Evidence map›Paper›PMID 34469431›Full record

Observational studyPloS one2021

Effectiveness of anti-vascular endothelial growth factors in neovascular age-related macular degeneration and variables associated with visual acuity outcomes: Results from the EAGLE study.

Giovanni Staurenghi, Francesco Bandello, Francesco Viola, Monica Varano, Giulia Barbati, Elena Peruzzi, Stefania Bassanini, Chiara Biancotto, Vito Fenicia, Claudio Furino and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Observational
  4. 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 at 11 institutions in 1 country.

Giovanni StaurenghiDepartment of Biomedical and Clinical Sciences "Luigi Sacco", Luigi Sacco Hospital, University of Milan, Milan, Italy.ORCID 0000-0002-2299-5251
Francesco BandelloDepartment of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan, Italy.
Francesco ViolaFoundation IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Monica VaranoIRCCS-Fondazione Bietti, Rome, Italy.
Giulia BarbatiDepartment of Medical Sciences, Biostatistics Unit, University of Trieste, Trieste, Italy.
Elena PeruzziNovartis Farma S.p.A., Origgio, VA, Italy.
Stefania BassaniniNovartis Farma S.p.A., Origgio, VA, Italy.
Chiara BiancottoNovartis Farma S.p.A., Origgio, VA, Italy.
Vito FeniciaFaculty of Medicine and Psychology, NESMOS Department, Ophthalmology Unit, S. Andrea Hospital, University of Rome "La Sapienza", Rome, Italy.
Claudio FurinoDepartment of Medical Science, Neuroscience and Sense Organs, Eye Clinic, Azienda Ospedaliero-Universitaria Policlinico Consorziale Bari, Bari, Italy.
Maria VadalàBiomedicine, Neuroscience and Advanced Diagnostic Department, Unit of Ophthalmology, University of Palermo, Palermo, Italy.
Michele ReibaldiDepartment of Surgical Sciences, University of Torino, Turin, Italy.
Stela VujosevicEye Clinic, IRCCS MultiMedica, Milan, Italy.
Federico RicciDepartment Experimental Medicine, Tor Vergata University, Viale Oxford, Roma, Italy.
EAGLE study investigators
Novartis (Italy) · ITUniversity of Milan · ITAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITFondazione G.B. Bietti · ITIRCCS Ospedale San Raffaele · ITMultiMedica · ITSapienza University of Rome · ITUniversity of Palermo · ITUniversity of Rome Tor Vergata · ITUniversity of Trieste · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the overall effectiveness of anti-vascular endothelial growth factor (VEGF) therapy in treatment-naïve patients with neovascular age-related macular degeneration (nAMD) in a clinical practice setting. STUDY

designEAGLE was a retrospective, 2-year, cohort observational, multicenter study conducted in Italy that analyzed secondary data of treatment-naïve patients with nAMD. The primary endpoint evaluated the mean annualized number of anti-VEGF injections at Years 1 and 2. The main secondary endpoints analyzed the mean change in visual acuity (VA) from baseline and variables associated with visual outcomes at Years 1 and 2.

resultsOf the 752 patients enrolled, 745 (99.07%) received the first dose of anti-VEGF in 2016. Overall, 429 (57.05%) and 335 (44.5%) patients completed the 1- and 2-year follow-ups, respectively. At baseline, mean (standard deviation, SD) age was 75.6 (8.8) years and the mean (SD) VA was 53.43 (22.8) letters. The mean (SD) number of injections performed over the 2 years was 8.2 (4.1) resulting in a mean (SD) change in VA of 2.45 (19.36) (P = 0.0005) letters at Year 1 and -1.34 (20.85) (P = 0.3984) letters at Year 2. Linear regression models showed that age, baseline VA, number of injections, and early fluid resolution were the variables independently associated with visual outcomes at Years 1 and 2.

conclusionsThe EAGLE study analyzed the routine clinical practice management of patients with nAMD in Italy. The study suggested that visual outcomes in clinical practice may be improved with earlier diagnosis, higher number of injections, and accurate fluid resolution targeting during treatment induction.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsDrug Administration ScheduleFemaleFollow-Up StudiesHumansIntravitreal InjectionsItalyMacular DegenerationMaleRetinal NeovascularizationRetrospective StudiesTime FactorsTreatment OutcomeVascular Endothelial Growth Factor AAngiogenesis InhibitorsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID34469431
PMCPMC8409622
OpenAlexW3197066393

What OpenQuestion holds

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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.