Discipline of Ophthalmology, Sydney Medical School, The University of Sydney, Save Sight Institute, Sydney, New South Wales, Australia.
Department of Ophthalmology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Clin Exp Ophthalmol. 2021 Sep;49(7):652-663. doi: 10.1111/ceo.13949. Epub 2021 Jun 21.
The use of vascular endothelial growth factor (VEGF) inhibitors has revolutionised the treatment of neovascular age-related macular degeneration (nAMD) since the pivotal Phase III studies demonstrated their efficacy more than 10 years ago. The Fight Retinal Blindness! project was developed to track the treatment outcomes of patients with nAMD in real-world practice. Data from this registry have been used to answer several clinically relevant questions related to the treatment of nAMD including the effect of under-treatment, the comparative effectiveness of different anti-vascular endothelial growth factor agents, long-term treatment outcomes, identifying optimal treatment regimens and the rate and outcomes of rare adverse events. Observational studies are a valuable complement to the shortcomings of clinical trials and a combination of data from real-world settings and clinical trials are necessary to provide evidence on how to achieve the best outcomes for individual patients with nAMD.
血管内皮生长因子 (VEGF) 抑制剂的使用自 10 多年前的关键 III 期研究证明其疗效以来,彻底改变了新生血管性年龄相关性黄斑变性 (nAMD) 的治疗方法。Fight Retinal Blindness! 项目旨在跟踪 nAMD 患者的治疗结果,了解真实世界的治疗情况。该注册处的数据已用于回答与 nAMD 治疗相关的几个临床相关问题,包括治疗不足的影响、不同抗血管内皮生长因子药物的比较效果、长期治疗结果、确定最佳治疗方案以及罕见不良事件的发生率和结果。观察性研究是对临床试验缺陷的有益补充,真实世界数据和临床试验数据的结合对于提供如何为每个 nAMD 患者实现最佳治疗效果的证据是必要的。