SYSTEMIC ANTI-VEGF BIOSIMILAR THERAPY ASSOCIATED WITH IMPROVED MACULAR ANATOMY AND DURATION OF EFFECT IN A PATIENT WITH NEARLY RECALCITRANT NEOVASCULAR AGE-RELATED MACULAR DEGENERATION
Bibliographic record
Abstract
PURPOSE: To present a patient with neovascular AMD treated systemically with the biosimilar bevacizumab-awwb (Mvasi) with superior subretinal fluid resolution when compared with continuous and repeated intravitreal treatments. METHODS: Retrospective single case report. RESULTS: After 3 years of monthly aflibercept treatment for nAMD, the patient had persistent subretinal fluid. Systemic bevacizumab-awwb (Mvasi) infusions were initiated by her oncologist for ovarian cancer, and subretinal fluid resolved for the first time. After one additional aflibercept injection and continued bevacizubam-awwb infusions for her cancer, subretinal fluid did not recur. Thirteen weeks later, at the final follow-up before the patient passed away, the macula remained dry and no additional intravitreal treatment was given. CONCLUSION: When systemic anti-VEGF biosimilar therapy was administered, there was improved anatomy and prolonged duration of effect compared with the intravitreal therapy alone. Adverse systemic effects limit the routine use of systemic anti-VEGF therapy for retinal disease. However, if a patient requires systemic anti-VEGF or anti-VEGF biosimilar therapy for malignancy, it may also benefit retinal disease leading to benefits in quality of life and fewer office visits.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".