Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema

Abstract APOLLON (NCT02924311) was a prospective observational study to evaluate the effectiveness of intravitreal aflibercept (IVT-AFL) treatment of diabetic macular edema (DME) over 24 months in routine clinical practice in France. The primary endpoint was mean change from baseline in best-correct...

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Main Authors: Jean-François Korobelnik, Vincent Daien, Céline Faure, Ramin Tadayoni, Audrey Giocanti-Aurégan, Corinne Dot, Laurent Kodjikian, Pascale Massin, the APOLLON study investigators
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22838-1
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author Jean-François Korobelnik
Vincent Daien
Céline Faure
Ramin Tadayoni
Audrey Giocanti-Aurégan
Corinne Dot
Laurent Kodjikian
Pascale Massin
the APOLLON study investigators
author_facet Jean-François Korobelnik
Vincent Daien
Céline Faure
Ramin Tadayoni
Audrey Giocanti-Aurégan
Corinne Dot
Laurent Kodjikian
Pascale Massin
the APOLLON study investigators
author_sort Jean-François Korobelnik
collection DOAJ
description Abstract APOLLON (NCT02924311) was a prospective observational study to evaluate the effectiveness of intravitreal aflibercept (IVT-AFL) treatment of diabetic macular edema (DME) over 24 months in routine clinical practice in France. The primary endpoint was mean change from baseline in best-corrected visual acuity (BCVA; Early Treatment Diabetic Retinopathy Study letters) by 12 months, and safety was monitored throughout the study. Of 402 patients enrolled across 61 participating clinics and hospitals in France, 168 patients were followed for at least 24 months and included in the effectiveness analyses (79 treatment-naïve and 89 previously treated). After 24 months of IVT-AFL treatment, the mean (± standard deviation [SD]) change in BCVA from baseline was + 6.5 (± 10.7) letters in treatment-naïve patients (p < 0.001) and + 1.6 (± 17.0) letters in previously treated patients (p = 0.415) from a baseline of 63.8 (± 13.6) and 60.5 (± 16.5) letters. The mean number of IVT-AFL treatments over 24 months was 11.3 (± 4.9) and 11.9 (± 4.7) for treatment-naïve and previously treated patients. This final analysis of the APOLLON study indicated that following 24 months of IVT-AFL treatment in routine clinical practice in France, treatment-naïve patients with DME achieved significant gains in visual acuity and previously treated patients maintained prior visual acuity gains. Trial registration number: NCT02924311.
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spelling doaj.art-be073d9391394e1fba26c7c671e0407f2022-12-22T03:53:43ZengNature PortfolioScientific Reports2045-23222022-10-011211910.1038/s41598-022-22838-1Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edemaJean-François Korobelnik0Vincent Daien1Céline Faure2Ramin Tadayoni3Audrey Giocanti-Aurégan4Corinne Dot5Laurent Kodjikian6Pascale Massin7the APOLLON study investigatorsService d’Ophtalmologie, Hôpital Pellegrin, CHU de Bordeaux, Place Amélie Raba LéonHôpital Gui De ChauliacHôpital Privé Saint Martin, Ramsay Générale de SantéHôpital Lariboisière, Université de Paris, Hôpital I, AP-HP, Hôpital Fondation RothschildAvicenne, AP-HP, Université Paris 13, DHU Vision Et HandicapsHIA DesgenettesDepartment of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de LyonCUDC, Hôpital LariboisièreAbstract APOLLON (NCT02924311) was a prospective observational study to evaluate the effectiveness of intravitreal aflibercept (IVT-AFL) treatment of diabetic macular edema (DME) over 24 months in routine clinical practice in France. The primary endpoint was mean change from baseline in best-corrected visual acuity (BCVA; Early Treatment Diabetic Retinopathy Study letters) by 12 months, and safety was monitored throughout the study. Of 402 patients enrolled across 61 participating clinics and hospitals in France, 168 patients were followed for at least 24 months and included in the effectiveness analyses (79 treatment-naïve and 89 previously treated). After 24 months of IVT-AFL treatment, the mean (± standard deviation [SD]) change in BCVA from baseline was + 6.5 (± 10.7) letters in treatment-naïve patients (p < 0.001) and + 1.6 (± 17.0) letters in previously treated patients (p = 0.415) from a baseline of 63.8 (± 13.6) and 60.5 (± 16.5) letters. The mean number of IVT-AFL treatments over 24 months was 11.3 (± 4.9) and 11.9 (± 4.7) for treatment-naïve and previously treated patients. This final analysis of the APOLLON study indicated that following 24 months of IVT-AFL treatment in routine clinical practice in France, treatment-naïve patients with DME achieved significant gains in visual acuity and previously treated patients maintained prior visual acuity gains. Trial registration number: NCT02924311.https://doi.org/10.1038/s41598-022-22838-1
spellingShingle Jean-François Korobelnik
Vincent Daien
Céline Faure
Ramin Tadayoni
Audrey Giocanti-Aurégan
Corinne Dot
Laurent Kodjikian
Pascale Massin
the APOLLON study investigators
Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
Scientific Reports
title Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
title_full Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
title_fullStr Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
title_full_unstemmed Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
title_short Two-year outcomes of the APOLLON observational study of intravitreal aflibercept monotherapy in France in patients with diabetic macular edema
title_sort two year outcomes of the apollon observational study of intravitreal aflibercept monotherapy in france in patients with diabetic macular edema
url https://doi.org/10.1038/s41598-022-22838-1
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