Evidence map›Paper›PMID 41199263›Full record

ArticleBMC ophthalmology2025

One-year clinical outcomes of four-dose induction versus immediate treat-and-extend faricimab regimens in pretreated neovascular age-related macular degeneration.

Moreno Menghini, Gabriela Grimaldi, Arianna Paris, Lucas M Bachmann, Martin K Schmid

Abstract readComparative Study
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Moreno MenghiniDepartment of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Gabriela GrimaldiDepartment of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Arianna ParisDepartment of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Lucas M BachmannDepartment of Epidemiology, Biostatistics & Prevention Institute (EBPI), University of Zurich, Zurich, Switzerland. bachmann@medignition.com.
Martin K SchmidEye Clinic, Cantonal Hospital Lucerne (LUKS), 6000 Lucerne 16, Lucerne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThis study aimed to compare one-year clinical outcomes of two faricimab treatment strategies in patients with previously treated exudative neovascular age-related macular degeneration (nAMD): (1) immediate switch to treat-and-extend dosing (T&E), and (2) initiation with a four-dose induction ("loading") regimen. SUBJECT/

methodsRetrospective comparing two cohorts of pretreated nAMD patients with 12 months of follow-up who were either switched to Faricimab with immediate T&E dosing (Lucerne protocol, "on-the-fly"), or initiated with a four-dose induction phase (Lugano protocol,"re-loading"). Both cohorts were subsequently managed according to a T&E regimen. Demographic and clinical data, including prior intravitreal agents, best-corrected visual acuity (BCVA), central subfield thickness (CST) on optical coherence tomography (OCT), and length of treatment intervals were analysed. Multivariable models were adjusted for baseline differences.

resultsBoth cohorts (Lucerne, 183 eyes; Lugano, 33 eyes) were similar in baseline characteristics. BCVA improved by 0.81 ETDRS letters in Lucerne and by 2.42 in the Lugano cohort (p = 0.250). CRT decreased by -38.3 μm in Lucerne and by -57.8 μm in Lugano (p = 0.053). Treatment intervals increased by 2.2 weeks in Lucerne and 3.4 weeks in Lugano (p = 0.092). At 12 months, 15.3% of Lucerne patients and 27.3% of Lugano patients achieved intervals ≥ 12 weeks, with significantly higher odds of extension in Lugano (OR 3.87; p = 0.013).

conclusionsBoth cohorts showed anatomical and functional improvements after switching to faricimab. The Lugano cohort, using a four-dose induction phase, showed longer treatment intervals, suggesting better disease stability. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Angiogenesis InhibitorsVisual AcuityWet Macular DegenerationAgedAged, 80 and overAntibodies, BispecificDose-Response Relationship, DrugFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMaleRetrospective StudiesTime FactorsTomography, Optical CoherenceAngiogenesis InhibitorsAntibodies, BispecificfaricimabVascular Endothelial Growth Factor AFaricimabLoading phaseNeovascular AMDSwitching strategyTreatment interval

Identifiers

PMID41199263
PMCPMC12590663

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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.