Keio University Hospital

Shinjuku-ku, Japan, 160-8582

Locations

Poltava Regional Clinical Hospital n.a. M.V. Skliphosovskyi

Poltava, Ukraine, 36011

Locations

Centralna Polyclinica MVS Ukraiiny

Kyiv, Ukraine, 01024

Locations

Ospedale San Raffaele s.r.l.

Milano, Italy, 20132

Locations

Fondazione PTV Policlinico Tor Vergata

Roma, Italy, 00133

Locations

IRCCS Fondazione G.B. Bietti Studio e Ricerca in Otalmologia

Roma, Italy, 00198

Locations

A.O. di Perugia

Perugia, Italy, 06129

Locations

A.O.U. di Cagliari

Cagliari, Italy, 09124

Locations

ALM Oftalmolaser - Oftalmologia Medica e Cirurgica

Lisbon, Portugal, 1050-078

Locations

Centro Hospitalar Universitario do Porto

Porto, Portugal, 4099-001

Locations

Centro Hospitalar Vila Nova de Gaia/Espinho | Unit 1 - Clinical Research Office

Porto, Portugal, 4434-502

Locations

Fakultna nemocnica s poliklinikou Zilina

Zilina, Slovakia, 012 07

Locations

Fakultna nemocnica Nitra

Nitra, Slovakia, 950 01

Locations

Nemocnica s Poliklinikou Trebisov, Svet zdravia a.s.

Trebisov, Slovakia, 075 01

Locations

University of Yamanashi Hospital

Chuo, Japan, 409-3898

Locations

Kanazawa Medical University Hospital

Kahoku-gun, Japan, 920-0293

Locations

Otakeganka Tsukimino Clinic

Yamato, Japan, 242-0001

Locations

Kagawa University Hospital

Kita-gun, Japan, 761-0793

Locations

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, Italy, 00168

Locations

ASST Fatebenefratelli Sacco

Milano, Italy, 20157

Locations

Nara Medical University Hospital

Kashihara, Japan, 634-8522

Locations

Tokushima University Hospital

Tokushima, Japan, 770-8503

Locations

Gunma University Hospital

Maebashi, Japan, 371-8511

Locations

Medical corporation Eiwakai Dannoue Ophthalmology clinic

Kawasaki, Japan, 211-0053

Locations

Tokiwadai Muranaka Eye Clinic

Itabashi-ku, Japan, 174-0071

Locations

Kurashiki Medical Center

Kurashiki, Japan, 710-8522

Locations

Medizinische Universität Graz

Graz, Austria, 8036

Locations

Kepler Universitätsklinikum Campus III

Linz, Austria, 4020

Locations

Hospital de la Santa Creu i Sant Pau | Gynecology Department

Barcelona, Spain, 8041

Locations

Hospital Clínic i Provincial de Barcelona

Barcelona, Spain, 8036

Locations

Hospital Reina Sofía

Córdoba, Spain, 14004

Locations

Hospital Miguel Servet

Zaragoza, Spain, 50009

Locations

Hospital General Universitario de Valencia

Valencia, Spain, 46014

Locations

Instituto Oftalmológico Francisco Gomez Ulla

Santiago de Compostela, Spain, 15706

Locations

Hospital Universitari i Politècnic La Fe

Valencia, Spain, 46026

Locations

Meir Medical Center

Kfar Saba, Israel, 4428164

Locations

Chaim Sheba Medical Center

Ramat Gan, Israel, 5262000

Locations

Assuta Medical Centers - HaShalom

Tel Aviv, Israel, 6789140

Locations

Lady Davis Carmel Medical Center

Haifa, Israel, 3436212

Locations

Rambam Health Corporation

Haifa, Israel, 3109601

Locations

Kaplan Medical Center

Rehovot, Israel, 7610001

Locations

Hadassah Hebrew University Hospital Ein Kerem

Jerusalem, Israel, 9112001

Locations

RétinElysée

Lausanne, Switzerland, 1006

Locations

Berner Augenklinik am Lindenhofspital

Bern, Switzerland, TBC

Locations

Inje University Haeundae Paik Hospital

Busan, South Korea, 612-862

Locations

Retina Center Nune Eye Hospital

Seoul, South Korea, 135-280

Locations

SEHAT Pentagram

Sofia, Bulgaria, 1309

Locations

Sveta Petka Eye Hospital

Varna, Bulgaria, 9002

Locations

Multiprofile Hospital for Active Treatment Sveta Sofia | Internal Diseases Department

Sofia, Bulgaria, 1618

Locations

UMHAT Alexandrovska EAD

Sofia, Bulgaria, 1431

Locations

Specialized Hospital For Active Treatment of Eye Diseases Zora

Sofia, Bulgaria, 1784

Locations

Spec. Hosp. for Active Treatment for Eye Diseases Zrenie

Sofia, Bulgaria, 1408

Locations

St.Joseph's Health Care-London

London, Canada, N6A 4V2

Locations

Toronto Retina Institute

Toronto, Canada, M3C 0G9

Locations

Institut de l'Oeil des Laurentides

Boisbriand, Canada, J7H1S6

Locations

Scientific Research Institution of Ophthalmic Diseases

Moscow, Russia, 119021

Locations

FBSI IRTC Eye Microsurgery n.a. acad. S.N. Fyodorov

Moscow, Russia, 127486

Locations

Southern Tohoku Eye Clinic

Koriyama, Japan, 963-8052

Locations

Clinical hospital center Zvezdara

Belgrade, Serbia, 11000

Locations

Clinical Center of Serbia

Belgrade, Serbia, 11000

Locations

Klinicki centar Vojvodine

Novi Sad, Serbia, 21000

Locations

St.Luke's International Hospital

Chuoku, Japan, 104-8560

Locations

LTD "Innova"

Tbilisi, Georgia, 105

Locations

LTD "Chichua Medical Center MZERA"

Tbilisi, Georgia, 114

Locations

JSC "Evex Hospitals'

Tbilisi, Georgia, 0186

Locations

LTD "Clinic LJ"

Kutaisi, Georgia, 4600

Locations

Tokyo Women's Medical University Hospital

Shinjuku-ku, Japan, 162-8666

Locations

Yamagata University Hospital

Yamagata, Japan, 990-9585

Locations

Sapporo City General Hospital

Sapporo, Japan, 060-8604

Locations

Nishikasai Inouye Eye Hospital

Edogawa-ku, Japan, 134-0088

Locations

Shanghai General Hospital

Shanghai, China, 200080

Locations

TianJin eye hospital

Tianjin, China

Locations

The Affiliated Eye Hospital of Wenzhou Medical College

Wenzhou, China

Locations

Peking University People's Hospital

Beijing, China, 100044

Locations

Tianjin Medical University Eye Hospital

Tianjin, China, 300384

Locations

Retina Consultants of Southern Colorado, PC

Colorado Springs, United States, 80909

Locations

Wolfe Eye Clinic, PC

West Des Moines, United States, 50266

Locations

OFTALMOS, Instituto Oftalmologico de Alta Complejidad

Buenos Aires, Argentina, C1120AAN

Locations

Tokyo Medical University Hachioji Medical Center

Hachioji, Japan, 193-0998

Locations

KKR Sapporo Medical Center

Sapporo, Japan, 062-0931

Locations

Espaco Medico de Coimbra

Coimbra, Portugal, 3000-548

Locations

St. Marianna University Hospital

Kawasaki, Japan, 216-8511

Locations

Guangzhou Aier Eye Hospital

Guangzhou, China,  634050

Locations

Centre d'Ophtalmologie - Paradis-Monticelli

MARSEILLE, France, 13008

Locations

Centre ophtalmologique Saint-Exupéry

Saint-Cyr-Sur-Loire, France, 37540

Locations

Private enterprise private production company " Acinus"

Kropyvnytskyi, Ukraine, 25006

Locations

Union Hospt Tongji Medical Colleg. Huazhong univ. Scien&Tech

Wuhan, China, 430030

Locations

Henan Provincial Ophthalmology Hospital (Henan Eye Institute

Zhengzhou, China, 450003

Locations

The First Affiliated Hospital of Xinjiang Medical University

Urumqi, China, 830054

Locations

Beijing Hospital

Beijing, China, 100730

Locations

Eye Center of the second Bethune Hospital, jinlin University

Changchun, China, 130022

Locations

Tianjin Medical University General Hospital

Tianjin, China, 300052

Locations

Tongji Hosp. of Tongji Med Coll, Huazhong Uni of Sci & Tech.

Wuhan, China, 430030

Locations

The People's Hospital of Ningxia Hui Autonomous Region

Yinchuan, China, 750000

Locations

Beijing Aier Intech Eye Hospital Co. LTD - Ophthalmology

Beijing, China, 100021

Locations

Aier Eye Hospital (Chengdu)

Chengdu, China, N/A

Locations

SHENYANG HE EYE HOSPITAL

Shenyang, China, 110034

Locations

ZheJiang Provincial People's Hospital

Hangzhou, China, 310014

Locations

The 1st Affiliated Hospital of Zhejiang University

Hangzhou, China, 310000

Locations

The 1st Affiliated Hospital Fujian Medical University

Fuzhou, China, TBC

Locations

Chongqing Aier Ophthalmology Hospital

Chongqing, China, 400020

Locations

Beijing Tongren Hospital, Capital Medical University (East)

Beijing, China, 100005

Locations

The Second Hospital of Anhui medical university

Hefei, China, 230601

Locations

The First People's Hospital of Xuzhou

Xuzhou, China, 221002

Locations

Hebei Eye Hospital

Xingtai, China

Locations

Jiangxi Provincial People’s Hospital

Nanchang, China, 330006

Locations

The First Affiliated Hospital of NanChang University

Nanchang, China, 330006

Locations

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China, 710061

Locations

Shanghai Tongji Hospital of Tongji University

Shanghai, China, TBC

Locations

Tonghua Central Hospital

Tonghua, China, 134001

Locations

Shijiazhuang General Hospital

Shijiazhuang, China, 050000

Locations

Hôpital Lariboisière - Paris

PARIS, France, 75475

Locations

Budapest Retina Associates

Budapest, Hungary, 1133

Locations

Rand Eye Institute

Deerfield Beach, United States, 33064

Trial Design