Evidence map›Paper›PMID 41545709›Full record

ArticleEye (London, England)2026

Aflibercept 8 mg treat-and-extend pathway for the treatment of neovascular age-related macular degeneration: guidance from a UK expert panel.

Richard Gale, Mahmoud Husseiny Awad, Clare Bailey, Peter Cackett, Ramandeep Chhabra, Louise Downey, Faruque Ghanchi, Ajay Kotagiri, Nirodhini Narendran, Ian Pearce and 6 more

Abstract read
In one paragraph

Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Aflibercept 8 mg for diabetic macular edema and neovascular age-related macular degeneration: an italian expert consensus paper.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  2. Special Issue: Molecular Mechanisms and Treatment of Retinal Diseases.International journal of molecular sciences · 2026
    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

16 authors.

Richard GaleHYMS, University of York, York Hospital, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK. r.gale1@nhs.net.ORCID http://orcid.org/0009-0006-0213-6253
Mahmoud Husseiny AwadSingleton Hospital, Swansea Bay University Health Board, Swansea, Wales, UK.ORCID http://orcid.org/0009-0001-9878-2447
Clare BaileyBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Peter CackettPrincess Alexandra Eye Pavilion, NHS Lothian, Edinburgh, Scotland, UK.
Ramandeep ChhabraManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Louise DowneyHull and East Yorkshire Eye Hospital, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Faruque GhanchiBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.ORCID http://orcid.org/0000-0002-4448-8162
Ajay KotagiriSunderland Eye Infirmary, South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
Nirodhini NarendranThe Royal Wolverhampton NHS Trust, Wolverhampton, UK.
Ian PearceNHS University Hospitals of Liverpool Group, Liverpool, UK.
Tunde PetoQueen's University Belfast, Belfast, Northern Ireland, UK.ORCID http://orcid.org/0000-0001-6265-0381
Sobha SivaprasadNIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Saad YounisWestern Eye Hospital, Imperial College Healthcare NHS Trust, London, UK.
Jackie NapierMedical Department, Bayer plc, Reading, UK.
Rose GilbertMedical Department, Bayer plc, Reading, UK.
Safeen IsmatMedical Department, Bayer plc, Reading, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTherapies with robust visual outcomes and reduced patient and healthcare system treatment burden are needed amidst the rising incidence of neovascular age-related macular degeneration (nAMD). Aflibercept 8 mg is an additional treatment option with demonstrated potential for extended dosing intervals of up to 24 weeks. The objective of this publication is to introduce a clinical care pathway, developed by expert consensus of experienced UK clinicians, to support best practice with aflibercept 8 mg in nAMD.

methodsA structured, face-to-face roundtable meeting of 13 UK retina specialists was held on 8 October 2024, organised and funded by Bayer. The expert panel reached consensus following review of key clinical trial data and consideration of current NHS clinical practice to provide guidance on the use of intravitreal aflibercept 8 mg in nAMD.

resultsThe panel provided recommendations for an aflibercept 8 mg treat-and-extend pathway for both treatment-naïve and previously treated patients with nAMD. Criteria were developed to guide dosing interval extension, reduction or maintenance based on visual acuity and optical coherence tomography imaging. More detailed guidance includes considerations for switching treatments to or from aflibercept 8 mg, monitoring, and discontinuing treatment.

conclusionsAflibercept 8 mg may offer opportunities for longer treatment intervals and reduced patient and clinic burden compared with first-generation agents. The proposed treatment pathway is practical and accounts for variability in healthcare structures and capacity pressures, providing clinicians with flexibility in implementing these recommendations while addressing patient needs.

Indexed as

Angiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsWet Macular DegenerationHumansIntravitreal InjectionsTomography, Optical CoherenceUnited KingdomVascular Endothelial Growth Factor AVisual AcuityafliberceptAngiogenesis InhibitorsReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor A

Identifiers

PMID41545709
PMCPMC13161424

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.