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NCT03610646: DME

Comparative Study to Evaluate the Efficacy and Safety of MYL-1701P and Eylea® in Subjects With Diabetic Macular Edema (DME)

Completed Phase 3 Results posted Last updated 7 March 2023
What this trial tests

Phase 3 trial testing MYL-1701P in Diabetic Macular Edema in 355 participants. Completed in 10 September 2021.

Timeline
23 August 2018
Primary endpoint
10 November 2020
10 September 2021

Quick facts

Lead sponsorMylan Pharmaceuticals Inc
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment355
Start date23 August 2018
Primary completion10 November 2020
Estimated completion10 September 2021
Sites73 locations across Japan, Russia, Germany, Hungary, Poland, Czechia, Latvia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Mylan Pharmaceuticals Inc — full company profile →

Who can join

18 and older, any sex, with Diabetic 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.

Mean Change From Baseline in Best Corrected Visual Acuity (BCVA) at Week 8 Primary · Baseline and 8 weeks

Mean change from baseline in BCVA as assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) letters at week 8. Best Corrected Visual Acuity (BCVA) is measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the ETDRS chart, the worse the vision (or visual acuity). A positive change from baseline indicates an improvement and a negative change from baseline indicates a worsening.

GroupValue95% CI
MYL-1701P6.60± 0.548
Eylea6.56± 0.548
The Mean Change From Baseline in Central Retinal Thickness (CRT) Secondary · From baseline to week 52

The mean change from baseline in Central Retinal Thickness as determined by Spectral domain- Optical coherence tomography (SD-OCT) over time

GroupValue95% CI
MYL-1701P-170.14± 7.198
Eylea-167.67± 7.260
The Mean Change in BCVA Secondary · From baseline to week 52

Mean change from baseline in BCVA as assessed by ETDRS letters over time. Best Corrected Visual Acuity (BCVA) is measured using an Early Treatment Diabetic Retinopathy Study (ETDRS) chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the ETDRS chart, the worse the vision (or visual acuity). A positive change from baseline indicates an improvement and a negative change from baseline indicates a worsening

GroupValue95% CI
MYL-1701P10.76± 0.619
Eylea10.52± 0.621
Number of Subjects Who Gained ≥15 Letters From Baseline in BCVA Secondary · From baseline to week 52

Number of subjects who gained ≥15 letters from baseline in BCVA, assessed in change from baseline in ETDRS letters over time

GroupValue95% CI
MYL-1701P57
Eylea51
Number of Administrations of Study Drug Required Secondary · From baseline to week 52

The mean number of doses administered during the 52 weeks of study

GroupValue95% CI
MYL-1701P8.4± 2.06
Eylea8.7± 1.76
Number of Participants With Treatment Emergent Adverse Events Secondary · From baseline to week 52

Number of Participants with Treatment Emergent Adverse Events (Safety and tolerability)

GroupValue95% CI
MYL-1701P138
Eylea138
Number of Subjects With Induced and Boosted Anti-Drug Antibodies Secondary · From baseline to week 52

Number of subjects with induced and boosted Anti-Drug Antibodies (ADA) (Immunogenicity)

GroupValue95% CI
MYL-1701P5
Eylea10
Concentration of Aflibercept in Blood (Pharmacokinetics) Secondary · 2 Days after Week 16 Injection

Free Drug Concentration of aflibercept in blood (Pharmacokinetics)

GroupValue95% CI
MYL-1701P34.355± 30.693
Eylea30.758± 32.3208

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline to 52 Weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

MYL-1701P
Serious: 31/178 (17%)
Deaths: 2/178
Eylea
Serious: 23/176 (13%)
Deaths: 4/176

Serious adverse events (60 terms)

ReactionSystemMYL-1701PEylea
COVID-19 pneumoniaInfections and infestations
PneumoniaInfections and infestations
COVID-19Infections and infestations
Cardiac FailureCardiac disorders
Myocardial infarctionCardiac disorders
Femoral neck fractureInjury, poisoning and procedural complications
Diabetic footSkin and subcutaneous tissue disorders
SepsisInfections and infestations
Atypical PnuemoniaInfections and infestations
CellulitisInfections and infestations
GastroenteritisInfections and infestations
Otitis media chronicInfections and infestations
Pyelonephritis ChronicInfections and infestations
Acute coronary syndromeCardiac disorders
Atrial fibrillationCardiac disorders
Cardiac arrestCardiac disorders
Cardiac failure chronicCardiac disorders
Cardiac failure congestiveCardiac disorders
Cardiac fibrillationCardiac disorders
Coronary artery diseaseCardiac disorders
Brain stem infarctionNervous system disorders
Carotid artery stenosisNervous system disorders
Embolic cerebral infarctionNervous system disorders
Embolic strokeNervous system disorders
Lumbar radiculopathyNervous system disorders
Other adverse events (5 terms — click to expand)

ReactionSystemMYL-1701PEylea
HypertensionVascular disorders
NasopharyngitisInfections and infestations
CataractEye disorders
Diabetic retinal oedemaEye disorders
Diabetes mellitusMetabolism and nutrition disorders

Most-reported serious reactions: COVID-19 pneumonia, Pneumonia, COVID-19, Cardiac Failure, Myocardial infarction, Femoral neck fracture, Diabetic foot, Sepsis.

Data from ClinicalTrials.gov NCT03610646 adverse events section.

Sponsor's own description

Three hundred and twenty-four (324) eligible adult subjects with diabetes mellitus with central DME involvement to be randomized 1:1 to intravitreal treatment with MYL-1701P or Eylea®. The primary endpoint is mean change from baseline in Best Corrected Visual Acuity (BCVA) as assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) letters. Pharmacokinetics (PK) and immunogenicity to be evaluated in the subjects participating in the study.

Publications & conference data

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

  1. VEGF-targeting drugs for the treatment of retinal neovascularization in diabetic retinopathy.
    Arrigo A, Aragona E, Bandello F. · · 2022 · cited 115× · PMID 35451900 · DOI 10.1080/07853890.2022.2064541
  2. ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR BIOSIMILARS IN OPHTHALMOLOGY.
    Kaiser PK, Schmitz-Valckenberg MS, Holz FG. · · 2022 · cited 36× · PMID 36394884 · DOI 10.1097/iae.0000000000003626
  3. An update on long-acting therapies in chronic sight-threatening eye diseases of the posterior segment: AMD, DMO, RVO, uveitis and glaucoma.
    Ghanchi F, Bourne R, Downes SM, Gale R, et al · · 2022 · cited 35× · PMID 34974541 · DOI 10.1038/s41433-021-01766-w
  4. Aflibercept Biosimilar MYL-1701P vs Reference Aflibercept in Diabetic Macular Edema: The INSIGHT Randomized Clinical Trial.
    Bressler SB, Barve A, Ganapathi PC, Beckmann K, et al · · 2024 · cited 9× · PMID 39264599 · DOI 10.1001/jamaophthalmol.2024.3458
  5. Initial Experience With Biosimilar Bevacizumab-bvzr For Intravitreal Use in Children: A Case Series and Literature Review.
    Jung EE, Lee TC, Nagiel A. · · 2023 · cited 4× · PMID 36780635 · DOI 10.3928/23258160-20230130-01
  6. Comparability of aflibercept biosimilar with reference aflibercept in diabetic macular edema: subgroup analysis of the pivotal Phase-III INSIGHT randomized clinical trial.
    Bressler SB, Oleksy P, Alfaro DV, Apte RS, et al · · 2026 · PMID 42104207 · DOI 10.1080/14712598.2026.2672422

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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/NCT03610646.

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