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Updated: Nov 11, 2025

A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
Drug-related adverse effects of antivascular endothelial growth factor agents
Prashanth G Iyer1, Thomas A Albini
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Purpose Of Review:
Antivascular endothelial growth factor (VEGF) agents have provided historic therapeutic breakthroughs in the treatment of retinal disease. New anti-VEGF agents are emerging for the treatment of retinal vascular diseases. Both systemic and ocular adverse effect need to be understood in managing patients. This review aims to highlight the adverse effects seen with routine use of bevacizumab, ranibizumab and aflibercept, as well as with new medications such as brolucizumab and abicipar.
Recent Findings:
We review the recent findings of intraocular inflammation (IOI) of brolucizumab and abicipar in the context of the efficacy and safety reported with the routine anti-VEGF agents. Specifically, brolucizumab has been reported to cause occlusive retinal vasculitis in the setting of IOI, which has not been seen in other anti-VEGF medications. In addition, abicipar appears to cause IOI at a higher rate of patients than other anti-VEGF agents have previously.
Summary:
Newer anti-VEGF agents pose a significant risk of adverse events not seen with routine anti-VEGF agents.
Insights
Newer anti-vascular endothelial growth factor (VEGF) drugs like brolucizumab and abicipar may cause severe adverse events, including intraocular inflammation and retinal vasculitis, not seen with established VEGF agents.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pharmacology
Background:
- Anti-vascular endothelial growth factor (VEGF) agents are crucial for treating retinal diseases.
- Emerging anti-VEGF therapies require thorough understanding of their safety profiles.
- Systemic and ocular adverse effects must be evaluated for patient management.
Purpose of the Study:
- To review adverse effects of established anti-VEGF agents (bevacizumab, ranibizumab, aflibercept).
- To highlight adverse effects of newer anti-VEGF agents (brolucizumab, abicipar).
- To compare safety profiles of routine versus novel anti-VEGF therapies.
Main Methods:
- Literature review of recent findings on anti-VEGF agents.
- Analysis of intraocular inflammation (IOI) associated with brolucizumab and abicipar.
- Comparison of adverse events with established anti-VEGF medications.
Main Results:
- Brolucizumab is associated with occlusive retinal vasculitis, a novel finding in the context of IOI.
- Abicipar demonstrates a higher incidence of IOI compared to previously reported rates for other anti-VEGF agents.
- Newer agents present unique safety concerns not observed with routine therapies.
Conclusions:
- Novel anti-VEGF agents introduce significant risks of adverse events.
- These risks, including severe intraocular inflammation and vasculitis, differ from those of established anti-VEGF treatments.
- Careful patient monitoring is essential when using newer anti-VEGF medications.
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