Cost-effectiveness of anti-VEGF treatments for newly diagnosed AMD in France
Official title: Medico-economic Evaluation of Anti-VEGF Treatments in the Treatment of naïve Age-related Macular Degeneration (AMD): a Model Adapted to the French Context
Run by Centre Hospitalier Universitaire, Amiens · NCT03577041 · Data updated 2026-11-12
This study tests whether bevacizumab, ranibizumab, or aflibercept for new neovascular AMD provide good value for money while affecting patients’ quality of life.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 600 (estimated) |
| Sponsor | Centre Hospitalier Universitaire, Amiens Academic / other |
| Drugs / interventions | Bevacizumab, Ranibizumab |
| Locations | 1 site (Amiens) |
| Status | Recruiting |
| Started | January 29, 2020 |
| Main results expected | June 2026 |
| Study ends | June 2026 |
| Registry record updated | June 15, 2026 |
| Trial ID | NCT03577041 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with naive neovascular AMD affecting the fovea in one or both eyes, candidates for intravitreal bevacizumab, ranibizumab, or aflibercept, and eligible for social security.
✕Probably not a fit
Patients not treated with anti-VEGF agents or with contraindications to these therapies may not experience a cost-effective benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study builds a medico-economic model using data from AMD patients who have not yet received anti-VEGF therapy. It combines natural history data, network meta-analysis results for effectiveness and safety, adherence information, and pharmacovigilance to compare costs and outcomes of different anti-VEGF options. It also includes micro-costing of injection preparation and a multicenter evaluation of quality of life and patient costs by vision level. The analysis is tailored to the French healthcare context and social security system.
Why it matters
Potential benefit: If successful, the model could help determine the most cost-effective anti-VEGF strategy for AMD in France and inform reimbursement decisions.
How similar studies have gone: Previous international analyses have shown bevacizumab to be cost-effective compared with ranibizumab in AMD.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Naive neovascular AMD form of retro localization foveal, unilateral or bilateral (one eye per patient will be studied), * Patients to be treated with intravitreous injections of Bevacizumab or Ranibizumab or Aflibercept, * Patient using effective contraception if he is of childbearing age * Patient informed and not having made his opposition to the research, * Patient under social security scheme. Exclusion Criteria: * Previous or current treatment of AMD by intravenous injection of anti-VEGF or surgery dating less than 2 months in the studied eye, * Contraindications to the taking of Bevacizumab or Ranibizumab or Aflibercept, * Aphakia in the studied eye, * Fibrosis or retrofoveolar retinal atrophy of the eye studied, * Tearing of the pigment epithelium reaching my macula of the studied eye, * Choroidal neovascularization unrelated to AMD, * Diabetic retinopathy and / or diabetic maculopathy proven, * Glycated hemoglobin greater than 12%, * Known hypersensitivity to pharmaceutical agents used, * Pregnant or lactating women, * Severe active intraocular inflammation, or history autoimmune or idiopathic uveitis, * Active or suspected ocular or periocular infection, * Intraocular pressure\> 25mmHg despite two hypotonizing treatments in eye drops, * Patient under tutorship or curatorship or private public law.
Where it's running
-
CHU Amiens
Amiens, France Recruiting
Study contacts
- Principal investigator: Marc MURAINE, Pr — CHU Rouen
- Study coordinator: Sophie BRYSELBOUT, Dr
- Email: bryselbout.sophie@chu-amiens.fr
- Phone: 33 3 22 08 92 19
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.