文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

年龄相关性黄斑变性的基线脉络膜新生血管特征的结果:VIEW 研究的事后分析。

Outcomes by Baseline Choroidal Neovascularization Features in Age-Related Macular Degeneration: A Post Hoc Analysis of the VIEW Studies.

机构信息

California Retina Consultants, Santa Barbara, California.

Regeneron Pharmaceuticals, Inc., Tarrytown, New York.

出版信息

Ophthalmol Retina. 2021 Feb;5(2):141-150. doi: 10.1016/j.oret.2020.07.003. Epub 2020 Jul 9.


DOI:10.1016/j.oret.2020.07.003
PMID:32652314
Abstract

PURPOSE: To assess the influence of baseline choroidal neovascularization (CNV) features on visual change and fluid resolution after anti-vascular endothelial growth factor (VEGF) treatment of eyes with neovascular age-related macular degeneration (nAMD). DESIGN: Post hoc analysis of 52-week data from the phase 3 Vascular Endothelial Growth Factor VEGF Trap-Eye: Investigation of Efficacy and Safety in Wet Age-Related Macular Degeneration (AMD) Studies (VIEW) 1 and 2 clinical trials. PARTICIPANTS: One thousand eight hundred four patients with nAMD. METHODS: Integrated data from VIEW 1 and 2 of 1804 eyes receiving intravitreal aflibercept injections (IAIs) 2 mg every 4 weeks, IAIs 2 mg every 8 weeks after 3 initial monthly doses, and ranibizumab every 4 weeks with documented baseline CNV type, total area, and leakage area were analyzed. Time to an event and cumulative incidence were evaluated by Kaplan-Meier analysis, and relative risks were estimated using proportional hazards analysis. MAIN OUTCOMES MEASURES: Cumulative incidence of time to first sustained vision gain of 15 or more Early Treatment Diabetic Retinopathy Study letters, vision loss of more than 5 Early Treatment Diabetic Retinopathy Study letters from baseline, as well as first sustained absence of retinal fluid and intraretinal fluid as evaluated by OCT with respect to CNV type, total CNV, and leakage area. RESULTS: Eyes with predominantly classic CNV (mean best-corrected visual acuity [BCVA], 48.2 letters at baseline) showed a higher incidence rate of first sustained gain of 15 letters or more than eyes with occult CNV (mean BCVA, 57.9 letters at baseline; P < 0.01). Eyes with occult CNV at baseline showed higher incidence rates of first sustained absence of retinal fluid and of intraretinal fluid than eyes with predominantly classic CNV (both P < 0.01). With increasing baseline CNV total area and leakage area, the incidence rate of first sustained gain of 15 letters or more decreased. CONCLUSIONS: This post hoc analysis provided additional evidence for the role of baseline CNV features (CNV type, total area, and leakage area) in influencing visual and anatomic outcomes in eyes with nAMD after anti-VEGF treatment.

摘要

目的:评估新生血管性年龄相关性黄斑变性(nAMD)患者接受抗血管内皮生长因子(VEGF)治疗后,基线脉络膜新生血管(CNV)特征对视功能变化和液体消退的影响。

设计:对为期 52 周的 VEGF 陷阱眼:湿性年龄相关性黄斑变性(AMD)研究的疗效和安全性(VIEW)1 和 2 期临床试验的 3 期血管内皮生长因子 VEGF 数据进行事后分析。

参与者:1804 例 nAMD 患者。

方法:对 VIEW 1 和 2 中接受玻璃体内阿柏西普 2mg 每 4 周(2mgIAI4w)、前 3 个月每月注射 3 次后每 8 周注射 2mg(2mgIAI8w)和雷珠单抗每 4 周治疗的 1804 只眼的基线 CNV 类型、总面积和渗漏面积进行整合数据分析。采用 Kaplan-Meier 分析评估事件时间和累积发生率,采用比例风险分析估计相对风险。

主要结局测量:根据 CNV 类型、总 CNV 和渗漏面积,评估首次持续获得 15 个或更多早期治疗糖尿病视网膜病变研究(ETDRS)字母视力增益、基线视力损失超过 5 个 ETDRS 字母、首次持续无视网膜和视网膜内液的累积发生率。

结果:以经典型 CNV 为主的眼(基线最佳矫正视力[BCVA],48.2 个字母)的首次持续获得 15 个字母或更多字母的发生率高于隐匿型 CNV 眼(基线 BCVA,57.9 个字母;P <0.01)。基线隐匿型 CNV 眼首次持续无视网膜和视网膜内液的发生率高于以经典型 CNV 为主的眼(均 P <0.01)。随着基线 CNV 总面积和渗漏面积的增加,首次持续获得 15 个字母或更多字母的发生率降低。

结论:这项事后分析为基线 CNV 特征(CNV 类型、总面积和渗漏面积)在影响抗 VEGF 治疗后 nAMD 患者的视功能和解剖学结局方面的作用提供了额外的证据。

相似文献

[1]
Outcomes by Baseline Choroidal Neovascularization Features in Age-Related Macular Degeneration: A Post Hoc Analysis of the VIEW Studies.

Ophthalmol Retina. 2021-2

[2]
Predictors of visual outcomes in patients with neovascular age-related macular degeneration treated with anti-vascular endothelial growth factor therapy: post hoc analysis of the VIEW studies.

Acta Ophthalmol. 2018-4-16

[3]
Changes in neovascular activity following fixed dosing with an anti-vascular endothelial growth factor agent over 52 weeks in the phase III VIEW 1 and VIEW 2 studies.

Br J Ophthalmol. 2020-9

[4]
Extended (Every 12 Weeks or Longer) Dosing Interval With Intravitreal Aflibercept and Ranibizumab in Neovascular Age-Related Macular Degeneration: Post Hoc Analysis of VIEW Trials.

Am J Ophthalmol. 2019-1-19

[5]
Recurrence Rate of Choroidal Neovascularization in Neovascular Age-Related Macular Degeneration Managed with a Treat-Extend-Stop Protocol.

Ophthalmol Retina. 2018-3

[6]
Comparison of Short-Term Choroidal Thickness and Retinal Morphological Changes after Intravitreal Anti-VEGF Therapy with Ranibizumab or Aflibercept in Treatment-Naive Eyes.

Curr Eye Res. 2018-3

[7]
Indocyanine green angiography findings in patients with neovascular age-related macular degeneration refractory to ranibizumab switched to aflibercept.

Int Ophthalmol. 2019-11

[8]
OPTICAL COHERENCE TOMOGRAPHY LEAKAGE IN NEOVASCULAR AGE-RELATED MACULAR DEGENERATION: Identification of Choroidal Neovascularization Activity by Location and Quantification of Abnormal Fluid Under Anti-Vascular Endothelial Growth Factor Therapy.

Retina. 2020-5

[9]
Profiling neovascular age-related macular degeneration choroidal neovascularization lesion response to anti-vascular endothelial growth factor therapy using SSOCTA.

Acta Ophthalmol. 2021-3

[10]
Aflibercept for neovascular age-related macular degeneration.

Cochrane Database Syst Rev. 2016-2-8

引用本文的文献

[1]
Impact of Central Subfield Thickness Fluctuations on Visual Outcomes in Neovascular Age-Related Macular Degeneration in the VIEW Trials.

J Vitreoretin Dis. 2025-8-20

[2]
Two-year treatment outcomes after anti-vascular endothelial growth factor therapy in age-related macular degeneration with type 2 macular neovascularization in Japanese patients.

Jpn J Ophthalmol. 2025-3-17

[3]
Overview of the Use of Optical Coherence Tomography Angiography in Neovascular Age-Related Macular Degeneration.

J Clin Med. 2024-8-25

[4]
Recent Advances in Proteomics-Based Approaches to Studying Age-Related Macular Degeneration: A Systematic Review.

Int J Mol Sci. 2022-11-25

[5]
Changes on optical coherence tomography angiography and fluorescein angiography in eyes with neovascular age-related macular degeneration.

Int J Ophthalmol. 2022-11-18

[6]
Correlation of retinal alterations with vascular structure of macular neovascularisation in swept-source optical coherence tomography angiography in age-related macular degeneration.

Int Ophthalmol. 2022-5

[7]
Aqueous humor cytokine levels through microarray analysis and a sub-analysis based on optical coherence tomography in wet age-related macular degeneration patients.

BMC Ophthalmol. 2021-11-18

[8]
Predictors of Visual Acuity After Treatment of Neovascular Age-Related Macular Degeneration - Current Perspectives.

Clin Ophthalmol. 2021-8-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索