Systemic thromboembolic adverse events in patients treated with intravitreal anti-VEGF drugs for neovascular age-related macular degeneration: an update

Expert Opin Drug Saf. 2019 Sep;18(9):803-815. doi: 10.1080/14740338.2019.1643838. Epub 2019 Jul 19.

Abstract

Introduction: Intravitreal anti-VEGF is the most effective therapy for wet AMD, although systemic effects on the endothelium cannot be excluded. Areas covered: The purpose of this review was to evaluate risk of thromboembolic events associated with intravitreal anti-VEGF. Expert opinion: Current data are insufficient to confirm the safety of these compounds, due to the paucity of specific studies. Thus, pharmacovigilance for all anti-VEGF should be improved to verify the true role of anti-VEGF in the occurrence of systemic adverse events.

Keywords: Abicipar; aflibercept; age-related macular degeneration; anti-VEGF; bevacizumab; conbercept; ranibizumab; thromboembolic adverse events.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / administration & dosage
  • Angiogenesis Inhibitors / adverse effects*
  • Angiogenesis Inhibitors / pharmacology
  • Humans
  • Intravitreal Injections
  • Pharmacovigilance
  • Thromboembolism / chemically induced*
  • Thromboembolism / epidemiology
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors
  • Wet Macular Degeneration / drug therapy*

Substances

  • Angiogenesis Inhibitors
  • Vascular Endothelial Growth Factor A