Real-world Study of Aflibercept 8 mg in nAMD
REFLECTION-An Observational Study Program to Investigate the Effectiveness of Aflibercept 8 mg Used in Neovascular Age-related Macular Degeneration (nAMD) in a Real-world Setting.
1 other identifier
observational
300
1 country
27
Brief Summary
The goal of this observational study is to explore the effectiveness of aflibercept 8 mg in treating both treatment-naive and previously treated patients with neovascular age-related macular degeneration (nAMD) in a real-world setting. The main questions it aims to answer are: What are the short-term and long-term efficacy outcomes of aflibercept 8 mg in treatment-naive or previously treated nAMD patients? What are the safety characteristics and the treatment patterns of aflibercept 8 mg in these patient populations? Participants will: Receive aflibercept 8 mg as part of their clinical treatment for nAMD. Undergo assessments to evaluate both the efficacy and safety of the treatment over the short and long term. Provide data on their visual acuity (BCVA) changes at multiple follow-up points (4 weeks, 8 weeks, 16 weeks, 6 months, and 12 months). Report any adverse events and treatment patterns during the study period. Have their central subfield thickness (CST) measured at specified intervals. This study will help inform clinical practices regarding the use of aflibercept in nAMD patients and contribute to understanding its effectiveness and safety in real-world settings.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2025
Typical duration for all trials
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 11, 2025
CompletedFirst Submitted
Initial submission to the registry
December 8, 2025
CompletedFirst Posted
Study publicly available on registry
June 11, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
June 11, 2026
June 1, 2026
1.8 years
December 8, 2025
June 10, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The change of best corrected visual acuity (BCVA) from baseline to 12 months(BCVA will be examined under real-world conditions and converted into ETDRS letters. )
Baseline to Month 12
Secondary Outcomes (9)
The change of best corrected visual acuity (BCVA) from baseline to 4 weeks, 8 weeks, 16 weeks, 6 months, and 12 months as evaluated in routine clinical practice
Baseline to Month 12
The change of central subfield thickness(CST) from baseline to 4 weeks, 8 weeks, 16 weeks, 6 months, and 12 months as evaluated in routine clinical practice
Baseline to Month 12
Number of aflibercept 8 mg injections in the study eye during the first 6 months and 12 months
Baseline to Month 12
Number of visits regarding the study eye by type of visit during the 6 months and 12 months treatment period
Baseline to Month 12
The proportion of study eyes for each treatment regimen (fixed regimen, treatment-extension regimen, as-needed regimen, or other regimens) from baseline to 6 months and 12 months.
Baseline to Month 12
- +4 more secondary outcomes
Study Arms (2)
naïve nAMD
200 patients in this group. The observation period for each patient enrolled in this study is the time from the start of therapy with aflibercept 8 mg up to 12 months, withdrawal of consent, switch to any other intravitreal treatment, switch to aflibercept 2 mg in the study eye, pregnancy, death, or when the patient is lost to follow-up.
pretreated nAMD
100 patients in this group. The observation period for each patient enrolled in this study is the time from the start of therapy with aflibercept 8 mg up to 12 months, withdrawal of consent, switch to any other intravitreal treatment, switch to aflibercept 2 mg in the study eye, pregnancy, death, or when the patient is lost to follow-up.
Interventions
Aflibercept 8mg, following the manner of observational study, no intervention will be provided in the study. Any treatment decision, including the decision for aflibercept 8 mg treatment, is at the discretion of the attending physician, made in accordance with his/her experience and follows approved clinical guidelines.
Eligibility Criteria
Patients will be enrolled in eye clinics or ophthalmology practices
You may qualify if:
- Patient aged ≥50 years
- A diagnosis of nAMD
- Signed informed patient consent before the start of data collection
- Patients for whom the decision to initiate treatment with IVT aflibercept 8 mg according to a local product information was made as part of routine clinical practice
You may not qualify if:
- Participation in an investigational program with interventions outside of clinical routine practice
- Contraindications as listed in the intravitreal aflibercept 8 mg local product information (Ocular or periocular infections, severe active intraocular inflammation, and known allergy to aflibercept or any of its excipients)
- The fellow eye has received intravitreal anti-VEGF treatment other than aflibercept within 28 days prior to enrollment
- Intraocular pressure (IOP) in the study eye \> 25 mmHg
- Any prior ocular treatment in the study eye or systemic treatment for nAMD
- Prior intravitreal anti-VEGF treatments in the study eye within the last 28 days
- Prior treatment with intravitreal corticosteroid in the study eye within the last 3 months
- Dexamethasone implant in the study eye within the last 6 months
- Any concurrent drug releasing implant in the study eye
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Peking University People's Hospitallead
- Bayercollaborator
Study Sites (27)
Peking University People's Hospital
Beijing, Beijing Municipality, 100044, China
Beijing CHAO-YANG Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, China
Beijing Haidian Hospital
Beijing, Beijing Municipality, China
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
Peking University First Hospital
Beijing, Beijing Municipality, China
Peking University Third Hospital
Beijing, Beijing Municipality, China
The First Affiliated Hospital Of Fujian Medical University
Fuzhou, Fujian, China
Shenzhen Eye Hospital
Shenzhen, Guangdong, China
Affiliated Hospital Of Zunyi Medical University
Zunyi, Guizhou, China
The 2nd Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China
Nanyang Eye Hospital
Nanyang, Henan, China
Tongji Hospital Tongji Medical College of HUST
Wuhan, Hubei, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot, Inner Mongolia, China
Dalian No.3 People's Hospital
Dalian, Liaoning, China
The Fourth People's Hospital Of Shenyang
Shenyang, Liaoning, China
Xi'an People's Hospital
Xi'an, Shaanxi, China
Jinan Second People's Hospital
Jinan, Shandong, China
Qingdao Eye Hospital Of Shandong First Medical University
Qingdao, Shandong, China
Shanghai Tenth People's Hospital
Shanghai, Shanghai Municipality, China
TONG REN Hospital, Shanghai Jiao Tong University School Of Medicine
Shanghai, Shanghai Municipality, China
Sichuan Academy of Medical Sciences - Sichuan Provincial People's Hospital
Chengdu, Sichuan, China
Tianjin Medical University Eye Hospital
Tianjin, Tianjin Municipality, China
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, China
Ningbo Eye Hospital
Ningbo, Zhejiang, China
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, China
MeSH Terms
Interventions
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director of the Department of Ophthalmology at Peking University People's Hospital
Study Record Dates
First Submitted
December 8, 2025
First Posted
June 11, 2026
Study Start
November 11, 2025
Primary Completion (Estimated)
August 31, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
June 11, 2026
Record last verified: 2026-06