Journal francais d'ophtalmologie · 2026
[Efficacy and safety of switching from Eylea® and Lucentis® to Ranivisio® in exudative age-related macular degeneration and its impact on treatment costs].
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Naux G, Bellot L, Le Pabic E, Mouriaux F, Maucourant Y
Аннотация
INTRODUCTION: The goal of this study was to investigate the efficacy and safety of therapeutic switch of intravitreal injections (IVT) from ranibizumab 10mg/mL (Lucentis®) and aflibercept 40mg/mL (Eylea®) to FYB201 (Ranivisio®) in exudative age-related macular degeneration (AMD). This study includes an analysis of the direct medical cost of managing exudative AMD. The data studied included the mean injection interval in the year preceding the switch and the 9 months following, the longest dry interval over this period, the change in central retinal thickness, tolerance data, the sum of visit costs, treatment costs and an estimate of transportation costs.
MATERIALS AND METHODS: Fifty-nine eyes of 46 patients treated for exudative AMD were included. Twenty-one eyes were treated with Lucentis® and 38 eyes with Eylea® before being switched to Ranivisio® between February 2023 and May 2024. The primary endpoint was the change in mean inter-injection interval in the pre-switch year versus the mean inter-injection interval in the 3 to 9 months post-switch.
RESULTS: Patients received a mean of 7.5 IVT of anti-VEGF per eye in the pre-switch year, with a mean inter-injection interval of 6.2 weeks in Treat-and-Extend (TaE) schedule. The switch resulted in an extension of the mean inter-injection interval to 7.1 weeks (P=0.0004) and an extension of the longest dry interval (7.5 versus 6.39, P=0.0057) in the following 3 to 9 months. A reduction in central retinal thickness was observed at 3 months (247μm versus 261μm, P=0.0067), and no adverse effects were noted. In the year prior to switch, total medical costs per patient amounted to €9,397, with €6,542.00 (70%) in medication costs, €2,035.50 (21%) in ophthalmologic follow-up costs and €819.60 (9%) in transportation costs. After the switch, with a mean Ranivisio® inter-injection interval of 7.1 weeks, the annual treatment cost per eye was estimated at €2,388.00 for 7.33 annual IVTs.
DISCUSSION: This study is consistent with data in the literature demonstrating the benefits of therapeutic switches in extending inter-injection intervals and improving retinal dryness, probably due to this method being a work-around for tachyphylaxis.
CONCLUSION: Switching from Eylea® and Lucentis® to Ranivisio® is effective in exudative AMD, with a good safety profile, and could help to reduce treatment costs.
MATERIALS AND METHODS: Fifty-nine eyes of 46 patients treated for exudative AMD were included. Twenty-one eyes were treated with Lucentis® and 38 eyes with Eylea® before being switched to Ranivisio® between February 2023 and May 2024. The primary endpoint was the change in mean inter-injection interval in the pre-switch year versus the mean inter-injection interval in the 3 to 9 months post-switch.
RESULTS: Patients received a mean of 7.5 IVT of anti-VEGF per eye in the pre-switch year, with a mean inter-injection interval of 6.2 weeks in Treat-and-Extend (TaE) schedule. The switch resulted in an extension of the mean inter-injection interval to 7.1 weeks (P=0.0004) and an extension of the longest dry interval (7.5 versus 6.39, P=0.0057) in the following 3 to 9 months. A reduction in central retinal thickness was observed at 3 months (247μm versus 261μm, P=0.0067), and no adverse effects were noted. In the year prior to switch, total medical costs per patient amounted to €9,397, with €6,542.00 (70%) in medication costs, €2,035.50 (21%) in ophthalmologic follow-up costs and €819.60 (9%) in transportation costs. After the switch, with a mean Ranivisio® inter-injection interval of 7.1 weeks, the annual treatment cost per eye was estimated at €2,388.00 for 7.33 annual IVTs.
DISCUSSION: This study is consistent with data in the literature demonstrating the benefits of therapeutic switches in extending inter-injection intervals and improving retinal dryness, probably due to this method being a work-around for tachyphylaxis.
CONCLUSION: Switching from Eylea® and Lucentis® to Ranivisio® is effective in exudative AMD, with a good safety profile, and could help to reduce treatment costs.