国际眼科纵览 ›› 2014, Vol. 38 ›› Issue (5): 294-300.doi: 10.3760/ cma. j. issn.1673-5803.2014.05.002

• 综述 • 上一篇    下一篇

Aflibercept治疗湿性年龄相关性黄斑变性的研究进展

高凡  王雨生  侯慧媛   

  1. 710032 西安,第四军医大学西京医院眼科 全军眼科研究所
  • 收稿日期:2014-07-21 出版日期:2014-10-22 发布日期:2014-10-24
  • 通讯作者: 侯慧媛,Email:hhywyyx@163.com
  • 基金资助:

    国家自然科学基金项目(81200708,81070748,81200151);第四军医大学青年英才项目(2012-2014);国家重点基础研究发展计划(2011CB510200);西京医院优秀人才助推计划(2014-2016)

Clinical application of aflibercept for the treatment of wet agerelated macular degeneration

GAO Fan, WANG Yu-sheng, HOU Hui-yuan.   

  1. Department of Ophthalmology, Eye Institute of Chinese PLA, Xijing Hospital, Forth Military Medical University, Xi’an 710032, China
  • Received:2014-07-21 Online:2014-10-22 Published:2014-10-24
  • Contact: HOU Hui-yuan, Email: hhywyyx@163.com

摘要: 年龄相关性黄斑变性(age-related macular degeneration,AMD)是老年人主要致盲眼病之一。以脉络膜新生血管形成(choroidal neovascularization,CNV)为特征的湿性AMD是视力损害的首要原因。抗血管内皮生长因子(vascular endothelial growth factor-A,VEGF)制剂是治疗湿性AMD的一线药物。Aflibercept(商品名Eylea)用于眼科治疗的抗VEGF新药,其结合范围广(可与VEGF\|A,VEGF\|B及胎盘生长因子结合),亲和力强,半衰期长,可延长给药间隔而达到较稳定的治疗效果。目前,有较多Aflibercept临床研究已经完成或正在进行。随着对其有效性和安全性的进一步研究,Aflibercept可为临床治疗湿性AMD提供新的选择,或可联合其他抗VEGF药物巩固和提高疗效。(国际眼科纵览, 2014, 38: 294-300)

Abstract: Age-related macular degeneration(AMD) is a major cause of blindness in elderly populations. Wet AMD, which is characterized by choroidal neovascularization (CNV), is the leading cause of vision loss. AntiVEGF therapy is the current firstline treatment for wet AMD. Aflibercept (Eylea) is the latest member in the antiVEGF drugs for ophthalmic application. The dose interval of Aflibercept can be extended but yield stable therapeutic effect due to its wider binding range(VEGF\|A, VEGF\|B, placental growth factor), better affinity, as well as longer halflife. At present, quite a few clinical trials about Aflibercept application have completed or are undergoing. As further confirmation of its efficacy and safety goes on, Aflibercept, alone or in combination with other anti\|VEGF agents, could become a new therapeutic option for wet AMD.  (Int Rev Ophthalmol, 2014, 38:   294-300)