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Aflibercept is a recombinant fusion protein that acts as a vascular endothelial growth factor (VEGF) inhibitor. It is composed of portions of the extracellular domains of human VEGF receptors 1 and 2 fused to the Fc portion of human IgG1. Aflibercept functions as a soluble decoy receptor with high affinity for VEGF-A, VEGF-B, and placental growth factor (PlGF), thereby preventing these ligands from binding to their native receptors on the surface of endothelial cells. This inhibition suppresses abnormal blood vessel formation and vascular permeability associated with diseases such as neovascular (wet) age-related macular degeneration (AMD), diabetic macular edema (DME), retinal vein occlusion-associated macular edema, and metastatic colorectal cancer. Aflibercept was developed by Regeneron Pharmaceuticals in collaboration with Sanofi for oncology indications and Bayer for ophthalmic indications[1][7].
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