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The most recent version of this article was published on 1 May 2008

Br J Ophthalmol. Published Online First: 20 March 2008. doi:10.1136/bjo.2007.134874
Copyright © 2008 by the BMJ Publishing Group Ltd.

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Original article - Clinical Science

Predicted Biological Activity of Intravitreal VEGF TRAP

Michael W Stewart 1* and Philip J Rosenfeld 2

1 Mayo Clinic Jacksonville, United States
2 Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, United States

* To whom correspondence should be addressed. E-mail: stewart.michael{at}mayo.edu.

Accepted 11 February 2008


*  Abstract

Aims: To compare the intravitreal binding activity of the VEGF TRAP with that of ranibizumab against VEGF (vascular endothelial growth factor) using a time and dose-dependant mathematical model

Methods: Intravitreal half-lives and relative equimolar VEGF binding activities of the VEGF TRAP and ranibizumab were incorporated into a first-order decay model. Time-dependant VEGF TRAP activities (relative to ranibizumab) for different initial doses (0.5 mg, 1.15 mg, 2 mg, 4 mg) were calculated and graphed

Results: Seventy-nine days following a single VEGF TRAP (1.15 mg) injection, the intravitreal VEGF binding activity would be comparable to ranibizumab at 30 days. Following VEGF TRAP injections of 0.5 mg, 2 mg and 4 mg, the intravitreal VEGF binding activities (comparable to ranibizumab at 30 days) would occur at 73 days, 83 days and 87 days respectively

Conclusion: Based upon this mathematical model, the VEGF TRAP maintains a significant intravitreal VEGF binding activity for 10 to 12 weeks following a single injection.








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