Mode
Text Size
Log in / Sign up

FDA Approves Eylea HD (aflibercept) for nAMD, DME, Diabetic Retinopathy, and Macular Edema Following RVO

FDA Approves Eylea HD (aflibercept) for nAMD, DME, Diabetic Retinopathy, and Macular Edema Following…
Photo by Joshua Hoehne / Unsplash
Key Takeaway
Consider extended 8-16 week dosing intervals after initial monthly loading doses for nAMD and DME.

The FDA has approved Eylea HD (aflibercept) for the treatment of four retinal vascular conditions: neovascular (wet) age-related macular degeneration (nAMD), diabetic macular edema (DME), diabetic retinopathy (DR), and macular edema following retinal vein occlusion (RVO). This approval provides a new high-dose formulation of the VEGF inhibitor aflibercept, with a recommended dose of 8 mg administered via intravitreal injection. The dosing regimen across indications involves an initial series of monthly loading doses, followed by extended maintenance intervals ranging from every 8 to 16 weeks, depending on the specific condition. This extended dosing schedule may offer a potential reduction in treatment burden for patients requiring long-term anti-VEGF therapy for these chronic retinal diseases.

Clinical Details (Mechanism · Dosing · Trial Data · Warnings)
Mechanism of Action

EYLEA HD is a vascular endothelial growth factor (VEGF) inhibitor.

Indication & Patient Population

EYLEA HD is indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (nAMD), Diabetic Macular Edema (DME), Diabetic Retinopathy (DR), and Macular Edema Following Retinal Vein Occlusion (RVO).

Dosing & Administration

For ophthalmic intravitreal injection only, to be administered by a qualified physician. Requires specific injection components: a 5-micron sterile filter needle (18-gauge × 1½-inch), a 1-mL Luer lock syringe, and a 30-gauge × ½-inch sterile injection needle. For nAMD, DME, and DR: The recommended dose is 8 mg (0.07 mL of 114.3 mg/mL solution) administered every 4 weeks (approximately every 28 days +/- 7 days) for the first three doses, followed by 8 mg once every 8 to 16 weeks (+/- 1 week) for nAMD and DME, and every 8 to 12 weeks (+/- 1 week) for DR. For Macular Edema Following RVO: The recommended dose is 8 mg (0.07 mL of 114.3 mg/mL solution) administered every 4 weeks (approximately every 28 days +/- 7 days) for the first three to five doses, followed by 8 mg once every 8 weeks, +/- 1 week. For all indications: Some patients did not maintain a response with extended dosing intervals after successful response to the initial monthly doses. These patients may benefit from resuming every 4-week dosing.

Key Clinical Trial Data

Trial data not available in label.

Warnings & Contraindications

Not reported in label.

Place in Therapy

Not reported in label.

Study Details

Study typeFda approval
PublishedAug 2023
View Original Abstract ↓
1 INDICATIONS AND USAGE EYLEA HD is indicated for the treatment of: EYLEA HD is a vascular endothelial growth factor (VEGF) inhibitor indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (nAMD) ( 1.1 ) Diabetic Macular Edema (DME) ( 1.2 ) Diabetic Retinopathy (DR) ( 1.3 ) Macular Edema Following Retinal Vein Occlusion (RVO) ( 1.4 ) 1.1 Neovascular (Wet) Age-Related Macular Degeneration (nAMD) 1.2 Diabetic Macular Edema (DME) 1.3 Diabetic Retinopathy (DR) 1.4 Macular Edema Following Retinal Vein Occlusion (RVO)
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.