Evidence map›Paper›PMID 40665457›Full record

ArticleInternational journal of retina and vitreous2025

Short-term real-world effectiveness of faricimab on macular edema due to retinal vein occlusion.

Toshiaki Hirakata, Ai Toride, Kenta Ashikaga, Takanori Nakagawa, Fumihiro Hara, Yuta Nochi, Shutaro Yamamoto, Yoshimune Hiratsuka, Shintaro Nakao

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Faricimab: current evidence for the treatment of retinal vein occlusion.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  6. Article
  7. 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

9 authors.

Toshiaki HirakataDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan. t-hirakata@juntendo.ac.jp.
Ai TorideDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Kenta AshikagaDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Takanori NakagawaDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Fumihiro HaraDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Yuta NochiDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Shutaro YamamotoDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Yoshimune HiratsukaDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.
Shintaro NakaoDepartment of Ophthalmology, Juntendo University Faculty of Medicine, Hongo 3-1-3, Bunkyo-ku, Tokyo, 113-8431, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFaricimab, the new anti-vascular endothelial growth factor (VEGF) drug including a bispecific antibody targeting both VEGF-A and angiopoietin-2 (Ang-2), has emerged as a therapeutic option for macular edema secondary to retinal vein occlusion (RVO), and its efficacy has been demonstrated in randomized controlled trials (RCTs); however, reports on its use in clinical practice are still limited. This study was conducted to evaluate the real-world treatment outcomes of faricimab for macular edema secondary to RVO, managed with a single initial injection plus pro re nata (1 + PRN) approach in both treatment-naïve and previously treated patients who switched to this regimen.

methodsThis retrospective observational study included patients diagnosed with branch or central RVO, who received intravitreal faricimab therapy following the 1 + PRN protocol. Best-corrected visual acuity (BCVA) and central macular thickness (CMT) were analyzed.

resultsThirty patients (17 naïve and 13 switched) were included. The number of IVF was 1.4 ± 0.7 and 2.4 ± 2.1, in the naïve and switch groups, respectively. The mean follow-up period was 3.7 ± 2.7 and 4.9 ± 2.9 months in the naïve and switch patients, respectively. Mean LogMAR BCVA improved in the naïve group from 0.30 ± 0.37 at baseline to 0.11 ± 0.20 (p = 0.01) at the final visit, while there was no significant difference between 0.45 ± 0.45 at baseline and 0.35 ± 0.37 at the final visit in the switch group (p = 0.19). CMT reduction was significant in both groups; from 442 ± 117 μm at baseline to 304 ± 57 μm at one month after final IVF (p < 0.0001) in the naïve group; and from 436 ± 170 μm at baseline to 285 ± 76 μm at one month after final IVF (p = 0.0002) in the switch group.

conclusionThe 1 + PRN faricimab regimen improves vision and reduces macular edema with a reduced injection burden in patients with RVO. These findings validated the real-world efficacy of faricimab and supported its use as a viable therapeutic agent.

Indexed as

FaricimabMacular edemaPRNRetinal vein occlusionVascular endothelial growth factor

Identifiers

PMID40665457
PMCPMC12261859

What Socratic holds

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Registered trials

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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.