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Ranibizumab Intravitreal Injections Versus Sham Control in Patients With Central Retinal Vein Occlusion (CRVO)

A Randomized Double-masked, Phase III Study Assessing Ranibizumab Intravitreal Injections Versus Sham Control in Patients With Visual Impairment Due to Macular Edema (ME) Secondary to Central Retinal Vein Occlusion (CRVO) [Camellia]

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01976312
Acronym
Camellia
Enrollment
252
Registered
2013-11-05
Start date
2013-11-12
Completion date
2016-03-14
Last updated
2017-05-30

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

Conditions

Central Retinal Vein Occlusion

Keywords

CRVO, macular edema, vision impairment, retinal vein occlusion, ranibizumab

Brief summary

Provide efficacy and safety data on intravitreal injections of ranibizumab 0.5 mg in patients with visual impairment due to macular edema secondary to CRVO

Interventions

OTHERSham injection

Sham injections referred to the imitation of an intravitreal injection using an injection syringe without needle.

Ranibizumab solution for injection was supplied in vials. Each vial contained ranibizumab concentration of 10mg/mL labeled as 0.5 mg/0.5 mL, corresponding to a 0.5 mg dose level. Ranibizumab was formulated as a sterile solution aseptically filled in a sterile glass vial for single use only

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

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

Inclusion criteria

for study and fellow eye: • Patients with visual impairment secondary to central retinal vein occlusion (CRVO) with a BCVA between 24 and 73 letters in one eye and at least 35 letters in the other eye.

Exclusion criteria

* Pregnant or nursing women or women of child bearing potential unless using an effective contraception \- Stroke or myocard infarction within 3 months prior to study * History of malignancy within the past 5 years * Uncontrolled hypertension * Active infection or inflammation in any eye * use of corticosteroids for at least 30 days in the last 6 months * treatment with anti-angiogenic drugs in any eye within last 3 months * Panretinal or focal/drid laser photocoagulation within the last 3 and 4 months respectively

Design outcomes

Primary

MeasureTime frameDescription
Average Change in Visual Acuity (Letters) From Baseline to Month 1 Through Month 3Baseline, 3 MonthsBest Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 3 and compared to Baseline.

Secondary

MeasureTime frameDescription
Average Change of Best Corrected Visual Acuity (BCVA) From Baseline to Month 1 Through Month 12Baseline, 12 monthsBest Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 12 and compared to Baseline
Best Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 1 to 12 monthsVisual acuity (VA) was assessed on both eyes during every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes the change in visual acuity at each visit compared to baseline
Change From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 1 to month 12OCT (optical coherence tomography) was used to assess CSFT (Central Sub-Field Thickness) representing the average retinal thickness of the circular area within 1 mm diameter around the foveal center.
Number of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 to month 12Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters.
Number of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 1 to 12 monthsVisual acuity (VA) was assessed at every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes for each post-baseline month whether or not a patient lost less than 15 letters of VA as compared with baseline.
The Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 3,6 and 12The VFQ-25 consists of 25 vision related questions across 11 vision related subscales, including general vision, ocular pain, near activities, distance activities, social function, mental health, role difficulties, dependency, driving, color vision and peripheral vision, and a general health rating. Items are converted to a 0-100 scale on each subscale and for the composite score where higher scores represents better functioning.

Countries

China, Hong Kong, India, Indonesia, Philippines, Taiwan, Vietnam

Participant flow

Recruitment details

A total of 253 patients were randomized to this study, 191 patients to the ranibizumab group and 62 patients to the sham group. One patient randomized to the ranibizumab group was excluded from all analyses as informed consent was obtained after first study procedures were performed. Therefore, this patient not included in randomized set.

Pre-assignment details

This study consisted of the 3 periods (Screening period: Day -14 to Day -1; treatment period: Day 1 to Month 11; post-treatment period: Month 11 to Month 12). At Baseline (Visit 2, Day 1), eligible patients were randomized in a 3:1 ratio to one of the treatment arms

Participants by arm

ArmCount
Ranibizumab 0.5 mg
PRN intravitreal injection
190
Sham Injection
As of Month 3, ranibizumab 0.5 mg PRN intravitreal injections
62
Total252

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event66
Overall StudyLost to Follow-up20
Overall StudyPregnancy01
Overall StudyProtocol Violation20
Overall StudyWithdrawal by Subject72

Baseline characteristics

CharacteristicRanibizumab 0.5 mgSham InjectionTotal
Age, Continuous54.1 Years
STANDARD_DEVIATION 12.64
54.1 Years
STANDARD_DEVIATION 13.29
54.1 Years
STANDARD_DEVIATION 12.77
Sex: Female, Male
Female
88 Participants29 Participants117 Participants
Sex: Female, Male
Male
102 Participants33 Participants135 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
96 / 19032 / 563 / 5
serious
Total, serious adverse events
11 / 1905 / 561 / 5

Outcome results

Primary

Average Change in Visual Acuity (Letters) From Baseline to Month 1 Through Month 3

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 3 and compared to Baseline.

Time frame: Baseline, 3 Months

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.5 mgAverage Change in Visual Acuity (Letters) From Baseline to Month 1 Through Month 311.3 LettersStandard Deviation 10.77
Sham InjectionAverage Change in Visual Acuity (Letters) From Baseline to Month 1 Through Month 3-2.7 LettersStandard Deviation 13.92
p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Average Change of Best Corrected Visual Acuity (BCVA) From Baseline to Month 1 Through Month 12

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters. Mean Visual Acuity was averaged over all monthly assessments from month 1 to month 12 and compared to Baseline

Time frame: Baseline, 12 months

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.5 mgAverage Change of Best Corrected Visual Acuity (BCVA) From Baseline to Month 1 Through Month 1212.4 LettersStandard Deviation 11.43
Sham InjectionAverage Change of Best Corrected Visual Acuity (BCVA) From Baseline to Month 1 Through Month 123.2 LettersStandard Deviation 14.62
Secondary

Best Corrected Visual Acuity (BCVA) Change From Baseline Over Time

Visual acuity (VA) was assessed on both eyes during every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes the change in visual acuity at each visit compared to baseline

Time frame: Month 1 to 12 months

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 19.6 LettersStandard Deviation 10.2
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 211.6 LettersStandard Deviation 12.39
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 312.6 LettersStandard Deviation 12.01
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 410.7 LettersStandard Deviation 12.56
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 511.7 LettersStandard Deviation 12.62
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 612.3 LettersStandard Deviation 13.1
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 712.9 LettersStandard Deviation 13.36
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 812.4 LettersStandard Deviation 14.01
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 913.1 LettersStandard Deviation 15.1
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 1013.5 LettersStandard Deviation 14.13
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 1114.2 LettersStandard Deviation 13.15
Ranibizumab 0.5 mgBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 1214.5 LettersStandard Deviation 14.25
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 116.8 LettersStandard Deviation 16.3
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 1-0.9 LettersStandard Deviation 12.17
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 75.0 LettersStandard Deviation 16.71
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 2-3.4 LettersStandard Deviation 16.04
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 105.9 LettersStandard Deviation 16.77
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 3-3.8 LettersStandard Deviation 17.02
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 86.0 LettersStandard Deviation 16.01
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 42.8 LettersStandard Deviation 15.26
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 126.5 LettersStandard Deviation 17.1
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 53.9 LettersStandard Deviation 15.26
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 95.6 LettersStandard Deviation 16.95
Sham InjectionBest Corrected Visual Acuity (BCVA) Change From Baseline Over TimeMonth 63.8 LettersStandard Deviation 17.2
Secondary

Change From Baseline in Central-Sub-Field- Thickness (CSFT) Over Time

OCT (optical coherence tomography) was used to assess CSFT (Central Sub-Field Thickness) representing the average retinal thickness of the circular area within 1 mm diameter around the foveal center.

Time frame: Month 1 to month 12

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 1-393.7 micronsStandard Deviation 275.13
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 2-412.6 micronsStandard Deviation 297.5
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 3-433.3 micronsStandard Deviation 290.84
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 4-367.8 micronsStandard Deviation 305.26
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 5-407.0 micronsStandard Deviation 309.58
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 6-426.6 micronsStandard Deviation 294.63
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 7-421.5 micronsStandard Deviation 316.14
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 8-398.9 micronsStandard Deviation 299.67
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 9-422.1 micronsStandard Deviation 311.57
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 10-431.7 micronsStandard Deviation 300.95
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 11-438.1 micronsStandard Deviation 295.53
Ranibizumab 0.5 mgChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 12-441.7 micronsStandard Deviation 306.53
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 11-417.4 micronsStandard Deviation 288.08
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 1-13.3 micronsStandard Deviation 207.55
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 7-392.7 micronsStandard Deviation 288.74
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 2-7.9 micronsStandard Deviation 196.65
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 10-395.2 micronsStandard Deviation 309.67
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 3-84.4 micronsStandard Deviation 274.98
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 8-405.2 micronsStandard Deviation 289.49
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 4-364.8 micronsStandard Deviation 250.48
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 12-416.4 micronsStandard Deviation 294.08
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 5-369.6 micronsStandard Deviation 273.92
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 9-393.5 micronsStandard Deviation 323.5
Sham InjectionChange From Baseline in Central-Sub-Field- Thickness (CSFT) Over TimeMonth 6-372.3 micronsStandard Deviation 301.24
Secondary

Number of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over Time

Best Corrected Visual Acuity (BCVA) was assessed in a sitting position using ETDRS-like visual acuity testing charts at an initial testing distance of 4 meters.

Time frame: Month 1 to month 12

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureGroupValue (NUMBER)
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=5 letters138 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=10 letters94 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=15 letters56 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=30 letters3 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=5 letters150 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=10 letters119 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=15 letters74 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=30 letters9 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=5 letters153 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=10 letters117 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=15 letters76 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=30 letters12 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=5 letters141 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=10 letters107 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=15 letters68 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=30 letters14 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=5 letters143 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=10 letters116 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=15 letters80 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=30 letters13 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=5 letters147 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=10 letters121 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=15 letters87 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=30 letters14 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=5 letters152 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=10 letters121 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=15 letters91 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=30 letters14 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=5 letters143 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=10 letters127 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=15 letters95 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=30 letters16 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=5 letters147 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=10 letters126 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=15 letters94 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=30 letters17 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=5 letters152 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=10 letters128 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=15 letters95 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=30 letters18 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=5 letters153 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=10 letters134 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=15 letters101 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=30 letters18 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=5 letters151 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=10 letters131 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=15 letters99 Participants
Ranibizumab 0.5 mgNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=30 letters24 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=15 letters21 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=5 letters17 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=5 letters37 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=10 letters6 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=5 letters39 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=15 letters2 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=10 letters29 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 1 Gain of >=30 letters0 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=15 letters19 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=5 letters18 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=15 letters14 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=10 letters11 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=10 letters29 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=15 letters3 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 7 Gain of >=30 letters3 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 2 Gain of >=30 letters0 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=10 letters30 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=5 letters19 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=5 letters39 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=10 letters11 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=15 letters16 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=15 letters4 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=10 letters28 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 3 Gain of >=30 letters0 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=30 letters4 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=5 letters31 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=15 letters19 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=10 letters21 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 10 Gain of >=30 letters4 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=15 letters11 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 8 Gain of >=30 letters3 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 4 Gain of >=30 letters2 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=30 letters3 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=5 letters34 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=5 letters40 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=10 letters23 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=5 letters40 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=15 letters13 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=10 letters26 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 5 Gain of >=30 letters1 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 12 Gain of >=5 letters39 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=5 letters39 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=15 letters17 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=10 letters28 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 11 Gain of >=10 letters29 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=15 letters12 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 9 Gain of >=30 letters3 Participants
Sham InjectionNumber of Participants With a Best Corrected Visual Acuity (BCVA) Improvement of ≥5, ≥10, ≥15, and ≥30 Letters Over TimeMonth 6 Gain of >=30 letters13 Participants
Secondary

Number of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over Time

Visual acuity (VA) was assessed at every study visit using best correction determined from protocol refraction. VA measurements (number of letters correctly identified) were performed with the patient in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts at a testing distance of 4 meters. This outcome measure describes for each post-baseline month whether or not a patient lost less than 15 letters of VA as compared with baseline.

Time frame: Month 1 to 12 months

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. (MV-LOCF)=Mean value interpolation and last observation carried forward

ArmMeasureGroupValue (NUMBER)
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 1, Loss of < 15 letters185 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 2, Loss of < 15 letters182 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 3, Loss of < 15 letters182 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 4, Loss of < 15 letters179 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 5, Loss of < 15 letters182 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 6, Loss of < 15 letters180 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 7, Loss of < 15 letters181 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 8, Loss of < 15 letters177 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 9, Loss of < 15 letters177 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 10, Loss of < 15 letters180 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 11, Loss of < 15 letters183 Participants
Ranibizumab 0.5 mgNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 12, Loss of < 15 letters182 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 11, Loss of < 15 letters56 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 1, Loss of < 15 letters57 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 7, Loss of < 15 letters55 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 2, Loss of < 15 letters53 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 10, Loss of < 15 letters56 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 3, Loss of < 15 letters51 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 8, Loss of < 15 letters55 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 4, Loss of < 15 letters55 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 12, Loss of < 15 letters55 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 5, Loss of < 15 letters56 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 9, Loss of < 15 letters56 Participants
Sham InjectionNumber of Participants With Best Corrected Visual Acuity (BCVA)Loss of <15 Letters in the Study Eye Over TimeMonth 6, Loss of < 15 letters53 Participants
Secondary

The Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to Baseline

The VFQ-25 consists of 25 vision related questions across 11 vision related subscales, including general vision, ocular pain, near activities, distance activities, social function, mental health, role difficulties, dependency, driving, color vision and peripheral vision, and a general health rating. Items are converted to a 0-100 scale on each subscale and for the composite score where higher scores represents better functioning.

Time frame: Month 3,6 and 12

Population: The Full Analysis Set (FAS) consisted of all patients to whom study treatment had been assigned. Following the intent-to-treat principle, patients were analyzed according to the treatment group they had been assigned to at randomization. n= is the number of patients with a value for both baseline and the specific post-baseline visit.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.5 mgThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 34.4 Scores on a scaleStandard Deviation 12.54
Ranibizumab 0.5 mgThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 66.7 Scores on a scaleStandard Deviation 15.02
Ranibizumab 0.5 mgThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 128.2 Scores on a scaleStandard Deviation 13.7
Sham InjectionThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 30.1 Scores on a scaleStandard Deviation 13.78
Sham InjectionThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 62.9 Scores on a scaleStandard Deviation 13.33
Sham InjectionThe Change in Patient Reported Outcomes in NEI-VFQ-25 Score (Composite Score and Subscales) at Month 3, 6 and 12 Compared to BaselineMonth 123.2 Scores on a scaleStandard Deviation 15.34

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