BESRA is a national, multi-center, prospective, observational study to assess the effectiveness of brolucizumab intravitreal injections in patients with nAMD treated in the UK.
Data will be collected in a standardized manner from hospital medical records (paper and electronic) at participating centers for up to 60 months post- initiation of brolucizumab. In addition to the collection of data from medical records, retinal OCT images collected during the first two years of treatment will be transferred to a central reading center for independent grading and interpretation, in order to support the validity of anatomical measurements relevant to the primary and secondary study objectives. Patients will be treated with brolucizumab according to routine clinical practice, independent of the study setting. Key study design definitions: * Index date: the date of the first brolucizumab injection. * Index eye: the first eye to be injected with brolucizumab (analyses will be conducted for the index eye only, unless otherwise stated). * Post-index period: time between index date and the earliest of treatment discontinuation, date of death or the date of the last recorded visit within the 60 months post-index (2-month window). * Study period: The period between 01 September 2020 and 01 March 2027, to allow 6 months pre-index period and up to 60 months (±2 months window) follow-up for each enrolled patient.
Study Type
OBSERVATIONAL
Enrollment
302
There is no treatment allocation. The decision to administer brolucizumab is made by the treating physician independent of the study, prior to the inclusion of the patient into the study
Novartis Investigative Site
Peterborough, Cambridgeshire, United Kingdom
Novartis Investigative Site
Abergele, Conwy, United Kingdom
Percentage (%) of patients with absence of retinal fluid
Percentage (%) of patients with absence of retinal fluid (no Sub-retinal Fluid (SRF) and no Intra-retinal fluid (IRF) as documented in medical records by the treating physician in relation to OCT results)
Time frame: Month 12
Percentage (%) of patients with absence of SRF
Percentage (%) of patients without sub-retinal fluid (SRF) to be collected (fluid free)
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients with absence of IRF
Percentage (%) of patients without intra-retinal fluid (IRF) to be collected (fluid-free)
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients with absence of sub-RPE fluid
Percentage (%) of patients without sub-Retinal Pigment Epithelium fluid (sub-RPE) to be collected (fluid-free)
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients with absence of PED
Percentage (%) of patients without retinal pigment epithelial detachment (PED) to be collected
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients with absence of retinal fluid
Percentage (%) of patients without intra-retinal fluid (IRF), Sub-retinal Fluid (SRF) and sub-Retinal pigment epithelium (sub-RPE) fluid (fluid free) to be collected
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
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Novartis Investigative Site
Blackburn, Lancashire, United Kingdom
Novartis Investigative Site
Uxbridge, London, United Kingdom
Novartis Investigative Site
Frimley, Surrey, United Kingdom
Novartis Investigative Site
Bradford, West Yorkshire, United Kingdom
Novartis Investigative Site
Barnsley, United Kingdom
Novartis Investigative Site
Bedford, United Kingdom
Novartis Investigative Site
Coventry, United Kingdom
Novartis Investigative Site
Glasgow, United Kingdom
...and 7 more locations
CRT change from baseline
measurement of Central Retinal Thickness (CRT) from baseline to be collected
Time frame: Baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60
CST change from baseline
Measurement of Central Subfield Thickness (CST) from baseline to be collected
Time frame: Baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60
BCVA change from baseline
Change in Best Corrected Visual Acuity (BCVA) from baseline to be corrected
Time frame: Baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients with BCVA ≥70 ETDRS letters
Percentage of patients with Best Corrected Visual Acuity (BCVA) ≥70 ETDRS letters to be collected
Time frame: Month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Total number of injections received
Total number of injections received between Months 0 (index)-3, 4-6, 7-12, 0-12, 13-24, 25-36, 37-48, and 49-60
Time frame: Up to 60 months
Duration of injection intervals per patient
Duration of (all) injection intervals per patient during Months 0-6, 0-12, 13-24, 25-36, 37-48 and 49-60
Time frame: Up to 60 months
Percentage (%) of patients with ≥3 brolucizumab injections
Percentage of patients completing the loading phase to be collected
Time frame: Month 3
Percentage (%) of patients who switch from brolucizumab to another anti-VEGF
Percentage of patients who switch from brolucizumab to another anti-VEGF to be collected
Time frame: Month 12, month 24, month 36, month 48 and month 60
Percentage (%) of patients that discontinue Brolucizumab therapy
Percentage of patients that discontinue therapy to be collected
Time frame: Up to 60 months
Percentage (%) of patients with IOI including RV and RVO
Percentage of patients with Intraocular Inflammation (IOI) including Retinal vasculitis (RV) and Retinal vascular occlusion (RVO) to be collected
Time frame: Up to 60 months
Percentage (%) of patients with disease control
Percentage of patients with disease control, defined as absence of Intra-retinal fluid (IRF) and Sub-retinal Fluid (SRF), by the central reading center to be collected
Time frame: Month 12 and month 24
Change in macular volume of IRF/SRF by central reading center
Change in macular volume of IRF/SRF by central reading center according to type of fluid available at baseline. Macular volume will be quantified using a specialized validated AI algorithm.
Time frame: Baseline at Month 12