Evidence map›Paper›PMID 42751623›Full record

ReviewJournal of medicine and life2026

Understanding anti-vascular endothelial growth factor medications: chemical properties, costs, and side effects.

Hanan Makhdoum, Abeer Alharbi, Shaden Alhazmi, Ahlam Alrehaili, Rahaf Afandi, Ghadi Aljohani, Khalid Alharbi

Abstract readReview
In one paragraph

Review in Journal of medicine and life, 2026. 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
0cells of the map it votes in
0citing 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

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

7 authors.

Hanan MakhdoumDepartment of Ophthalmology, College of Medicine, Taibah University.
Abeer AlharbiCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Shaden AlhazmiCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Ahlam AlrehailiCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Rahaf AfandiDepartment of Ophthalmology, Ohud Hospital, Madinah, Saudi Arabia.
Ghadi AljohaniCollege of Medicine, Taibah University, Medina, Saudi Arabia.
Khalid AlharbiDepartment of Ophthalmology, Ohud Hospital, Madinah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vascular endothelial growth factor (VEGF) is an important driver of abnormal retinal neovascularization and increased vascular permeability. VEGF overexpression is associated with a number of retinal conditions, such as diabetic macular edema (DME), and neovascular age-related macular degeneration (nAMD). Anti-VEGF treatments have been the most common for these conditions and have improved vision by reducing abnormal blood vessel formation and leakage. This narrative review addressed the fact that the pharmacological properties, safety profiles, and cost-effectiveness of the currently marketed anti-VEGF intravitreal agents (i.e. bevacizumab, ranibizumab, aflibercept, brolucizumab, pegaptanib, and recently faricimab) differ and therefore, each of these agents, have their own unique molecular structure, target specificity, duration of action in the eye, and systemic circulation, each of which will affect the dosing intervals and treatment burden as well as the safety and adverse events associated with each drug. Aflibercept is a high-binding-affinity decoy receptor and is therefore distinct from faricimab, which is a dual-action (VEGF-A and angiopoietin-2) inhibitor. By contrast, ranibizumab, bevacizumab, brolucizumab, and pegaptanib are anti-angiogenic agents with different VEGF blockade profiles, which ultimately lead to distinct clinical outcomes and pharmacokinetic profiles. While anti-VEGF therapies are highly effective, the outcomes regarding safety, efficacy, and cost depend heavily on the study design and reflect the actual treatment paradigm and continuum of care within the healthcare system. The various attributes of agents should help personalize a patient's treatment approach while also addressing potential challenges related to the safety, efficacy, and longevity of treatment for retinal diseases.

Indexed as

Angiogenesis InhibitorsVascular Endothelial Growth Factor AHumansMacular DegenerationRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AAMD, age-related macular degenerationAng-2, angiopoietin-2anti-VEGFbevacizumabCAD, Canadian dollarDME, diabetic macular edemaDR, diabetic retinopathyETDRS, Early Treatment Diabetic Retinopathy StudyFab, fragment antigen-bindingfaricimabFDA, Food and Drug AdministrationGFR, glomerular filtration rateICER, incremental cost-effectiveness ratioIOP, intraocular pressurenAMD, neovascular age-related macular degenerationPlGF, placental growth factorQALY, quality-adjusted life yearranibizumabretinal diseasesRRD, rhegmatogenous retinal detachmentscFv, single-chain variable fragmentVEGF, vascular endothelial growth factor

Identifiers

PMID42751623
PMCPMC13580515

What OpenQuestion holds

Textmetadata
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.