Safety, Tolerability, and Efficacy of Aflibercept in Patients With Neovascular Age-Related Macular Degeneration (CANDELA)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04126317 |
Recruitment Status :
Completed
First Posted : October 15, 2019
Last Update Posted : May 13, 2022
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Condition or disease | Intervention/treatment | Phase |
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Neovascular (Wet) Age-Related Macular Degeneration | Drug: aflibercept Drug: High-dose aflibercept | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 106 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Participant) |
Masking Description: | Single-masked: The patients, visual acuity examiners, imaging technicians and reading center will be masked to treatment assignment. |
Primary Purpose: | Treatment |
Official Title: | A Randomized, Single-Masked, Active-Controlled Phase 2 Study of the Safety, Tolerability, and Efficacy of Repeated Doses of High-Dose Aflibercept in Patients With Neovascular Age-Related Macular Degeneration |
Actual Study Start Date : | November 4, 2019 |
Actual Primary Completion Date : | May 14, 2021 |
Actual Study Completion Date : | November 30, 2021 |

Arm | Intervention/treatment |
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Experimental: intravitreal aflibercept injection (IAI)
Treatment-naïve patients with neovascular "wet" age-related macular degeneration (nAMD) randomized in a 1:1 ratio
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Drug: aflibercept
Intravitreally (IVT) administered as a liquid formulation in a vial
Other Names:
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Experimental: High-dose aflibercept (HD)
Treatment-naïve patients with nAMD randomized in a 1:1 ratio
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Drug: High-dose aflibercept
Intravitreally (IVT) administered as a liquid formulation in a vial |
- Incidence of treatment-emergent adverse events [ Time Frame: Up to Week 4 ]
- Incidence of serious adverse events (SAEs) [ Time Frame: Up to Week 4 ]
- Proportion of patients without retinal fluid in the center subfield [ Time Frame: At week 16 ]Presence of retinal fluid is assessed by spectral domain optical coherence tomography (SD-OCT)

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Ages Eligible for Study: | 50 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Men or women ≥50 years of age with active subfoveal choroidal neovascularization (CNV) secondary to nAMD
- Best Corrected Visual Acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score of 78 to 24 (Snellen equivalent of 20/32 to 20/320) in the study eye
Key Exclusion Criteria:
- Evidence of CNV due to any cause other than nAMD in either eye
- Evidence of diabetic macular edema (DME) or diabetic retinopathy (defined as more than 1 microaneurysm) in either eye in diabetic patients
- Prior use of IVT anti-VEGF agents (aflibercept, ranibizumab, bevacizumab, brolucizumab, pegaptanib sodium) in the study eye
- Prior IVT investigational agents in either eye (eg, anti-ang-2/anti-VEGF bispecific monoclonal antibodies, gene therapy)
- Previous use of intraocular or periocular corticosteroids within 120 days of screening or treatment with an IVT steroid implant at any time in the study eye
- History of vitreoretinal surgery (including scleral buckling) in the study eye
- Any other intraocular surgery within 12 weeks (84 days) before the screening visit
- History of corneal transplant or corneal dystrophy in study eye
NOTE: Other protocol defined inclusion/exclusion criteria apply.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04126317
United States, Arizona | |
Regeneron Study Site | |
Phoenix, Arizona, United States, 85020 | |
Regeneron Study Site | |
Sun City, Arizona, United States, 85351 | |
United States, California | |
Regeneron Study Site | |
Encino, California, United States, 91436 | |
Regeneron Study Site | |
Fullerton, California, United States, 92835 | |
Regeneron Study Site | |
Mountain View, California, United States, 94040 | |
Regeneron Study Site | |
Palm Desert, California, United States, 92211 | |
Regeneron Study Site | |
Sacramento, California, United States, 95819 | |
Regeneron Study Site | |
Santa Ana, California, United States, 92705 | |
United States, Colorado | |
Regeneron Study Site | |
Colorado Springs, Colorado, United States, 80909 | |
Regeneron Study Site | |
Golden, Colorado, United States, 80401 | |
United States, Connecticut | |
Regeneron Study Site | |
Waterford, Connecticut, United States, 06385 | |
United States, Florida | |
Regeneron Study Site | |
Fort Lauderdale, Florida, United States, 33309 | |
Regeneron Study Site | |
Fort Myers, Florida, United States, 33912 | |
Regeneron Study Site | |
Lakeland, Florida, United States, 33805 | |
Regeneron Study Site | |
Largo, Florida, United States, 33770 | |
Regeneron Study Site | |
Melbourne, Florida, United States, 32901 | |
Regeneron Study Site | |
Tallahassee, Florida, United States, 32308 | |
Regeneron Study Site | |
Winter Haven, Florida, United States, 33880 | |
United States, Georgia | |
Regeneron Study Site | |
Augusta, Georgia, United States, 30909 | |
Regeneron Study Site | |
Marietta, Georgia, United States, 30060 | |
United States, Illinois | |
Regeneron Study Site | |
Oak Forest, Illinois, United States, 60452 | |
United States, Maryland | |
Regeneron Study Site | |
Hagerstown, Maryland, United States, 21740 | |
United States, Michigan | |
Regeneron Study Site | |
Royal Oak, Michigan, United States, 48073 | |
United States, New Jersey | |
Regeneron Study Site | |
Bloomfield, New Jersey, United States, 07003 | |
Regeneron Study Site | |
Teaneck, New Jersey, United States, 07666 | |
United States, New Mexico | |
Regeneron Study Site | |
Albuquerque, New Mexico, United States, 87102 | |
United States, New York | |
Regeneron Study Site | |
Great Neck, New York, United States, 11021 | |
United States, North Carolina | |
Regeneron Study Site | |
Asheville, North Carolina, United States, 28803 | |
Regeneron Study Site | |
Charlotte, North Carolina, United States, 28210 | |
United States, Ohio | |
Regeneron Study Site | |
Columbus, Ohio, United States, 43212 | |
United States, Oklahoma | |
Regeneron Study Site | |
Edmond, Oklahoma, United States, 73013 | |
United States, Oregon | |
Regeneron Study Site | |
Portland, Oregon, United States, 97221 | |
United States, Pennsylvania | |
Regeneron Study Site | |
Kingston, Pennsylvania, United States, 18704 | |
United States, South Carolina | |
Regeneron Study Site | |
Ladson, South Carolina, United States, 29456 | |
Regeneron Study Site | |
West Columbia, South Carolina, United States, 29169 | |
United States, South Dakota | |
Regeneron Study Site | |
Rapid City, South Dakota, United States, 57701 | |
United States, Texas | |
Regeneron Study Site | |
Abilene, Texas, United States, 79606 | |
Regeneron Study Site | |
Arlington, Texas, United States, 76012 | |
Regeneron Study Site | |
Austin, Texas, United States, 78705 | |
Regeneron Study Site | |
Houston, Texas, United States, 77030 | |
Regeneron Study Site | |
The Woodlands, Texas, United States, 77384 | |
United States, Utah | |
Regeneron Study Site | |
Salt Lake City, Utah, United States, 84107 | |
United States, Virginia | |
Regeneron Study Site | |
Fairfax, Virginia, United States, 22031 | |
United States, Washington | |
Regeneron Study Site | |
Spokane, Washington, United States, 99204 | |
United States, West Virginia | |
Regeneron Study Site | |
Morgantown, West Virginia, United States, 26506 | |
Puerto Rico | |
Regeneron Study Site | |
Arecibo, Puerto Rico, 00612 |
Study Director: | Clinical Trial Management | Regeneron Pharmaceuticals |
Responsible Party: | Regeneron Pharmaceuticals |
ClinicalTrials.gov Identifier: | NCT04126317 |
Other Study ID Numbers: |
VGFTe (HD)-AMD-1905 |
First Posted: | October 15, 2019 Key Record Dates |
Last Update Posted: | May 13, 2022 |
Last Verified: | May 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Informed Consent Form (ICF) Clinical Study Report (CSR) Analytic Code |
Time Frame: | Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification. |
Access Criteria: | Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry). |
URL: | https://vivli.org/ |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases Aflibercept Angiogenesis Inhibitors |
Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Growth Inhibitors Antineoplastic Agents |