Table 2. Anti-VGEF Agents Which Are Currently in Clinical and Pre-clinical Stagesa.
| drug/protein name | molecular weight (kDa) | half-life | description | target | phase | company | current indication | clinical trails.gov identifier |
|---|---|---|---|---|---|---|---|---|
| Ranibizumab [Lucentis] | 48.35 | 9 days | recombinant humanized IgG1 kappa isotype monoclonal antibody | VEGF-CC1 | FDA approved | Genentech | DME, DR, AM | |
| Pegaptanib Sodium [Macugen] | 50 | 10 ± 4 days | polynucleotide aptamer | VEGF-165 | FDA approved | Gilead sciences | wet AMD | |
| Ocriplamin [Jetrea] | 27.2 | N.A. | recombinant human plasmin | fibronectin, Alpha-2 macroglobulin | FDA Approved | Thrombogenic NV | VMA, VRI | |
| Alpha-2 Antiplasmin | ||||||||
| Aflibercept [Eylea] | 115 | 7.13 days | recombinant fusion protein glycosylated | VEGF-A, B, and placenta growth factor | FDA Approved | Regeneron | DR, DME, AMD, CRC | |
| Bayer | ||||||||
| Brolucizumab [Beovu] | 26 | 4.4 ± 2 days | proteins-based monoclonal antibody | VEGF-A | FDA Approved | Novartis | nAMD | |
| Vgx-300 [opt 302] | N.A. | N.A. | recombinant fusion protein | VEGF - C, D | Phase- 3 [Recruiting] | Opthea limited | nAMD | NCT04757610 |
| Rn6g | N.A. | N.A. | antiamyloid beta antibody | amyloid beta fibrils in drusen | Phase-2 [Terminated] | Pfizer | AMD, GA | NCT01577381 |
| Conbercept [Lumitin] | 143 | 4.2 days [In rabbit] | recombinant fusion protein | VEGF-A/B placenta growth factor | Phase-3 [Rejected] | Chengdu kanghong Biotech | AMD | NCT03577899 |
| Lampalizumab | 47 | 6 days | fragment of humanized monoclonal antibody | CFD | Phase-3 [Rejected] | Roche | GA, AMD | NCT02247479 |
| Bevacizumab [Avastin] | 149 | estimated 20 days | humanized monoclonal IgG Antibody | VEGF-A | off label | Roche, Genentech | Wet AMD, Cancer |
VMA, Vitreomacular adhesion; GA, geographic atrophy; AMD, age-related macular degeneration; DR, diabetic retinopathy; VRI, vitreoretinal interface; nAMD, neovascular age-related macular degeneration; DME, diabetic macular edema; and CRVO, macular edema with central retinal vein occlusion.