BBC NEWS | Health | Drug combats vision loss disorder
BBC NEWS
 Drug combats vision loss disorder

 A drug for treating the disease which is the biggest cause of sight 
loss in the UK could also help people regain some vision, research 
suggests.
 Injections of the drug Lucentis can improve sight in people with a 
particular form of retina degeneration.
 A study in the New England Journal of Medicine found it slowed vision 
loss in around nine out of 10 patients, and improved vision for about a 
third.
 The drug has yet to be granted a European licence.

 Ranibizumab is great news for individual patients, as it offers them 
the chance of having their vision restored
 Steve Winyard

 Lucentis (ranibizumab), which is used to treat wet age-related macular 
degeneration (wet AMD), must also be appraised by the National Institute 
for Health and Clinical Excellence (Nice).
 However, it has already been approved for use in the US.
 The drug, one of a class known as anti-angiogenics, prevents the 
formation of abnormal, new blood vessels in the eye, and dries up 
vessels which have already begun to leak.
 Eye tests
 The 716 patients who took part in the study were given eye chart tests 
before and after receiving the drug, or a placebo.

 STUDY FINDINGS
 After two years patients taking 0.3mg of Lucentis were able to read on 
average 5.4 more letters on the sight chart
 Patients taking 0.5mg were able to read 6.6 more letters
 Patients given a placebo drug were able to read 14.9 fewer letters

 Overall, nine out of 10 of those given the drug lost fewer than 15 of 
the letters on the chart two years after starting treatment.
 This compared to five out of 10 of the patients given a placebo.
 A quarter (26%) of those receiving 0.3mg of the drug and 33% of those 
receiving 0.5mg also experienced improvements in their sight, compared 
with 4% on the placebo.
 This meant they could read an additional three lines or 15 or more 
letters on an eye chart after a course of treatments.
 Steve Winyard, of the Royal National Institute for the Blind (RNIB), 
said the results were "very exciting".
 He added: "Thousands of people a year in the UK get wet AMD and it 
rapidly leads to sight loss.
 "This drug is particularly exciting because it can treat all types of AMD.
 "Although this is not a cure, ranibizumab is great news for individual 
patients as it offers them the chance of having their vision restored."
 Widespread problem
 Wet AMD is the leading cause of blindness in the UK, with thousands of 
new cases every year.
 Around 20,000 people in the UK are estimated to suffer from wet AMD, 
while up to 500,000 suffer from both the wet and dry forms of the 
condition.
 AMD affects the macular - the central part of the retina at the back of 
the eye that is responsible for the central vision necessary for 
everyday activities like reading, driving, telling the time or 
identifying faces.
 Wet AMD, which is very aggressive and responsible for 90% of cases of 
blindness caused by the condition, results in new blood vessels growing 
behind the retina, which causes bleeding and scarring.
 Factors thought to increase the risk of developing the condition 
include increasing age, smoking and genetic factors.
 Winfried Amoaku, a consultant ophthalmologist and member of the Royal 
College of Ophthalmologists' scientific committee, said: "This study on 
Lucentis is the first to show vision improvement in patients with wet AMD.
 "Previous studies have demonstrated that other treatments can help 
maintain vision."
 However, he said there was no data directly comparing Lucentis to other 
similar treatments.
 Another drug, Macugen, and photodynamic therapy can halt the advance of 
AMD.
 And there is preliminary evidence that Avastin, a drug used to treat 
cancer, may also potentially restore vision in a way similar to Lucentis.
 The Macular Disease Society said it was vital Lucentis was granted a 
Europe-wide licence and treatment was funded by the NHS as soon as 
possible.
 "It is a treatment that is effective within the first few weeks of 
onset of Wet AMD. If funding by primary care trusts is delayed until 
Nice complete their review then thousands of people could lose their 
sight irreversibly."

 Story from BBC NEWS:
 http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/5405272.stm
 Published: 2006/10/04 23:02:27 GMT
 © BBC MMVI

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