Evidence map›Paper›PMID 38416237›Full record

Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2024

Short-term outcomes of treatment switch to faricimab in patients with aflibercept-resistant neovascular age-related macular degeneration.

Miklos Schneider, Jakob Bjerager, Delila Hodzic-Hadzibegovic, Oliver Niels Klefter, Yousif Subhi, Javad Hajari

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06124677 (Anatomical and Visual Outcomes Following a Single Injection of Intravitreal Faricimab in Patients With Neovascular Age-related Macular Degeneration and Persisting Fluid Despite Frequent Aflibercept Treatments), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
–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.

NCT06124677 completednot on this map

Anatomical and Visual Outcomes Following a Single Injection of Intravitreal Faricimab in Patients With Neovascular Age-related Macular Degeneration and Persisting Fluid Despite Frequent Aflibercept Treatments

TypeobservationalSponsorRigshospitalet, DenmarkRan2023 to 2023Enrolled46ConditionsNeovascular Age-related Macular DegenerationArmsFaricimab
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. One-year real-world data of intravitreal faricimab in patients with pre-treated neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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  6. VEGF-inhibitor switch trial in poor-responsive neovascular age-related macular degeneration: assessing brolucizumab vs. faricimab: VISTA study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  9. Observational
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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

6 authors.

Miklos SchneiderDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark. miklos.schneider@regionh.dk.ORCID http://orcid.org/0000-0003-1488-4743
Jakob BjeragerDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark.ORCID http://orcid.org/0000-0002-6620-6242
Delila Hodzic-HadzibegovicDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark.
Oliver Niels KlefterDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark.ORCID http://orcid.org/0000-0003-2313-5648
Yousif SubhiDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark.ORCID http://orcid.org/0000-0001-6620-5365
Javad HajariDepartment of Ophthalmology, Rigshospitalet, Valdemar Hansens Vej 1-23, 2600, Glostrup, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report short-term outcomes of treatment switch to faricimab in real-world patients with aflibercept-resistant neovascular age-related macular degeneration (AMD).

methodsSingle-center, retrospective cohort study with chart-review using electronic injection database, electronic medical records, and optical coherence tomography (OCT) data from May to September 2023.

resultsA total of 50 eyes of 46 patients were analyzed. Faricimab treatment led to absence of fluid in 32% of the eyes and a reduction of fluid in 84% of the eyes. There was a statistically significant decrease in central retinal thickness (CRT) and pigment epithelial detachment (PED) height in those that responded to the switch (median difference: - 31 μm, IQR: 55, p < 0.0001 and median difference: - 21 μm, IQR: 36, p < 0.0001, respectively) and a statistically significant increase in CRT (median difference: + 19 μm, IQR: 20, p = 0.0143) and no change in PED height (median difference: + 22 μm, IQR: 64, p = 0.1508) in those that did not. Best-corrected visual acuity (BCVA) showed marginal decrease with low statistical significance. No ocular or systemic safety events were observed.

conclusionsOur findings suggest that switching to faricimab is generally safe and effective in patients with neovascular AMD who are otherwise difficult to treat and have residual fluid despite frequent injections with aflibercept. We observed a high rate of morphological response to the treatment switch, improvement of anatomical parameters with about one-third of patients having dry macula following a single injection, and a marginal change in BCVA. Sustainability of these results requires further investigation. STUDY REGISTRATION: ClinicalTrials.gov registration number: NCT06124677. Date of registration: 09/11/2023, retrospectively registered.

Indexed as

Angiogenesis InhibitorsAntibodies, BispecificDrug SubstitutionIntravitreal InjectionsReceptors, Vascular Endothelial Growth FactorVisual AcuityWet Macular DegenerationAgedAged, 80 and overDrug ResistanceFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansMaleafliberceptAngiogenesis InhibitorsAntibodies, BispecificfaricimabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AAfliberceptAge-related macular degenerationAMDAnti-VEGFFaricimabIntravitreal injectionNeovascular

Identifiers

PMID38416237
PMCPMC11222265

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.