| Clinical safety of ranibizumab in age-related macular degeneration. | |
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MedLine Citation:
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PMID: 20001757 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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IMPORTANCE OF THE FIELD: Clinical safety of pharmaceutical products in the elderly is vital because of their increased risk of cardiac and other adverse events. AREAS COVERED IN THIS REVIEW: Search of the Medline database, including articles and abstracts from 1984 to 2009. WHAT THE READER WILL GAIN: Knowledge of ocular and systemic risks: The rate of endophthalmitis was 0.05% per injection (MARINA) and <0.1% per injection (ANCHOR), rates confirmed in a retrospective analysis of 14,320 injections. Moderate increases in intraocular pressure were transient, and incidences of intraocular inflammation were rarely serious. Systemic arterial thromboembolic events occurred in 4.6 and 0% of ranibizumab-treated patients and in 3.8 and 0% of sham-treated patients in MARINA (2 years) and PIER (1 year), respectively. In SAILOR, there was a numerically higher rate of cerebrovascular stroke with 0.5 mg ranibizumab compared with 0.3 mg ranibizumab (1.2 vs 0.7%), which was a non-statistically significant trend in patients with a history of stroke. TAKE HOME MESSAGE: Although further studies to investigate the risk of stroke with ranibizumab therapy are required, repeated intravitreal ranibizumab was well tolerated and not associated with clinically significant safety risks during up to 2 years of treatment. |
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Authors:
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Ursula Schmidt-Erfurth |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert opinion on drug safety Volume: 9 ISSN: 1744-764X ISO Abbreviation: Expert Opin Drug Saf Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-21 Completed Date: 2010-03-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101163027 Medline TA: Expert Opin Drug Saf Country: England |
Other Details:
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Languages: eng Pagination: 149-65 Citation Subset: IM |
Affiliation:
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Medical University of Vienna, Department of Ophthalmology, Waehringer Guertel 18-20, A-1090 Vienna, Austria. ursula.schmidt-erfurth@meduniwien.ac.at |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiogenesis Inhibitors
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adverse effects*,
therapeutic use Antibodies, Monoclonal / adverse effects*, therapeutic use Choroidal Neovascularization / complications, drug therapy Clinical Trials as Topic Drug Therapy, Combination / adverse effects Endophthalmitis / chemically induced Eye Diseases / chemically induced* Hemorrhage / chemically induced Humans Macular Degeneration / complications, drug therapy* Porphyrins / administration & dosage, adverse effects* Thromboembolism / chemically induced |
| Chemical | |
Reg. No./Substance:
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0/Angiogenesis Inhibitors; 0/Antibodies, Monoclonal; 0/Porphyrins; 0/ranibizumab; 129497-78-5/verteporfin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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