Head-to-head evidence

Aflibercept vs Pegaptanib (Macugen)

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Age-Related Macular Degeneration

Shared mechanism: VEGF-A · full Age-Related Macular Degeneration pipeline

Aflibercept · Eylea

Marketed by Regeneron Pharmaceuticals and partners

Approved in Age-Related Macular Degenerationfusion protein
Reliable signal

NCT00509795 · Phase 3 · completed

The trial randomly assigned 1,217 participants and used quadruple blinding with ranibizumab as an active comparator. Its hard clinical primary endpoint—maintaining vision at week 52—met the prespecified non-inferiority criterion for all three aflibercept regimens, supporting a strong evidence grade.

Next expected readout: December 2026 · NCT06856577 (registry estimate)

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Pegaptanib (Macugen)

Marketed by Pfizer

Approved in Age-Related Macular Degenerationsmall molecule
Reliable signal

NCT01100307 · Phase 3 · completed

This was a randomized, double-masked, sham-controlled phase 3 trial with 243 participants and a hard clinical visual-acuity endpoint. The primary endpoint was met: 25 of 123 participants receiving pegaptanib versus 6 of 120 receiving sham achieved at least a 10-letter improvement at week 24 (p=0.0003).

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Aflibercept's landscape · Pegaptanib (Macugen)'s landscape