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Injection Intervals in Real-world Neovascular Age-related Macular Degeneration (nAMD) Patients Switching to Brolucizumab With at Least 12 Months of Follow-up

Completed
Conditions
Neovascular Age-related Macular Degeneration
Registration Number
NCT06178770
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This retrospective study included nAMD patients whose eyes were grouped into the following cohorts, with the overall cohort receiving ≥ 1 brolucizumab injection; the 12-month and 18-month brolucizumab (BRO) cohorts, which consisted of nAMD patient eyes who switched from a previous anti-vascular endothelial growth factor (VEGF) and had ≥3 brolucizumab injections with no other anti-VEGF in the first 12 months (360 days) and 18 months (540 days) of follow-up respectively; and the 12-month and 18-month alternating (ALT) cohorts, which consisted of nAMD patient eyes who switched from a previous anti-VEGF to brolucizumab and had ≥2 brolucizumab injections and ≥1 injection of another anti-VEGF in the first 12 months and 18 months of follow-up, respectively.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
414
Inclusion Criteria
  • Patients with a diagnosis of nAMD.
  • Patients were on a previous anti-VEGF therapy and then switched to brolucizumab.
  • Patients remained on brolucizumab for at least 12 months.
  • Patients had exactly 360 days or more of follow-up after first brolucizumab injection.
  • For BRO cohort only: Patients received at least three injections of brolucizumab during study period.
  • For ALT cohort only: Patients received at least two injections of brolucizumab and one injection of another anti-VEGF during the study period.
Exclusion Criteria
  • For BRO cohort only: Patients who received any other anti-VEGF therapy during the 12-month follow-up period.
  • Eyes missing bilaterality information in their nAMD diagnosis.
  • Eyes missing bilaterality information in their brolucizumab injections.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mean change in injection interval from baseline to Month 12 for BRO and ALT cohortsBaseline, Month 12
Secondary Outcome Measures
NameTimeMethod
AgeBaseline
Visual acuity (Early Treatment Diabetic Retinopathy Study [ETDRS] Letters)Baseline, Month 12 and Month 18
Anti-VEGF treatment statusBaseline
Last injection interval before switch to brolucizumab in prior-treated eyesBaseline
Ocular adverse events (AEs) in eyes treated with at least one brolucizumab injectionUp to 3 years
Pigment epithelial detachment (PED)Baseline
GenderBaseline
Central macular thickness (CMT)Baseline, Month 12 and Month 18
Subretinal fluid (SRF)Baseline
Median time (days) from AE to resolutionUp to 3 years
Change in central macular thickness (CMT) from first brolucizumab injection to Month 12 (for BRO and ALT cohorts) and Month 18 (for BRO cohort)Baseline, Months 12 and 18
Change in injection interval from first brolucizumab injection to Month 18 for BRO and ALT cohortsBaseline, Month 18
Change in visual acuity (VA) from first brolucizumab injection to Month 12 (for BRO and ALT cohorts) and Month 18 (for BRO cohort)Baseline, Months 12 and 18
Intraretinal fluid (IRF)Baseline
Number of brolucizumab injections and non-brolucizumab injections from first brolucizumab injection to 12 months (for ALT cohort)Baseline, Month 12
Proportion of patients in different levels of vision recovery after AE resolutionUp to 3 years
Median time (days) from first brolucizumab injection to AEUp to 3 years
Median time (days) from last brolucizumab injection pre-AE to AEUp to 3 years
Median number of brolucizumab injections pre-AE including the index injectionUp to 3 years

Trial Locations

Locations (1)

Novartis

🇺🇸

East Hanover, New Jersey, United States

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