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The PULSAR trial randomized 1009 eyes to aflibercept 8mg versus 2mg. Cost-effectiveness at current US pricing is neutral versus the 2mg regimen. Best-corrected visual acuity gains were maintained through week 96 without new safety signals.

Smith et al. (2023) — PULSAR trial 2-year outcomes

Ferraris, Agarwal, AP

10.1056/NEJMoa2308635

Aflibercept 8mg maintained visual gains through 96 weeks.

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