Review Article

The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review

Table 1

Summary of findings.

Bibliography

The efficacy of conbercept in polypoidal choroidal vasculopathy-conbercept vs aflibercept
OutcomesNumber of participants (studies) Follow-upQuality of the evidence (GRADE)Relative effect (95% CI)Anticipated absolute effects
Risk with afliberceptRisk difference with conbercept (95% CI)
BCVA 12 months, Conbercept versus aflibercept logMAR674 (17 studies) 12 months⊕⊝⊝⊝
VERY LOW1, 2, 3 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
The mean BCVA 12 months, conbercept versus aflibercept in the control groups was 0.665The mean bcva 12 months, conbercept versus aflibercept in the intervention groups was 0.358 standard deviations lower (0.352 to 0.797 higher)
CRT 12 months, conbercept versus aflibercept oct722 (19 studies) 12 months⊕⊝⊝⊝
VERY LOW1, 2, 3 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
The mean CRT 12 months, conbercept versus aflibercept in the control groups was 1.411The mean crt 12 months, conbercept versus aflibercept in the intervention groups was 0.323 standard deviations lower (1.063 to 1.610 higher)
Study population
Polyp regression rate 12 months, conbercept versus aflibercept ICGA643 (14 studies) 12 months⊕⊝⊝⊝
VERY LOW1, 2, 3 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
0.186 1 (0.467 to 0.613)476 pr12 per 1000217 more pr12 per 1000 (from 184 more to 254 more)
Moderate

The efficacy of conbercept in polypoidal choroidal vasculopathy-conbercept versus ranibizumab
OutcomesNumber of participants (studies) Follow-upQuality of the evidence (GRADE)Relative effect (95% CI)Anticipated absolute effects
Risk with ranibizumabRisk difference with conbercept (95% CI)
BCVA 12 months, conbercept versus ranibizumab logMAR442 (13 studies) 12 months⊕⊝⊝⊝
VERY LOW1, 2, 3, 4 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
The mean BCVA 12 months, conbercept versus ranibizumab in the control groups was 0.275The mean bcva 12 months, conbercept versus ranibizumab in the intervention groups was 0.03 standard deviations higher (0.166 to 0.406 higher)
CRT 12 months, conbercept versus ranibizumab oct336 (9 studies) 12 months⊕⊝⊝⊝
VERY LOW1, 2, 3, 4 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
The mean CRT 12 months, conbercept versus ranibizumab in the control groups was 0.781The mean crt 12 months, conbercept versus ranibizumab in the intervention groups was 0.294 standard deviations higher (0.722 to 1.114 higher)
Study population
Polyp regression rate 12 months, conbercept versus ranibizumab ICGA482 (9 studies) 12 months⊕⊕⊝⊝
LOW1, 2, 3, 4 due to inconsistency, indirectness, large effect, plausible confounding would change the effect
0.373 1 (0.372 to 0.501)333 pr12 per 1000383 more pr12 per 1000 (from 166 more to 209 more)3
Moderate

The basis for the assumed risk (e.g., the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: confidence interval. GRADE working group grades of evidence. High quality: further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: we are very uncertain about the estimate. 1Heteorgeneity. 2Indirect comparation. 3No explanation was provided. 4Different dose in conbercept group.