Efficacy and safety of treat-and-extend intravitreal brolucizumab in naive and switched patients with macular neovascularization: one-year follow-up study. in BMC ophthalmology / BMC Ophthalmol. 2024 Oct 4;24(1):436. doi: 10.1186/s12886-024-03706-0.
2024
ASL Torino 5
AO Ordine Mauriziano
ASL Torino 5
AO Ordine Mauriziano
Tipo pubblicazione
Journal Article
Autori/Collaboratori (9)Vedi tutti...
Bacherini D
Ophthalmology Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Giansanti F
Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Rizzo S
Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
et alii...
Ophthalmology Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Giansanti F
Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Rizzo S
Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
et alii...
Abstract
BACKGROUND: to analyze, at one year, the efficacy and safety of treat-and-extend (T&E) intravitreal (IV) Brolucizumab in patients affected by macular neovascularization (MNV). Both naïve and previously treated (i.e., switched) patients were included, and the data from the two groups were compared. METHODS: anatomical (i.e., central subfoveal thickness, CST; presence of fluid), functional (i.e., best corrected visual acuity, BCVA) and treatment-related (i.e., number of IV injections within the study period; number of patients reaching a 12-weeks interval between treatments) data from 41 eyes of 41 subjects (20 naïve and 21 switched) were analyzed. Patients were treated with 3 monthly IV injections followed by a T&E regimen based on a disease activity assessment performed at each scheduled IV treatment. RESULTS: significant CST reduction (from 412.1?±?115.8 to 273.2?±?61.6; p?0.05) and BCVA (mean; p) improvement
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PMID : 39367347
DOI : 10.1186/s12886-024-03706-0
Keywords
Treat and extend; OCT; Switched patients; Naïve patients; Macular neovascularization; Intravitreal Brolucizumab; Intravitreal injection interval; Brolucizumab safety; Retrospective Studies; Retinal Neovascularization/drug therapy/physiopathology; Aged, 80 and over; Macula Lutea/pathology; Drug Substitution; Vascular Endothelial Growth Factor A/antagonists & inhibitors; Treatment Outcome; Middle Aged; Tomography, Optical Coherence; Antibodies, Monoclonal, Humanized/administration & dosage/therapeutic use/adverse effects; Aged; Follow-Up Studies; Visual Acuity/physiology; Angiogenesis Inhibitors/administration & dosage/adverse effects/therapeutic use; Female; Male; Intravitreal Injections; Humans;