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Trial · NCT04101721

Study to Assess the Efficacy, Safety, and Tolerability of Intravitreal Aflibercept Compared to Laser Photocoagulation in Patients With Retinopathy of Prematurity

NCT04101721, Phase 3, Completed, Regeneron Pharmaceuticals; results first posted 2023-07-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Assess the Efficacy, Safety, and Tolerability of Intravitreal Aflibercept Compared to Laser Photocoagulation in Patients With Retinopathy of Prematurity. Trials, record NCT04101721. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04101721

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Assess the Efficacy, Safety, and Tolerability of Intravitreal Aflibercept Compared to Laser Photocoagulation in Patients With Retinopathy of Prematurity
NCT number
NCT04101721
Status
Completed
Phases
Phase 3
Enrollment
127 participants, actual
Lead sponsor
Regeneron Pharmaceuticals
Conditions
Retinopathy of Prematurity
Interventions
aflibercept, laser photocoagulation
First posted
2019-09-24
Last updated
2023-07-20
Other registries' IDs
eudract:2019-001764-29
Results first posted
2023-07-20

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Absence of Active Retinopathy of Prematurity (ROP) and Unfavorable Structural Outcomes From Baseline to Week 52 of Chronological AgeBaseline to week 52 of chronological age
Active ROP was ROP requiring treatment and unfavorable structural outcome was defined as retinal detachment, macular dragging, macular fold, or retrolental opacity. For participants with both eyes enrolled in the study, both eyes must have met the endpoint. Participants with only one study eye enrolled were responders if the respective eye responded.
SecondaryPercentage of Participants Requiring Intervention With a Second Treatment Modality From Baseline to Week 52 of Chronological AgeBaseline to to week 52 of chronological age
Second treatment modality includes any treatment in addition to that assigned to the participant at baseline. This includes per-protocol rescue treatment (laser for aflibercept group, aflibercept for laser group), anti-VEGF agents not part of study protocol (e.g., bevacizumab, ranibizumab, commercially-available aflibercept not provided as study medication), or any ocular surgery for the management of any retinal pathology secondary to ROP (e.g., victrectomy, scleral buckle for retinal detachments).
SecondaryPercentage of Participants With Recurrence of ROP Through Week 52 of Chronological AgeBaseline to week 52 of chronological age
Recurrence of disease is defined as the reappearance of the disease requiring further treatment (including retreatment or rescue), where both "presence of ROP" and "presence of active ROP requiring treatment" are marked as "Yes", after initial regression. Here, the initial regression is defined as, at a particular visit, absence of ROP or ROP treatment not required for active ROP, i.e., presence of ROP is marked as "No" or the presence of active ROP requiring treatment is marked as "No."
SecondaryPercentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Baseline to Week 52 of chronological age
SecondaryPercentage of Participants With Systematic (Non-ocular) TEAEs and TESAEsBaseline to Week 52 of chronological age

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Absence of Active Retinopathy of Prematurity (ROP) and Unfavorable Structural Outcomes From Baseline to Week 52 of Chronological AgeBaseline to week 52 of chronological ageFull analysis set (FAS): All randomized participants who received any study treatment. Analysis on the FAS was performed according to the treatment assigned at baseline (as randomized).Percentage of participantsNUMBER
SECONDARYPercentage of Participants Requiring Intervention With a Second Treatment Modality From Baseline to Week 52 of Chronological AgeBaseline to to week 52 of chronological ageFull analysis set (FAS): All randomized participants who received any study treatment.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Recurrence of ROP Through Week 52 of Chronological AgeBaseline to week 52 of chronological ageFull analysis set (FAS): All randomized participants who received any study treatment.Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Baseline to Week 52 of chronological ageSafety analysis set (SAF): All randomized participants who received any study treatment (active or laser); it is based on the treatment actually received (as treated).Percentage of participantsNUMBER
SECONDARYPercentage of Participants With Systematic (Non-ocular) TEAEs and TESAEsBaseline to Week 52 of chronological ageSafety analysis set (SAF): All randomized participants who received any study treatment (active or laser); it is based on the treatment actually received (as treated).Percentage of participantsNUMBER

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Absence of Active Retinopathy of Prematurity (ROP) and Unfavorable Structural Outcomes From Baseline to Week 52 of Chronological AgeLaser Photocoagulation77.8Percentage of participants
Percentage of Participants With Absence of Active Retinopathy of Prematurity (ROP) and Unfavorable Structural Outcomes From Baseline to Week 52 of Chronological AgeAflibercept 0.4 mg79.6Percentage of participants
Percentage of Participants Requiring Intervention With a Second Treatment Modality From Baseline to Week 52 of Chronological AgeLaser Photocoagulation18.5Percentage of participants
Percentage of Participants Requiring Intervention With a Second Treatment Modality From Baseline to Week 52 of Chronological AgeAflibercept 0.4 mg15.1Percentage of participants
Percentage of Participants With Recurrence of ROP Through Week 52 of Chronological AgeLaser Photocoagulation29.6Percentage of participants
Percentage of Participants With Recurrence of ROP Through Week 52 of Chronological AgeAflibercept 0.4 mg39.8Percentage of participants
Percentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Laser Photocoagulation% Ocular TEAEs25.9Percentage of participants
Percentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Aflibercept 0.4 mg% Ocular TEAEs18.3Percentage of participants
Percentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Laser Photocoagulation% Ocular TESAEs11.1Percentage of participants
Percentage of Participants With Ocular Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)Aflibercept 0.4 mg% Ocular TESAEs6.5Percentage of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLaser Photocoagulation2750
Overall StudySTARTEDAflibercept 0.4 mg93179
Overall StudyCOMPLETEDLaser Photocoagulation2648
Overall StudyCOMPLETEDAflibercept 0.4 mg87168
Overall StudyNOT COMPLETEDLaser Photocoagulation12
Overall StudyNOT COMPLETEDAflibercept 0.4 mg611

Adverse events124

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersLaser Photocoagulation4275
otherConstipationGastrointestinal disordersAflibercept 0.4 mg4934
otherGastrooesophageal reflux diseaseGastrointestinal disordersLaser Photocoagulation2272
otherGastrooesophageal reflux diseaseGastrointestinal disordersAflibercept 0.4 mg5935
otherInguinal herniaGastrointestinal disordersLaser Photocoagulation3273
otherInguinal herniaGastrointestinal disordersAflibercept 0.4 mg4934
otherUmbilical herniaGastrointestinal disordersLaser Photocoagulation0270
otherUmbilical herniaGastrointestinal disordersAflibercept 0.4 mg5935
otherPyrexiaGeneral disordersLaser Photocoagulation4274
otherPyrexiaGeneral disordersAflibercept 0.4 mg4936

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLaser Photocoagulation027
Total, all-cause mortalityAflibercept 0.4 mg193
Total, other adverse eventsLaser Photocoagulation1227
Total, other adverse eventsAflibercept 0.4 mg4093
Total, serious adverse eventsLaser Photocoagulation1227
Total, serious adverse eventsAflibercept 0.4 mg3293

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Laser Photocoagulation vs Aflibercept 0.4 mg: deaths from any causeTrial comparisons
Laser Photocoagulation vs Aflibercept 0.4 mg: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04101721

GET https://conductscience.org/api/trials/v1/NCT04101721/events?page=2