Evidence map›Paper›PMID 28406859›Full record

ArticleRetina (Philadelphia, Pa.)2018

VISUAL ACUITY IMPROVEMENT WHEN SWITCHING FROM RANIBIZUMAB TO AFLIBERCEPT IS NOT SUSTAINED.

Cecilia S Lee, Alisa J Kim, Douglas Baughman, Catherine Egan, Clare Bailey, Robert L Johnston, Salim Natha, Rehna Khan, Christopher Brand, Toks Akerele and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Retina (Philadelphia, Pa.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Long-term choroidal thickness changes based on the subtype of macular neovascularization in neovascular age-related macular degeneration (5-year follow-up).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  4. Observational
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Cecilia S LeeDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Alisa J KimUniversity of Washington, Seattle, Washington.
Douglas BaughmanUniversity of Washington, Seattle, Washington.
Catherine EganThe NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust.
Clare BaileyBristol Eye Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Robert L JohnstonGloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom.
Salim NathaWrightington, Wigan and Leigh NHS Foundation Trust, Wigan, United Kingdom.
Rehna KhanCalderdale and Huddersfield NHS Foundation Trust, Huddersfield, United Kingdom.
Christopher BrandSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Toks AkereleHinchingbrooke Health Care NHS Trust, Huntingdon, United Kingdom.
Martin McKibbinMid Yorkshire Hospitals NHS Trust.
Louise DowneyHull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom.
Saher Al-HusainyHeart of England NHS Foundation Trust, Solihull, United Kingdom.
Aaron Y LeeDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Adnan TufailThe NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust.

Funding

The ocular surface microbiome in potentially infectious ophthalmic diseaseK23EY024921 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, CECILIA SUNGMIN · 2015 to 2019
$991k
NEI NIH HHS K23 EY024921
6 · The paper itself

Abstract

purposeTo assess whether visual benefits exist in switching to aflibercept in patients who have been chronically treated with ranibizumab for neovascular age-related macular degeneration.

methodsA multicenter, national, electronic medical record database study was performed. Patients undergoing six continuous monthly ranibizumab injections and then switched to continuous aflibercept were matched to those on continuous ranibizumab therapy. Matching was performed in a 2:1 ratio and based on visual acuity 6 months before and at the time of the switch, and the number of previous ranibizumab injections.

resultsPatients who were switched to aflibercept demonstrated transiently significant improvement in visual acuity that peaked at an increase of 0.9 Early Treatment Diabetic Retinopathy Study letters 3 months after the switch, whereas control patients continued on ranibizumab treatment showed a steady decline in visual acuity. Visual acuity differences between the groups were significant (P < 0.05) at 2, 3, and 5 months after the switch. Beginning at 4 months after the switch, the switch group showed a visual acuity decline similar to the control group.

conclusionTransient, nonsustained improvement in visual acuity occurs when switching between anti-vascular endothelial growth factor agents, which may have implications in treating patients on chronic maintenance therapy on one anti-vascular endothelial growth factor medication.

Indexed as

Drug SubstitutionAgedAged, 80 and overAngiogenesis InhibitorsChoroidal NeovascularizationFemaleHumansMacular DegenerationMaleMiddle AgedRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVisual AcuityafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion Proteins

Identifiers

PMID28406859
PMCPMC5636644

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.