Evidence map›Paper›PMID 40828189›Full record

ArticleInternational ophthalmology2025

One-year outcomes of faricimab for neovascular age related macular degeneration with OCT angiography: focus on resistant and refractory cases.

Alessandra Scampoli, Matteo Mario Carlà, Giulia Grieco, Lorenzo Governatori, Roberta Catalani, Stanislao Rizzo, Tomaso Caporossi

Abstract readClinical Study
In one paragraph

Article in International 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. Article
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4 · The record

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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

7 authors.

Alessandra Scampoli *Vitreoretinal Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.
Matteo Mario Carlà *Ophthalmology Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy. mm.carla94@gmail.com.ORCID http://orcid.org/0000-0003-2979-1638
Giulia GriecoOphthalmology Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Lorenzo GovernatoriVitreoretinal Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.
Roberta CatalaniVitreoretinal Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.
Stanislao RizzoOphthalmology Department, Fondazione Policlinico Universitario A. Gemelli, IRCCS", 00168, Rome, Italy.
Tomaso CaporossiVitreoretinal Surgery Unit, Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the 12-month effectiveness and safety of intravitreal faricimab (IVF) in patients with neovascular age-related macular degeneration (nAMD) resistant to previous anti-VEGF treatment.

methodsProspective, monocentric study including consecutive patients with resistant/refractory nAMD switched to IVF between July 2023 and November 2024. Primary endpoints were safety, best corrected visual acuity (BCVA), central subfield thickness (CST), and subfoveal choroidal thickness. Secondary endpoints included changes in optical coherence tomography (OCT) and OCT angiography biomarkers: fluid prevalence, pigment epithelial detachment (PED) height, and vascular densities. All patients received four monthly loading doses of faricimab, with subsequent treat-and-extend regimen.

resultsThe study included 30 eyes of 30 patients. Mean follow-up was 14.2 ± 1.9 months and no adverse events were reported. BCVA significantly improved from 0.77 to 0.62 LogMAR at the end of the study period (p = 0.009), with 67% of eyes showing stable vision. CST significantly decreased from baseline (-57 μm on average, p < 0.001), along with PED height which showed its main decrease during the loading phase. Forty-seven percent of eyes achieved complete macular dryness at week 16, with significant reduction in terms of subretinal fluid (SRF) and intraretinal fluid (IRF) prevalence. At the end of the study, 90% of patients achieved treatment intervals of at least q8w, with 27% of eyes being on q12w. Finally, no changes in superficial/deep vessel densities were observed.

conclusionFaricimab demonstrated efficacy and safety in refractory/resistant nAMD, with significant improvements in structural outcomes and stable/improved visual acuity. Extended treatment intervals suggest a potential reduction in treatment burden.

Indexed as

Angiogenesis InhibitorsAntibodies, BispecificChoroidal NeovascularizationMacular DegenerationVisual AcuityAgedAged, 80 and overBiomarkersChoroidFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMacula LuteaMaleAngiogenesis InhibitorsAntibodies, BispecificBiomarkersfaricimabAge-related macular degenerationAnti-vascular endothelial growth factorFaricimabOCT angiographyResistant nAMDTreat-and-extend

Identifiers

PMID40828189
PMCPMC12364751

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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.