A Variable-dosing Regimen with Intravitreal Ranibizumab for Neovascular Age-related Macular Degeneration: Year 2 of the PrONTO Study

作者: Geeta A. Lalwani , Philip J. Rosenfeld , Anne E. Fung , Sander R. Dubovy , Stephen Michels

DOI: 10.1016/J.AJO.2009.01.024

关键词:

摘要: Purpose To assess the long-term efficacy of a variable-dosing regimen with ranibizumab in Prospective Optical Coherence Tomography (OCT) Imaging Patients Neovascular Age-Related Macular Degeneration (AMD) Treated intraOcular Ranibizumab (PrONTO) Study, patients were followed for 2 years. Design A 2-year prospective, uncontrolled, intravitreal based on OCT. Methods In this open-label, single-center, uncontrolled clinical study, AMD neovascularization involving central fovea and retinal thickness (CRT) at least 300 μm as measured by OCT enrolled to receive 3 consecutive monthly injections (0.5 mg) [Lucentis; Genentech Inc, South San Francisco, California, USA]. During first year, retreatment was performed each visit if any criterion fulfilled such an increase OCT-CRT 100 or loss 5 letters more. second criteria amended include qualitative amount fluid detected using Results Forty 37 completed study. At month 24, mean visual acuity (VA) improved 11.1 ( P Conclusions The PrONTO Study OCT-guided resulted VA outcomes comparable from phase III studies, but fewer required.

参考文章(14)
Janet S. Sunness, Carol A. Applegate, Neil M. Bressler, Judith Alexander, Yan Tian, Measuring Geographic Atrophy in Advanced Age- Related Macular Degeneration Investigative Ophthalmology & Visual Science. ,vol. 40, pp. 1761- 1769 ,(1999)
Peter K Kaiser, Barbara A Blodi, Howard Shapiro, Nisha R Acharya, MARINA Study Group, Angiographic and optical coherence tomographic results of the MARINA study of ranibizumab in neovascular age-related macular degeneration. Ophthalmology. ,vol. 114, pp. 1868- 1875 ,(2007) , 10.1016/J.OPHTHA.2007.04.030
Frank G Holz, Almut Bindewald-Wittich, Monika Fleckenstein, Jens Dreyhaupt, Hendrik PN Scholl, Steffen Schmitz-Valckenberg, FAM-Study Group, Progression of Geographic Atrophy and Impact of Fundus Autofluorescence Patterns in Age-related Macular Degeneration American Journal of Ophthalmology. ,vol. 143, pp. 463- 472 ,(2007) , 10.1016/J.AJO.2006.11.041
Anne E. Fung, Geeta A. Lalwani, Philip J. Rosenfeld, Sander R. Dubovy, Stephan Michels, William J. Feuer, Carmen A. Puliafito, Janet L. Davis, Harry W. Flynn, Maria Esquiabro, An optical coherence tomography-guided, variable dosing regimen with intravitreal ranibizumab (Lucentis) for neovascular age-related macular degeneration. American Journal of Ophthalmology. ,vol. 143, pp. 566- 583 ,(2007) , 10.1016/J.AJO.2007.01.028
David M Brown, Mark Michels, Peter K Kaiser, Jeffrey S Heier, Judy P Sy, Tsontcho Ianchulev, None, Ranibizumab versus Verteporfin Photodynamic Therapy for Neovascular Age-Related Macular Degeneration: Two-Year Results of the ANCHOR Study Ophthalmology. ,vol. 116, pp. 57- 65 ,(2009) , 10.1016/J.OPHTHA.2008.10.018
Peter K. Kaiser, David M. Brown, Kang Zhang, Henry L. Hudson, Frank G. Holz, Howard Shapiro, Susan Schneider, Nisha R. Acharya, Ranibizumab for Predominantly Classic Neovascular Age-related Macular Degeneration: Subgroup Analysis of First-year ANCHOR Results American Journal of Ophthalmology. ,vol. 144, pp. 850- 857.e4 ,(2007) , 10.1016/J.AJO.2007.08.012
Janet S. Sunness, Joel Gonzalez-Baron, Carol A. Applegate, Neil M. Bressler, Yan Tian, Barbara Hawkins, Yolanda Barron, Akiva Bergman, Enlargement of atrophy and visual acuity loss in the geographic atrophy form of age-related macular degeneration. Ophthalmology. ,vol. 106, pp. 1768- 1779 ,(1999) , 10.1016/S0161-6420(99)90340-8
David S Boyer, Andrew N Antoszyk, Carl C Awh, Robert B Bhisitkul, Howard Shapiro, Nisha R Acharya, MARINA Study Group, Subgroup analysis of the MARINA study of ranibizumab in neovascular age-related macular degeneration. Ophthalmology. ,vol. 114, pp. 246- 252 ,(2007) , 10.1016/J.OPHTHA.2006.10.045