Evidence map›Paper›PMID 31792234›Full record

ArticleScientific reports2019

A new method for pharmaceutical compounding and storage of anti-VEGF biologics for intravitreal use in silicone oil-free prefilled plastic syringes.

Heidrun Elisabeth Lode, Torleif Tollefsrud Gjølberg, Stian Foss, Magne Sand Sivertsen, Jørgen Brustugun, Yvonne Andersson, Øystein Kalsnes Jørstad, Morten Carstens Moe, Jan Terje Andersen

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Intravitreal injection delivered volume under different environmental and training conditions.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  4. Article
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  6. Article
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  8. Lentiviral delivered aflibercept OXB-203 for treatment of neovascular AMD.Molecular therapy. Methods & clinical development · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. [Silicone oil droplets in the vitreous body after intravitreal injection].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2022
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Issues with Intravitreal Administration of Anti-VEGF Drugs.Clinical ophthalmology (Auckland, N.Z.) · 2020
    Review
  19. 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

9 authors at 3 institutions in 1 country.

Heidrun Elisabeth LodeDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Torleif Tollefsrud GjølbergDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Stian FossDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Magne Sand SivertsenDepartment of Ophthalmology, Oslo University Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway.
Jørgen BrustugunHospital Pharmacies Enterprise, South-Eastern Norway Regional Health Authority, Oslo, Norway.
Yvonne AnderssonHospital Pharmacies Enterprise, South-Eastern Norway Regional Health Authority, Oslo, Norway.
Øystein Kalsnes JørstadDepartment of Ophthalmology, Oslo University Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway.
Morten Carstens MoeDepartment of Ophthalmology, Oslo University Hospital and Faculty of Medicine, University of Oslo, Oslo, Norway. m.c.moe@medisin.uio.no.
Jan Terje AndersenDepartment of Immunology, Oslo University Hospital Rikshospitalet, Oslo, Norway. j.t.andersen@medisin.uio.no.
University of Oslo · NOOslo University Hospital · NOWestern Norway Regional Health Authority · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravitreal injections of antibody-based biologics targeting vascular endothelial growth factor (VEGF) are highly effective and have markedly decreased the risk of visual impairment associated with prevalent retinal diseases, such as neovascular age-related macular degeneration and diabetes macular oedema. The diseases are chronic in their nature, and most patients need long-term therapy to suppress disease activity. We previously reported a compounding method for repackaging and storage of aflibercept (Eylea), a commonly used anti-VEGF biologic, in silicone oil-coated plastic syringes without compromising drug stability or activity. In addition to improving safety and time spent per patient, compounding of anti-VEGF biologics enables single-dose vials to be split into multiple syringes, thereby considerably reducing waste and drug expenses. However, symptomatic silicone oil droplets may deposit in the eye's vitreous body after repetitive injections. To fully avoid this complication, we here report on a novel pharmaceutical compounding method using silicone oil-free syringes and a 33 G × 9 mm Low Dead Space Needle hub injection needle. We evaluate the method for three anti-VEGF biologics commonly used in ophthalmology: aflibercept, ranibizumab (Lucentis) and bevacizumab (Avastin). Our results show that compounding and storage for one week does not compromise the functional activity of the biologics and allows for safe and cost-effective compounding of anti-VEGF biologics for intravitreal injections in prefilled silicone oil-free syringes.

Indexed as

SyringesAngiogenesis InhibitorsBiological ProductsChemistry, PharmaceuticalDiabetic RetinopathyDrug CompoundingDrug StabilityDrug StorageHumansIntravitreal InjectionsMacular DegenerationMacular EdemaOxidation-ReductionPlasticsSilicone OilsVascular Endothelial Growth Factor AAngiogenesis InhibitorsBiological ProductsPlasticsSilicone OilsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID31792234
PMCPMC6888834
OpenAlexW2989847831

What OpenQuestion holds

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LicenceCC BY
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.