Table 1.
Drug
|
Active molecule
|
Molecular weight
|
Dosage
|
Mechanism of action
|
Year of FDA approval for use in DR/DME
|
Bevacizumab | Recombinant humanized monoclonal antibody targeting VEGF | 145 kDa | 1.25 mg/0.05 mL | Non-specific blockade of VEGF on endothelial surface | 2004 |
Ranibizumab | Recombinant humanized, monoclonal antibody fragment | 45 kDa | 0.5 mg/0.05 mL | Binds VEGF-A, VEGF-B, and placental growth factor | 2012 |
Aflibercept | Recombinant protein and attaches to the VEGF receptor 1 and 2 | 115 kDa | 2 mg/0.05 mL | Blocks VEGF-A, VEGF-B, Placental growth factor-1 and 2 | 2014 |
Brolucizumab | Humanized single-chain variable fragment | 26 kDa | 6 mg/0.05 mL | Inhibits VEGF A and VEGF 165 | 2022 |
Faricimab | Bispecific antibody | 149 kDa | 6 mg/0.05 mL | Targets both VEGF-A and angiopoietin-2 | 2022 |
FDA: Food and Drug Administration; DR: Diabetic retinopathy; DME: Diabetic macular edema; VEGF: Vascular endothelial growth factor.