Pharmacokinetics of Intravitreal Anti-VEGF Drugs in Age-Related Macular Degeneration

Intravitreal administration of anti-vascular endothelial growth factor (VEGF) antibodies has become the standard treatment for Age-Related Macular Degeneration; however, the knowledge of their pharmacokinetics is limited. A comprehensive review of the preclinical and clinical pharmacokinetic data th...

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Detalhes bibliográficos
Autores: García Quintanilla, Laura, Luaces Rodríguez, Andrea, Gil Martinez, Maria, MONDELO GARCIA, CRISTINA, Maroñas, O., Mangas-Sanjuan, V., González Barcia, Miguel, ZARRA FERRO, IRENE, Aguiar Fernández, Pablo, Otero-Espinar, F. J., Fernández Ferreiro, Anxo
Tipo de documento: artigo
Data de publicação:2019
País:España
Recursos:Servizo Galego de Saúde (SERGAS)
Repositório:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/15465
Acesso em linha:https://www.ncbi.nlm.nih.gov/pubmed/31370346
http://hdl.handle.net/20.500.11940/15465
Access Level:Acceso aberto
Palavra-chave:FPGMX
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Descrição
Resumo:Intravitreal administration of anti-vascular endothelial growth factor (VEGF) antibodies has become the standard treatment for Age-Related Macular Degeneration; however, the knowledge of their pharmacokinetics is limited. A comprehensive review of the preclinical and clinical pharmacokinetic data that were obtained in different studies with intravitreal bevacizumab, ranibizumab, and aflibercept has been conducted. Moreover, the factors that can influence the vitreous pharmacokinetics of these drugs, as well as the methods that were used in the studies for analytical determination, have been exposed. These anti-VEGF drugs present different charge and molecular weights, which play an important role in vitreous distribution and elimination. The pharmacokinetic parameters that were collected differ depending on the species that were involved in the studies and on physiological and pathological conditions, such as vitrectomy and lensectomy. Knowledge of the intravitreal pharmacokinetics of the anti-VEGF drugs that were used in clinical practice is of vital importance.