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A Study of the Criteria Establishing the Need for Re-treatment With Ranibizumab Upon Relapse in Patients With Visual Impairment Due to Choroidal Neovascularization Secondary to Pathologic Myopia.

A 12-month, Open-label, Interventional, Multicentre Study to Investigate the Current Criteria Driving Re-treatment With Ranibizumab Upon Relapse in Patients With Visual Impairment Due to Choroidal Neovascularization Secondary to Pathologic Myopia

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02034006
Acronym
OLIMPIC
Enrollment
200
Registered
2014-01-13
Start date
2014-06-10
Completion date
2016-07-15
Last updated
2019-02-18

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

Conditions

Choroidal Neovascularization Secondary to Pathologic Myopia

Keywords

pathological myopia, choroidal neovascularization, ranibizumab, mono-bilateral, poor visual acuity, retinal disease, eye disease, Angiogenesis Inhibitors, Angiogenesis Modulating Agents

Brief summary

The primary objective of the study was to investigate current criteria driving re-treatment in patients affected by Choroidal Neovascularization (CNV) secondary to Pathologic Myopia (PM) and experiencing a relapse of the disease after the first administration of ranibizumab.

Interventions

DRUGRanibizumab

All patients received a single initial intravitreal injection of ranibizumab 0.5 mg/0.05 ml as per Committee for Human Medicinal Products (CHMP)approval. Further injections might have been required when monitoring reveals disease activity. Disease activity, defined as reduced visual acuity and/or signs of lesion activity, was evaluated based on clinical examination (BCVA, fundus), and/or optical coherence tomography (OCT), and/or fluorescein angiography (FAG). Bilateral treatment was allowed provided at least 14 days of intercurrence.

Sponsors

Novartis Pharmaceuticals
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

* Written informed consent given before any study related procedure is performed * Diagnosis of active CNV secondary to PM confirmed by complete ocular examination in the affected eye(s) using the following criteria: * Presence of high myopia greater than -6D of spherical equivalence * Presence of posterior changes compatible with pathologic myopia (any signs of attenuation of retinal pigment epithelium (RPE) and choroids, mottling of the RPE, tilted disc, geographic atrophy of RPE, Fuchs spots, posterior staphyloma, submacular hemorrhage, lacquer cracks) detected by fundus ophthalmoscopy and fundus photography * Presence of active leakage from CNV observed through fluorescein angiography (FAG) * Presence of intra or subretinal fluid demonstrated by Optical Coherence Tomography (OCT) * BCVA \> 24 letters and \< 78 letters tested at 4 meters staring distance using ETDRS-like visual acuity chart * Visual loss must be only due to the presence of any eligible types of CNV related to PM based on clinical ocular findings, FAG and OCT. (Also patients that have for example 20/60 as their best visual acuity due to PM in their history and have additional vision loss due to CNV lesion can be included)

Exclusion criteria

* Patients with inability to comply with study related procedures * Pregnant or nursing (lactating) women and women of childbearing potential UNLESS using effective contraception during treatment * Presence of confirmed systolic blood pressure \> 150 mmHg or diastolic \> 90 mmHg at the time of enrollment * History of stroke * Any type of advanced, severe or unstable medical condition or its treatment that could significantly bias the assessment of clinical status and interfere with primary and/or secondary outcome evaluations or put the patient at risk * Presence of active infectious disease or intra-ocular inflammation in either eye at the time of enrollment * Ocular disorders in the study eye that may confound interpretation of study results, compromise visual acuity or require medical or surgical intervention during the 12-month study period (including retinal detachment, cataract and pre-retinal membrane of the macula) * History of pan-retinal or focal/grid laser photocoagulation with involvement of the macular area in the study eye at any time * History of intraocular treatment with any anti-vascular endothelial growth factor (VEGF), verteporfin photodynamic therapy (vPDT) and any intra-ocular surgery or corticosteroid administration within one month before study entrance * Known hypersensitivity to ranibizumab or any component of the ranibizumab formulation * Simultaneous participation in a study that includes administration of any investigational drug

Design outcomes

Primary

MeasureTime frameDescription
Number of Patients in Different Categories of Changes From Baseline in BCVABaseline, Month 1, Month 2, Month 3, Month 6, Month 12Changes from baseline in BCVA are described for the ETDRS parameter considering the following categories at each assessment: no change if the change was equal to 0 letter, worsening if change \< 0 letter , improvement if change \> 0 letter. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change from baseline in BCVA (improved/worsened/stable) which was reported as Improved versus no change and worsened versus no change. For retreated patients, this variable was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.
Change in Central Subfield Volume (CSV)Screening, Month 2, Month 6, Month 12Central subfield volume (CSV) from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change in CSV versus previous visit. For retreated patients, the change in CSV was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.
Number of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening, Month 2, Month 6, Month 12Presence of sub-retinal fluid from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. The regression model for sub-retinal fluid was not valid because Yes was reported in almost all subjects causing a quasi-complete separation of data points. \*NE = Not evaluable
Number of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline, Month 1, Month 2, Month 3, Month 6, Month 12Presence of clinically significant abnormalities was assessed at baseline, month 1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of clinically significant abnormalities (Yes/No). For retreated patients, the presence/absence of clinically significant abnormalities was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.
Number of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersBaseline, Month 1, Month 2, Month 3, Month 6, Month 12Improvement in BCVA \< 5 letters (Yes/No) was assessed at month1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of improvement in BCVA \< 5 letters (Yes/No) which was reported as Gain \>= 5 letters versus Gain \< 5 letters. For retreated patients, Gain \>= 5 letters and Gain \< 5 letters were considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.
Number of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersBaseline, Month 1, Month 2, Month 3, Month 6, Month 12Improvement in BCVA \< 10 letters (Yes/No) was assessed at month1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of improvement in BCVA \< 10 letters (Yes/No) which was reported as Gain \>= 10 letters versus Gain \< 10 letters. For retreated patients, Gain \>= 10 letters and Gain \< 10 letters were considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.
Number of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening, Month 2, Month 6Presence of active leakage on fluorescein angiography (FAG) was assessed at screening (14 to 3 days before baseline visit), month 2 and month 6. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of active leakage (Yes/No). For retreated patients, the presence/absence of active leakage was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable
Number of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening, Month 2, Month 6, Month 12Presence of macular edema from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of macular edema (Yes/No). For retreated patients, the presence/absence of macular edema was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable
Number of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening, Month 2, Month 6, Month 12Presence of cysts from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of cysts (Yes/No). For retreated patients, the presence/absence of cysts was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable
Number of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening, Month 2, Month 6, Month 12Presence of Intra-retinal fluid from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of Intra-retinal fluid (Yes/No). For retreated patients, the presence/absence of Intra-retinal fluid was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable
Change in Central Subfield Thickness (CSFT)Screening, Month 2, Month 6, Month 12Central subfield thickness (CSFT) from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change in CSFT versus previous visit. For retreated patients, the change in CSFT was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Secondary

MeasureTime frameDescription
Mean Number of Ranibizumab InjectionBaseline to Month 12Mean number of ranibizumab injection is reported as number of injections per patient.
Time to Re-treatmentBaseline to Month 12Time to re-treatment, defined as time in months from the data of first dose of ranibizumab to the date of re-treatment, was evaluated.
Number of Patients Having Ocular and/or Systemic Adverse Event (AE)Baseline to Month 12Number of patients with any systemic AE, with serious systemic AE, with an ocular AE, with an ocular serious AE are reported
Change in Patient Quality of Life From Baseline to Month 2 and Month 12Baseline, Month 2, Month 12Patient quality of life was assessed by Impact of Vision Impairment (IVI) questionnaire. IVI is a 32-item instrument, either self- or interviewer-administered, developed to measure the impact of vision impairment on daily activities in five domains. The 32 items were divided into 5 domains as follows: Leisure and work (items 1 to 5), Social and consumer interaction (items 6 to 10 and items 23-24), Household and personal care (items 11 to 14 and items 20-21), Mobility (items 15 to 19 and item 22), Emotional reaction to vision loss (items 25 to 32). Responses to the IVI items were rated on a five-category Likert scale: not at all, 0; hardly at all, 1; a little, 2; a fair amount, 3; a lot, 4; and can't do because of eyesight, 5. Total score was an arithmetic average of the items rated between 0 (the best score) and 5 (the worst score). A negative change indicates improvement. Data was computed on items with non missing response
Mean Change in Best Corrected Visual Acuity (BCVA) From Baseline to Month 6 and Month 12 on Study EyeBaseline, Month 6, Month 12Change from baseline in BCVA (Best Corrected Visual Acuity) was Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score. Patients with a BCVA ETDRS letter score of 78 to 24 in the study eye were included; A higher score represents better functioning of the study eye. A positive change from baseline shows improvement.

Countries

Italy

Participant flow

Pre-assignment details

Two hundred fifteen (215) subjects were screened in this study (i.e. provided written informed consent). Two hundred (200) subjects underwent baseline visit and received at least one injection of ranibizumab.

Participants by arm

ArmCount
Ranibizumab: Treated Once
Patients treated only once with a single ranibizumab 0.5 mg/0.05ml intravitreal injection.
70
Ranibizumab: Re-treated Once
Patients treated more than once with a single ranibizumab 0.5 mg/0.05ml intravitreal injection.
130
Total200

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath1
Overall StudyLost to Follow-up5
Overall StudyPregnancy1
Overall StudyWithdrawal by Subject7

Baseline characteristics

CharacteristicRanibizumab: Treated OnceRanibizumab: Re-treated OnceTotal
Age, Continuous61.27 Years
STANDARD_DEVIATION 13.03
62.12 Years
STANDARD_DEVIATION 12.52
61.82 Years
STANDARD_DEVIATION 12.67
Sex: Female, Male
Female
53 Participants94 Participants147 Participants
Sex: Female, Male
Male
17 Participants36 Participants53 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
26 / 200
serious
Total, serious adverse events
7 / 200

Outcome results

Primary

Change in Central Subfield Thickness (CSFT)

Central subfield thickness (CSFT) from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change in CSFT versus previous visit. For retreated patients, the change in CSFT was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point and previous visit.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab: Treated OnceChange in Central Subfield Thickness (CSFT)Month 2 Vs. Screening : CSFT-16.15 micromilimeter(um)Standard Deviation 86.65
Ranibizumab: Treated OnceChange in Central Subfield Thickness (CSFT)Month 6 Vs. Month 2: CSFT-11.04 micromilimeter(um)Standard Deviation 61.06
Ranibizumab: Treated OnceChange in Central Subfield Thickness (CSFT)Month 12 Vs. Month 6: CSFT1.29 micromilimeter(um)Standard Deviation 62.55
Ranibizumab: Re-treated OnceChange in Central Subfield Thickness (CSFT)Month 2 Vs. Screening : CSFT-34.28 micromilimeter(um)Standard Deviation 78.01
Ranibizumab: Re-treated OnceChange in Central Subfield Thickness (CSFT)Month 6 Vs. Month 2: CSFT-15.83 micromilimeter(um)Standard Deviation 70.74
Ranibizumab: Re-treated OnceChange in Central Subfield Thickness (CSFT)Month 12 Vs. Month 6: CSFT8.64 micromilimeter(um)Standard Deviation 76.79
Comparison: Change in Central subfield thickness vs previous visit.p-value: 0.151495% CI: [0.99, 1]Regression, Logistic
Primary

Change in Central Subfield Volume (CSV)

Central subfield volume (CSV) from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change in CSV versus previous visit. For retreated patients, the change in CSV was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point and the previous visit.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab: Treated OnceChange in Central Subfield Volume (CSV)Month 2 Vs. Screening : CSV-0.02 mm^3Standard Deviation 0.06
Ranibizumab: Treated OnceChange in Central Subfield Volume (CSV)Month 6 Vs. Month 2: CSV-0.00 mm^3Standard Deviation 0.04
Ranibizumab: Treated OnceChange in Central Subfield Volume (CSV)Month 12 Vs. Month 6: CSV-0.00 mm^3Standard Deviation 0.04
Ranibizumab: Re-treated OnceChange in Central Subfield Volume (CSV)Month 12 Vs. Month 6: CSV0.01 mm^3Standard Deviation 0.08
Ranibizumab: Re-treated OnceChange in Central Subfield Volume (CSV)Month 2 Vs. Screening : CSV-0.02 mm^3Standard Deviation 0.06
Ranibizumab: Re-treated OnceChange in Central Subfield Volume (CSV)Month 6 Vs. Month 2: CSV-0.01 mm^3Standard Deviation 0.07
Comparison: Change in Central subfield volume vs previous visit.p-value: 0.126595% CI: [0, 5.63]Regression, Logistic
Primary

Number of Patients in Different Categories of Changes From Baseline in BCVA

Changes from baseline in BCVA are described for the ETDRS parameter considering the following categories at each assessment: no change if the change was equal to 0 letter, worsening if change \< 0 letter , improvement if change \> 0 letter. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of change from baseline in BCVA (improved/worsened/stable) which was reported as Improved versus no change and worsened versus no change. For retreated patients, this variable was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Baseline, Month 1, Month 2, Month 3, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and evaluable BCVA at baseline and that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: Worsening9 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: Improvement52 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: Worsening8 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: No change5 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: Improvement50 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: Worsening9 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: No change6 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: Improvement48 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: No change3 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: No change3 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: Improvement51 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: Worsening9 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: Worsening8 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: Improvement51 Patients
Ranibizumab: Treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: No change7 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: Improvement92 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: No change18 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: Worsening15 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 1: Improvement97 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: No change9 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: Worsening25 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 2: Improvement95 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: No change9 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: Worsening25 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 3: Improvement94 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: No change6 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: Worsening30 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 6: Improvement92 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: No change7 Patients
Ranibizumab: Re-treated OnceNumber of Patients in Different Categories of Changes From Baseline in BCVAMonth 12: Worsening29 Patients
Comparison: Change from baseline in BCVA: Improved vs. No change. For retreated subjects, the last scheduled assessment prior to the first retreatment was considered. For subjects treated only once, the last scheduled assessment available was considered.p-value: 0.004995% CI: [0.25, 0.91]Regression, Logistic
Comparison: Change from baseline in BCVA: Worsened vs. No changep-value: 0.046195% CI: [0.69, 44.52]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 Letters

Improvement in BCVA \< 10 letters (Yes/No) was assessed at month1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of improvement in BCVA \< 10 letters (Yes/No) which was reported as Gain \>= 10 letters versus Gain \< 10 letters. For retreated patients, Gain \>= 10 letters and Gain \< 10 letters were considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Baseline, Month 1, Month 2, Month 3, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab with improvement in BCVA \< 10 letters from baseline to that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 1: Gain >= 10 letters13 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 1: Gain < 10 letters38 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 2: Gain >= 10 letters20 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 2: Gain < 10 letters30 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 3: Gain >= 10 letters22 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 3: Gain < 10 letters30 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 6: Gain >= 10 letters29 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 6: Gain < 10 letters19 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 12: Gain >= 10 letters28 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 12: Gain < 10 letters23 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 6: Gain < 10 letters42 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 1: Gain >= 10 letters27 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 3: Gain < 10 letters53 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 1: Gain < 10 letters70 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 12: Gain < 10 letters44 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 2: Gain >= 10 letters40 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 6: Gain >= 10 letters50 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 2: Gain < 10 letters55 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 12: Gain >= 10 letters48 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 10 LettersMonth 3: Gain >= 10 letters41 Patients
Comparison: Gain \< 10 letters vs. Gain \>= 10 letters.p-value: 0.011495% CI: [1.23, 5.17]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 Letters

Improvement in BCVA \< 5 letters (Yes/No) was assessed at month1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of improvement in BCVA \< 5 letters (Yes/No) which was reported as Gain \>= 5 letters versus Gain \< 5 letters. For retreated patients, Gain \>= 5 letters and Gain \< 5 letters were considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Baseline, Month 1, Month 2, Month 3, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab with improvement in BCVA \< 5 letters from baseline at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 1: Gain >= 5 letters37 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 1: Gain < 5 letters14 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 2: Gain >= 5 letters38 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 2: Gain < 5 letters12 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 3: Gain >= 5 letters37 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 3: Gain < 5 letters15 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 6: Gain >= 5 letters40 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 6: Gain < 5 letters8 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 12: Gain >= 5 letters43 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 12: Gain < 5 letters8 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 6: Gain < 5 letters22 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 1: Gain >= 5 letters69 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 3: Gain < 5 letters20 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 1: Gain < 5 letters28 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 12: Gain < 5 letters23 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 2: Gain >= 5 letters70 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 6: Gain >= 5 letters70 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 2: Gain < 5 letters25 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 12: Gain >= 5 letters69 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Improvement in Best Corrective Visual Acuity (BCVA) < 5 LettersMonth 3: Gain >= 5 letters74 Patients
Comparison: Gain \< 5 letters vs. Gain \>= 5 letters.p-value: 0.085495% CI: [0.9, 5.33]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Active Leakage

Presence of active leakage on fluorescein angiography (FAG) was assessed at screening (14 to 3 days before baseline visit), month 2 and month 6. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of active leakage (Yes/No). For retreated patients, the presence/absence of active leakage was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable

Time frame: Screening, Month 2, Month 6

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent fluorescein angiography at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, No3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, Yes61 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, NE0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, Missing0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, No58 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, Yes3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, NE0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, No55 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, Yes4 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, No73 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, No0 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, Yes56 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, Yes121 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageScreening: Active leakage, Missing1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 6: Active leakage, Yes40 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Active LeakageMonth 2: Active leakage, No61 Patients
Comparison: Presence vs. absence of active leakage.p-value: <0.000195% CI: [23.44, 223.42]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant Abnormalities

Presence of clinically significant abnormalities was assessed at baseline, month 1, month 2, month 3, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of clinically significant abnormalities (Yes/No). For retreated patients, the presence/absence of clinically significant abnormalities was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis.

Time frame: Baseline, Month 1, Month 2, Month 3, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent ocular examination during that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnorma, No60 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, No56 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, Yes9 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnormal, Yes6 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, Missing7 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, No61 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, No59 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnormal, Missing4 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, Yes3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2: Clinically Significant Abnormal, No60 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, Missing8 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, Missing0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, No61 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2: Clinically Significant Abnormal, Yes5 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, Yes7 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, Missing7 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2:Clinically Significant Abnormal, Missing5 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, Missing2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, No103 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, Yes27 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesBaseline: Clinically Significant Abnormal, Missing0 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnorma, No106 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnormal, Yes24 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2: Clinically Significant Abnormal, No103 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2: Clinically Significant Abnormal, Yes26 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 2:Clinically Significant Abnormal, Missing1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, No108 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, Yes20 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 3: Clinically Significant Abnormal, Missing2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, No110 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, Yes18 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 6: Clinically Significant Abnormal, Missing2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, No116 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 12: Clinically Significant Abnormal, Yes12 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Clinically Significant AbnormalitiesMonth 1: Clinically Significant Abnormal, Missing0 Patients
Comparison: Presence vs. absence of clinically significant abnormalities.p-value: 0.010395% CI: [1.58, 30.23]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Cysts

Presence of cysts from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of cysts (Yes/No). For retreated patients, the presence/absence of cysts was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, No41 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, No57 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, No60 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, Yes27 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, No57 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, Yes3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, Missing0 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, No94 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, No79 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, NE0 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, Yes32 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 2: Cysts, Missing1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, No98 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, Yes27 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 6: Cysts, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, No97 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsMonth 12: Cysts, Yes26 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of CystsScreening: Cysts, Yes50 Patients
Comparison: Presence vs. absence of cysts.p-value: <0.000195% CI: [3.76, 42.67]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal Fluid

Presence of Intra-retinal fluid from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of Intra-retinal fluid (Yes/No). For retreated patients, the presence/absence of Intra-retinal fluid was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, No57 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, No19 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, Yes1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, No55 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, NE2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, No58 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, Yes7 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, Yes49 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, No37 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, No77 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, Yes50 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 2: Intra-retinal fluid, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, No85 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, Yes38 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 6: Intra-retinal fluid, NE3 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, No96 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidMonth 12: Intra-retinal fluid, Yes26 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Intra-retinal FluidScreening: Intra-retinal fluid, Yes90 Patients
Comparison: Presence vs. absence of intra-retinal fluid.p-value: <0.000195% CI: [11.62, 213.5]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Macular Edema

Presence of macular edema from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. A univariate logistic regression model was applied expressing the presence/absence of the first retreatment in function of presence of macular edema (Yes/No). For retreated patients, the presence/absence of macular edema was considered at the closest time-point to the first re-treatment: the last scheduled assessment immediately before the first re-treatment was considered. For treated patients, the last scheduled assessment available was considered. In case of missing value on the scheduled assessment, the value was considered as missing for this analysis. \*NE = Not evaluable

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, Yes28 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, No57 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, No59 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, No38 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, Yes3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, No56 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, Yes4 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, NE3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, No63 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, Yes65 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaScreening: Macular Edema, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, No103 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, Yes24 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 2: Macular Edema, NE2 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, No101 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, Yes24 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 6: Macular Edema, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, Yes15 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Macular EdemaMonth 12: Macular Edema, No108 Patients
Comparison: Presence vs. absence of macular edema.p-value: <0.000195% CI: [3.18, 27.36]Regression, Logistic
Primary

Number of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal Fluid

Presence of sub-retinal fluid from optical coherence tomography (OCT) was assessed at screening (14 to 3 days before baseline visit), month 2, month 6 and month 12. The regression model for sub-retinal fluid was not valid because Yes was reported in almost all subjects causing a quasi-complete separation of data points. \*NE = Not evaluable

Time frame: Screening, Month 2, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab and underwent OCT at that time point.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, No43 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, Yes25 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, NE1 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, No58 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, Yes2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, NE3 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, No58 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, Yes0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, NE2 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, No60 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, Yes0 Patients
Ranibizumab: Treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, NE1 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, Yes8 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, No65 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, No109 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, Yes61 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, No113 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidScreening: Sub-retinal fluid, NE3 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, Yes14 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, No108 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 12: Sub-retinal fluid, NE3 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, Yes17 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 6: Sub-retinal fluid, NE3 Patients
Ranibizumab: Re-treated OnceNumber of Patients Treated and Re-treated Based on Presence/Absence of Sub-retinal FluidMonth 2: Sub-retinal fluid, NE4 Patients
Secondary

Change in Patient Quality of Life From Baseline to Month 2 and Month 12

Patient quality of life was assessed by Impact of Vision Impairment (IVI) questionnaire. IVI is a 32-item instrument, either self- or interviewer-administered, developed to measure the impact of vision impairment on daily activities in five domains. The 32 items were divided into 5 domains as follows: Leisure and work (items 1 to 5), Social and consumer interaction (items 6 to 10 and items 23-24), Household and personal care (items 11 to 14 and items 20-21), Mobility (items 15 to 19 and item 22), Emotional reaction to vision loss (items 25 to 32). Responses to the IVI items were rated on a five-category Likert scale: not at all, 0; hardly at all, 1; a little, 2; a fair amount, 3; a lot, 4; and can't do because of eyesight, 5. Total score was an arithmetic average of the items rated between 0 (the best score) and 5 (the worst score). A negative change indicates improvement. Data was computed on items with non missing response

Time frame: Baseline, Month 2, Month 12

Population: Full Analysis Set (FAS): all subjects who received at least one dose of ranibizumab with data at both timepoints.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab: Treated OnceChange in Patient Quality of Life From Baseline to Month 2 and Month 12Change at Month 2-0.40 units on a scaleStandard Deviation 0.68
Ranibizumab: Treated OnceChange in Patient Quality of Life From Baseline to Month 2 and Month 12Change at month 12-0.54 units on a scaleStandard Deviation 0.91
Ranibizumab: Re-treated OnceChange in Patient Quality of Life From Baseline to Month 2 and Month 12Change at Month 2-0.15 units on a scaleStandard Deviation 0.6
Ranibizumab: Re-treated OnceChange in Patient Quality of Life From Baseline to Month 2 and Month 12Change at month 12-0.36 units on a scaleStandard Deviation 0.81
Secondary

Mean Change in Best Corrected Visual Acuity (BCVA) From Baseline to Month 6 and Month 12 on Study Eye

Change from baseline in BCVA (Best Corrected Visual Acuity) was Measured by Early Treatment Diabetic Retinopathy Study (ETDRS) Letter Score. Patients with a BCVA ETDRS letter score of 78 to 24 in the study eye were included; A higher score represents better functioning of the study eye. A positive change from baseline shows improvement.

Time frame: Baseline, Month 6, Month 12

Population: Full Analysis Set (FAS): all patients who received at least one dose of ranibizumab. The study eyes of the patients belonging to the FAS were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab: Treated OnceMean Change in Best Corrected Visual Acuity (BCVA) From Baseline to Month 6 and Month 12 on Study EyeChange at 6 month7.51 lettersStandard Deviation 11.68
Ranibizumab: Treated OnceMean Change in Best Corrected Visual Acuity (BCVA) From Baseline to Month 6 and Month 12 on Study EyeChange at 12 month8.42 lettersStandard Deviation 12.81
Secondary

Mean Number of Ranibizumab Injection

Mean number of ranibizumab injection is reported as number of injections per patient.

Time frame: Baseline to Month 12

Population: Full Analysis Set (FAS): all subjects who received at least one dose of ranibizumab

ArmMeasureValue (MEAN)Dispersion
Ranibizumab: Treated OnceMean Number of Ranibizumab Injection2.41 injectionsStandard Deviation 1.53
Secondary

Number of Patients Having Ocular and/or Systemic Adverse Event (AE)

Number of patients with any systemic AE, with serious systemic AE, with an ocular AE, with an ocular serious AE are reported

Time frame: Baseline to Month 12

Population: Safety Population: all subjects who received at least one dose of ranibizumab and had at least one post-baseline safety assessment.

ArmMeasureGroupValue (NUMBER)
Ranibizumab: Treated OnceNumber of Patients Having Ocular and/or Systemic Adverse Event (AE)Ocular Adverse Event41 Patients
Ranibizumab: Treated OnceNumber of Patients Having Ocular and/or Systemic Adverse Event (AE)Ocular serious adverse event2 Patients
Ranibizumab: Treated OnceNumber of Patients Having Ocular and/or Systemic Adverse Event (AE)Any systemic Adverse Event30 Patients
Ranibizumab: Treated OnceNumber of Patients Having Ocular and/or Systemic Adverse Event (AE)Serious systemic Adverse Event5 Patients
Secondary

Time to Re-treatment

Time to re-treatment, defined as time in months from the data of first dose of ranibizumab to the date of re-treatment, was evaluated.

Time frame: Baseline to Month 12

Population: Full Analysis Set (FAS): all subjects who received at least one dose of ranibizumab

ArmMeasureValue (MEAN)Dispersion
Ranibizumab: Treated OnceTime to Re-treatment2.56 MonthsStandard Deviation 2.17

Source: ClinicalTrials.gov ยท Data processed: Feb 22, 2026