Newly diagnosed exudative age-related macular degeneration treated with pegaptanib sodium monotherapy in US community-based practices: medical chart review study


Studies have shown that early detection and treatment of neovascular age-related macular degeneration (NV-AMD) can delay vision loss and blindness. The objective of this study was to evaluate the efficacy/safety of intravitreal pegaptanib sodium monotherapy in treatment-naive subjects with newly diagnosed neovascular age-related macular degeneration (NV-AMD) and to gain insight into characteristics of lesions treated in community-based practices.

Methods: From seven private US practices, charts were retrospectively reviewed on 73 subjects with previously untreated subfoveal choroidal NV-AMD treated with their first dose of pegaptanib monotherapy on/after 4/1/2005 through 6/5/2006, receiving [greater than or equal to]4 treatments at 6-week intervals over 21-weeks.

Primary endpoint: mean visual acuity (VA) change from baseline to month 6.

Results: 75% of lesions were occult, and 82% were subfoveal. From baseline to month 6, mean VA change was -0.68 lines; 58% and 16% gained [greater than or equal to]0 and [greater than or equal to]3 lines of VA, and 70% were responders (<3 lines lost).

In 35 subjects with early disease, 80% were responders with a mean gain of 0.46 lines.

Conclusion: Pegaptanib is effective in real-world patients with treatment-naive NV-AMD in uncontrolled community-based retina practices.

Author: Pamela WeberBarbara WirostkoXiao XuThomas GossGergana Zlateva
Credits/Source: BMC Ophthalmology 2010, 10:2



Published on: 2010-02-09



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