Comparing AVT29 and Eylea HD for diabetic macular edema
Official title: A Randomized, Double-masked, Parallel-group, Multicenter Clinical Study to Evaluate the Efficacy and Safety of AVT29 Compared With Eylea HD in Participants With Diabetic Macular Edema
Run by Alvotech Swiss AG · NCT07489131 · Data updated 2026-11-12
This study will test whether AVT29 works as well and is as safe as Eylea HD in adults with center-involving diabetic macular edema who have reduced vision.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 256 (estimated) |
| Sponsor | Alvotech Swiss AG Industry-sponsored |
| Locations | 1 site (Budapest) |
| Status | Recruiting |
| Started | April 22, 2026 |
| Main results expected | July 2027 |
| Study ends | January 2028 |
| Registry record updated | April 30, 2026 |
| Trial ID | NCT07489131 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with center-involving diabetic macular edema, BCVA between 73 and 34 ETDRS letters (≈20/40 to 20/200), whose vision loss is primarily due to DME and who have not had prior anti-VEGF treatment are ideal candidates.
✕Probably not a fit
Patients who previously received anti-VEGF therapy, have other ocular diseases that limit vision, or cannot attend required visits are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, double-masked, parallel-group multicenter study compares the efficacy and safety of AVT29 (a proposed aflibercept HD biosimilar) with Eylea HD in adults with center-involving diabetic macular edema. Eligible participants are adults with vision between 73 and 34 ETDRS letters in the study eye and who have not previously received anti-VEGF therapy. Participants are randomized to receive one of the two injections and followed with standardized visual acuity and safety assessments over the study period. The trial's primary focus is on visual acuity outcomes and adverse events to determine whether AVT29 provides comparable benefit and tolerability to Eylea HD.
Why it matters
Potential benefit: If successful, AVT29 could offer an effective alternative to Eylea HD, potentially increasing treatment options and access for patients with DME.
How similar studies have gone: Eylea (aflibercept) is an established effective treatment for DME, and biosimilar development programs for anti-VEGF drugs have shown comparable results for some agents, but aflibercept biosimilars are still being validated in Phase 3 trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Main Inclusion Criteria: * Participant is ≥18 years old at the time of signing the ICF. * Participant is willing and able to comply with all study procedures and likely to complete the study, based on the investigator's judgment. * Participant has a diagnosis of DME secondary to DM with central involvement in the study eye. * Participant has a BCVA ETDRS letter score of 73 to 34 letters inclusive (20/40 to 20/200 Snellen equivalent) in the study eye at screening and on Day 1 prior randomization. * Participant's decrease in vision is determined to be primarily the result of DME in the study eye. Main Exclusion Criteria: * previous treatment with anti-VEGF therapy * history or concurrent disease other than DME that could compromise visual acuity * Any condition that, in the Investigator ́s opinion, can interfere with full participation in the study, including administration of the study treatment and attending required visits; can pose a significant risk to the participant, or interfere with interpretation of study data * participants not suitable for participation, whatever the reason, as judged by the Investigator, including medical or psychiatric conditions, or participants potentially at risk of noncompliance to study procedures.
Where it's running
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Site 3004
Budapest, Hungary Recruiting
Study contacts
- Study coordinator: Silvia Cirillo
- Email: alvotech.clinical@alvotech.com
- Phone: +41 78 659 89 89
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.