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- Title
Real-world experience with brolucizumab in neovascular age-related macular degeneration over 2 years: the REBA extension study.
- Authors
Bilgic, Alper; Kodjikian, Laurent; de Ribot, Francesc March; Spitzer, Martin S.; Vasavada, Vaishali; Gonzalez-Cortes, Jesus Hernan; Sudhalkar, Aditya; Chakraborty, Somnath; Mathis, Thibaud
- Abstract
Background: To determine long-term efficacy and safety of intravitreal brolucizumab therapy for neovascular age-related macular degeneration (nAMD) in the real-world setting. Methods: Retrospective, observational, multicentric study and an extension of the REBA study (Real-world Experience with Brolucizumab in nAMD) to 24 months. The study entailed follow-up of 91 consecutive eyes (67 patients) with nAMD who received brolucizumab therapy and completed 24 months of follow-up. Both treatment-naïve and switch therapy patients were included. All relevant data were collected. The primary outcome measure was changed in best-corrected visual acuity (BCVA) over time. Secondary outcome measures included change in central subfield thickness (CST) and complications. Results: The mean (SD) baseline BCVA was 48.4 (3.5) letters and 36.2 (7.1) letters in treatment-naïve group and switch therapy group, respectively. BCVA gain was + 9.2 (3.7) letters (p = 0.01) and + 7.7 (3.4) letters (p = 0.011), respectively. The change in mean (SD) CST has shown a significant decrease in retinal thickness in treatment-naïve group (from 432.5 (68.4) to 283.0 (51.3) µm; p = 0.018) and in switch therapy group (from 452.5 (40.5) to 271.0 (43.4) µm; p = 0.011) group. One switch patient developed vascular occlusion and another a macular hole after the fifth brolucizumab injection as reported in the primary study. Both patients recovered uneventfully. Three patients demonstrated reversible intraocular inflammation between months 10 and 24. Conclusion: Patients showed a significant anatomical and functional response to brolucizumab therapy in the real world, regardless of prior treatment status, until the end of the follow-up period. Overall, 5 significant untoward events were noted.
- Subjects
MACULAR degeneration; GROUP psychotherapy; EYE inflammation; ENDOTHELIAL growth factors; VISUAL acuity
- Publication
Graefe's Archive of Clinical & Experimental Ophthalmology, 2024, Vol 262, Issue 4, p1161
- ISSN
0721-832X
- Publication type
Article
- DOI
10.1007/s00417-023-06329-1