Evidence map›Paper›PMID 39042047›Full record

ArticleTranslational vision science & technology2024

Real-World Use of Off-Label MVASI in the Treatment of Patients With Neovascular AMD and DME.

Marco Lombardo, Filippo Missiroli, Luca Cerri, Roberto P Sorge, Massimo Cesareo, Federico Ricci

Abstract read
In one paragraph

Article in Translational vision science & technology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Safety of an Intravitreal Bevacizumab Biosimilar (MVASI).Clinical & experimental ophthalmology · 2025
    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

6 authors.

Marco LombardoDepartment of Experimental Medicine, Retina Unit, University of Rome Tor Vergata, Viale Oxford, Rome, Italy.
Filippo MissiroliDepartment of Experimental Medicine, Retina Unit, University of Rome Tor Vergata, Viale Oxford, Rome, Italy.
Luca CerriDepartment of Experimental Medicine, Retina Unit, University of Rome Tor Vergata, Viale Oxford, Rome, Italy.
Roberto P SorgeLaboratory of Biometry, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Massimo CesareoDepartment of Experimental Medicine, Retina Unit, University of Rome Tor Vergata, Viale Oxford, Rome, Italy.
Federico RicciDepartment of Experimental Medicine, Retina Unit, University of Rome Tor Vergata, Viale Oxford, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate the efficacy and safety of bevacizumab-awwb in the off-label treatment of neovascular age-related macular degeneration (n-AMD) and diabetic macular edema (DME). Methods: All patients with n-AMD and DME treated in the maintenance phase according to the "treat and extend" strategy, who underwent forced drug substitution from bevacizumab to bevacizumab-awwb from October 2022 to April 2023 at the Tor Vergata Polyclinic in Rome, were evaluated in a retrospective study. The primary outcome was changes in central retinal thickness (CRT) over time following drug substitution. The secondary outcomes were variations in drug durability, best corrected visual acuity (BCVA) and retinal fluid, and the incidence of drug-related local and systemic serious adverse events. Results: Of 80 eyes of 76 patients with n-AMD and 55 eyes of 44 patients with DME included, before and after drug substitution, the average CRT did not statistically differ; the proportion of patients within time intervals of q8, q12, and q16 was not different; and the mean BCVA remained constant. Of a cumulative 3496 bevacizumab-awwb treatments (2154 for patients with n-AMD and 1342 for patients with DME), no local severe complications were detected. Out of a total of 544 patients (342 affected by n-AMD and 202 affected by DME), no serious adverse events were reported. Conclusions: In our cohort of patients with n-AMD and DME in the maintenance phase, bevacizumab-awwb seems to represent a viable and cost-effective intravitreal therapy with comparable efficacy and safety to the originator. Translational Relevance: This study provides a preliminary assessment of the efficacy and safety of intravitreal bevacizumab-awwb, which is widely used off-label in retinal vascular diseases.

Indexed as

Angiogenesis InhibitorsBevacizumabIntravitreal InjectionsMacular EdemaOff-Label UseVisual AcuityAgedAged, 80 and overDiabetic RetinopathyDrug SubstitutionFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, Optical CoherenceAngiogenesis InhibitorsBevacizumabVascular Endothelial Growth Factor A

Identifiers

PMID39042047
PMCPMC11268445

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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.