Anecortave acetate as monotherapy for the treatment of subfoveal lesions in patients with exudative age-related macular degeneration (AMD): interim (month 6) analysis of clinical safety and efficacy
| Autor: | Lawrence J. Singerman, P. Zilliox, Lawrence A. Yannuzzi, Luna Sp, Goldberg Mf, Sullivan Ek, Henry L. Hudson, Janice A. Jerdan, Jason S. Slakter, Krueger S, Robertson Sm, Donald J. D'Amico, Stephen R. Russell |
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| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Fovea Centralis Visual acuity genetic structures Visual Acuity Angiogenesis Inhibitors Placebo Lesion Macular Degeneration Double-Blind Method Statistical significance Ophthalmology medicine Humans In patient Prospective Studies Fluorescein Angiography Pregnadienediols Aged Aged 80 and over business.industry General Medicine Exudates and Transudates Middle Aged eye diseases Choroidal Neovascularization Choroidal neovascularization Treatment Outcome Clinical safety Female Anecortave acetate medicine.symptom Safety business medicine.drug |
| Zdroj: | Retina (Philadelphia, Pa.). 23(1) |
| ISSN: | 0275-004X |
| Popis: | PURPOSE To evaluate clinical safety and efficacy of the angiostatic agent anecortave acetate for treatment of subfoveal choroidal neovascularization secondary to AMD. METHODS 128 patients were randomized to placebo treatment or one of three anecortave acetate doses. Study medication was administered as a posterior juxtascleral injection onto the posterior scleral surface. Best-corrected logMAR vision was obtained at baseline and follow-up visits. Fluorescein angiograms were evaluated for eligibility before enrollment and posttreatment. RESULTS Six months after a single treatment, visual acuity (mean change from baseline logMAR values) was significantly better (P = 0.003) after anecortave acetate 15 mg than placebo. More patients treated with anecortave acetate 15 mg than placebo maintained vision (88% versus 70%, P = 0.080), especially those with predominantly classic lesions (92% versus 65%, P = 0.021). Anecortave acetate 15 mg inhibited lesion growth significantly better than placebo (P = 0.001). Trends favoring the other doses over placebo were observed for vision preservation and lesion inhibition, but statistical significance was not achieved. The Independent Safety Committee overseeing this study identified no clinically relevant treatment-related changes. CONCLUSION Anecortave acetate 15 mg is safe and effective for preserving or improving vision and for inhibiting lesion growth in patients with subfoveal AMD. |
| Databáze: | OpenAIRE |
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