Evidence map›Paper›PMID 39984700›Full record

ArticleEye (London, England)2025

Factors associated with achieving various visual acuity outcomes during loading doses of aflibercept 2 mg for treatment naïve exudative age-related macular degeneration: PRECISE Study Report 7.

Swati Chandak, Sarega Gurudas, Raheeba Mohammed Pakeer, Dimitrios Kazantzis, Faruque Ghanchi, Anna Grabowska, Stephen James Talks, Ian Pearce, Martin McKibbin, Ajay Kotagiri and 4 more

Abstract read
In one paragraph

Article in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

14 authors.

Swati ChandakNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.ORCID http://orcid.org/0000-0001-8255-6253
Sarega GurudasNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.
Raheeba Mohammed PakeerNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.
Dimitrios KazantzisNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK.ORCID http://orcid.org/0000-0002-4145-8144
Faruque GhanchiBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.ORCID http://orcid.org/0000-0002-4448-8162
Anna GrabowskaKing's College Hospital NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-3053-2142
Stephen James TalksNewcastle Hospitals NHS Foundation Trust, Newcastle, 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 Jl BurtonJames Paget University Hospitals NHS Foundation Trust, Norfolk, UK.ORCID http://orcid.org/0000-0001-9579-9078
Richard GaleYork Teaching Hospital NHS Foundation Trust, York, UK.
Sobha SivaprasadNational Institute of Health Research Moorfields Biomedical Research Centre, Moorfields Eye Hospital, London, UK. sobha.sivaprasad@nhs.net.

Funding

Boehringer Ingelheim SIVS1045
6 · The paper itself

Abstract

purposeTo identify demographic and baseline OCT characteristics that are predictive of VA outcomes after the first and post-loading injections in patients treated with 2 mg aflibercept.

methodsThis study evaluated VA outcomes in 1999 eyes of 1862 patients with nAMD initiated on aflibercept therapy. Demographic and OCT (Spectralis, Heidelberg Engineering) features associated with good VA outcome defined as VA ≥ 68 ETDRS letters (Snellen ≥  6/12) and poor VA outcome of <54 ETDRS letters (Snellen < 6/18) or a loss of ≥5 ETDRS letters after first and post-loading injections were analysed using logistic regression via generalised estimating equations.

resultsThe mean age was 79.3 (SD 7.8) years, 1126 (60.5%) were females, and predominantly white ethnic background (1772 [95.2%]). The mean presenting VA was 58.0 (SD 14.5) ETDRS letters. After the loading phase, 930/1994 (46.6%) eyes achieved VA ≥ 68 ETDRS letters, and 457 (22.9%) attained VA < 54 ETDRS letters. Increasing age, non-white ethnicity, and baseline VA < 54 letter score is associated with VA < 54 letters. The OCT parameters associated with reduced odds of VA ≥ 68 ETDRS letters and increased odds of VA < 54 ETDRS letters after first and post-loading phase included fovea-involving intraretinal fluid, all types of macular neovascularisation (MNV) versus type 1 MNV, fovea-involving MNV (vs. non-foveal MNV), subfoveal MNV complex, increased central subfield thickness, foveal presence of subretinal hyper-reflective material, atrophy, fibrosis, ungradable or ellipsoid zone and/or external limiting membrane loss.

conclusionThis study could provide individual-level visual prognosis about their post-loading VA based on demography, VA and OCT characteristics at presentation.

Indexed as

Angiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVisual AcuityWet Macular DegenerationAgedAged, 80 and overFemaleFluorescein AngiographyHumansIntravitreal InjectionsMaleMiddle AgedRetrospective StudiesTomography, Optical CoherenceTreatment OutcomeafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID39984700
PMCPMC12089498

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.