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Post-Marketing Survey of Adverse Events Following Ocriplasmin
Background And Objective:
To study the post-marketing safety profile of ocriplasmin (Jetrea; ThromboGenics, Iselin, NJ) as experienced by retinal physicians in the United States.
Study Design/Materials And Methods:
Two thousand four hundred sixty-five retinal physicians were surveyed regarding their frequency of use of ocriplasmin and reports of ocular adverse events.
Results:
There were 270 respondents (11%) who reported treating 1,056 eyes with ocriplasmin. The reports of adverse events (AE) were as follows: acute decline in visual acuity (16.95%), development of submacular fluid or serous retinal detachment (10.23%), dyschromatopsia (9.09%), progression of vitreomacular traction to macular hole (8.71%), development of retinal detachment (2.65%), development of retinal tear (1.99%), development of afferent pupillary defect (1.80%), electroretinography abnormalities (0.57%), crystalline lens instability (0.38%), and vasculitis (0.28%).
Conclusion:
Although the frequency of some ocular AEs reported in this study are comparable to those reported in the phase 3 registration trials, additional phase 4 safety studies are warranted to better understand the pathophysiology and clinical relevance of ocular AEs of ocriplasmin.
Insights
Retinal physicians reported adverse events with ocriplasmin (Jetrea), including vision decline and retinal detachment. Further studies are needed to understand these ocular side effects.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pharmacovigilance
Background:
- Ocriplasmin (Jetrea) is a therapeutic agent used for vitreomacular traction.
- Post-marketing surveillance is crucial for evaluating drug safety in real-world clinical settings.
Purpose of the Study:
- To investigate the post-marketing safety profile of ocriplasmin in the United States.
- To document ocular adverse events (AEs) experienced by patients treated with ocriplasmin.
Main Methods:
- A survey was distributed to 2,465 retinal physicians in the United States.
- Physicians reported their frequency of ocriplasmin use and observed ocular adverse events.
Main Results:
- 270 physicians (11%) reported treating 1,056 eyes with ocriplasmin.
- Adverse events included acute visual acuity decline (16.95%), submacular fluid/serous retinal detachment (10.23%), and dyschromatopsia (9.09%).
- Other reported AEs included macular hole progression (8.71%), retinal detachment (2.65%), and retinal tear (1.99%).
Conclusions:
- Some reported ocular AEs are comparable to those in phase 3 trials.
- Additional phase 4 studies are necessary to understand the pathophysiology and clinical significance of ocriplasmin's ocular AEs.
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