Evidence map›Paper›PMID 40040560›Full record

ArticleClinical & experimental ophthalmology2025

Safety of an Intravitreal Bevacizumab Biosimilar (MVASI).

Hanru Wang, Bobak Bahrami, Sonia Huang, Marzieh Tahmasebi Sarvestani, Sudha Cugati, Stewart Lake, Weng Onn Chan, Devaraj Supramaniam, Matthew Little

Abstract readMulticenter Study
In one paragraph

Article in Clinical & experimental ophthalmology, 2025. 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. Therapeutic peptides and proteins: Status and developments in drug delivery.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Review
  2. Review
  3. Review
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.

Hanru WangDepartment of Ophthalmology, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0009-0007-2270-9060
Bobak BahramiDepartment of Ophthalmology, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Sonia HuangDepartment of Ophthalmology, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.ORCID 0000-0002-6716-710X
Marzieh Tahmasebi SarvestaniDepartment of Ophthalmology, Modbury Hospital, Modbury SA, Australia.
Sudha CugatiThe Discipline of Ophthalmology and Visual Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
Stewart LakeDepartment of Ophthalmology, Flinders Medical Centre, Bedford Park, South Australia, Australia.
Weng Onn ChanDepartment of Ophthalmology, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Devaraj SupramaniamDepartment of Ophthalmology, Modbury Hospital, Modbury SA, Australia.
Matthew LittleDepartment of Ophthalmology, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravitreal bevacizumab has been used off-label to treat multiple ocular conditions for almost two decades. Reference bevacizumab, Avastin, was discontinued in Australia in 2021. A bevacizumab biosimilar, MVASI, was approved by the Therapeutic Goods Administration for the treatment of metastatic cancer in 2020. There is limited safety data for the off-label intravitreal use of MVASI. This retrospective study evaluates the safety of intravitreal MVASI.

methodsRetrospective review of all eyes that were given intravitreal MVASI at all metropolitan public hospitals in South Australia between 1st May 2022 and 30th May 2024. Demographic data, injection indications, number of injections per eye, whether patients were switched to another agent, and associated complications were collected from electronic and paper medical records.

resultsA total of 6230 injections were given to 1682 eyes in this study. The mean age of the study population was 69.8 ± 15.6 years. The overall mean number of MVASI injections given per eye was 3.7 ± 2.9 (range 1-21). The indications for treatment were neovascular age-related macular degeneration (2106 injections; 33.8%), diabetic macular oedema (1634 injections; 26.2%), branch retinal vein occlusion (695 injections; 11.2%), proliferative diabetic retinopathy (596 injections; 9.6%), central retinal vein occlusion (558 injections; 9.0%) and other (641 injections; 10.3%). Significant sight-threatening complications included 3 cases of bacterial endophthalmitis (0.05%) and 3 cases of uveitis (0.05%). No cases of retinal vasculitis were observed.

conclusionsIntravitreal MVASI had a similar ophthalmic safety profile and may be used as an alternative to Avastin.

Indexed as

Angiogenesis InhibitorsBevacizumabBiosimilar PharmaceuticalsAgedAged, 80 and overFemaleHumansIntravitreal InjectionsMaleMiddle AgedRetinal Vein OcclusionRetrospective StudiesVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsBevacizumabBiosimilar PharmaceuticalsVascular Endothelial Growth Factor AVEGFA protein, humanAvastinbiosimilarintravitreal injectionsMVASIsafety

Identifiers

PMID40040560
PMCPMC12235104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.