Evidence map›Paper›PMID 38102473›Full record

ArticleEye (London, England)2024

Baseline characteristics of eyes with early residual fluid post loading phase of aflibercept therapy in neovascular AMD: PRECISE study report 3.

Shruti Chandra, Sarega Gurudas, Ian Pearce, Martin Mckibbin, Ajay Kotagiri, Geeta Menon, Benjamin J L Burton, James Talks, Anna Grabowska, Faruque Ghanchi and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Eye (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

18 authors.

Shruti ChandraNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.ORCID http://orcid.org/0000-0002-2634-9775
Sarega GurudasInstitute of Ophthalmology, University College, London, UK.
Ian PearceThe Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust, Liverpool, UK.
Martin MckibbinLeeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID http://orcid.org/0000-0003-4388-243X
Ajay KotagiriSouth Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
Geeta MenonFrimley Health NHS Foundation Trust, Surrey, UK.
Benjamin J L BurtonJames Paget University Hospitals NHS Foundation Trust, Norfolk, UK.ORCID http://orcid.org/0000-0001-9579-9078
James TalksNewcastle Hospitals NHS Foundation Trust, Newcastle, UK.
Anna GrabowskaKing's College Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-3053-2142
Faruque GhanchiBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.ORCID http://orcid.org/0000-0002-4448-8162
Richard GaleHull York Medical School and York, University of York and Scarborough Teaching Hospital NHS Foundation Trust, York, UK.
Andrea GianiBoehringer Ingelheim, Binger Str. 173, 55216, Ingelheim am, Rhein, Germany.
Victor ChongInstitute of Ophthalmology, University College, London, UK.ORCID http://orcid.org/0000-0002-7693-522X
Ching Ning Taffeta ChenBoehringer Ingelheim, Binger Str. 173, 55216, Ingelheim am, Rhein, Germany.
Luke NicholsonNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.
Sridevi ThottarathNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.
Swati ChandakNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.ORCID http://orcid.org/0000-0001-8255-6253
Sobha SivaprasadNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK. sobha.sivaprasad@nhs.net.

Funding

Boehringer Ingelheim SIVS 1045Boehringer Ingelheim SIVS1045
6 · The paper itself

Abstract

purposeTo compare the baseline characteristics in patients with and without early residual fluid (ERF) after aflibercept loading phase (LP) in patients with treatment naïve neovascular age related macular degeneration (nAMD).

methodsPatients with nAMD initiated on LP of three intravitreal aflibercept doses were recruited from December 2019 to August 2021. Baseline demographic and OCT features associated with any ERF were analysed using Generalised Estimating Equations to account for inter-eye correlation. Receiver operating characteristic (ROC) curve was performed for selection of CST threshold.

resultsOf 2128 patients enrolled, 1999 eyes of 1862 patients with complete data were included. After LP, ERF was present in 1000 (50.0%), eSRF in 746(37.3%) and eIRF in 428 (21.4%) eyes. In multivariable analysis of baseline features, eyes with increased central subfield thickness (CST) (OR 1.31 per 100 microns increase [95% CI 1.22 to 1.41]; P < 0.001), eyes with IRF and SRF at baseline (1.62 [95% CI 1.17 to 2.22]; P = 0.003), and those with SRF only (OR 2.26 [95% CI 1.59 to 3.20]; P < 0.001) relative to IRF only were determinants of ERF. CST ≥ 418 microns had 57% sensitivity and 58% specificity to distinguish ERF from no ERF at visit 4.

conclusionOn average, 50% of eyes have ERF after aflibercept LP. Clinically relevant baseline determinants of ERF include CST ≥ 418 µ and presence of only SRF. These eyes may require further monthly treatment before extending treatment intervals.

Indexed as

Angiogenesis InhibitorsIntravitreal InjectionsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsSubretinal FluidTomography, Optical CoherenceVisual AcuityWet Macular DegenerationAgedAged, 80 and overFemaleHumansMaleMiddle AgedROC CurveVascular Endothelial Growth Factor AafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID38102473
PMCPMC11076629

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.