Evidence map›Paper›PMID 36207506›Full record

ArticleEye (London, England)2023

Practical implementation of a q4-q16 aflibercept treat-and-extend pathway for the treatment of neovascular age-related macular degeneration: Updated guidance from a UK expert panel.

Clare Bailey, Peter Cackett, Ajay Kotagiri, Sajjad Mahmood, Evangelos Minos, Nirodhini Narendran, Ashish Patwardhan, Dawn A Sim, Peter Morgan-Warren, Carolyn O'Neil and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Real-world treatment outcomes of aflibercept versus bevacizumab for neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Observational
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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

11 authors at 9 institutions in 1 country.

Clare BaileyUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK. clare.bailey@bristol.ac.uk.ORCID http://orcid.org/0000-0003-2141-4512
Peter CackettPrincess Alexandra Eye Pavilion, NHS Lothian, Edinburgh, UK.ORCID http://orcid.org/0000-0001-7213-2537
Ajay KotagiriSouth Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
Sajjad MahmoodUniversity of Manchester, Manchester, UK.
Evangelos MinosNorth West Anglia NHS Foundation Trust, Peterborough, UK.
Nirodhini NarendranThe Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Ashish PatwardhanRoyal Cornwall Hospitals NHS Trust, Cornwall, UK.
Dawn A SimMoorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-6363-7805
Peter Morgan-WarrenBayer plc, Reading, UK.
Carolyn O'NeilBayer plc, Reading, UK.
Katie StrawBayer plc, Reading, UK.
Bayer (United Kingdom) · GBMoorfields Eye Hospital NHS Foundation Trust · GBNHS Lothian · GBPeterborough City Hospital · GBRoyal Cornwall Hospital Trust · GBSouth Tyneside and Sunderland NHS Foundation Trust · GBThe Royal Wolverhampton NHS Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis report, based on guidance from a panel of UK retina specialists, introduces a revised intravitreal aflibercept (IVT-AFL) treat-and-extend (T&E) pathway for the treatment of neovascular age-related macular degeneration (nAMD). The T&E pathway incorporates the updated IVT-AFL label (April 2021) allowing flexible treatment intervals of 4 weeks to 16 weeks, after three initiation doses and a further dose after 8 weeks. Practical guidance is provided on the clinical implementation of the revised pathway, with the aim of supporting clinical decision-making to benefit patients and addressing capacity issues in nAMD services.

methodsThree structured round-table meetings of UK retina specialists were held online on 19 May, 16 June and 13 October 2021. These meetings were organised and funded by Bayer.

resultsThe authors revised the previously published consensus pathway to reflect the changes to the IVT-AFL label and developed guidelines for the implementation of the pathway in UK clinical practice. The guidelines include topics such as recommendations for extending patients with 2- or 4-week adjustments, extending patients to 16-week treatment intervals, managing fellow eye involvement, and reducing treatment intervals for patients with particularly active disease.

conclusionsThe revised IVT-AFL T&E nAMD pathway offers guidance to clinicians seeking to increase the dosing flexibility of IVT-AFL, with 4- to 16-week treatment intervals, in line with the updated IVT-AFL label, to meet the continually evolving demands of nAMD service provision.

Indexed as

Macular DegenerationRanibizumabAngiogenesis InhibitorsHumansIntravitreal InjectionsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsUnited KingdomVisual AcuityafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion Proteins

Identifiers

PMID36207506
PMCPMC9542445
OpenAlexW4303433032

What OpenQuestion holds

Textmetadata
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.