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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR AFLIBERCEPT


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Biosimilar Clinical Trials for aflibercept

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT04450329 ↗ A Study to Compare SB15 (Proposed Aflibercept Biosimilar) to Eylea in Subjects With Neovascular Age-related Macular Degeneration (AMD) Active, not recruiting Samsung Bioepis Co., Ltd. Phase 3 2020-06-23 This is a randomised, double-masked, parallel group, multicentre study to evaluate the efficacy, safety, PK, and immunogenicity of SB15 compared to Eylea® in subjects with neovascular AMD.
NCT04480463 ↗ A Study to Comparing SCD411 and Eylea® in Subjects With Wet Age-related Macular Degeneration (AMD) Recruiting Sam Chun Dang Pharm. Co. Ltd. Phase 3 2020-08-13 Age-related macular degeneration (AMD) is a leading cause of vision loss in adults. Abnormal blood vessels grow under the macula at the back of the eye, and also leak blood and fluid, which damages and scars the macula, affecting vision. The current standard of care for patients with neovascular (exudative / wet) AMD is anti-vascular endothelial growth factor (anti-VEGF) therapy, which prevents or slows down the growth of the abnormal blood vessels. SCD411 is being developed as a biosimilar to the reference product Eylea® (aflibercept), an anti-VEGF drug. The study aims to prove equivalence of SCD411 to Eylea in adults with wet AMD, and will look at safety, tolerance, effectiveness, immune response and the movement of the drug through the body.
NCT04522167 ↗ Efficacy and Safety of the Aflibercept FYB203 Biosimilar in Comparison to Eylea® in Patients With Neovascular Age-Related Macular Degeneration Recruiting Bioeq GmbH Phase 3 2020-07-21 This is a randomized, double-masked, multicenter study to evaluate the efficacy and safety of FYB203 compared to Eylea® in patients with neovascular age related macular degeneration.
NCT05161806 ↗ Study of the Safety of Use of Intravitreal SOK583A1 Provided in a Prefilled Syringe Not yet recruiting Sandoz Phase 3 2022-01-25 This is a multicenter, open label Phase IIIb study to evaluate the safety of use of a Prefilled syringe (PFS) containing SOK583A1 (40 mg/mL) and to support the collection of observations of the PFS use for intravitreal injection, when utilized by qualified ophthalmologists, who follow the Instructions for Use (IFU) appropriately to prepare and administer Intravitreal (IVT) injections to patients, suffering from nAMD.
NCT05282004 ↗ Study of the Safety of Use of Intravitreal SOK583A1 Provided in a Vial Kit Not yet recruiting Sandoz Phase 3 2022-03-08 This is a single-arm, open-label study where all patients will receive a single injection of SOK583A1 (40 mg/mL) provided in a vial kit at Baseline. The total study duration for the individual participant is approximately 31 days.
NCT05345236 ↗ A Study to Compare QL1207 to Eylea® in Subjects With Wet Age-related Macular Degeneration (wAMD) Completed Qilu Pharmaceutical Co., Ltd. Phase 3 2019-08-19 This is a randomised, double-masked, parallel group, multicentre study to evaluate the efficacy and safety of QL1207 compared to Eylea® in subjects with wet AMD.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for aflibercept

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00284141 ↗ Study of AVE0005 (VEGF Trap) in Locally Advanced or Metastatic Platinum- and Erlotinib- Resistant Non-small-cell-lung Adenocarcinoma Completed Regeneron Pharmaceuticals Phase 2 2006-01-01 This study evaluated the efficacy and safety of aflibercept in the treatment of participants with advanced chemoresistant non-small cell lung adenocarcinoma (NSCLA). Primary objective: - To determine the overall objective response rate (ORR) of AVE0005 (ziv-aflibercept, aflibercept, VEGF trap, ZALTRAP®) 4.0 mg/kg intravenously (IV) every 2 weeks in participants with platinum- and erlotinib-resistant, locally advanced or metastatic NSCLA. Secondary objective: - To assess duration of response (DR), progression-free survival (PFS), and overall survival (OS) in this participant population - To evaluate the safety profile of IV AVE0005 (ziv-aflibercept, aflibercept, VEGF trap, ZALTRAP®). This study employed an Independent Review Committee (IRC) for radiological tumor assessments. For all tumor assessment-related efficacy variables, two analyses were performed: the primary analysis was based on Independent Review Committee (IRC) reviewed data and the secondary analysis was based on Investigator evaluation. In addition, both Response Evaluation Criteria In Solid Tumors (RECIST) and Modified Response Evaluation Criteria In Solid Tumors (mRECIST) were used to assess tumors. Where as RECIST criteria only consider the longest diameter of the tumors for calculations pertaining to changes in tumor size, mRECIST assessments also account for the differences in the cavities of lesions observed in non-small-cell lung cancer (NSCLC). Responses based on RECIST and mRECIST are reported.
NCT00284141 ↗ Study of AVE0005 (VEGF Trap) in Locally Advanced or Metastatic Platinum- and Erlotinib- Resistant Non-small-cell-lung Adenocarcinoma Completed Sanofi Phase 2 2006-01-01 This study evaluated the efficacy and safety of aflibercept in the treatment of participants with advanced chemoresistant non-small cell lung adenocarcinoma (NSCLA). Primary objective: - To determine the overall objective response rate (ORR) of AVE0005 (ziv-aflibercept, aflibercept, VEGF trap, ZALTRAP®) 4.0 mg/kg intravenously (IV) every 2 weeks in participants with platinum- and erlotinib-resistant, locally advanced or metastatic NSCLA. Secondary objective: - To assess duration of response (DR), progression-free survival (PFS), and overall survival (OS) in this participant population - To evaluate the safety profile of IV AVE0005 (ziv-aflibercept, aflibercept, VEGF trap, ZALTRAP®). This study employed an Independent Review Committee (IRC) for radiological tumor assessments. For all tumor assessment-related efficacy variables, two analyses were performed: the primary analysis was based on Independent Review Committee (IRC) reviewed data and the secondary analysis was based on Investigator evaluation. In addition, both Response Evaluation Criteria In Solid Tumors (RECIST) and Modified Response Evaluation Criteria In Solid Tumors (mRECIST) were used to assess tumors. Where as RECIST criteria only consider the longest diameter of the tumors for calculations pertaining to changes in tumor size, mRECIST assessments also account for the differences in the cavities of lesions observed in non-small-cell lung cancer (NSCLC). Responses based on RECIST and mRECIST are reported.
NCT00320775 ↗ Safety and Tolerability Study of Intravitreal VEGF-Trap Administration in Patients With Neovascular AMD Completed Bayer Phase 1 2005-06-01 The purpose of this trial is to assess the ocular and systemic safety and tolerability of a single intravitreal injection of VEGF Trap in patients with subfoveal choroidal neovascularization (CNV) due to AMD.
NCT00320775 ↗ Safety and Tolerability Study of Intravitreal VEGF-Trap Administration in Patients With Neovascular AMD Completed Regeneron Pharmaceuticals Phase 1 2005-06-01 The purpose of this trial is to assess the ocular and systemic safety and tolerability of a single intravitreal injection of VEGF Trap in patients with subfoveal choroidal neovascularization (CNV) due to AMD.
NCT00327171 ↗ Study of AVE0005 (VEGF Trap) in Patients With Chemoresistant Advanced Ovarian Cancer Completed Regeneron Pharmaceuticals Phase 2 2006-05-01 This study evaluated outcomes in participants with advanced ovarian epithelial adenocarcinoma receiving aflibercept. The primary objective was to compare the objective response rate of Aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) 4.0 mg/kg and 2.0 mg/kg, administered intravenously (IV) every 2 weeks with historical control in participants with advanced ovarian epithelial (including fallopian tube and primary peritoneal) adenocarcinoma resistant to platinum and topotecan and/or liposomal doxorubicin. The secondary objectives was to further assess efficacy, safety, pharmacokinetics, potential biological and pharmacogenomic markers of study drug activity, and health-related quality of life. This study employed an Independent Review Committee (IRC) for radiological tumor assessments. For all tumor assessment-related efficacy variables, two analyses were performed: the primary analysis was based on Independent Review Committee (IRC) reviewed data and the secondary analysis was based on Investigator evaluation. If an endpoint was evaluated by the IRC, the IRC reviewed data is reported for this study.
NCT00327171 ↗ Study of AVE0005 (VEGF Trap) in Patients With Chemoresistant Advanced Ovarian Cancer Completed Sanofi Phase 2 2006-05-01 This study evaluated outcomes in participants with advanced ovarian epithelial adenocarcinoma receiving aflibercept. The primary objective was to compare the objective response rate of Aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) 4.0 mg/kg and 2.0 mg/kg, administered intravenously (IV) every 2 weeks with historical control in participants with advanced ovarian epithelial (including fallopian tube and primary peritoneal) adenocarcinoma resistant to platinum and topotecan and/or liposomal doxorubicin. The secondary objectives was to further assess efficacy, safety, pharmacokinetics, potential biological and pharmacogenomic markers of study drug activity, and health-related quality of life. This study employed an Independent Review Committee (IRC) for radiological tumor assessments. For all tumor assessment-related efficacy variables, two analyses were performed: the primary analysis was based on Independent Review Committee (IRC) reviewed data and the secondary analysis was based on Investigator evaluation. If an endpoint was evaluated by the IRC, the IRC reviewed data is reported for this study.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for aflibercept

Condition Name

Condition Name for aflibercept
Intervention Trials
Diabetic Macular Edema 68
Neovascular Age-related Macular Degeneration 41
Macular Edema 18
Diabetic Retinopathy 17
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Condition MeSH

Condition MeSH for aflibercept
Intervention Trials
Macular Degeneration 126
Macular Edema 106
Edema 76
Wet Macular Degeneration 72
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Clinical Trial Locations for aflibercept

Trials by Country

Trials by Country for aflibercept
Location Trials
Japan 192
China 122
Italy 119
Germany 97
Spain 93
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Trials by US State

Trials by US State for aflibercept
Location Trials
California 90
Texas 88
Florida 65
New York 62
Maryland 58
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Clinical Trial Progress for aflibercept

Clinical Trial Phase

Clinical Trial Phase for aflibercept
Clinical Trial Phase Trials
PHASE4 15
PHASE3 9
PHASE2 6
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Clinical Trial Status

Clinical Trial Status for aflibercept
Clinical Trial Phase Trials
Completed 182
Recruiting 72
Unknown status 34
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Clinical Trial Sponsors for aflibercept

Sponsor Name

Sponsor Name for aflibercept
Sponsor Trials
Regeneron Pharmaceuticals 102
Bayer 51
Sanofi 39
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Sponsor Type

Sponsor Type for aflibercept
Sponsor Trials
Industry 311
Other 299
NIH 17
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Aflibercept: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 29, 2026

Summary

Aflibercept, avascular endothelial growth factor (VEGF) inhibitor developed by Regeneron Pharmaceuticals and Bayer, primarily targets ocular neovascular conditions and certain cancers. This report consolidates the latest clinical trial developments, evaluates the current market landscape, and projects future growth trajectories through 2030. The key highlights include a surge in clinical trials for ocular and oncology indications, expanding geographic trial activity, and promising pipeline advancements. Market dynamics reflect increasing demand driven by aging populations, rising prevalence of retinal diseases, and expanding indications beyond ophthalmology. Projections anticipate compounded annual growth rates (CAGRs) exceeding 8% in the ophthalmological segment, with oncology applications emerging as significant contributors.


What Are the Latest Developments in Aflibercept's Clinical Trials?

Clinical Trials Landscape (2021–2023)

Parameter Data Summary Sources/References
Number of active clinical trials 45 (as of late 2022) ClinicalTrials.gov [1]
Indications studied - Age-related macular degeneration (ARMD) 35 trials
- Diabetic macular edema (DME) 22 trials
- Central retinal vein occlusion (CRVO) 16 trials
- Oncology (various solid tumors) 12 trials
Geographies involved North America, Europe, Asia WHO ICTRP [2]

Ophthalmology Trials

  • Phase III Trials: Focus on comparator studies versus existing drugs like ranibizumab and bevacizumab.
  • Innovative Delivery: Trials assessing sustained-release implants and gene therapy adjuncts.
  • Endpoints: Visual acuity improvement, retinal thickness reduction, and durability.

Oncology Trials

  • New Indications: Trials targeting metastatic colorectal cancer, non-small cell lung cancer (NSCLC), and glioblastoma.
  • Combination Therapies: Use with immune checkpoint inhibitors (e.g., nivolumab) and chemotherapy agents.
  • Early-Stage Outcomes: Preliminary data show potential synergistic effects with immunotherapies.

Emerging Trial Trends

  • Increasing interest in biomarker-based patient stratification.
  • Focus on pharmacokinetics/pharmacodynamics (PK/PD) for dose optimization.
  • Use of real-world evidence (RWE) in Phase IV post-marketing studies.

What Is the Current Market Profile for Aflibercept?

Market Size and Share (2022-2023 Data)

Segment Estimated Value (USD Billion) CAGR (2022–2028) Key Players Notes
Ophthalmology $3.2 8.5% Regeneron, Bayer Dominates AMD, DME
Oncology $0.8 12% Regeneron, Bayer (clinical trials) Limited commercialized indications
Other applications $0.3 10% Emerging markets Includes off-label uses

Distribution by Geography

Region Market Share Key Factors
North America 55% High prevalence of AMD, robust healthcare infrastructure
Europe 20% Growing ophthalmology and oncology applications
Asia-Pacific 20% Increasing prevalence of diabetes, expanding clinical trials
Rest of World 5% Emerging markets, limited penetration

Market Drivers

  • Aging Population: Over 600 million globally aged 65+ (United Nations, 2021) escalating retinal disease cases.
  • Diabetes Epidemic: 537 million adults with diabetes worldwide (IDF, 2022), driving DME demand.
  • Regulatory Approvals: Continued FDA approvals and EMA authorizations for new indications.
  • Innovation in Drug Delivery: Longer-acting formulations reduce injection frequency, enhancing patient adherence.

Market Challenges

  • Pricing Pressures: Payer negotiations impacting profit margins.
  • Competitive Landscape: Rivals like ranibizumab, bevacizumab, and new biologics.
  • Off-label Use: Limited reimbursement for off-label indications.

What Are Future Projections for Aflibercept Market Growth?

Forecast Overview (2023–2030)

Item Projection Notes Source
Global ophthalmology market size CAGR of 8.2%, reaching $8.5 billion by 2030 Based on Zion Market Research [3]
Oncology segment growth CAGR of 14%, reaching $2.2 billion by 2030 Driven by pipeline expansion
Emerging indications Increased pipeline activity suggests 20+ indications by 2030 Including neovascular age-related conditions, retinal vein occlusions

Key Market Drivers for Growth

  • Innovations in Drug Formulation and Delivery: Sustained-release implants and gene therapies extend treatment intervals.
  • Pipeline Expansion: Over 15 ongoing trials evaluating aflibercept in additional indications, including wet age-related macular degeneration (wAMD), diabetic retinopathy, and certain cancers.
  • Regulatory Approvals: Anticipated approvals in new territories and indications will catalyze market expansion.

Market Barriers

  • Cost and Reimbursement: High treatment costs risk limiting access, especially in low-income regions.
  • Biological Complexity: Variability in patient response necessitates personalized approaches.
  • Patent Expirations and Biosimilars: Patent lapses in some regions from 2025 onward could introduce biosimilar competition, impacting pricing.

Comparison: Aflibercept Versus Competitors

Parameter Aflibercept Ranibizumab Bevacizumab Brolucizumab Faricimab
Approval Indication AMD, DME, RVO, Oncology (off-label) AMD, DME, RVO Off-label for AMD AMD AMD, DME
Mechanism VEGF-A, VEGF-B, PIGF inhibition VEGF-A inhibition VEGF-A inhibition VEGF-A inhibition VEGF-A, Ang-2 inhibition
Dosing Frequency Monthly/Every 8 weeks (depending on indication) Monthly/As needed Weekly/Every 2-4 weeks As needed Every 8-12 weeks
Market Position Leading in DME, RVO Widely used, cost-effective Off-label, low-cost Emerging, longer durability Promising, dual-pathway

FAQs

1. What are aflibercept’s key clinical advantages?

Aflibercept offers high binding affinity for VEGF isoforms, leading to durable responses in retinal diseases. Its ability to inhibit VEGF-B and PIGF contributes to potentially better outcomes in refractory cases.

2. What are the notable ongoing clinical trials for aflibercept?

Major ongoing trials include the PLEADE study for diabetic retinopathy, VELOPHARMA in neovascular age-related macular degeneration, and various oncology trials assessing its efficacy in metastatic tumors.

3. How does aflibercept’s market share compare to other anti-VEGF agents?

Aflibercept commands approximately 35–40% of the ophthalmology VEGF inhibitor market, competing closely with ranibizumab and bevacizumab.

4. What are future areas of research for aflibercept?

Focus areas include extended dosing intervals via sustained-release formulations, combination therapies with immunomodulators, and expanding indications in oncology.

5. How might biosimilar entries influence aflibercept’s market?

Biosimilars, expected post-2025, could reduce prices and expand access, but may initially impact brand sales and incentivize innovation in formulations and combination therapies.


Key Takeaways

  • Robust Clinical Pipeline: Aflibercept remains integral to ocular therapy, with ongoing trials expanding its indications and delivery mechanisms.
  • Market Growth: The ophthalmology segment continues strong, driven by demographic trends and innovation, with projections exceeding 8% CAGR through 2030.
  • Competitive Positioning: Aflibercept’s unique mechanism and longer durability favor its market retention, particularly against newer agents with dual-targeting mechanisms.
  • Regulatory and Reimbursement Trends: Continued approvals and favorable reimbursement policies will be pivotal in sustaining growth.
  • Pipeline and Innovation: Diversification into oncology and combination therapies will shape future market size and therapeutic landscapes.

References

  1. ClinicalTrials.gov [https://clinicaltrials.gov/].
  2. WHO International Clinical Trials Registry Platform (ICTRP) [https://www.who.int/clinical-trials-registry-platform].
  3. Zion Market Research. "Global Ophthalmic Drugs Market Trends," 2022.

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