法利西单抗与阿非利赛普治疗黄斑新生血管早期血管结构变化的OCT血管造影比较。

Clinical ophthalmology (Auckland, N.Z.) Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI:10.2147/OPTH.S549586
Shinichiro Chujo, Hisashi Matsubara, Yoko Mase, Yukiko Muramoto, Kumiko Kato, Mineo Kondo
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引用次数: 0

摘要

目的:评价Faricimab与afliberept相比,靶向ang2的Faricimab在treatment-naïve nAMD中是否能降低OCTA上的黄斑新生血管(MNV)指标。方法:采用阿非利西普治疗34只眼,其中12只眼;在法利昔单抗治疗的31只眼中,纳入14只眼。在3个月的加载期间,使用AngioTool测量血管面积(Va)和结密度(JD)。结果:在Faricimab组中,平均Va从基线时的0.14 mm2变化到3个月时的0.15 mm2;JD从0.16 /mm变为0.15/mm在afliberept组,Va从0.29降低到0.20 mm2, JD从0.77降低到0.83/mm。Va、JD组间差异无统计学意义。结论:两种药物在短期内均无明显的MNV结构变化。这些发现表明,法利西单抗的血管效应可能需要更长的观察时间才能显现出来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparisons of Early Changes of Vascular Structure After Treatment with Faricimab and Aflibercept in Eyes with Macular Neovascularization by OCT Angiography.

Objective: To evaluate whether Faricimab, which targets Ang-2, can reduce macular neovascularization (MNV) metrics on OCTA compared with Aflibercept in treatment-naïve nAMD.

Methods: Among 34 eyes treated with Aflibercept, 12 eyes were included; among 31 eyes treated with Faricimab, 14 eyes were included. Vessel area (Va) and junction density (JD) were measured using AngioTool over a 3-month loading period.

Results: In the Faricimab group, mean Va changed from 0.14 mm2 at baseline to 0.15 mm2 at 3 months; JD changed from 0.16 to 0.15/mm. In the Aflibercept group, Va decreased from 0.29 to 0.20 mm2, and JD changed from 0.77 to 0.83/mm. Differences in Va and JD between groups were not statistically significant.

Conclusion: There were no significant structural changes in MNV with either drug over the short term. These findings suggest that vascular effects of Faricimab may require longer observation to become evident.

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