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Overstappen op aflibercept bij patiënten die niet reageren op anti-VEGF therapie

Completed
Conditions
neovascular age-related macular degeneration, natte leeftijdsgebonden maculadegeneratie
Registration Number
NL-OMON19994
Lead Sponsor
Prof. Dr. C.B. HoyngRadboud University Nijmegen Medical Centre, Ophthalmology Department
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

Patients with inadequate response to prior anti-VEGF treatment defined as a persistent central retinal thickness (CRT) of ¡Ý300 ¦Ìm combined with a response of no greater than a reduction of 50 ¦Ìm in CRT on OCT after each previous intravitreal anti-VEGF treatment.

- Patients will have received at least 6 anti-VEGF injections within 1 year.

Exclusion Criteria

- Signs of subretinal fibrosis, scarring or geographic atrophy on OCT or FA, involving the center of the macula.

- Pigment epithelial detachment with a height of ¡Ý150¦Ìm.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in central retinal thickness as measured on OCT between inclusion and one month after 3 monthly aflibercept injections
Secondary Outcome Measures
NameTimeMethod
- Change in visual acuity between inclusion and one month after 3 monthly aflibercept injections.<br /><br>- Number of patients responding to aflibercept defined as a decrease in CRT of >50¦Ìm from inclusion compared to visit 5. <br /><br>- Number of patients gaining >5 letters of vision from inclusion compared to visit 5.
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