Evidence map›Paper›PMID 31409963›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2019

Results of switchback from ranibizumab to aflibercept in patients with exudative age-related macular degeneration.

Naoko Koike, Tsuyoshi Otsuji, Akiko Tsumura, Katsuaki Miki, Yukio Sakai, Tetsuya Nishimura, Kanji Takahashi

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

7 authors.

Naoko KoikeDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Tsuyoshi OtsujiDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Akiko TsumuraDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Katsuaki MikiDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Yukio SakaiDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Tetsuya NishimuraDepartment of Ophthalmology, Kansai Medical University Medical Center, Osaka, Japan.
Kanji TakahashiDepartment of Ophthalmology, Kansai Medical University, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntravitreal injection of anti-VEGF drugs has become standard therapy for patients with exudative age-related macular degeneration (AMD). However, some patients do not exhibit sufficient response to the drugs for suppression of choroidal neovascularization activity. We investigated the efficacy of switchback from ranibizumab to aflibercept in patients with AMD who could not achieve further benefit beyond initial therapy of aflibercept injection.

methodsEleven eyes of eleven patients were included in this study. Two patients were nonresponders, and nine exhibited tachyphylaxis to aflibercept. All patients received three monthly injections of ranibizumab as an initial phase of switching and received aflibercept as a switchback drug. We investigated changes in injection interval, visual acuity, and central retinal thickness.

resultsIn four patients (36.4%), injection interval was extended. The interval was 6.73 weeks before switch and 9.27 weeks after switchback (

conclusionA switchback from ranibizumab to aflibercept may be beneficial in some patients with AMD who exhibit tachyphylaxis to aflibercept.

Indexed as

afliberceptAMDanti-VEGF drugsranibizumabswitchback

Identifiers

PMID31409963
PMCPMC6643053

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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.