COMMENTARY

New Anti-VEGF Agent Brolucizumab Shows Promise for AMD

Matt R. Starr, MD; Sophie J. Bakri, MD

Disclosures

October 12, 2017

Viewpoint

This study sought to determine whether brolucizumab was noninferior to aflibercept in regard to change in visual acuity, which it was. It also demonstrated stable visual acuity in half of the patients receiving brolucizumab at 12-week intervals.

What does this mean for clinicians?

Patients can be treated with brolucizumab and achieve improvements in vision and decreases in central subfield thickness similar to those of patients receiving aflibercept. The study also makes a valid argument for increased dosing intervals for patients receiving brolucizumab, as almost half of those patients had stable visual acuities after the second 12-week interval. Still, there was an overall trend toward a decline in vision, which the authors attributed to seven patients who probably needed an unscheduled injection but never received additional injections.

This well-designed phase 2 clinical trial shows that brolucizumab can be a first-line agent for neovascular AMD. As far as being a unique agent that can be used at longer interval doses, however, more data and longer follow-up are needed to accurately assess whether a 12-week cycle with brolucizumab is comparable to 8-week cycles of other anti-VEGF agents.

Abstract

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