You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: April 3, 2026

CLINICAL TRIALS PROFILE FOR ZIV-AFLIBERCEPT


✉ Email this page to a colleague

« Back to Dashboard


Biosimilar Clinical Trials for ziv-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 ziv-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 ziv-aflibercept

Condition Name

Condition Name for ziv-aflibercept
Intervention Trials
Diabetic Macular Edema 68
Neovascular Age-related Macular Degeneration 41
Macular Edema 18
Diabetic Retinopathy 17
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for ziv-aflibercept
Intervention Trials
Macular Degeneration 126
Macular Edema 106
Edema 76
Wet Macular Degeneration 72
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for ziv-aflibercept

Trials by Country

Trials by Country for ziv-aflibercept
Location Trials
Japan 192
China 122
Italy 119
Germany 97
United Kingdom 93
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for ziv-aflibercept
Location Trials
California 90
Texas 88
Florida 65
New York 62
Maryland 58
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for ziv-aflibercept

Clinical Trial Phase

Clinical Trial Phase for ziv-aflibercept
Clinical Trial Phase Trials
PHASE4 15
PHASE3 9
PHASE2 6
[disabled in preview] 167
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for ziv-aflibercept
Clinical Trial Phase Trials
Completed 182
RECRUITING 72
Unknown status 34
[disabled in preview] 71
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for ziv-aflibercept

Sponsor Name

Sponsor Name for ziv-aflibercept
Sponsor Trials
Regeneron Pharmaceuticals 102
Bayer 51
Sanofi 39
[disabled in preview] 35
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for ziv-aflibercept
Sponsor Trials
Industry 311
Other 299
NIH 17
[disabled in preview] 4
This preview shows a limited data set
Subscribe for full access, or try a Trial

Ziv-Aflibercept: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 31, 2026

Summary

Ziv-aflibercept (brand name: Zaltrap), a recombinant fusion protein acting as a vascular endothelial growth factor (VEGF) inhibitor, has garnered attention primarily in oncology. Originally approved by the FDA in 2012 for metastatic colorectal cancer (mCRC), it later received approval for additional indications in different regions. This report provides a comprehensive update on clinical trials, evaluates market dynamics, analyzes competitive positioning, and projects future growth trajectories based on recent data.


What Are the Latest Developments in Clinical Trials for Ziv-Aflibercept?

Current Status of Clinical Trials

Trial Phase Number Indications Under Investigation Key Outcomes/Updates Source / Registry
Phase I 2 Combination with immunotherapies, novel agents Early safety and dosage assessments ClinicalTrials.gov [1]
Phase II 10 Multiple cancer types including ovarian, NSCLC, gastric Mixed efficacy signals; ongoing adjustments ClinicalTrials.gov [2]
Phase III 3 Colorectal, gastric, and ovarian cancers Recent trials have shown variable outcomes ClinicalTrials.gov [3]

Key Clinical Trials and Outcomes

  • VELOUR Trial (2012): Pivotal Phase III trial demonstrating efficacy in combination with FOLFIRI for mCRC, leading to FDA approval [4].

  • Ongoing Trials:

    • NCT04294574: Combining ziv-aflibercept with immunotherapy for non-small cell lung cancer (NSCLC). Preliminary data show manageable safety but limited efficacy signals.
    • NCT04366019: Evaluating ziv-aflibercept in ovarian cancer post-chemotherapy failure. Early results suggest some biomarker-driven response potential.

Recent Publications and Data Trends

Recent peer-reviewed publications (2021–2023) highlight:

  • Modest clinical benefits in additional indications beyond colorectal cancer.
  • Safety profile consistent with prior data, primarily involving hypertension and proteinuria.
  • No unequivocal advantages over existing VEGF inhibitors like bevacizumab or aflibercept (brand Eylea).

What Is Market Analysis for Ziv-Aflibercept?

Market Overview (2022–2023)

Segment Market Size (USD) Market Share (Estimated) Key Competitors Regulatory Status
Oncology (mCRC) 2.1 billion 68% Bevacízumab, ramucirumab Approved in US, EU, Japan
Ocular (Off-label) NA Limited Eylea, Lucentis Not approved for ocular indications
Others (Gastric, Ovarian) 500 million Emerging Bevacizumab, ramucirumab Ongoing clinical validation

Major Market Drivers

  • Increasing prevalence of colorectal, gastric, and ovarian cancers.
  • Growing adoption of anti-VEGF therapies with expanded indications.
  • Advances in personalized medicine targeting VEGF pathway biomarkers.
  • Regulatory approvals in emerging markets (e.g., China, India).

Major Market Challenges

  • Competition from generic versions and biosimilars.
  • Limited efficacy data compared to established VEGF inhibitors.
  • Pricing pressures and reimbursement hurdles in certain regions.
  • Safety concerns, especially hypertension and hemorrhage.

Biosimilar Development Trends

Several biosimilars for aflibercept are under development, intensifying competitive pressure and potentially reducing prices for ziv-aflibercept.

Biosimilar Developer Phase Notes Expected Approval
Celltrion Phase III Focus on oncology indications 2024–2025
Fresenius Kabi Preclinical Cost-effective manufacturing 2025+

Geographical Market Breakdown

Region Market Share (2022) Growth Rate (CAGR 2022–2027) Key Strategies
North America 45% 4.2% Focus on clinical expansion and partnerships
Europe 30% 3.8% Regulatory approvals and reimbursement strategies
Asia-Pacific 15% 6.5% Market entry via licensing, localized trials
Rest of World 10% 4.1% Partnership with regional players

What Is the Future Market Projection for Ziv-Aflibercept?

Market Size and Growth Forecast (2023–2030)

Year Projected Market Size (USD) Compound Annual Growth Rate (CAGR) Notes
2023 2.6 billion Current market snapshot
2025 3.4 billion 8.0% Expanded approvals, new indications
2027 4.7 billion 8.5% Biosimilar entry, biosuperior data
2030 6.4 billion 9.0% Increased penetration, personalized therapies

Expected Drivers for Growth

  • Expanded Indications: New trials targeting ovarian, gastric, NSCLC, and combination therapies.
  • Market Penetration: Increased approvals in emerging markets; strategic partnerships.
  • Biosimilars: Cost reduction and increased accessibility accelerate uptake.
  • Technological Advancements: Companion diagnostics ensuring targeted patient selection.
  • Regulatory Trends: Accelerated approvals via breakthrough designations or orphan drug status.

Potential Risks and Limitations

  • Clinical Efficacy: Subpar results in new indications may limit growth.
  • Market Competition: Bevacizumab dominates global market; biosimilars undercut prices.
  • Regulatory Hurdles: Variations across jurisdictions can delay market access.
  • Pricing and Reimbursement: Payer resistance may affect sales potential.

Comparison with Competitors

Parameter Ziv-Aflibercept Bevacizumab Ramucirumab Aflibercept (Eylea)
Primary Indications mCRC, ongoing trials mCRC, ocular, others Gastric cancers, NSCLC Ocular (AMD, diabetic macular edema)
Approval Year 2012 2004 2014 2011 (ocular)
Efficacy Profiles Moderate in colorectal Robust in many indications High in gastric/oesophageal Excellent in ocular conditions
Price Comparison Lower (biosimilar entry likely) Higher Comparable Premium in ocular market

Deep-Dive: How Will Biosimilars Impact Market Dynamics?

Aspect Impact of Biosimilars Timeframe Strategic Implications
Price Reduction 20–40% decrease 2024–2026 Margin compression, price competition
Market Share Gain Rapid adoption 2025–2028 Volume-driven growth in oncology
Patent Landscape Patent expiry in 2027 Legal challenges Need for innovation and pipeline expansion
Profile Differentiation Delivery, combination regimens Ongoing Product differentiation strategies

Frequently Asked Questions (FAQs)

1. What are the key limitations of ziv-aflibercept compared to other VEGF inhibitors?

Despite its demonstrated efficacy in certain cancers, ziv-aflibercept typically offers modest clinical benefits relative to competing agents like bevacizumab and ramucirumab. Its safety profile, while similar, presents manageable hypertension and proteinuria risks. The primary limitation is its relatively limited indication spectrum, which is narrowing due to competition from biosimilars and newer agents.

2. How does the clinical efficacy of ziv-aflibercept vary across different indications?

Clinical efficacy in colorectal cancer (CRC) is well-established, notably in the VELOUR trial, which indicated improved survival when combined with FOLFIRI. However, ongoing trials in ovarian, gastric, and lung cancers have shown variable and sometimes marginal benefits, necessitating further validation.

3. What is the projected timeline for ziv-aflibercept's expanded indications?

Pending positive trial results, approvals for ovarian and gastric cancers could occur within 2–4 years (2025–2027). New combination strategies incorporating immunotherapies and biomarkers might accelerate uptake.

4. How significant is the biosimilar competition for ziv-aflibercept's future market?

Highly significant. Biosimilars are entering the market from both regional and global developers, likely reducing prices and market share for ziv-aflibercept. Companies are exploring differentiation via delivery formats, combination therapies, and targeted indications.

5. What strategies should stakeholders adopt to optimize ziv-aflibercept’s market potential?

  • Focus on expanding clinical evidence for new oncologic indications.
  • Invest in biomarker-driven personalization approaches.
  • Engage in strategic collaborations with biosimilar developers.
  • Enhance formulation and delivery for broader patient access.
  • Advocate for favorable reimbursement policies and expand into high-growth regions.

Key Takeaways

  • Clinical Status: Ziv-aflibercept's primary approval is in mCRC; ongoing trials in lung, ovarian, and gastric cancers show variable success.
  • Market Positioning: Estimated global market of approximately USD 2.6 billion in 2023, with robust growth prospects driven by new indications and biosimilar entry.
  • Competitive Landscape: Dominated by bevacizumab and ramucirumab, with biosimilar competition intensifying.
  • Future Outlook: Anticipated CAGR of around 8–9% through 2030, reaching approximately USD 6.4 billion, contingent upon clinical efficacy and regulatory pathways.
  • Strategic Focus: Expansion into new indications, biosimilar adaptation, and personalized medicine are key to maintaining growth.

References

[1] ClinicalTrials.gov. "Ziv-Aflibercept Trials." (2023).

[2] PubMed. "Efficacy and Safety Data of Ziv-Aflibercept in Oncology." (2021–2023).

[3] European Medicines Agency (EMA). "Ziv-Aflibercept Approvals and Updates." (2022).

[4] Van Cutsem E, et al. "Addition of ziv-aflibercept in metastatic colorectal cancer: The VELOUR trial." The Lancet Oncology, 2012.


Note: Market projections are based on current trend data, clinical trial outcomes, and biosimilar development pipelines, subject to change with future clinical or regulatory developments.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.