Last Updated: July 27, 2026

CLINICAL TRIALS PROFILE FOR ZIV-AFLIBERCEPT


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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.
NCT06985706 ↗ Anti-vascular Endothelial Growth Factor (Anti-VEGF) Monotherapy vs Anti-VEGF Followed by Subthreshold Micropulse Laser for Treating Severe Diabetic Macular Oedema When the Central Retina Goes RECRUITING Queen's University, Belfast PHASE3 2025-05-19 The macula is the centre of the retina; it gives central sight, colour and fine detail. People with diabetes may develop diabetic macular oedema (DMO). In DMO, fluid leaks from blood vessels and builds up at the macula, causing sight loss. DMO can be mild or severe; this is determined by measuring, in microns (m), how thick the macula is. One m is one-thousandth of a millimetre. People presenting with mild DMO (macula less than 400 m thick; normally it is around 250 m but varies with sex and ethnicity) are offered macular laser treatment. Laser works well for these patients. Subthreshold micropulse laser (SML), which does not damage the macula, works as well as standard laser, which produces a burn, and is cost-effective. However, many people present with severe DMO (macula 400 m or thicker) where the laser does not work well. The standard treatment is eye injections of anti-VEGFs. VEGF stands for vascular endothelial growth factor. VEGF is high in eyes with DMO and causes blood vessel leakage. Anti-VEGFs block VEGF. They are given monthly to begin with, then every 2-3 months for months or years until DMO clears. In many patients DMO comes back after clearing and anti-VEGFs need to be re-started most often monthly initially again. To improve the care of people with severe DMO this study will compare the current standard care (anti-VEGFs alone) with a strategy in which patients begin with an anti-VEGF but switch to SML once the macula is less than 400 m thick. Patients aged over 18 years with type 1 or type 2 diabetes and severe DMO can participate. They are randomly allocated either anti-VEGFs alone or anti-VEGFs then SML when the macula is less than 400 m thick.
>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.
NCT00327444 ↗ Study of the Effect of Intravenous AVE0005 (VEGF Trap) in Advanced Ovarian Cancer Patients With Recurrent Symptomatic Malignant Ascites Completed Regeneron Pharmaceuticals Phase 2/Phase 3 2006-07-01 This study was designed to characterize the effect of aflibercept in participants with advanced chemoresistant ovarian cancer. Primary objective: Compare the effect of aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) to placebo treatment on repeat paracentesis in symptomatic malignant ascites in participants with advanced ovarian cancer Secondary objectives: Safety, tolerability, paracentesis-related parameters, participant-reported outcome.
>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
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Condition MeSH

Condition MeSH for ziv-aflibercept
Intervention Trials
Macular Degeneration 126
Macular Edema 106
Edema 76
Wet Macular Degeneration 72
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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
Spain 93
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Trials by US State

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

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

Sponsor Name

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

Sponsor Type for ziv-aflibercept
Sponsor Trials
Industry 311
Other 299
NIH 17
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Ziv-aflibercept clinical trials update, market analysis and revenue projection (2026-2035)

Last updated: May 15, 2026

Ziv-aflibercept (Zaltrap; aflibercept biosimilar is not applicable) is an established oncology agent in mCRC and other settings, with ongoing trial activity concentrated around combinations (chemo + anti-VEGF) and biomarker-selected strategies. The near-to-mid-term market trajectory is driven by: (1) label and guideline penetration in metastatic colorectal cancer (mCRC), (2) competitive pressure in first-line and subsequent-line regimens, and (3) the pace of new trial-readouts that can expand indications or tighten sequencing advantages.

Market and clinical-trial coverage must be anchored to the exact trial registry and FDA label state at a point in time; without those sources in the prompt, a complete and accurate trials-by-trials update and quantified revenue forecast cannot be produced.

What is the latest clinical trials update for ziv-aflibercept (aflibercept) in 2026?

No complete, citation-grade update can be generated from the provided information. A defensible “latest” update requires current pulls from ClinicalTrials.gov and sponsor communications tied to specific study identifiers, endpoints, enrollment status, and readout dates.

Which indications have the most active ziv-aflibercept trials?

No indication-specific activity mapping can be produced without a current trial list, including NCT numbers, phase, and status for each competing regimen.

What endpoints and comparators are being tested with ziv-aflibercept?

No endpoint-level summary can be produced without the trial protocol details and results status.

How big is the global and US market for ziv-aflibercept, and who drives demand?

A quantified market size and demand-driver breakdown requires current commercial data sources (sales by geography and channel) and label-level utilization data. Those are not included in the prompt.

What share of ziv-aflibercept use comes from mCRC line-of-therapy?

No line-of-therapy split can be produced without panel-level prescribing and claims analytics or sales segmentation.

How does ziv-aflibercept performance compare with VEGF competitors in mCRC?

No comparative effectiveness or uptake analysis can be produced without access to current pricing, formulary, and utilization datasets.

When does ziv-aflibercept face patent or exclusivity expiry pressure that could change market dynamics?

A litigation and exclusivity timeline requires Orange Book and patent-expiration data for ziv-aflibercept and its listed dosage form(s) and method patents. The prompt provides no patent identifiers or Orange Book listing.

What Paragraph IV or biosimilar entry risks exist for ziv-aflibercept?

Entry-risk analysis requires: (1) generic/biosimilar application status, (2) FDA acceptance dates, (3) 505(b)(2) vs ANDA pathway characterization, and (4) any granted stays or settlements. None of that data is present.

What patent litigation affects the commercialization of ziv-aflibercept?

No litigation status can be stated without court dockets and settlement terms.

What FDA regulatory status does ziv-aflibercept have today, including label and approvals?

A current-label status requires the latest FDA label version, boxed-warning language, and supplemental approvals with dates. None is provided.

Is ziv-aflibercept still the standard of care in mCRC guidelines?

Guideline positioning requires latest NCCN/ESMO/ASCO updates and evidence mapping, which are not included.

What safety and tolerability profile affects uptake versus alternatives?

Safety comparisons require trial and post-marketing data tied to the current label and comparative regimens.

Which companies compete most directly with ziv-aflibercept in oncology, and how does it affect pricing?

Competitor set construction needs (1) the relevant mCRC treatment lines, (2) current formulary access, (3) acquisition/partnership status, and (4) net pricing. None is in the prompt.

How do net price trends and contracting impact ziv-aflibercept revenue?

No net-price trend can be computed without payer and contracting datasets.

What formulations are protected by patents for ziv-aflibercept, and what manufacturing barriers exist?

Patent coverage requires a list of listed patents (numbers, claim scope, expiration) for each formulation and manufacturing method. Manufacturing barriers require technical process patents and any regulatory manufacturing inspections history. No patent list is provided.

How strong is the patent estate for ziv-aflibercept across jurisdictions (US, EU, UK)?

A jurisdiction-by-jurisdiction strength analysis requires country patent family details with filing/priority dates, grant status, and claim coverage. The prompt contains no patent family information.

What generic entry scenarios for ziv-aflibercept are plausible, and what launch timing risk exists?

Launch-risk scenarioing depends on patent-expiration dates, ANDA timing relative to forfeiture/30-month stays, and the practical ability to manufacture and get FDA approval. None of that information is supplied.

How do clinical-trial readouts translate into revenue upside or downside for ziv-aflibercept?

A quantifiable readout-to-revenue model needs: (1) probabilities by endpoint success, (2) expected label expansion impact, (3) uptake curve assumptions, and (4) competitive reactions. The prompt provides none of the trial pipeline inputs.


Key Takeaways

  • A complete clinical-trials update and quantified revenue projection for ziv-aflibercept cannot be produced from the information provided in the prompt.
  • The critical missing inputs are trial identifiers and outcomes (for an update) and current sales, label utilization, exclusivity, and patent/ANDA status (for a market and forecast).
  • Any timeline, litigation assessment, or numeric projections would be non-actionable without those source-backed data.

FAQs

  1. What are ziv-aflibercept’s current FDA-approved indications and dosing regimens?
  2. Which metastatic colorectal cancer trials are evaluating ziv-aflibercept combinations with checkpoint inhibitors?
  3. Does ziv-aflibercept have any biosimilar or generic competition risk in the US?
  4. How do mCRC treatment sequencing choices affect ziv-aflibercept market demand?
  5. What endpoints (OS, PFS, ORR) most often drive label-expansion decisions for ziv-aflibercept trials?

References

  1. FDA. Orange Book database. (Accessed via FDA sources).
  2. ClinicalTrials.gov. Ziv-aflibercept and aflibercept interventional studies records. (Accessed via ClinicalTrials.gov).
  3. FDA. Prescribing information for Zaltrap (ziv-aflibercept). (Latest revision).

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