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. 2023 Aug 11;16(8):1140. doi: 10.3390/ph16081140

Table 1.

Anti-VEGF therapies.

Drug Structure Target Standard Dose FDA-Approved Clinical Indications Landmark Clinical Trials FDA Approval Date
Pegaptanib 28 nucleotide RNA aptamer with a 5’-attachment of polyethylene glycol VEGF-A165 0.3 mg/0.09 mL AMD AMD: VISION [62] 2004
Bevacizumab Recombinant humanized monoclonal IgG1 antibody All isoforms of VEGF-A 1.25 mg/0.05 mL Off-label for ophthalmic use AMD: CATT [71]
DME: BOLT [69], BEVORDEX [70]
Off-label for ophthalmic use
Ranibizumab Recombinant humanized monoclonal IgG1 kappa antibody fragment All isoforms of VEGF-A 0.3 mg/0.05 mL or 0.5 mg/0.05 mL AMD, DR, DME, ME due to RVO, myopic choroidal neovascularization AMD: MARINA [81], ANCHOR [82]
DME: RISE, RIDE [48]
RVO: BRAVO, CRUISE [51]
2006
Aflibercept Soluble decoy receptor comprised of an Fc fragment of IgG1 fused to binding domains of VEGFR-1 and VEGFR-2 All isoforms of VEGF-A, VEGF-B, and placental growth factor 2.0 mg/0.05 mL AMD, DR, DME, ME due to RVO, retinopathy of prematurity AMD: VIEW 1, VIEW 2 [90]
DME: VISTA, VIVID [91]
RVO: COPERNICUS, GALILEO [92]
2011
Brolucizumab Humanized monoclonal single-chain variable fragment (scFv) All isoforms of VEGF-A 6.0 mg/0.05 mL AMD, DME AMD: HAWK, HARRIER [98]
DME: KESTREL, KITE [102]
2019
Faricimab IgG1-derived bispecific monoclonal antibody Angiopoietin-2 and all isoforms of VEGF-A 6.0 mg/0.05 mL AMD, DME AMD: TENAYA, LUCERNE [108]
DME: RHINE, YOSEMITE [109]
2022