Evidence map›Paper›PMID 42381356›Full record

ArticleCPT: pharmacometrics & systems pharmacology2026

Integrated Population Pharmacokinetic Analysis of Intravitreal Aflibercept Drug Products.

Sébastien Bihorel, Joannellyn Chiu, Jason Chittenden, Thomas Eissing, Kenneth C Turner, Joachim Höchel, Torsten Zimmermann, Zhongqing Will He, John D Davis, A Thomas DiCioccio and 1 more

Abstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Aflibercept 8 mg: From Ocular Clearance to Pharmacodynamic Duration.CPT: pharmacometrics & systems pharmacology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sébastien BihorelRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0000-0002-2326-3335
Joannellyn ChiuRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0009-0009-6715-8260
Jason ChittendenRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0000-0002-0195-0855
Thomas EissingBayer AG, Leverkusen, Germany.ORCID https://orcid.org/0000-0003-4378-3423
Kenneth C TurnerRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0000-0003-3210-6291
Joachim HöchelBayer AG, Berlin, Germany.ORCID https://orcid.org/0009-0000-8030-0051
Torsten ZimmermannBayer AG, Berlin, Germany.ORCID https://orcid.org/0009-0001-8941-0457
Zhongqing Will HeRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0009-0001-5796-2281
John D DavisRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0000-0001-6282-1670
A Thomas DiCioccioRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0009-0005-0610-5051
Lutz O HarnischRegeneron Pharmaceuticals, Inc., Tarrytown, New York, USA.ORCID https://orcid.org/0000-0002-4085-1577

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neovascular age-related macular degeneration (nAMD) and diabetic macular edema (DME) can cause substantial vision loss. The 2-mg drug product of aflibercept (AFL-2)-an anti-vascular endothelial growth factor agent-has established efficacy and safety in both diseases. In pivotal trials, a high-dose drug product (AFL-HD) using a formulation distinct from AFL-2 and delivering 8-mg aflibercept every 12 or 16 weeks (following initial monthly dosing) provided visual gains non-inferior to AFL-2 administered every 8 weeks (following initial monthly dosing) and comparable safety with fewer injections over 96 weeks. Free and bound aflibercept concentrations in plasma from 2744 participants in 16 clinical trials where aflibercept was administered intravitreally, subcutaneously, or intravenously were analyzed by population pharmacokinetic modeling. A semi-mechanistic model described the release of free aflibercept from the eye and its target-mediated elimination from plasma. The evaluated covariates (weight, age, sex, albumin, disease, racial classification, Japanese origin, renal and hepatic functions) resulted in only small numerical differences in systemic exposure. Ocular clearance (Q

Indexed as

Angiogenesis InhibitorsMacular DegenerationReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAgedDiabetic RetinopathyFemaleHumansIntravitreal InjectionsMacular EdemaMaleModels, BiologicalafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion Proteinsafliberceptdiabetic macular edemaneovascular age‐related macular degenerationocular clearancepopulation pharmacokinetics

Identifiers

PMID42381356
PMCPMC13319402

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.