Last reviewed · How we verify

NCT01331681: VIVID-DME

Intravitreal Aflibercept Injection in Vision Impairment Due to DME

Completed Phase 3 Results posted Last updated 27 November 2023
What this trial tests

Phase 3 trial testing VEGF Trap-Eye (BAY86-5321) in Diabetes Mellitus in 406 participants. Completed in 30 March 2015.

Timeline
9 May 2011
Primary endpoint
3 June 2013
30 March 2015

Quick facts

Lead sponsorBayer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment406
Start date9 May 2011
Primary completion3 June 2013
Estimated completion30 March 2015
Sites73 locations across Denmark, France, Italy, Japan, Austria, Germany, Hungary, Poland

Drugs / interventions tested

Conditions studied

Sponsor

Bayer — full company profile →

Who can join

18 and older, any sex, with Diabetes Mellitus or Macular Edema. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in BCVA (Best Corrected Visual Acuity) as Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score at Week 52 - Last Observation Carried Forward (LOCF) Primary · Baseline up to Week 52

Visual function of the study eye was assessed using the ETDRS protocol. A higher score represents better functioning.

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q410.5± 9.55
Intravitreal Aflibercept Injection 2Q810.7± 9.32
Control1.2± 10.65
Percentage of Participants Who Gained at Least 10 Letters in BCVA as Measured by ETDRS Letter Score Compared With Baseline at Week 52 - LOCF Secondary · Baseline up to Week 52

Visual function of the study eye was assessed using the ETDRS protocol. A higher score represents better functioning.

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q454.4
Intravitreal Aflibercept Injection 2Q853.3
Control25.8
Percentage of Participants Who Gained at Least 15 Letters in BCVA as Measured by ETDRS Letter Score Compared With Baseline at Week 52 - LOCF Secondary · Baseline up to Week 52

Visual function of the study eye was assessed using the ETDRS protocol. A higher score represents better functioning.

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q432.4
Intravitreal Aflibercept Injection 2Q833.3
Control9.1
Percentage of Participants With a ≥2-step Improvement From Baseline in the ETDRS DRSS (Diabetic Retinopathy Severity Score) as Assessed by FP (Fundus Photography) at Week 52 - LOCF Secondary · Baseline up to Week 52

Baseline ETDRS DRSS: None (level 10); Mild to moderate nonproliferative DR (levels 14, 15, 20, 35, and 43); Moderately severe/severe nonproliferative DR (levels 47 and 53); Mild/moderate/high-risk/advanced proliferative DR (levels 61, 65, 71,75, 81, and 85)

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q433.3
Intravitreal Aflibercept Injection 2Q827.7
Control7.5
Change From Baseline in Central Retinal Thickness (CRT) at Week 52 as Assessed on Optical Coherence Tomography (OCT) - LOCF Secondary · Baseline up to Week 52
GroupValue95% CI
Intravitreal Aflibercept Injection 2Q4-195.0± 146.59
Intravitreal Aflibercept Injection 2Q8-192.4± 149.89
Control-66.2± 138.99
Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Near Activities Subscale at Week 52 - LOCF Secondary · Baseline up to Week 52

The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales that are all scored from 0-100. Near activities are defined as reading ordinary print in newspapers, performing work or hobbies requiring near vision, or finding something on a crowded shelf.

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q45.73± 18.932
Intravitreal Aflibercept Injection 2Q85.29± 19.058
Control3.54± 16.768
Change From Baseline in National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) Distance Activities Subscale at Week 52 - LOCF Secondary · Baseline up to Week 52

The NEI VFQ-25 total score ranges from 0-100 with a score of 0 being the worst outcome and 100 being the best outcome. The NEI VFQ questionnaire is organized as a collection of subscales that are all scored from 0-100. Distance activities are defined as reading street signs or names on stores, and going down stairs, steps, or curbs.

GroupValue95% CI
Intravitreal Aflibercept Injection 2Q40.94± 16.487
Intravitreal Aflibercept Injection 2Q85.32± 18.475
Control2.26± 15.923

Adverse events — posted to ClinicalTrials.gov

Time frame: For each subject from his first study drug injection until 30 days after the last study drug injection at the latest up to termination visit at Week 148. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Intravitreal Aflibercept Injection 2Q4
Serious: 63
Deaths:
Intravitreal Aflibercept Injection 2Q8
Serious: 60
Deaths:
Macular Laser Photocoagulation (Control)
Serious: 51
Deaths:

Serious adverse events (190 terms)

ReactionSystemIntravitreal Aflibercept I…Intravitreal Aflibercept I…Macular Laser Photocoagula…
CataractEye disorders
Myocardial infarctionCardiac disorders
Vitreous haemorrhageEye disorders
Cerebrovascular accidentNervous system disorders
Acute myocardial infarctionCardiac disorders
Retinal neovascularisationEye disorders
PneumoniaInfections and infestations
Humerus fractureInjury, poisoning and procedural complications
Cataract operationSurgical and medical procedures
Peripheral arterial occlusive diseaseVascular disorders
Cardiac failureCardiac disorders
Coronary artery diseaseCardiac disorders
Coronary artery stenosisCardiac disorders
Cataract subcapsularEye disorders
Diabetic retinopathyEye disorders
Retinal detachmentEye disorders
IleusGastrointestinal disorders
CellulitisInfections and infestations
Diabetes mellitusMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
Lumbar spinal stenosisMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders
Renal neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Ischaemic strokeNervous system disorders
Renal failureRenal and urinary disorders
Other adverse events (41 terms — click to expand)

ReactionSystemIntravitreal Aflibercept I…Intravitreal Aflibercept I…Macular Laser Photocoagula…
Conjunctival haemorrhageEye disorders
NasopharyngitisInfections and infestations
Diabetic retinal oedemaEye disorders
Visual acuity reducedEye disorders
Visual acuity tests abnormalInvestigations
CataractEye disorders
Intraocular pressure increasedInvestigations
Retinal haemorrhageEye disorders
HypertensionVascular disorders
Macular oedemaEye disorders
Retinal exudatesEye disorders
Cystoid macular oedemaEye disorders
Eye painEye disorders
Retinal aneurysmEye disorders
ConjunctivitisInfections and infestations
Vitreous floatersEye disorders
InfluenzaInfections and infestations
Macular fibrosisEye disorders
Posterior capsule opacificationEye disorders
BronchitisInfections and infestations
Glycosylated haemoglobin increasedInvestigations
Cataract subcapsularEye disorders
Punctate keratitisEye disorders
Vitreous haemorrhageEye disorders
Urinary tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Ocular hypertensionEye disorders
Vitreous detachmentEye disorders
Blood glucose increasedInvestigations
Blood urea increasedInvestigations
Diabetes mellitusMetabolism and nutrition disorders
Conjunctival hyperaemiaEye disorders
Corneal erosionEye disorders
Retinal vascular disorderEye disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
Dry eyeEye disorders
Cataract corticalEye disorders
Ocular hyperaemiaEye disorders
Blood creatinine increasedInvestigations

Most-reported serious reactions: Cataract, Myocardial infarction, Vitreous haemorrhage, Cerebrovascular accident, Acute myocardial infarction, Retinal neovascularisation, Pneumonia, Humerus fracture.

Data from ClinicalTrials.gov NCT01331681 adverse events section.

Sponsor's own description

To determine the efficacy of intravitreally (IVT) administered VEGF Trap-Eye on the best-corrected visual acuity (BCVA) assessed by the early treatment diabetic retinopathy study (ETDRS) chart in subjects with diabetic macular edema (DME) with central involvement

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Diabetic Retinopathy: Pathophysiology and Treatments.
    Wang W, Lo ACY. · · 2018 · cited 810× · PMID 29925789 · DOI 10.3390/ijms19061816
  2. Anti-vascular endothelial growth factor therapy for diabetic macular edema.
    Boyer DS, Hopkins JJ, Sorof J, Ehrlich JS. · · 2013 · cited 151× · PMID 24324855 · DOI 10.1177/2042018813512360
  3. Anti-vascular endothelial growth factor for diabetic macular oedema: a network meta-analysis.
    Virgili G, Parravano M, Evans JR, Gordon I, et al · · 2018 · cited 103× · PMID 30325017 · DOI 10.1002/14651858.cd007419.pub6
  4. Anti-vascular endothelial growth factor for diabetic macular oedema: a network meta-analysis.
    Virgili G, Parravano M, Evans JR, Gordon I, et al · · 2017 · cited 82× · PMID 28639415 · DOI 10.1002/14651858.cd007419.pub5
  5. Current treatments in diabetic macular oedema: systematic review and meta-analysis.
    Ford JA, Lois N, Royle P, Clar C, et al · · 2013 · cited 70× · PMID 23457327 · DOI 10.1136/bmjopen-2012-002269
  6. AAV for Gene Therapy in Ocular Diseases: Progress and Prospects.
    He X, Fu Y, Ma L, Yao Y, et al · · 2023 · cited 37× · PMID 38188726 · DOI 10.34133/research.0291
  7. Ocular Drug Delivery: Advancements and Innovations.
    Tian B, Bilsbury E, Doherty S, Teebagy S, et al · · 2022 · cited 28× · PMID 36145679 · DOI 10.3390/pharmaceutics14091931
  8. Initiation of intravitreal aflibercept injection treatment in patients with diabetic macular edema: a review of VIVID-DME and VISTA-DME data.
    Ziemssen F, Schlottman PG, Lim JI, Agostini H, et al · · 2016 · cited 28× · PMID 27847634 · DOI 10.1186/s40942-016-0041-z

Verify or expand the search:

Other recruiting trials for Diabetes Mellitus

Currently open trials in the same condition.

Other Bayer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01331681.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing