Seven-year Outcomes Following Intensive Anti-VEGF Therapy in Wet AMD
Study Details
Study Description
Brief Summary
The aim of this study was to assess long-term benefits of intensive aflibercept and ranibizumab anti-VEGF therapy in patients with exudative AMD.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Detailed Description
This study was conducted at two clinical sites in Budapest, Hungary after the "Vascular Endothelial Growth Factor (VEGF) Trap-Eye: Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration (VIEW 2)" phase-3 multicenter, prospective, randomized, double blind clinical trial (ClinicalTrials.gov ID: NCT00637377).
Patients were treated with intravitreal anti-VEGF injections between 2008 and 2017. During the first 2 years in the framework of the VIEW 2 study, participants were randomized per protocol to intravitreal aflibercept or ranibizumab treatment arms and received injections according to the VIEW 2 study protocol.
This study focused on long-term outcomes that happened after the VIEW 2 study. After finishing the VIEW 2 study, patients returned to daily routine medical care and were followed under regular clinical care in real-life conditions and were treated with predominantly ranibizumab anti-VEGF injections (participants received interventions as part of routine medical care). Treatment was administered as needed according to the judgement of the physician. Retreatment criteria were based on visual acuity, signs of activity on optical coherence tomography (OCT) or indirect slit lamp biomicroscopy. Results at the end of the follow-up (year 7) were retrospectively analyzed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Patients Patients with AMD |
Drug: Anti-VEGF
intravitreal ranibizumab or intravitreal aflibercept
|
Outcome Measures
Primary Outcome Measures
- BCVA [At the end of follow-up (year 7)]
Best-corrected visual acuity
- Geographic atrophy [At the end of follow-up (year 7)]
Change in size of geographic atrophy on fundus autofluorescence (FAF)
- Retinal fluid [At the end of follow-up (year 7)]
Presence or absence of intra- or subretinal fluid on spectral-domain optical coherence tomography (OCT)
Secondary Outcome Measures
- Number of injections [Over the course of the follow-up (7 years)]
Number of intravitreal anti-VEGF injections given
- Adverse events [Over the course of the follow-up (7 years)]
Potential adverse events
Eligibility Criteria
Criteria
-
Same as the original VIEW2 study (NCT00637377)
-
Finished VIEW 2 study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Ophthalmology, Semmelweis University | Budapest | Hungary | 1085 | |
2 | Department of Ophthalmology, Bajcsy-Zsilinszky Hospital | Budapest | Hungary |
Sponsors and Collaborators
- Semmelweis University
Investigators
- Principal Investigator: Andras Papp, MD, PhD, Semmelweis University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SE RKB 168/2022