Evidence map›Paper›PMID 34351479›Full record

ArticleDer Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft2022

[Real-life experiences with Brolucizumab in recalcitrant neovascular age-related macular degeneration].

Marius Book, M Ziegler, K Rothaus, H Faatz, M Gutfleisch, G Spital, A Lommatzsch, D Pauleikhoff

Abstract read
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In one paragraph

Article in Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Marius BookAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland. marius.book@augen-franziskus.de.ORCID http://orcid.org/0000-0002-5178-8673
M ZieglerAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
K RothausAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
H FaatzAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
M GutfleischAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
G SpitalAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
A LommatzschAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
D PauleikhoffAugenzentrum am St. Franziskus-Hospital, Münster, Deutschland.
St. Franziskus Hospital · DEEssen University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPivotal clinical trials have proven brolucizumab to be a potent intravitreal anti-vascular endothelial growth factor (VEGF) drug in patients with neovascular age-related macular degeneration (nAMD). Therefore, it seems to be a promising drug also in patients with recalcitrant nAMD. This article presents the results of patients who were switched to brolucizumab due to persistent fluid under previous anti-VEGF treatment.

methodsIn this study 21 eyes were retrospectively analyzed in which treatment was switched to brolucizumab due to persistent intraretinal (IRF), subretinal (SRF) and/or sub-retinal pigment epithelium (sub-RPE fluid) fluid despite long-term anti-VEGF treatment. Functional and spectral domain optical coherence tomography (SD-OCT) data were investigated at diagnosis of nAMD (I), at switch to brolucizumab (II), 4 weeks after upload of brolucizumab (III) and at first reactivation of macular neovascularization (MNV, IV).

resultsThere were no significant changes in fluid distribution between (I) and (II). After upload of brolucizumab (III) a significant reduction of central subfield retinal thickness (CSRT, p = 0.0001), SRF (p = 0.004) and sub-RPE fluid (p = 0.04), but no visual acuity improvement (p = 0.56) were observed.

conclusionIntravitreal brolucizumab treatment can achieve significant reductions particularly of SRF and sub-RPE in patients refractory to previous anti-VEGF treatment. Future studies should further investigate the effects of brolucizumab in patients with recalcitrant nAMD.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedHumansIntravitreal InjectionsRanibizumabRetrospective StudiesTomography, Optical CoherenceVascular Endothelial Growth Factor AAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedbrolucizumabRanibizumabVascular Endothelial Growth Factor ADrug efficacyPersistent fluidRecalcitrant nAMDTherapeutic optionsTreatment adherence

Identifiers

PMID34351479
OpenAlexW3191990207

What OpenQuestion holds

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Registered trials

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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.