Evidence map›Paper›PMID 42552408›Full record

ArticleEye (London, England)2026

Real-world comparative effectiveness of faricimab versus aflibercept 2 mg in treatment-naïve exudative neovascular AMD patients treated with a treat-and-extend regimen.

Xuenan Zhuang, Lorena Ulla, Claudio Foti, Rossella Cariola, Giovanni Neri, Chiara Olivieri, Guglielmo Parisi, Francesco Petrillo, Paola Marolo, Michele Reibaldi and 1 more

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Article in Eye (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Xuenan Zhuang *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital Ganzhou Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.ORCID http://orcid.org/0000-0003-0611-452X
Lorena Ulla *Department of Surgical Sciences, University of Turin, Turin, Italy.
Claudio FotiDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Rossella CariolaDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Giovanni NeriDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Chiara OlivieriDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Guglielmo ParisiDepartment of Surgical Sciences, University of Turin, Turin, Italy.ORCID http://orcid.org/0000-0003-0795-618X
Francesco PetrilloDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Paola MaroloDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Michele ReibaldiDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Enrico BorrelliDepartment of Surgical Sciences, University of Turin, Turin, Italy. enrico.borrelli@unito.it.ORCID http://orcid.org/0000-0003-2815-5031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the real-world effectiveness of faricimab versus aflibercept 2 mg in treatment-naïve patients with neovascular age-related macular degeneration (nAMD).

methodsWe analysed treatment-naïve nAMD patients aged ≥50 years initiating intravitreal anti-VEGF therapy between March 2024 and September 2024. Patients received either faricimab or aflibercept 2 mg. Inverse probability of treatment weighting was used to minimise selection bias. Primary outcomes were best-corrected visual acuity (BCVA) changes from baseline to post-loading phase and 1-year follow-up. Secondary outcomes included anatomic resolution of intraretinal fluid (IRF), subretinal fluid (SRF), and subretinal hyperreflective material (SHRM), treatment burden, and safety.

resultsA total of 172 patients were included (86 faricimab, 86 aflibercept). Baseline characteristics were well-balanced between groups. The faricimab regimen was associated with greater BCVA improvement compared with aflibercept at post-loading phase (adjusted mean difference -0.075 logMAR; 95% confidence interval [CI], -0.130 to -0.020; P = 0.008) and at 1 year (-0.073 logMAR; 95% CI, -0.128 to -0.018; P = 0.011). Patients receiving faricimab achieved significantly higher rates of SRF resolution (odds ratio 2.446; 95% CI, 1.012 to 5.912; P = 0.047). The faricimab group was associated with fewer injections from the post-loading phase to 1 year (median 3 vs. 4; P < 0.001) and lower therapy switching rates (7.9% vs. 25.6%; P = 0.003).

conclusionsIn treatment-naïve nAMD patients, faricimab achieved greater visual acuity gains, enhanced anatomic outcomes, and reduced treatment burden compared with aflibercept. However, these findings should be interpreted in light of the non-randomised design, different loading regimens, and potential differences in early treatment exposure.

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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.