Eylea (aflibercept) for retinopathy of prematurity

Eylea is an injection into the eye, made by Regeneron, that FDA approved in 2023 for a new use: treating retinopathy of prematurity. Retinopathy of prematurity is one of five conditions on the Eylea label. The FIREFLEYE trial compared an aflibercept injection with laser treatment in babies with the disease; aflibercept did not meet the trial's rule for matching laser.

Also called Eylea · EYLEA

  • Product
  • In this atlas

Overview

Technical summary

Product, medicine. openFDA lists BLA125387 (sponsor REGENERON PHARMACEUTICALS) with supplement 75, an efficacy supplement, dated 2023-02-08; the FDA approval letter for BLA 125387/S-075 says the supplement adds a new indication for treatment of retinopathy of prematurity. Product: EYLEA injection, 40MG/ML aflibercept, route intravitreal. Label read: openFDA label version 41, effective 2026-07-07. This record covers the ROP use only; the other four labelled uses are not recorded.

Product details

Type
Medicine
Model or formulation
EYLEA injection, aflibercept 40MG/ML (Drugs@FDA), intravitreal route (openFDA label)
Version
openFDA label version 41, effective 2026-07-07; ROP indication added by supplement S-075 (approval letter dated 2023-02-08)

Intended-use sources

  1. Background Eylea prescribing information for BLA125387: openFDA drug label record

    Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drug label endpoint, fetched on 2026-10-15. The wording is the dataset's copy of the label as of the date fetched, not the current DailyMed label.

    Locator
    Whole source
    How it applies
    Source of the stated intended use
    Retrieved
    Source effective date
    Not reported
    Source state
    Current
    Snapshot hash
    1ca62da9d61b815e545b5bbf2ee65ea6f4a2c8d605f1b4793097c9bb8cea7890
    Reuse basis
    openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/; the licence page was fetched as mn-openfda-license.html, sha256 7fda0041a24f8d7139a1781d4462ae39643a2ee6f3b0f079946c989a8e1982d2). The raw record is committed at research/snapshots/mn-openfda-label-BLA125387.json. Short quotations only.
  2. Background FDA supplement approval letter, BLA 125387/S-075, Eylea (aflibercept) Injection

    Regulator · U.S. Food and Drug Administration · Edition The approval letter PDF fetched on 2026-10-15; its electronic signature page is dated 02/08/2023.

    Locator
    Whole source
    How it applies
    Source of the stated intended use
    Retrieved
    Source effective date
    Not reported
    Source state
    Current
    Snapshot hash
    98ac3b772aece6e7e4c3f5657e62b880abec367d4e82bc1f45198bb6dba87931
    Reuse basis
    The FDA website policies page (fetched as mn-fda-website-policies.html, sha256 55a5b4fce88a043c5ae9dfb1f0ce276b5bd3cef79755ca246907c70272b848a1) says FDA website content is not copyrighted unless noted. The PDF bytes are not committed; only the hash is kept. Short quotations only.

Claims and evidence

Context Patients with retinopathy of prematurity, US label for Eylea (BLA125387, supplement S-075)

Recipient
Newborn
Population
Patients with retinopathy of prematurity (ROP). ROP is one of five conditions the US label lists for treatment with Eylea: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and ROP. The indication list read gives no age or gestational limit for ROP; the label's dosing and clinical studies sections were not read.
Care setting
Not stated in the source
Geography
United States (FDA-approved labelling)
Life stage
Patients with retinopathy of prematurity (a disease of babies born early, per the National Eye Institute)
Gestational age
Not reported
Postnatal age
Not reported
Follow-up
Not applicable (regulatory context)
Eligibility: 1 inclusion criterion; exclusion criteria not stated
Included
  • Patients with retinopathy of prematurity
Excluded
None stated
  • Effect Guidance Certainty not assessed

    The US label for Eylea lists treatment of retinopathy of prematurity among its indications, and the FDA approval letter for supplement S-075 says the supplement provides for the addition of that indication.

    Applies to Newborn
    • Patients with retinopathy of prematurity (ROP). ROP is one of five conditions the US label lists for treatment with Eylea: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and ROP. The indication list read gives no age or gestational limit for ROP; the label's dosing and clinical studies sections were not read.
    • Not stated in the source
    • United States (FDA-approved labelling)
    • Patients with retinopathy of prematurity (a disease of babies born early, per the National Eye Institute)
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up Not applicable (regulatory context)
    Certainty method
    Not assessed
    Limitations
    This is a regulatory statement: the label's indication list and the approval letter, not a trial result. The label's dosing and clinical studies sections were not read, so no outcome figure is recorded. FIREFLEYE, the trial abstract read for this atlas, did not meet its noninferiority criteria against laser; that result is a separate claim on the aflibercept page and does not support this one. Approval is not a recommendation for any baby.
    Last checked
    2026-10-15
    Next evidence check due
    Not scheduled
    Sources and citations (2)
    1. Supports Eylea prescribing information for BLA125387: openFDA drug label record

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drug label endpoint, fetched on 2026-10-15. The wording is the dataset's copy of the label as of the date fetched, not the current DailyMed label.

      Locator
      results[0].indications_and_usage[0]
      How it applies
      openFDA label record, CC0; label version 41.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      1ca62da9d61b815e545b5bbf2ee65ea6f4a2c8d605f1b4793097c9bb8cea7890
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/; the licence page was fetched as mn-openfda-license.html, sha256 7fda0041a24f8d7139a1781d4462ae39643a2ee6f3b0f079946c989a8e1982d2). The raw record is committed at research/snapshots/mn-openfda-label-BLA125387.json. Short quotations only.
    2. Supports FDA supplement approval letter, BLA 125387/S-075, Eylea (aflibercept) Injection

      Regulator · U.S. Food and Drug Administration · Edition The approval letter PDF fetched on 2026-10-15; its electronic signature page is dated 02/08/2023.

      Locator
      Page 1, paragraph 2
      How it applies
      FDA supplement approval letter; short quotation.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      98ac3b772aece6e7e4c3f5657e62b880abec367d4e82bc1f45198bb6dba87931
      Reuse basis
      The FDA website policies page (fetched as mn-fda-website-policies.html, sha256 55a5b4fce88a043c5ae9dfb1f0ce276b5bd3cef79755ca246907c70272b848a1) says FDA website content is not copyrighted unless noted. The PDF bytes are not committed; only the hash is kept. Short quotations only.
  • Regulatory Evidence stage not applicable Certainty not assessed

    FDA approved supplement S-075 to BLA125387 for Eylea (aflibercept) Injection on 2023-02-08; the approval letter says the supplement provides for the addition of a new indication for treatment of retinopathy of prematurity. openFDA lists the supplement as submission type SUPPL, number 75, class Efficacy, sponsor REGENERON PHARMACEUTICALS. The US label (openFDA copy, version 41, effective 2026-07-07) says Eylea is indicated for the treatment of patients with five conditions: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and retinopathy of prematurity.

    Applies to Newborn
    • Patients with retinopathy of prematurity (ROP). ROP is one of five conditions the US label lists for treatment with Eylea: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and ROP. The indication list read gives no age or gestational limit for ROP; the label's dosing and clinical studies sections were not read.
    • Not stated in the source
    • United States (FDA-approved labelling)
    • Patients with retinopathy of prematurity (a disease of babies born early, per the National Eye Institute)
    • Gestational age Not reported
    • Postnatal age Not reported
    Follow-up Not applicable (regulatory context)
    Certainty method
    Not assessed
    Limitations
    Approval means FDA found the product acceptable for the labelled use in the United States; it is not a recommendation for any baby. ROP is one of five labelled uses, and this record covers only the ROP indication. The current label wording is from the openFDA copy and was not compared with the DailyMed page. The decision date is the openFDA submission status date, which equals the date of the electronic signature on the approval letter. The label's dosing and clinical studies sections for ROP were not read. FIREFLEYE's finding that aflibercept did not meet noninferiority against laser is a separate claim on the aflibercept page.
    Last checked
    2026-10-15
    Next evidence check due
    Not scheduled
    Sources and citations (3)
    1. Supports FDA application BLA125387, EYLEA: openFDA Drugs@FDA record

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drugsfda JSON record fetched on 2026-10-15. It gives the application number, sponsor, products, marketing status and the submission history with status dates written YYYYMMDD. · BLA: BLA125387

      Locator
      results[0].submissions[15] (SUPPL 75) and sponsor_name
      How it applies
      openFDA drugsfda JSON, CC0.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      3c0fbb47eb0994791de2be0d103deab09dc1f343d46efb8555dce1dd76145d2a
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/; the licence page was fetched as mn-openfda-license.html, sha256 7fda0041a24f8d7139a1781d4462ae39643a2ee6f3b0f079946c989a8e1982d2). The raw record is committed at research/snapshots/mn-openfda-drugsfda-BLA125387.json.
    2. Supports FDA supplement approval letter, BLA 125387/S-075, Eylea (aflibercept) Injection

      Regulator · U.S. Food and Drug Administration · Edition The approval letter PDF fetched on 2026-10-15; its electronic signature page is dated 02/08/2023.

      Locator
      Page 1: header, paragraph 2 and Approval & Labeling
      How it applies
      FDA supplement approval letter; short quotation.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      98ac3b772aece6e7e4c3f5657e62b880abec367d4e82bc1f45198bb6dba87931
      Reuse basis
      The FDA website policies page (fetched as mn-fda-website-policies.html, sha256 55a5b4fce88a043c5ae9dfb1f0ce276b5bd3cef79755ca246907c70272b848a1) says FDA website content is not copyrighted unless noted. The PDF bytes are not committed; only the hash is kept. Short quotations only.
    3. Supports Eylea prescribing information for BLA125387: openFDA drug label record

      Regulator · U.S. Food and Drug Administration (openFDA) · Edition The openFDA drug label endpoint, fetched on 2026-10-15. The wording is the dataset's copy of the label as of the date fetched, not the current DailyMed label.

      Locator
      results[0].indications_and_usage[0], version, effective_time
      How it applies
      openFDA label record, CC0; label version 41.
      Retrieved
      Source effective date
      Not reported
      Source state
      Current
      Snapshot hash
      1ca62da9d61b815e545b5bbf2ee65ea6f4a2c8d605f1b4793097c9bb8cea7890
      Reuse basis
      openFDA data is public domain under a Creative Commons CC0 1.0 Universal dedication unless noted (https://open.fda.gov/terms/, https://open.fda.gov/license/; the licence page was fetched as mn-openfda-license.html, sha256 7fda0041a24f8d7139a1781d4462ae39643a2ee6f3b0f079946c989a8e1982d2). The raw record is committed at research/snapshots/mn-openfda-label-BLA125387.json. Short quotations only.

Authorization

Regulatory decision: Eylea (aflibercept) for retinopathy of prematurity

Applies to Newborn
  • Patients with retinopathy of prematurity (ROP). ROP is one of five conditions the US label lists for treatment with Eylea: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and ROP. The indication list read gives no age or gestational limit for ROP; the label's dosing and clinical studies sections were not read.
  • Not stated in the source
  • United States (FDA-approved labelling)
  • Patients with retinopathy of prematurity (a disease of babies born early, per the National Eye Institute)
  • Gestational age Not reported
  • Postnatal age Not reported
Follow-up Not applicable (regulatory context)
Decision
Supplemental approval,
Pathway
BLA
Submission
BLA125387
Jurisdictions
United States; note: United States
Product version
Eylea (aflibercept) injection, supplement S-075 to BLA125387 (new indication: retinopathy of prematurity); labelling read is openFDA label version 41, effective 2026-07-07
Indication
Treatment of retinopathy of prematurity (ROP): the approval letter says supplement S-075 provides for the addition of a new indication for treatment of ROP. On the current label ROP is one of five indications, each listed as treatment of patients with the condition; the indication list read gives no age or gestational limit for ROP.
Basis
FDA approved supplement S-075 to BLA125387 for Eylea (aflibercept) Injection on 2023-02-08; the approval letter says the supplement provides for the addition of a new indication for treatment of retinopathy of prematurity. openFDA lists the supplement as submission type SUPPL, number 75, class Efficacy, sponsor REGENERON PHARMACEUTICALS. The US label (openFDA copy, version 41, effective 2026-07-07) says Eylea is indicated for the treatment of patients with five conditions: neovascular (wet) age-related macular degeneration, macular oedema following retinal vein occlusion, diabetic macular oedema, diabetic retinopathy and retinopathy of prematurity.

Limitations. Approval means FDA found the product acceptable for the labelled use in the United States; it is not a recommendation for any baby. ROP is one of five labelled uses, and this record covers only the ROP indication. The current label wording is from the openFDA copy and was not compared with the DailyMed page. The decision date is the openFDA submission status date, which equals the date of the electronic signature on the approval letter. The label's dosing and clinical studies sections for ROP were not read. FIREFLEYE's finding that aflibercept did not meet noninferiority against laser is a separate claim on the aflibercept page.

A regulatory decision is separate from a guideline recommendation and from payment coverage.

Clinical links

Each link reports what one cited claim says about one population. "Evaluated for" means studied, not shown to work. These links do not show that anything is effective or right for you.

Record details

Record id
maternal:eylea-rop
Content hash
10e280c850023826da35367c357d2673934a29cd8387001eb1c0ea44b1c28d6d