Evidence mapPaperPMID 40550705Full record

ArticleBMJ open ophthalmology2025

Real-world faricimab switch in France: artificial intelligence-based detection of changes in exudative signs in difficult-to-treat neovascular age-related macular degeneration.

Vincent Gualino, Charles Sohier, Maxime Sibert, Ali Erginay, Fanny Varenne, Jacqueline Butterworth, Aude Couturier, Pierre-Henry Gabrielle, Vincent Soler, Catherine Creuzot-Garcher

Abstract readMulticenter Study
In one paragraph

Article in BMJ open ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Vincent GualinoOphthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Toulouse, France.ORCID http://orcid.org/0000-0002-3941-1304
Charles SohierOphthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Toulouse, France.
Maxime SibertOphthalmology Department, Dijon University Hospital, Dijon, France.
Ali ErginayOphthalmology Department, Lariboisière Hospital, Paris University Hospital, Paris, France.
Fanny VarenneOphthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Toulouse, France.
Jacqueline ButterworthOphthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Toulouse, France.ORCID http://orcid.org/0009-0004-3928-5688
Aude CouturierOphthalmology Department, Lariboisière Hospital, Paris University Hospital, Paris, France.ORCID http://orcid.org/0000-0001-8549-7455
Pierre-Henry GabrielleOphthalmology Department, Dijon University Hospital, Dijon, France.
Vincent SolerOphthalmology Department, Pierre-Paul Riquet Hospital, Toulouse University Hospital, Toulouse, France vincentsoler.oph@gmail.com.ORCID http://orcid.org/0000-0002-3837-0619
Catherine Creuzot-GarcherOphthalmology Department, Dijon University Hospital, Dijon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSome patients with neovascular age-related macular degeneration (nAMD) have persistent signs of exudation under treatment with intravitreal injections of anti-vascular endothelial growth factor (VEGF) agents. We examined the real-world anatomical responses among patients with suboptimal response and switched to faricimab using artificial intelligence (AI)-based retinal fluid quantification.

methodsA retrospective, multicentric, cohort study of patients in France with exudative signs and switched to faricimab without a new loading phase, maintaining the same prior injection interval. The RetInSight Fluid Monitor AI software quantified subretinal (SRF) and intraretinal (IRF) fluid on spectral domain optical coherence tomography. The primary outcome was change in SRF and IRF volumes in the central 1 and 6 mm retinal areas after one and two injections of faricimab.

results74 patients (74 eyes) were included (mean age: 81.5±8.4 years, 49% male). Significant reductions were observed in mean 1 mm IRF (-2.9±18.3 nl; p=0.002), mean 6 mm IRF (-17.7±71.1 nl; p<0.001) and mean 6 mm SRF (-24.8±156.3 nl; p<0.001) volumes after one injection. The proportion of dry eyes (<5 nl for SRF and IRF in the 1 and 6 mm areas) increased from 0% at baseline to 32.4% after one injection and 48.4% after two injections. Lower baseline SRF volumes were predictive of dry response after one injection (

conclusionNearly half of patients achieved a dry response after two injections. AI-assisted fluid quantification provided objective monitoring, identifying lower baseline SRF and IRF as predictive factors for good response. Limited patient inclusion means longer-term and larger prospective studies are now required using automated retinal fluid quantification to further refine the baseline characteristics of good switch responders to better adapt switch protocols.

Indexed as

Artificial IntelligenceVisual AcuityWet Macular DegenerationAgedAged, 80 and overAngiogenesis InhibitorsAntibodies, BispecificDrug SubstitutionExudates and TransudatesFemaleFluorescein AngiographyFollow-Up StudiesFranceHumansIntravitreal InjectionsMaleAngiogenesis InhibitorsAntibodies, BispecificfaricimabVascular Endothelial Growth Factor ARetinaTreatment Medical

Identifiers

PMID40550705
PMCPMC12186025

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.