Evidence map›Paper›PMID 38026599›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2023

One-Year and 18-Month Outcomes in nAMD Patient Eyes Switched to Brolucizumab Alone versus to Brolucizumab Alternating with Other Anti-VEGF Agents.

Joseph M Coney, Jasmyne E McCoy, Samriddhi Buxy Sinha, Nina Sonbolian, Lujia Zhou, Thomas P Hull, Shawn A Lewis, David G Miller, Michael A Novak, Scott D Pendergast and 9 more

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

19 authors.

Joseph M ConeyRetina Associates of Cleveland Inc, Beachwood, OH, USA.ORCID 0000-0002-6889-2637
Jasmyne E McCoyRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Samriddhi Buxy SinhaNovartis Pharma AG, Basel, Switzerland.
Nina SonbolianNovartis Pharma AG, Basel, Switzerland.
Lujia ZhouKMK Consulting, Morristown, NJ, USA.
Thomas P HullRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Shawn A LewisRetina Associates of Cleveland Inc, Beachwood, OH, USA.
David G MillerRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Michael A NovakRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Scott D PendergastRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Hang PhamRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Sean M PlattRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Llewelyn J RaoRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Jerome P SchartmanRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Lawrence J SingermanRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Richard DonkorRetina Associates of Cleveland Inc, Beachwood, OH, USA.ORCID 0000-0001-5669-5380
Margaret FinkRetina Associates of Cleveland Inc, Beachwood, OH, USA.
Ryan ZubrickyGeisinger Eye Institute, Danville, PA, USA.
Helene KarcherNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0003-0798-4084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Retrospective, real-world study to evaluate visual acuity (VA), anti-vascular endothelial growth factor (anti-VEGF) injection intervals, and central macular thickness (CMT) in neovascular age-related macular degeneration (nAMD) eyes switched to brolucizumab only or to brolucizumab alternating with another anti-VEGF. Methods: The overall study population comprised eyes that were given ≥1 brolucizumab injection between 1 October 2019 and 30 November 2021. The brolucizumab-only (BRO) cohort consisted of prior anti-VEGF-treated eyes treated exclusively with ≥3 brolucizumab injections over ≥12 or ≥18 months; the alternating brolucizumab (ALT) cohort comprised prior anti-VEGF-treated eyes treated with ≥2 brolucizumab injections and ≥1 other anti-VEGF over ≥12 or ≥18 months. Results: A total of 482 eyes received ≥1 brolucizumab injection during the study period. Mean VA changes from baseline were -1.1±15.1 letters (BRO cohort; n = 174) and 1.3±13.0 letters (ALT cohort; n = 47) at Month 12, and 0.0±13.5 letters (BRO cohort; n = 95) and -7.3±17.2 letters (ALT cohort; n = 29) at Month 18. Mean changes in injection intervals were +26.9±48.1 days (BRO cohort) and +11.1±17.3 days (ALT cohort) at Month 12 and +36.3±52.3 days (BRO cohort) and +14.0±19.9 days (ALT cohort) at Month 18. Mean changes in CMT were -35.2±108.1 μm (BRO cohort) and -31.5±91.2 μm (ALT cohort) at Month 12 and -38.9±75.0 μm (BRO cohort) and -9.0±59.9 μm (ALT cohort) at Month 18. Intraocular inflammation-related adverse events were recorded in 22/482 (4.6%) eyes. Conclusion: Treatment with either brolucizumab alone or brolucizumab alternating with another anti-VEGF can preserve vision, reduce CMT, and extend anti-VEGF injection intervals in patients with nAMD.

Indexed as

12-month outcomes18-month outcomesalternating anti-VEGF treatmentsbrolucizumabneovascular age-related macular degenerationwet age-related macular degeneration

Identifiers

PMID38026599
PMCPMC10680460

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.