Switching to aflibercept 8 mg in exudative AMD
Official title: Retrospective Multicenter Real-world Observational Study of Switching to Aflibercept 8 mg in Patients With Refractory or Dependent Exudative Age-related Macular Degeneration
Run by Nantes University Hospital · NCT07423429 · Data updated 2026-11-12
This real-world study looks at whether switching to a higher-dose aflibercept can extend treatment intervals for adults with exudative AMD who previously needed frequent injections.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Nantes University Hospital Academic / other |
| Locations | 1 site (Nantes, Nantes) |
| Status | Recruiting |
| Started | February 20, 2026 |
| Main results expected | October 20, 2026 |
| Study ends | October 20, 2026 |
| Registry record updated | June 25, 2026 |
| Trial ID | NCT07423429 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with exudative AMD who have undergone anti-VEGF therapy for at least 1 year and switched to aflibercept 8 mg before July 31, 2025 with injection intervals under 12 weeks prior to switch.
✕Probably not a fit
Patients with no improvement or worsening after switching, or those at high risk of adverse ocular events, may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, retrospective study analyzes medical records from patients with exudative AMD who were switched to aflibercept 8 mg as part of routine care. It compares injection intervals, visit frequency, visual and anatomical outcomes, and safety before and after the switch over a 12-month period. The analysis uses data from Western France to identify factors associated with longer injection intervals and to assess real-world tolerability of the higher-dose formulation. Outcomes include visual acuity, central macular thickness, fluid status, and ocular adverse events. The study is observational and aims to generate hypotheses for future prospective testing.
Why it matters
Potential benefit: If successful, patients may experience longer intervals between injections and maintained or improved vision.
How similar studies have gone: Previous observational work with higher-dose anti-VEGF agents in AMD has shown potential for extended treatment intervals, but evidence remains observational and exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults (≥18 years) with exudative (neovascular) age-related macular degeneration * Treated with intravitreal anti-VEGF therapy for more than 1 year * Switched to aflibercept 8 mg before July 31, 2025 * Injection interval strictly less than 12 weeks prior to switch Exclusion Criteria: * High myopia (axial length \> 26 mm or spherical equivalent \< -6 diopters) * Angioid streaks * Moderate or severe diabetic retinopathy * History of diabetic macular edema * History of uveitis * History of retinal vein occlusion (branch or central) * History of pseudovitelliform macular dystrophy * Patient under legal guardianship or curatorship * Pregnant or breastfeeding women
Where it's running
-
CHU Nantes - Ophthalmology Department
Nantes, Nantes, France Recruiting
Study contacts
- Study coordinator: Jean Baptiste DUCLOYER, MD, PhD
- Email: jeanbaptiste.ducloyer@chu-nantes.fr
- Phone: 02 40 08 34 01
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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.