Abstract

Targeting key angiogenic pathways with a bispecific CrossMAb optimized for neovascular eye diseases.

Highlights

  • The retina is supplied with oxygen, nutrients, and waste exchanges by two distinct vascular beds: the retinal and choroidal capillary networks

  • To investigate whether ANG-2 is a suitable pharmacological target for human retinal vascular diseases, we measured the levels of ANG-1 and ANG-2 in the vitreous of patients newly diagnosed with wet age-related macular degeneration (AMD), diabetic retinopathy (DR), proliferative DR, or retinal vein occlusion (RVO) in comparison with macular hole as controls, as described in Koss et al (2011)

  • The efficacy of intravitreal ranibizumab has been demonstrated in patients with choroidal neovascularization (CNV) secondary to Wet age-related macular degeneration (wAMD) in the pivotal phase III studies MARINA and ANCHOR (Rosenfeld et al, 2006a,b; Chang et al, 2007; Brown et al, 2009)

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Summary

Introduction

The retina is supplied with oxygen, nutrients, and waste exchanges by two distinct vascular beds: the retinal and choroidal capillary networks. Abnormal leakage and/or neovascularization from retinal vessels are the hallmarks of diseases such as diabetic macular edema (DME), diabetic retinopathy (DR), and retinal vein occlusion (RVO) (Penn et al, 2008; Wang & Hartnett, 2016). Wet age-related macular degeneration (wAMD) develops when new vessels grow into the subretinal space from the underlying choroidal capillary network underneath the outer retina (Campochiaro, 2013). Anti-VEGF-A-based therapies are the standard of care for a variety of solid tumor indications and ocular neovascular diseases, such as wAMD, DME, and RVO. One way of enhancing the efficacy of anti-VEGF-A-based therapies is adding the inhibition of another soluble factor to the therapeutic reagent that is essential for angiogenesis (Jo et al, 2006)

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