Intravitreal Aflibercept Injection (IAI) for Presumed Ocular Histoplasmosis Syndrome
Treatment of CNV Secondary to Presumed Ocular Histoplasmosis With EYLEA 2.0mg (Intravitreal Aflibercept Injection)
  • Phase

    Phase 1
  • Study Type

  • Status

    Completed No Results Posted
  • Intervention/Treatment

    aflibercept ...
  • Study Participants

The purpose of this study is to assess the efficacy and safety of intravitreal injection of aflibercept for the treatment of Choroidal Neovascularization (CNV) secondary to presumed ocular histoplasmosis syndrome (POHS).
Study Started
Jun 30
Primary Completion
Apr 30
Study Completion
Mar 31
Last Update
Aug 29

Drug EYLEA (Aflibercept) intravitreal injection

Intravitreal Injection once every 8 weeks with 3 initial monthly doses

IVT injection once every 8 weeks after 3 initial monthly doses Other

Intravitreal aflibercept injection 2.0mg dosed every 4 weeks (monthly)for the first 3 months followed by 2.0 mg (0.05mL) via intravitreal injection every eight weeks (2 months). Dosing at monthly intervals is allowed if needed in the opinion of the investigator based on presence of fluid on OCT and/or a decrease in visual acuity of greater than or equal to 5 letters from the previous visit.


Inclusion Criteria:

CNV of less than 1 year duration due to presumed ocular histoplasmosis
Ability to provide written informed consent and comply with study assessments for the full duration of the study
Age 21 years and older
Subfoveal or juxtafoveal CNV lesion of less than 5400um in diameter
Best corrected visual acuity of 20/25 to 20/400
Birth control therapy for females of child-bearing age

Exclusion Criteria:

CNV due to presumed ocular histoplasmosis for greater than 1 year
Pregnancy (positive pregnancy test) or lactation
Premenopausal women not using adequate contraception. The following are considered effective means of contraception : surgical sterilization or use of oral contraceptives, barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel, an IUD, or contraceptive hormone implant or patch
A recent history of smoking (within 1 year of study enrollment)
Prior treatment with intravitreal aflibercept injection
Any other condition that the investigator believes would pose a significant hazard to the subject if the investigational therapy were initiated
Uncontrolled glaucoma in the study eye (defined as IOP greater or equal to 30 mmHg despite treatment with anti-glaucoma medication)
History of cerebral vascular accident, myocardial infarction, transient ischemic attacks within 3 months of study enrollment
Active infectious conjunctivitis, keratitis, scleritis, or endophthalmitis in either eye
Presence of significant subfoveal fibrosis or atrophy
Intraocular surgery (including cataract surgery) in the study eye within 2 months of enrollment
Active intraocular inflammation (grade trace or above) in the study eye
History of allergy to fluorescein, ICG or iodine, not amendable to treatment
Any concurrent intraocular condition in the study eye (e.g., cataract or diabetic retinopathy) that, in the opinion of the investigator, could either
Require medical or surgical intervention during the 12 month study period to prevent or treat visual loss that might result from that condition, or
If allowed to progress untreated, could likely contribute to loss of at least 2 snellen equivalent lines of BCVA over the 12 month study period
Prior/Concomitant Treatment:
Panretinal photocoagulation treatment
Previous intraocular steroids or PDT within 3 months
Previous participation in any studies of investigational drugs within 30 days preceding Day 0 (excluding vitamins and minerals)
Previous treatment with intravitreally (in either eye) or intravenously administered Avastin (bevacizumab) within 60 days
Previous use of Macugen or Lucentis in study eye within 60 days
Prior submacular or vitreous surgery
No Results Posted