Evidence map›Paper›PMID 38063874›Full record

Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2024

Real-world experience with brolucizumab in neovascular age-related macular degeneration over 2 years: the REBA extension study.

Alper Bilgic, Laurent Kodjikian, Francesc March de Ribot, Martin S Spitzer, Vaishali Vasavada, Jesus Hernan Gonzalez-Cortes, Aditya Sudhalkar, Somnath Chakraborty, Thibaud Mathis

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2024. 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
2.0field-weighted citation impact, top 14% 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, 7 citations in OpenAlex.

  1. Article
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  4. Review
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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

9 authors at 7 institutions in 5 countries.

Alper BilgicAlphavision Augenarztpraxis, 27568, Bremerhaven, Germany. drbilgicalper@yahoo.com.
Laurent KodjikianService d'Ophtalmologie, Centre Hospitalier Universitaire de La Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, 69004, Lyon, France.
Francesc March de RibotDepartment of Ophthalmology, Otago University, Dunedin, 9016, New Zealand.
Martin S SpitzerDepartment of Ophthalmology, University of Hamburg, 20246, Hamburg, Germany.
Vaishali VasavadaRaghudeep Eye Hospital, Ahmedabad, India.
Jesus Hernan Gonzalez-CortesOphthalmology Department, School of Medicine, University Hospital "Dr. Jose Eleuterio Gonzalez, Universidad Autónoma de Nuevo León, 64460, Monterrey, Mexico.
Aditya SudhalkarAlphavision Augenarztpraxis, 27568, Bremerhaven, Germany. adityasudhalkar@yahoo.com.
Somnath ChakrabortyRetina Institute of Bengal, Siliguri, India.
Thibaud MathisService d'Ophtalmologie, Centre Hospitalier Universitaire de La Croix-Rousse, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, 69004, Lyon, France.
Centre National de la Recherche Scientifique · FRRaghudeep Eye Hospital · INSir Sayajirao General Hospital Medical College · INUniversidad Autónoma de Nuevo León · MXUniversität Hamburg · DEUniversité Claude Bernard Lyon 1 · FRUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine long-term efficacy and safety of intravitreal brolucizumab therapy for neovascular age-related macular degeneration (nAMD) in the real-world setting.

methodsRetrospective, observational, multicentric study and an extension of the REBA study (Real-world Experience with Brolucizumab in nAMD) to 24 months. The study entailed follow-up of 91 consecutive eyes (67 patients) with nAMD who received brolucizumab therapy and completed 24 months of follow-up. Both treatment-naïve and switch therapy patients were included. All relevant data were collected. The primary outcome measure was changed in best-corrected visual acuity (BCVA) over time. Secondary outcome measures included change in central subfield thickness (CST) and complications.

resultsThe mean (SD) baseline BCVA was 48.4 (3.5) letters and 36.2 (7.1) letters in treatment-naïve group and switch therapy group, respectively. BCVA gain was + 9.2 (3.7) letters (p = 0.01) and + 7.7 (3.4) letters (p = 0.011), respectively. The change in mean (SD) CST has shown a significant decrease in retinal thickness in treatment-naïve group (from 432.5 (68.4) to 283.0 (51.3) µm; p = 0.018) and in switch therapy group (from 452.5 (40.5) to 271.0 (43.4) µm; p = 0.011) group. One switch patient developed vascular occlusion and another a macular hole after the fifth brolucizumab injection as reported in the primary study. Both patients recovered uneventfully. Three patients demonstrated reversible intraocular inflammation between months 10 and 24.

conclusionPatients showed a significant anatomical and functional response to brolucizumab therapy in the real world, regardless of prior treatment status, until the end of the follow-up period. Overall, 5 significant untoward events were noted.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedHumansIntravitreal InjectionsReceptors, Vascular Endothelial Growth FactorRetinaRetrospective StudiesAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedbrolucizumabReceptors, Vascular Endothelial Growth FactorAge-related macular degenerationAnti-vascular endothelial growth factorBrolucizumabExudationSwitch therapy

Identifiers

PMID38063874
OpenAlexW4389485465

What OpenQuestion holds

Textmetadata
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.