FDA Approves Eylea HD (aflibercept) for nAMD, DME, Diabetic Retinopathy, and Macular Edema Following RVO
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)
EYLEA HD is a vascular endothelial growth factor (VEGF) inhibitor.
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).
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.
Trial data not available in label.
Not reported in label.
Not reported in label.