DAVIO 2 Study Design:
Scheduled aflibercept
Scheduled visit
Sham injection for masking
Protocol prespecified Retreatment criteria*:
BCVA reduction ≥5 letters and CST increase ≥75 µm OR
vision-threatening hemorrhage OR
BCVA reduction ≥10 letters OR
CST increase ≥100 µm
Investigator discretion
Primary Endpoint
Mean change in BCVA at Months 7 and 8, averaged (6 months after EYP-1901 dose).
Patient Demographics
Previously treated patients (N=161) received ~10 anti-VEGF injections/year prior to study entry (normalized mean†; range 2–13 injections) and had a baseline of ~20/32 Snellen equivalent (mean 73–75 ETDRS letters; range 41–85 letters).
*Due to nAMD; from best on-study measurement.
†Normalized to a 12-month treatment period: number of actual injections received divided by actual months of prior treatment and multiplied by 12 months.
DAVIO 2 Results
Primary Endpoint Met:
BCVA statistically noninferior with a single EYP-1901 dose vs aflibercept 2 mg q8w with anatomical control from baseline through month 8.
BCVA statistically noninferior with a single EYP-1901 dose vs aflibercept q8w
Mean Change in BCVA From Baseline
Anatomic control from baseline through month 8 with no sawtooth pattern following single dose of EYP-1901
Mean Change in CST From Baseline
A single dose of EYP-1901 maintained or improved vision in >80% of patients
BCVA at Month 7/8
Vision outcomes measured by BCVA letters lost or gained.
85% overall reduction in treatment burden with a single dose of EYP-1901 vs pre-trial
63% of eyes receiving EYP-1901 were supplemental injection–free up to Month 8‡
Percent change in treatment burden Month 2 to Month 8 from pre-trial injection burden over same duration.
‡Actual injections received; ie, does not include visits where eyes met criteria but no injection given per investigator discretion.
A Favorable Safety Profile
EYP-1901 was well-tolerated—No SAEs related to EYP-1901 reported
DAVIO 2 Key Safety Findings
- No EYP-1901–related ocular or systemic serious adverse events (SAEs)
- No insert migration into the anterior chamber
- No cases of retinal occlusive vasculitis
- No visual impairment due to the insert
- No discontinuations related to EYP-1901 treatment
AMD, age-related macular degeneration; BCVA, best corrected visual acuity; CST, central subfield thickness; ETDRS, Early Treatment Diabetic Retinopathy Study; nAMD, neovascular age-related macular degeneration; q8w, every 8 weeks; SAE, serious adverse event; VEGF, vascular endothelial growth factor.
EYP-1901 is an investigational product and the safety and efficacy of EYP-1901 has not been established. FDA has not approved EYP-1901 in the United States. The materials discussed on this site do not predict future FDA approval. Conclusive evidence of efficacy and safety of EYP-1901 will require further investigation in well-controlled Phase 3 clinical trials.