Bones 4 & natalia navas 1* Aflibercept (AFL) is an Fc fusion protein used in the treatment of colorectal cancers and different ophthalmological diseases. There are two medicines in which AFL is the active substance: Zaltrap and Eylea, referred as ziv-AFL and AFL respectively. No proper accelerated degradation studies were published on either AFL or ziv-AFL. These studies are essential during research, development and manufacturing stages. Here, we characterized ziv-AFL and submitted it to different stress conditions: light, 60 °C, freeze-thaw cycles, changes in pH, high hypertonic solution and strong denaturing conditions. We used an array of techniques to detect aggregation (SE-HPLC/DAD and DLS), changes in secondary structure (Far-UV circular dichroism), changes in conformation or tertiary structure (Intrinsic tryptophan fluorescence) and alterations in functionality (ELISA). Results indicate that aggregation is common degradation pathway. Two different types of aggregates were detected: dimers and high molecular weight aggregates attributed to β-amyloid-like structures. Secondary structure was maintained in most of the stress tests, while conformation was altered by almost all the tests except for the freeze-thaw cycles. Functionality, evaluated by its immunochemical reaction with VEGF, was found to be stable but with decrease when exposed to light and with likely partial inactivation of the drug when pH was altered. Fc-fusions proteins are a well-established class of biotherapeutics. They are composed of the Fc region of the IgG antibody (Hinge-CH2-CH3) and a desired linked protein. Although the top-selling biotherapeutics are monoclonal antibodies (mAbs), there is increasing use of therapeutic Fc-fusion proteins in medicine today 1. One of these is aflibercept (AFL), a recombinant human Fc-fusion protein that-as indicated in the assessment report of Zaltrap of the European Medicine Agency 2-"acts as a high-affinity soluble decoy receptor that preferentially binds to vascular endothelial growth factor A (VEGF-A), VEGF-B and placenta growth factor (PlGF) and prevents these factors from activating their endogenous receptors. By blocking this pathway, AFL exerts direct anti-cancer activity and boosts the anti-cancer activity of chemotherapy agents by preventing new tumour vessel growth, regressing existing tumour vessels, normalizing vasculature, negatively affecting tumour cell function, offsetting the effects of chemotherapy induction of VEGF levels and potentially inhibiting VEGF repression of dendritic cell function" 2. As a VEGF inhibitor, AFL is also classified as a VEGF-trap together with bevacizumab and ranibizumab. Cancer therapy is not the only field of medicine to benefit from AFL, which is also being used to treat several ophthalmological diseases characterized by neovascularization. As the administration to patient varies depending on the particular illness they are suffering, two different medicines are currently available, Zaltrap (Sanofi-Aventis US, LLC, Bridgewater, New Jersey, USA and Regeneron...