To demonstrate the effects of Lucentis (ranibizumab), Avastin ( bevacizumab), and Eylea ( aflibercept) on the levels of naturally occurring Vascular Endothelial Growth Factor (VEGF) in the systemic circulation of Age Related Macular Degeneration patients currently treated with these medications.
To determine plasma levels of VEGF and serum Pharmacokinetic (PK) levels after varying lengths of time following intravitreal injection with Avastin, Lucentis, or Eylea in exudative macular degeneration. Patients will be tested while following a normal course of treatment in our institute. All screenings and testing will be conducted in three study visits.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
80
Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.
Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care.
Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care.
East Florida Eye Institute
Stuart, Florida, United States
RECRUITINGChange in serum and plasma levels of free Vascular Endothelial Growth Factor
Serum and plasma levels of free vascular endothelial growth factor will be measured up to 8 weeks following the standard of care treatment.
Time frame: up to 8 weeks
Change in Serum drug levels in nanomoles (nM) units following treatment
Serum levels of Ranibizumab, Bevacizumab, or Aflibercept will be measured up to 8 weeks following the standard of care treatment.
Time frame: 8 weeks
Amount of fluid (cubic mm) as measured by Ocular Coherence Tomography in the contralateral eye will be correlated with systemic Vascular Endothelial Growth Factor levels
Time frame: 8 weeks
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Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care.
Drug: Bevacizumab Subjects will receive intravitreal Bevacizumab as part of their routine medical care
Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care
Drug: Ranibizumab Subjects will receive intravitreal Ranibizumab as part of their routine medical care
Drug: Bevacizumab Subjects will receive intravitreal bevacizumab as part of their routine medical care
Drug: Aflibercept Subjects will receive intravitreal Aflibercept as part of their routine medical care
Control group Subjects will no previous anti-VEGF treatment