The French CODEX study is designed as a national database to describe, in routine medical practice, functional and anatomical responses to intravitreal Aflibercept injection, in a large population of anti-VGEF-naïve patients presenting with wet Age-related Macular Degeneration (wAMD), Central Retinal Vein Occlusion (CRVO),Branch Retinal Vein Occlusion(BRVO), or Diabetic Macular Edema (DME). This national database will gather databases from French private and public ophthalmologic centers.
The retrospective data will be gathered from the first injection of Aflibercept for the indications macular edema following Branch Retinal Vein Occlusion (BRVO) directly by each physician. For each patient, the first injection date of Aflibercept is defined as the index date. Electronic files from each ophthalmologist, containing patient medical records, will be periodically transmitted according to the milestones of the study with a maximum of 4 transfers (at Q2 2016 for the first transfer and then every 9 months thereafter). As each electronic transfer will be independent of each other and as patients' data will be anonymized by physicians before each transfer, data comparisons will be not possible between the four electronic files transfers planned over the study period.
Study Type
OBSERVATIONAL
Enrollment
425
Administration by intravitreal injection
Unnamed facility
Multiple Locations, France
Change in Best Corrected Visual Acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS) or converted to ETDRS.
Time frame: Baseline and 12 months
Change in Central retinal thickness (CRT) as measured by Optical Coherence Tomography (OCT).
Time frame: Baseline and 12 months
Change in Best Corrected Visual Acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS) or converted to ETDRS.
in each indication
Time frame: Baseline and 6 month, 18 month and 24 month
Change in Central retinal thickness (CRT) as measured by Optical Coherence Tomography (OCT).
in each indication
Time frame: Baseline and 6 month, 18 month and 24 month
Number of injections
in each indication
Time frame: Baseline and 6 month, 12 month, 18 month and 24 months
Interval (days) between injections per disease
in each indication
Time frame: Baseline and 6 month, 12 month, 18 month and 24 months
Presence of pigment epithelial detachment (PED) (Y/N)
In wet age-related macular degeneration (wAMD) population
Time frame: Baseline and 6 month, 12 month, 18 month and 24 months
Proportion of patients with no fluid determined by OCT (absence of fluid includes all types of fluid and location of fluid as determined by the treating ophthalmologist)
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Time frame: Baseline and 6 month, 12 month, 18 month and 24 months
Type of adjunctive therapies (ie focal laser, steroids etc.)
Time frame: Baseline and 6 month, 12 month, 18 month and 24 months
Change in score of diabetic retinopathy as determined by treating ophthalmologist
In Diabetic Macular Edema (DME) population
Time frame: Baseline and 6 month, 12 month, 18 month and 24 months