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The goal of this retrospective single-center chat review is to establish the efficacy and safety of a single dose of intravitreal faricimab (Vabysmo®) injection in patients with neovascular age-related macular degeneration (AMD), who were previously treated with aflibercept (Eylea®) and had persisting intraretinal or subretinal fluid despite frequent treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Patients who received intravitreal faricimab injections between May and September, in 2023. and conform the inclusion/exclusion criteria. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Faricimab | Drug | The Injections were performed according to local standard protocol, that included the use of 2-3 drops of topical tetracaine anesthesia, use of eye speculum, topical 5% povidone-iodine disinfection, a 30G-needle, injection site 3.5 mm posterior from the limbus marked by calipers in supertemporal or inferotemporal quadrants, a sterile cotton tip tamponade at the site of injection after removal of the needle, and no post-procedure antibiotics. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients responding to the treatment switch | Defined as reduction or disappearance of the intra- or subretinal fluid at 4 weeks following a single injection of faricimab | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Durability of a single injection in cases of favorable treatment response without residual fluid | Time of reappearance of the fluid | Up to 16 weeks |
| Differences in patient characteristics between individuals responding and not responding to faricimab |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of ocular and systemic adverse events | As safety endpoint | 4 weeks |
Inclusion criteria
Exclusion criteria
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Patients with neovascular age-related macular degeneration (AMD)
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| Name | Affiliation | Role |
|---|---|---|
| Miklos Schneider, MD, PhD | Glostrup University Hospital, Copenhagen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Miklos Schneider | Glostrup Municipality | 2600 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38416237 | Derived | Schneider M, Bjerager J, Hodzic-Hadzibegovic D, Klefter ON, Subhi Y, Hajari J. Short-term outcomes of treatment switch to faricimab in patients with aflibercept-resistant neovascular age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol. 2024 Jul;262(7):2153-2162. doi: 10.1007/s00417-024-06421-0. Epub 2024 Feb 28. |
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| ID | Term |
|---|---|
| C000723200 | faricimab |
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| 4 weeks |
| Changes in visual acuity after the treatment switch | 4 weeks |
| Changes in central retinal thickness after the treatment switch | Measured on optical coherence tomography (OCT) scans | 4 weeks |
| Changes in pigment epithelium detachment (PED) height after the treatment switch | Measured on optical coherence tomography (OCT) scans | 4 weeks |