To: Miljenko Zuanic who wrote (799 ) 5/4/2003 7:12:52 PM From: Miljenko Zuanic Read Replies (2) | Respond to of 3559 Among several VEGF-Trap abstract at AVOR, one work is with Noivartis collaboration. REGN need infusion from outside, that is for sure. Even IL-1 Trap is tested in corneal inflammation. Program#/Poster#: 3920/B623 Abstract Title: VEGF-TRAPR1R2 Suppresses Choroidal Neovascularization(CNV) and VEGF-Induced Breakdown of the Blood-Retinal Barrier(BRB) Presentation Start: Wednesday, May 07, 2003, 10:30 AM -12:30 PM Reviewing Code: 110 angiogenesis: basic mechanisms - RC Author Block: Y.Saishin1, Y.Saishin1, K.Takahashi1, R.Lima Silva1, D.Hylton2, J.S. Rudge2, S.J. Wiegand2, P.A. Campochiaro1. 1Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, MD; 2Regeneron Pharmaceuticals, Tarrytown, NY. Keywords: 390 drug toxicity/drug effects,567 retinal neovascularization,484 neovascularization Purpose: VEGF-TRAPR1R2 is a fusion protein that combines ligand binding elements taken from the extracellular domains of VEGF receptors 1 and 2 fused to the Fc portion of IgG1. It is a specific inhibitor of VEGF. The purpose of this study was to investigate the effect of VEGF-TRAPR1R2 in models of CNV, subretinal NV, and breakdown of the BRB. Methods: : The effect of subcutaneous injections of VEGF-TRAPR1R2 was tested in mice with laser-induced rupture of Bruch's membrane, transgenic mice that express VEGF in photoreceptors, and in two models of VEGF-induced breakdown of the BRB. Results: Subcutaneous injections or a single intravitreous injection of VEGF-TRAPR1R2 strongly suppressed CNV in mice with laser-induced rupture of Bruch's membrane. Subcutaneous injections of VEGF-TRAPR1R2 also significantly inhibited subretinal NV in rhodopsin/VEGF transgenic mice, and significantly reduced BRB breakdown in mice in which recombinant VEGF was injected into the vitreous cavity and in double transgenic mice with doxycycline-induced expression of VEGF in the retina. Conclusions: These data confirm that VEGF is a critical stimulus for the development of CNV and indicate that VEGF-TRAPR1R2 may provide a new agent for treatment of patients with CNV and diabetic macular edema. Commercial Relationship: Y. Saishin, None; Y. Saishin, None; K. Takahashi, None; R. Lima Silva, None; D. Hylton, Regeneron Pharmaceuticals E; J.S. Rudge, Regeneron Pharmaceuticals E; S.J. Wiegand, Regeneron Pharmaceuticals E; P.A. Campochiaro, Novartis Ophthalmics F, C, R; Alcon F; RW Johnson F.