Evidence map›Paper›PMID 40998549›Full record

ArticleBMJ open ophthalmology2025

6-month outcomes of intravitreal faricimab injection for neovascular age-related macular degeneration and their relationships with clinical findings: a multicentre cohort study from the J-CREST.

Ryoji Yanai, Fumiko Murao, Akiko Miki, Hiroto Terasaki, Shinichiro Chujo, Yukinori Sakaeda, Kyosuke Seki, Gaku Ishigouoka, Takeshi Iwase, Hiromi Ohara and 9 more

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

19 authors.

Ryoji YanaiDepartment of Ophthalmology, Tokushima University, Tokushima, Japan.
Fumiko MuraoDepartment of Ophthalmology, Tokushima University, Tokushima, Japan.
Akiko MikiDepartment of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan.
Hiroto TerasakiDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Shinichiro ChujoDepartment of Ophthalmology, Mie University, Tsu, Japan.
Yukinori SakaedaDepartment of Ophthalmology and Visual Science, Nagoya City University, Nagoya, Japan.
Kyosuke SekiDepartment of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Gaku IshigouokaDepartment of Ophthalmology, Osaka Medical and Pharmaceutical University Faculty of Medicine Graduate School of Medicine, Takatsuki, Japan.
Takeshi IwaseOphthalmology, Akita University Graduate School of Medicine, Akita, Japan.
Hiromi OharaDepartment of Ophthalmology and Visual Science, Hiroshima University, Higashihiroshima, Japan.
Hiroki TsujinakaDepartment of Ophthalmology, Nara Medical University, Kashihara, Japan.
Hisashi FukuyamaHyogo College of Medicine, Nishinomiya, Japan.ORCID http://orcid.org/0000-0002-5991-3846
Yuki AbeDepartment of Ophthalmology, University of Fukui, Fukui, Japan.
Yuki NishiDepartment of Ophthalmology, Shiga University of Medical Science, Otsu, Japan.
Takamasa KinoshitaDepartment of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan.
Mineo KondoOphthalmology, Mie University Graduate School of Medicine, Tsu, Japan.ORCID http://orcid.org/0000-0003-4569-1792
Taiji SakamotoOphthalmology, Kagoshima University, Kagoshima, Japan.ORCID http://orcid.org/0000-0003-0287-3801
Yoshinori MitamuraDepartment of Ophthalmology, Tokushima University, Tokushima, Japan ymitaymitaymita@yahoo.co.jp.ORCID http://orcid.org/0000-0002-4813-672X
Japanese Clinical Retinal Study (J-CREST) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThis study aimed to investigate the outcomes of intravitreal faricimab (IVF) injection for neovascular age-related macular degeneration (nAMD) and their relationships with clinical findings.

methodsAt 14 sites, we retrospectively examined the 6-month treatment outcomes of 186 eyes that underwent IVF for treatment-naïve nAMD or nAMD previously treated except for >3 months before the baseline.

resultsVisual acuity and central retinal thickness (CRT) significantly improved at 1, 3 and 6 months after treatment (p<0.001, respectively). At 3 or 6 months, 151 eyes (81.2%) exhibited dry macula. The dry macula rate in the treatment-naïve group (85.7%) was significantly higher than the previously treated group (71.7%, p=0.022). Eyes with pretreatment submacular haemorrhage (SMH) had a significantly higher rate of dry macula (93.9%) than those without (78.4%, p=0.048). Eyes with pretreatment subretinal fluid had good final visual acuity, but poor visual acuity was observed in those with intraretinal fluid (IRF), subretinal hyper-reflective material (SHRM), SMH or hard exudates. However, a similar tendency was also observed at baseline. CRT improvement was good in the eyes with pretreatment IRF, pigment epithelial detachment, SHRM and SMH, although these eyes had higher CRT at the baseline.

conclusionIVF treatment for nAMD was associated with improvements in visual acuity and CRT over 6 months. Eyes presenting with SMH showed a higher rate of achieving a dry macula. This result indicates that faricimab may be useful in treating patients with nAMD and SMH. Given the retrospective, non-randomised design, however, these findings should be interpreted cautiously and viewed as hypothesis-generating rather than definitive.

Indexed as

Visual AcuityWet Macular DegenerationAgedAged, 80 and overAngiogenesis InhibitorsAntibodies, BispecificFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMacula LuteaMaleMiddle AgedRetrospective StudiesTime FactorsAngiogenesis InhibitorsAntibodies, BispecificfaricimabVascular Endothelial Growth Factor ANeovascularisationRetinaTreatment Medical

Identifiers

PMID40998549
PMCPMC12481390

What Socratic holds

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LicenceCC BY-NC
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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.