Evidence map›Paper›PMID 33519187›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2021

Intravitreal Ranibizumab or Aflibercept After Bevacizumab in Diabetic Macular Edema: Exploratory Retrospective Analysis.

Bernardete Pessoa, Luísa Malheiro, Inês Carneiro, Sílvia Monteiro, João Coelho, Constança Coelho, João Figueira, Angelina Meireles, João Nuno Melo Beirão

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04018833 (Intravitreal Ranibizumab or Aflibercept After Bevacizumab in Diabetic Macular Edema), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 33% 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.

NCT04018833 completednot on this map

Intravitreal Ranibizumab or Aflibercept After Bevacizumab in Diabetic Macular Edema

TypeobservationalSponsorBernardete Pessoa MDRan2012 to 2016Enrolled40ConditionsDiabetic Macular Edema, Diabetic RetinopathyArmsRanibizumab 0.5 MG/0.05 ML Intraocular Solution [LUCENTIS], Aflibercept 40 MG/ML Intraocular Solution [EYLEA]
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Aflibercept or ranibizumab for diabetic macular edema.Medical hypothesis, discovery & innovation ophthalmology journal · 2024
    Article
  3. 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 4 institutions in 1 country.

Bernardete PessoaOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.ORCID 0000-0002-5673-1561
Luísa MalheiroOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.ORCID 0000-0001-9937-6806
Inês CarneiroOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.
Sílvia MonteiroOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.ORCID 0000-0001-5040-6170
João CoelhoOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.ORCID 0000-0003-2261-5682
Constança CoelhoGenetics Laboratory, Institute of Environmental Health, Lisbon Medical School, University of Lisbon, Porto, Portugal.ORCID 0000-0002-5331-2257
João FigueiraCentro Hospitalar e Universitário de Coimbra, Porto, Portugal.ORCID 0000-0002-3511-1515
Angelina MeirelesOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.ORCID 0000-0001-9148-2786
João Nuno Melo BeirãoOphthalmology Department, Centro Hospitalar e Universitário do Porto, Porto, Portugal.
Centro Hospitalar do Porto · PTUniversidade do Porto · PTHospitais da Universidade de Coimbra · PTUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy of switching from bevacizumab to ranibizumab or aflibercept in eyes with diabetic macular edema (DME) unresponsive to bevacizumab.

methodsSingle-center retrospective comparative study of patients with DME unresponsive to intravitreal bevacizumab that was switched to ranibizumab or aflibercept. Best-corrected visual acuity (BCVA) and central foveal thickness (CFT) were analysed prior to and 4 months after the switch. Ocular coherence tomography (OCT) biomarkers were also analysed.

resultsFifty-six eyes from 40 patients were included in the study, 33 eyes switched to ranibizumab and 23 to aflibercept. A significant median CFT decrease was observed in both groups (p<0.001), with no between-group differences. BCVA gain was only significant in the ranibizumab group (p<0.001). None of the pre-baseline or baseline parameters were associated with the response to ranibizumab or aflibercept.

conclusionIn persistent DME unresponsive to bevacizumab, both anatomical and functional improvements were observed with ranibizumab whereas aflibercept only showed an anatomical improvement. Clinicaltrials.gov NCT04018833.

Indexed as

afliberceptbevacizumabdiabetic macular edemaranibizumabrefractory

Identifiers

PMID33519187
PMCPMC7837538
OpenAlexW3124858697

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.