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An Extension Study to Evaluate Safety and Tolerability of Ranibizumab in Macular Edema Secondary to Retinal Vein Occlusion (Cohort 2)

An Open-Label, Multicenter Extension Study to Evaluate the Safety and Tolerability of Ranibizumab in Subjects With Choroidal Neovascularization (CNV) Secondary to Age-Related Macular Degeneration (AMD) or Macular Edema Secondary to Retinal Vein Occlusion (RVO) Who Have Completed a Genentech-Sponsored Ranibizumab Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01442064
Enrollment
608
Registered
2011-09-28
Start date
2008-07-31
Completion date
2010-07-31
Last updated
2012-01-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Macular Edema, Retinal Vein Occlusion

Keywords

CNV, Lucentis, AMD, Age-related macular degeneration, RVO, Macular edema secondary to retinal vein occlusion

Brief summary

This is an open-label, multicenter, extension study of intravitreally administered ranibizumab in two cohorts. The first cohort (reported separately under FVF3426g, NCT00379795) enrolled subjects with primary or recurrent Choroidal Neovascularization (CNV) secondary to Age-Related Macular Degeneration (AMD) who completed the treatment phase of a Genentech sponsored study (FVF2598g (NCT00056836), FVF2587g (NCT00061594), or FVF2428g (NCT00056823)). The second cohort (reported here) enrolled subjects with macular edema secondary to Retinal Vein Occlusion (RVO) who completed the 6-month treatment and 6-month observation phases (12 months total) of a Genentech sponsored study (FVF4165g (NCT00486018) or FVF4166g (NCT00485836)). Patients were enrolled within 14 days of completion of the previous study.

Interventions

Ranibizumab intravitreal injection 0.5 mg in a single-dose regimen given on an as needed basis no more frequently than every 30 days (no more than 12 injections per year).

Sponsors

Genentech, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Signed informed consent form * The 6-month treatment and 6-month observation phases (12 months total) of a Genentech-sponsored ranibizumab study for RVO (FVF4165g or FVF4166g) * Expectation by the investigator that the subject may potentially benefit from intravitreal anti-vascular endothelial growth factor (VEGF) treatment

Exclusion criteria

* History of intraocular surgery (including cataract extraction, scleral buckle, etc.) within 1 month prior to Day 0 of this extension study * Concurrent use of systemic anti-VEGF agents * Use of RVO treatments not approved by the Food and Drug Administration (FDA) in the study eye * Use of intravitreal bevacizumab in the study eye and/or fellow eye * Macular edema in the study eye due to other causes than RVO such as diabetes * History of rhegmatogenous retinal detachment or macular hole (Stage 3 or 4) in the study eye * History of idiopathic or autoimmune-associated uveitis in either eye * Uncontrolled glaucoma in the study eye (defined as intraocular pressure ≥ 30 mmHg despite treatment with antiglaucoma medication) * Pregnancy or lactation * Premenopausal women not using adequate contraception * History of other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use an investigational drug or that might affect interpretation of the results of the study or render the subject at high risk for treatment complications * Current treatment for active systemic infection * Inability to comply with study or follow-up procedures

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Ocular Adverse Events in the Study EyeUp to 24 monthsNumber of participants with: any ocular adverse events, ocular adverse events causing treatment discontinuation, ocular serious adverse events, intraocular inflammation and cataracts that occurred in the study eye. Only adverse events that occurred during this extension study are reported. For subjects in the crossover groups who started their first ranibizumab injection in this extension study, adverse events that occurred prior to any ranibizumab injection were also excluded.
Number of Participants With Non-ocular Adverse EventsUp to 24 monthsNumber of participants with non-ocular adverse events (not occurring in the eye) in the following categories: any adverse events, serious adverse events, adverse events leading to study discontinuation and death. Only adverse events that occurred during this extension study are reported. For subjects in the crossover groups who started their first ranibizumab injection in this extension study, adverse events that occurred prior to any ranibizumab injection were also excluded. Additional information about adverse events can be found in the adverse events section.

Secondary

MeasureTime frameDescription
Change From Baseline in the Best Corrected Visual Acuity (BCVA)Baseline (Day 0 of extension study), Months 6, 12, 18, and 24Change from baseline in then BCVA was assessed by the number of letters a patient could read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) Eye Chart at a Starting Test Distance of 4 Meters. An increase in the number of letters read indicates improvement in visual acuity.
Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Baseline (Day 0 of extension study), Months 6 and 12Change from baseline in Central foveal (retinal) thickness was assessed by Optical Coherence Tomography (OCT). OCT was conducted at the study sites by personnel who were certified by the University of Wisconsin Fundus Photograph Reading Center.
Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Baseline (Day 0 of extension study), Months 12 and 24NEI VFQ-25 is a 25 item questionnaire that assesses visual function and quality of life for a total possible score of 0 to 100. A higher score represents better functioning. The change from baseline is calculated at Month 12 and Month 24. Participants are grouped according to the treatment they received in initial studies FVF4165g BRAVO (NCT00486018) and FVF4166g CRUISE (NCT00485836).

Participant flow

Recruitment details

This is an open label multi-center extension study for participants who completed FVF4165g BRAVO (NCT00486018) or FVF4166g CRUISE (NCT0048583). Cohort 2 consists of enrolled participants with macular edema secondary to retinal vein occlusion (RVO).

Participants by arm

ArmCount
Ranibizumab (Sham BRAVO)
In this extension study participants received Ranibizumab 0.5 mg intravitreal injection administered as needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received intravitreal sham injections in the 6 month treatment period of BRAVO and received ranibizumab in the 6 month observation period of BRAVO or in this extension study.
97
Ranibizumab (0.3 mg BRAVO)
In this extension study participant received Ranibizumab 0.5 mg intravitreal injection administered as needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received 0.3 mg Ranibizumab intravitreal injections in the 6 month treatment period of BRAVO.
103
Ranibizumab (0.5 mg BRAVO)
In this extension study participants received Ranibizumab 0.5 mg intravitreal injection administered as needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received 0.5 mg Ranibizumab intravitreal injections in the 6 month treatment period of BRAVO.
104
Ranibizumab (Sham CRUISE)
In this extension study participants received Ranibizumab 0.5 mg intravitreal injection administered as needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received intravitreal sham injections in the 6 month treatment period of CRUISE and received ranibizumab in the 6 month observation period of CRUISE or in this extension study.
98
Ranibizumab (0.3 mg CRUISE)
In this extension study participants received Ranibizumab 0.5 mg intravitreal injection administered as-needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received 0.3 mg Ranibizumab intravitreal injections in the 6 month treatment period of CRUISE.
107
Ranibizumab (0.5 mg CRUISE)
In this extension study participants received Ranibizumab 0.5 mg intravitreal injection administered as-needed no more frequently than every 30 days (no more than 12 injections per year) up to 24 months. Participants in this group received 0.5 mg Ranibizumab intravitreal injections in the 6 month treatment period of CRUISE.
99
Total608

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAdverse Event222120
Overall StudyCondition mandated other intervention112002
Overall StudyDeath013313
Overall StudyLost to Follow-up551133
Overall StudyPhysician Decision112331
Overall StudySponsor decision828892889587
Overall StudySubject non-compliance000002
Overall StudyWithdrawal by Subject632221

Baseline characteristics

CharacteristicRanibizumab (Sham BRAVO)Ranibizumab (0.3 mg BRAVO)Ranibizumab (0.5 mg BRAVO)Ranibizumab (Sham CRUISE)Ranibizumab (0.3 mg CRUISE)Ranibizumab (0.5 mg CRUISE)Total
Age, Customized
45 to <65 years
43 participants39 participants38 participants37 participants26 participants32 participants215 participants
Age, Customized
<45 years
5 participants3 participants3 participants8 participants3 participants4 participants26 participants
Age, Customized
65 to <85 years
45 participants54 participants55 participants49 participants68 participants59 participants330 participants
Age, Customized
≥85 years
4 participants7 participants8 participants4 participants10 participants4 participants37 participants
Sex: Female, Male
Female
43 Participants57 Participants46 Participants41 Participants52 Participants39 Participants278 Participants
Sex: Female, Male
Male
54 Participants46 Participants58 Participants57 Participants55 Participants60 Participants330 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
146 / 189179 / 210172 / 203
serious
Total, serious adverse events
32 / 18949 / 21046 / 203

Outcome results

Primary

Number of Participants With Non-ocular Adverse Events

Number of participants with non-ocular adverse events (not occurring in the eye) in the following categories: any adverse events, serious adverse events, adverse events leading to study discontinuation and death. Only adverse events that occurred during this extension study are reported. For subjects in the crossover groups who started their first ranibizumab injection in this extension study, adverse events that occurred prior to any ranibizumab injection were also excluded. Additional information about adverse events can be found in the adverse events section.

Time frame: Up to 24 months

Population: Ranibizumab- Treated Participants includes all participants who received Ranibizumab in one of the initial studies or this extension study. This analysis includes only those adverse events that occurred during this extension study.

ArmMeasureGroupValue (NUMBER)
Ranibizumab (Sham BRAVO)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event56 participants
Ranibizumab (Sham BRAVO)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event10 participants
Ranibizumab (Sham BRAVO)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation1 participants
Ranibizumab (Sham BRAVO)Number of Participants With Non-ocular Adverse EventsDeath0 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation0 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event15 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event77 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Non-ocular Adverse EventsDeath1 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Non-ocular Adverse EventsDeath3 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation1 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event18 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event68 participants
Ranibizumab (Sham CRUISE)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event58 participants
Ranibizumab (Sham CRUISE)Number of Participants With Non-ocular Adverse EventsDeath3 participants
Ranibizumab (Sham CRUISE)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event16 participants
Ranibizumab (Sham CRUISE)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation0 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation1 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Non-ocular Adverse EventsDeath1 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event21 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event71 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Non-ocular Adverse EventsSerious non-ocular adverse event20 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Non-ocular Adverse EventsNon-ocular adverse event led to discontinuation0 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Non-ocular Adverse EventsDeath3 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Non-ocular Adverse EventsAny non-ocular adverse event64 participants
Primary

Number of Participants With Ocular Adverse Events in the Study Eye

Number of participants with: any ocular adverse events, ocular adverse events causing treatment discontinuation, ocular serious adverse events, intraocular inflammation and cataracts that occurred in the study eye. Only adverse events that occurred during this extension study are reported. For subjects in the crossover groups who started their first ranibizumab injection in this extension study, adverse events that occurred prior to any ranibizumab injection were also excluded.

Time frame: Up to 24 months

Population: Ranibizumab- Treated Participants includes all participants who received Ranibizumab in one of the initial studies or this extension study. This analysis includes only those adverse events that occurred during this extension study.

ArmMeasureGroupValue (NUMBER)
Ranibizumab (Sham BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation0 participants
Ranibizumab (Sham BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation1 participants
Ranibizumab (Sham BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)51 participants
Ranibizumab (Sham BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeCataract6 participants
Ranibizumab (Sham BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event2 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation2 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation0 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)64 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeCataract10 participants
Ranibizumab (0.3 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event4 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation2 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation0 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeCataract6 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event6 participants
Ranibizumab (0.5 mg BRAVO)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)63 participants
Ranibizumab (Sham CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event5 participants
Ranibizumab (Sham CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)60 participants
Ranibizumab (Sham CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation0 participants
Ranibizumab (Sham CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation2 participants
Ranibizumab (Sham CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeCataract3 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation3 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)67 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeCataract6 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation2 participants
Ranibizumab (0.3 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event10 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeAny ocular adverse event (AE)66 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeIntraocular inflammation1 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular AE leading to treatment discontinuation2 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeCataract5 participants
Ranibizumab (0.5 mg CRUISE)Number of Participants With Ocular Adverse Events in the Study EyeOcular serious adverse event3 participants
Secondary

Change From Baseline in Central Foveal Thickness at Month 6 and Month 12

Change from baseline in Central foveal (retinal) thickness was assessed by Optical Coherence Tomography (OCT). OCT was conducted at the study sites by personnel who were certified by the University of Wisconsin Fundus Photograph Reading Center.

Time frame: Baseline (Day 0 of extension study), Months 6 and 12

Population: Enrolled participants for whom data was available for analyses at the given time-point as indicated by n in the categories. Observed data were used with no imputation.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab (Sham BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)21.5 µmStandard Deviation 131.6
Ranibizumab (Sham BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)3.7 µmStandard Deviation 124.9
Ranibizumab (0.3 mg BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)36.8 µmStandard Deviation 159.8
Ranibizumab (0.3 mg BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)6.3 µmStandard Deviation 163.7
Ranibizumab (0.5 mg BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)40.2 µmStandard Deviation 117.4
Ranibizumab (0.5 mg BRAVO)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)35.3 µmStandard Deviation 110.6
Ranibizumab (Sham CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)87.4 µmStandard Deviation 217.1
Ranibizumab (Sham CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)79.7 µmStandard Deviation 199.4
Ranibizumab (0.3 mg CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)161.4 µmStandard Deviation 289.1
Ranibizumab (0.3 mg CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)88.3 µmStandard Deviation 262.9
Ranibizumab (0.5 mg CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 6 (n=86,96,97,90,101,89)94.6 µmStandard Deviation 235.9
Ranibizumab (0.5 mg CRUISE)Change From Baseline in Central Foveal Thickness at Month 6 and Month 12Month 12 (n=62,65,72,56,69,51)68.4 µmStandard Deviation 252.7
Secondary

Change From Baseline in the Best Corrected Visual Acuity (BCVA)

Change from baseline in then BCVA was assessed by the number of letters a patient could read correctly on the Early Treatment Diabetic Retinopathy Study (ETDRS) Eye Chart at a Starting Test Distance of 4 Meters. An increase in the number of letters read indicates improvement in visual acuity.

Time frame: Baseline (Day 0 of extension study), Months 6, 12, 18, and 24

Population: Enrolled participants for whom data was available for analyses at the given time-points. Observed data were used with no imputation. The number of participants for whom data was available for analyses is represented by n.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab (Sham BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-0.1 lettersStandard Deviation 8.1
Ranibizumab (Sham BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)0.9 lettersStandard Deviation 6.9
Ranibizumab (Sham BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)0.5 lettersStandard Deviation 5
Ranibizumab (Sham BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)NA letters
Ranibizumab (0.3 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)-1.7 lettersStandard Deviation 6.3
Ranibizumab (0.3 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)-2.3 lettersStandard Deviation 11.5
Ranibizumab (0.3 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-2.2 lettersStandard Deviation 10.5
Ranibizumab (0.3 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)-4.5 lettersStandard Deviation 16.3
Ranibizumab (0.5 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)NA letters
Ranibizumab (0.5 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)-6.1 lettersStandard Deviation 15.5
Ranibizumab (0.5 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)-0.7 lettersStandard Deviation 7.3
Ranibizumab (0.5 mg BRAVO)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-1.3 lettersStandard Deviation 7.1
Ranibizumab (Sham CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-3.2 lettersStandard Deviation 10.4
Ranibizumab (Sham CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)NA letters
Ranibizumab (Sham CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)-4.2 lettersStandard Deviation 11.3
Ranibizumab (Sham CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)-5.1 lettersStandard Deviation 14.6
Ranibizumab (0.3 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)-6.1 lettersStandard Deviation 12.1
Ranibizumab (0.3 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)-1.0 letters
Ranibizumab (0.3 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)-5.2 lettersStandard Deviation 13.8
Ranibizumab (0.3 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-4.1 lettersStandard Deviation 10.7
Ranibizumab (0.5 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 12 (n=66,66,73,58,69,50)-4.1 lettersStandard Deviation 12.9
Ranibizumab (0.5 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 18 (n=23,26,32,31,26,22)-0.8 lettersStandard Deviation 10.9
Ranibizumab (0.5 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 24 (n=0,2,0,0,1,0)NA letters
Ranibizumab (0.5 mg CRUISE)Change From Baseline in the Best Corrected Visual Acuity (BCVA)Month 6 (n=88,96,98,90,101,91)-3.2 lettersStandard Deviation 9.7
Secondary

Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)

NEI VFQ-25 is a 25 item questionnaire that assesses visual function and quality of life for a total possible score of 0 to 100. A higher score represents better functioning. The change from baseline is calculated at Month 12 and Month 24. Participants are grouped according to the treatment they received in initial studies FVF4165g BRAVO (NCT00486018) and FVF4166g CRUISE (NCT00485836).

Time frame: Baseline (Day 0 of extension study), Months 12 and 24

Population: Enrolled participants for whom data was available for analyses at the given time-points. Observed data were used with no imputation. The number of participants for whom data was available for analyses is represented by n.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab (Sham BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)-0.3 Scores on a scaleStandard Deviation 10
Ranibizumab (Sham BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)NA Scores on a scale
Ranibizumab (0.3 mg BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)-0.7 Scores on a scaleStandard Deviation 9.7
Ranibizumab (0.3 mg BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)6.2 Scores on a scaleStandard Deviation 7.4
Ranibizumab (0.5 mg BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)-0.7 Scores on a scaleStandard Deviation 8.6
Ranibizumab (0.5 mg BRAVO)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)NA Scores on a scale
Ranibizumab (Sham CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)0.1 Scores on a scaleStandard Deviation 10.5
Ranibizumab (Sham CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)NA Scores on a scale
Ranibizumab (0.3 mg CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)-1.0 Scores on a scaleStandard Deviation 8
Ranibizumab (0.3 mg CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)-13.3 Scores on a scale
Ranibizumab (0.5 mg CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 12 (n=64,65,72,58,67,50)-1.6 Scores on a scaleStandard Deviation 7.7
Ranibizumab (0.5 mg CRUISE)Change From Baseline in Visual Function Composite Score, as Measured by the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25)Month 24 (n=0,2,0,0,1,0)NA Scores on a scale

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026