Table 4. Summary of published studies on 6-12mo visual outcomes in poorly responsive neovascular age-related macular degeneration patients switched to aflibercept (last screened by PubMed on 11th September 2015).
Study (n, eyes) | Aflibercept dosing regimen | Study design | Mean follow-up (mo) | Average age (a) | Male (%) | Mean baseline BCVA (ETDRS letters)1 |
Study switched group,107 | Fixed dosing-3 monthly then bimonthly | Retrospective | 12 | 81.6 (range 60-96) | 44 | 56.3 (20/75) |
Messenger et al[15],109 | Clinician discretion | Retrospective | 12 | 80.3 (range 59-96) | 44 | 59.7 (20/64) |
Grewal et al[14],21 | 3 loading doses, monthly or bimonthly thereafter | Prospective | 12 | 80.7 (±4.5 SD) | 43 | 64 (20/53) |
Arcinue et al[16],63 | Bimonthly (no monthly loading). Switched to monthly if persistent fluid | Retrospective | 12 | 81 (IQR 76-87) | 41 | 65 (20/50) |
Singh et al[17],26 | Fixed dosing-3 monthly, then bimonthly | Prospective | 6 | 78 (range 69-90) | - | 56.4 (20/75) |
Wykoff et al[12],46 | 3 loading, one at month 5. IPRN at months 4 and 6 | Prospective | 6 | 77.8 (range 55-95) | 48 | 74.2 (20/33) |
Kumar et al[11],34 | 3 monthly, follow-up at 6 months | Retrospective | 6 | 79 (IQR 72-84) | 29 | 56.5 (20/74) |
Gharbiya et al[10],31 | 3 monthly, then PRN dosing | Retrospective | 6 | 70.1 (range 60-86) | 30 | 42.5 (20/142) |
Ferrone et al[9],221 | Clinician discretion (3 injections 4-9wk apart). | Retrospective | 6 | 83 | 33 | 66 (20/48) |
Cho et al[8],28 | Treat and extend | Retrospective | 6 | 80.68 (range 62-95) | 50 | 59 (20/66) |
Chang et al[7],49 | Fixed dosing-3 monthly, then bimonthly | Retrospective | 6 | 77.8 (±7.5 SD) | 43 | 60.5 (20/62) |
Bakall et al[6],36 | Treat and extend after 3 loading doses | Retrospective | 6 | 79 (range 60-88) | 42 | 62.5 (20/56) |
1Where previous studies have reported BCVA in logMAR, this was converted to ETDRS letter equivalents using a published method[24]. BCVA: Best-corrected visual acuity; CRT: Central retinal thickness; ETDRS: Early Treatment Diabetic Retinopathy Study; IQR: Interquartile range; SD: Standard deviation.