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Assessment of Proactive Treatments in Patients With Wet Age-related Macular Degeneration (wAMD) Which Have Never Undergone Treatment of This Particular Disease

Evaluation of an eXtended and proacTive Dosing regimEn in Treatment-Naïve Patients With Wet Age-related Macular Degeneration (wAMD)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03939767
Acronym
XTEND
Enrollment
1563
Registered
2019-05-07
Start date
2019-05-12
Completion date
2023-10-17
Last updated
2024-09-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Wet Age-related Macular Degeneration

Brief summary

In this observational study researchers want to learn more about changes in visual acuity (clarity of vision) with proactive flexible treatments over time in patients suffering from wet age-related macular degeneration (wAMD) after decision to treat with Aflibercept (Eylea) was made. Wet AMD is an eye disease that progressively destroys the macula, the central portion of the retina, impairing central vision.

Interventions

As prescribed by the treating physician according to the local label. No IVT aflibercept will be provided due to a nature of observational study.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* A diagnosis of wAMD. * Patients for whom the decision to initiate treatment with IVT aflibercept in a proactive regimen was made as routine clinical practice. * Treatment-naïve in the study eye (no prior therapy for wAMD). * Patient age ≥50 years of age. * Written informed patient consent before the start of data collection (according to the requirements of the local authorities and laws).

Exclusion criteria

* Participation in an investigational program with interventions outside of routine clinical practice. * Patients with contraindications to IVT aflibercept listed in the local marketing authorization. * Planned treatment regimen outside of the local marketing authorization. * Patients with eye diseases, e.g. advanced glaucoma or visually significant cataracts, likely to require surgery during the observation period in the study eye. * Concomitant ocular or systemic administration of drugs up to 3 months before IVT aflibercept treatment that could interfere with or potentiate the mechanism of action of IVT aflibercept, including other anti-VEGF agents in the fellow eye. * Any other retinal disease which may interfere with the treatment of wAMD.

Design outcomes

Primary

MeasureTime frameDescription
The change in BCVA (best corrected visual acuity)Baseline to 12 monthsIn treatment-naïve wAMD patients treated with IVT aflibercept in a flexible proactive treatment pattern (fixed dosing or T&E (Treat and Extend Regimen)) by label regimen.

Secondary

MeasureTime frameDescription
The change in BCVA by intended treatment regimenBaseline to 12, 24 and 36 months
The proportion of patients (eyes) gaining or losing a visual acuity compared to baselineBaseline at 12, 24 and 36 monthsWith letter score of ≥ 0 letters, ≥5 letters, ≥ 10 letters, ≥ 15 letters.
The proportion of patients (eyes) achieving a Snellen equivalent of 20/40 or better (approximately 73 ETDRS letters)At 12, 24 and 36 months
The change in BCVABaseline to 24 and 36 months
The number of injectionsBaseline to 12, 24 and 36 months
The distribution of the intervals between injectionsUp to 36 months
The changes in central retinal thickness (CRT)Baseline to 12, 24 and 36 months

Countries

Argentina, Australia, Belgium, Canada, China, Colombia, Denmark, France, Ireland, Italy, Norway, South Korea, Spain, Sweden, Switzerland, Thailand, United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026