Unique ID issued by UMIN | UMIN000033786 |
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Receipt number | R000038544 |
Scientific Title | Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye |
Date of disclosure of the study information | 2020/03/31 |
Last modified on | 2018/08/16 22:33:17 |
Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye
Fixed-Interval Versus As-Needed Dosing of Anti-Vascular Endothelial Growth Factor for Bilateral Neovascular Age-Related Macular Degeneration
Outcomes of intravitreal aflibercept (Eylea) treatment for treatment-naive contralateral eyes with neovascular age-related macular degeneration in patients whose treatment failed intravitreal ranibizumab in the first eye
Fixed-Interval Versus As-Needed Dosing of Anti-Vascular Endothelial Growth Factor for Bilateral Neovascular Age-Related Macular Degeneration
Asia(except Japan) |
Neovascular age-related macular degeneration
Ophthalmology |
Others
NO
To compare the efficacy of fixed-interval (proactive) and as-needed (reactive) dosing of anti-vascular endothelial growth factor (VEGF) treatment in patients with bilateral neovascular age-related macular degeneration (nAMD).
Efficacy
Exploratory
The primary outcome measures were the changes in BCVA, CMT, and retinal morphology, including the presence of SRF, IRF, and PED between the baseline and month 12.
The secondary outcome included the proportion that met the criteria of poor response after the 12-month treatment and the frequency distribution of the changes in retinal morphology. The outcome measures were evaluated in the first and second eye groups, respectively, and compared between the groups.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Medicine |
The second eyes were treated with the 12-month fixed-interval dosing of aflibercept (3-monthly loading injections followed by bimonthly injections)
40 | years-old | < |
80 | years-old | >= |
Male and Female
Patients who showed poor response to the 12-month as-needed dosing anti-VEGF treatment (3-monthly loadings followed by further injections as required) in their first eyes were prospectively recruited. Poor response was defined as follows: reduction of central macular thickness (CMT) < 25%, with persistence or new subretinal fluid (SRF) or intraretinal fluid (IRF), or change in best-corrected visual acuity (BCVA) < 5 letters.
1) patients with neovascularized maculopathies other than AMD, 2) patients with a history of prior photocoagulation, intravitreal anti-VEGF injection, photodynamic therapy, intravitreal or sub-tenon steroid injection, vitrectomy surgery, or intravitreal gas injection, 3) patients with diabetic retinopathy or retinal vein occlusion, and 4) patients with coexisting epiretinal membranes or vitreomacular traction syndrome.
21
1st name | |
Middle name | |
Last name | Hyeong Gon Yu |
Seoul National University Hospital
Department of Ophthalmology
101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
82-2072-2053
82959@snuh.org
1st name | |
Middle name | |
Last name | DAE JOONG MA |
Seoul National University Hospital
Department of Ophthalmology
101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
82-10-5092-9659
daejoongma@gmail.com
Seoul National University Hospital
Bayer Korea.
Profit organization
Republic of Korea
NO
Seoul National University Hospital
2020 | Year | 03 | Month | 31 | Day |
Unpublished
Completed
2013 | Year | 07 | Month | 28 | Day |
2013 | Year | 07 | Month | 28 | Day |
2018 | Year | 08 | Month | 16 | Day |
2018 | Year | 08 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038544
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