Retinopathy of Prematurity (ROP)
Conditions
Keywords
open-label,, long-term,, extension study,, intravitreal ranibizumab,, laser ablation therapy,, retinopathy of prematurity,, preterm infants,, RAINBOW
Brief summary
The purpose of this study was to evaluate the long term efficacy and safety of intravitreal ranibizumab compared with laser ablation therapy in patients who were treated for retinopathy of prematurity (ROP) in the core study CRFB002H2301 (NCT02375971)
Detailed description
This was a multicenter, open-label extension study where the Visual Acuity (VA) assessment at the child's 5th birthday visit was performed. The study had 2 distinct periods (Epochs). Treatment with study ranibizumab (either as retreatment after ranibizumab had already been injected in the same eye or as switch ranibizumab treatment from study laser therapy administered in the core study) was permitted for eligible eyes with recurrence/worsening of ROP up to and including Week 40 from the baseline visit in the core study (Epoch 1). The remainder of the extension study up to the 5th birthday visit (Epoch 2) was observational, with no study treatment planned to be administered. In the core study, patients were randomized to 1 of the 3 treatment arms (ranibizumab 0.2 mg, ranibizumab 0.1 mg, and laser). Treatment arm assignment and patient identifier in the extension study remained the same as in the core study.
Interventions
1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required
Sponsors
Study design
Eligibility
Inclusion criteria
* Signed informed consent from parent(s) or legal guardian(s), in compliance with local requirements * The patient successfully completed the core study H2301, as defined by providing assessments at the Visit 112 (the last scheduled visit in the core study) or, if appropriate, at the last of the additional assessment visits as per protocol in H2301, whichever was latest * The patient received study treatment in both eyes at baseline of study H2301
Exclusion criteria
* Patient had a medical condition or personal circumstance which precluded study participation or compliance with study procedures, as assessed by the Investigator * Patient had been discontinued from the core study H2301 at any time
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit) | The VA assessment at the child's 5th birthday visit was performed using Early Treatment Diabetic Retinopathy Study (ETDRS) methodology. VA measurements were taken in a sitting position at an initial test distance of 3 meters using Lea Symbols charts. Scores represented the number of optotypes (Lea symbols) the participant identified and ranged from 0 to 100, with higher scores indicating better visual acuity. VA was tested in each eye, using the child's current refractive index. The better-seeing eye was defined as the eye with the higher ETDRS score at the 5th birthday visit. If both eyes had the same ETDRS score, then the right eye was assigned as the better-seeing eye. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit) | Summary of participants was reported to evaluate the refraction in each eye at the participant's 2 years' corrected age |
| Number of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term | throughout the study, approximately 5 years | Number of participants with ocular AEs starting during the core study and ongoing at extension baseline, or starting on/after extension baseline were reported. |
| Number of Participants With Non-ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship (Greater Than or Equal to 3% in Any Arm) by Preferred Term | throughout the study, approximately 5 years | Number of participants with non-ocular adverse events regardless of study treatment or procedure relationship (greater than or equal to 3% in any arm) by preferred term were reported. |
| Visual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit) | The VA assessment at the child's 5th birthday visit was performed using Early Treatment Diabetic Retinopathy Study (ETDRS) methodology. VA measurements were taken in a sitting position at an initial test distance of 3 meters using Lea Symbols charts. Scores represented the number of optotypes (Lea symbols) the participant identified and ranged from 0 to 100, with higher scores indicating better visual acuity. VA was tested in each eye, using the child's current refractive index. The worse-seeing eye was the eye with a lower ETDRS score at the 5th birthday visit. If both eyes had the same ETDRS score, then the left eye was assigned as the worse-seeing eye. |
| Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | at 40 weeks post core baseline visit | The absence of active ROP in both eyes is defined by the absence of all of the following features: (1) Vessel dilatation of plus disease in at least 2 quardrants (some persisting tortuosity is allowed), (2) Extra-retina vessels extending from the retina into the vitreous and judged to be a sign of active ROP disease. |
| Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit | at 52 weeks post core baseline visit | The absence of active ROP in both eyes is defined by the absence of all of the following features: (1) Vessel dilatation of plus disease in at least 2 quardrants (some persisting tortuosity is allowed), (2) Extra-retina vessels extending from the retina into the vitreous and judged to be a sign of active ROP disease. |
| Number of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | at or before 40 weeks post baseline visit | The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula |
| Number of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | at or before the participant's fifth birthday visit (up to maximum 5 years and 4 months post core baseline visit) | The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula |
| Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | at or before 40 weeks post baseline visit | Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis |
| Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | at or before the participant's fifth birthday visit (up to maximum 5 years and 4 months post core baseline visit) | Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis, (7) Optic disc pallor, (8) Optic disc swelling, (9) Pigmentary disturbance in the macula, (10) Atrophic changes in the macula |
| Number of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | at or before participant's 2 years corrected age visit (up to 2 years and 4 months post core baseline visit) | The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula |
| Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | at participant's 2 years corrected age (maximum 2 years and 4 months post core baseline visit) | Summary of participants was reported to evaluate the refraction in each eye at the participant's 2 years corrected age |
| Number of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study | up to 40 weeks post baseline visit in the core study | Recurrence of ROP was defined as ROP receiving any post-baseline intervention after the 1st study treatment in the core study. In the ranibizumab arms, post-baseline interventions were ranibizumab retreatment or switch to laser. In the laser arm, post-baseline interventions were supplementary laser treatments after 11 days post-baseline, or switch to ranibizumab; supplementary laser treatment within 11 days post-baseline was not counted as recurrence. |
| Number of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study | up to 52 weeks post baseline visit in the core study | Recurrence of ROP was defined as ROP receiving any post-baseline intervention after the 1st study treatment in the core study. In the ranibizumab arms, post-baseline interventions were ranibizumab retreatment or switch to laser. In the laser arm, post-baseline interventions were supplementary laser treatments after 11 days post-baseline, or switch to ranibizumab; supplementary laser treatment within 11 days post-baseline was not counted as recurrence. Beyond Week 40, participants did not receive any study intervention and no new data was collected after 40 weeks post core baseline visit. |
| Number of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period | up to and including 40 weeks post baseline visit in the core study | Number of ranibizumab injections received in the treatment of participants with ROP up to and including 40 weeks post baseline visit in the core study were reported. |
| Duration of Hospitalization | From baseline of the core study up to 5 years and 4 months post core baseline visit | Duration of hospitalization (from birth to first hospital discharge home) was reported to evaluate the health status of the subject |
| Change From Baseline in Weight | Baseline of the core study, at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit) and at the subjects' fifth birthday (maximum 5 years and 4 months post core baseline visit) | Subject´s weight was reported to evaluate the physical development. |
| Change From Baseline in Head Circumference | Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit) | Subject´s head circumference was reported to evaluate the physical development. |
| Change From Baseline in Sitting Diastolic Blood Pressure | Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit) | Subject´s Sitting Diastolic Blood Pressure was reported to evaluate the physical development. |
| Change From Baseline in Sitting Systolic Blood Pressure | Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit) | Subject´s Sitting Systolic Blood Pressure was reported to evaluate the physical development. |
| Number of Participants With the Summary of Respiratory Function Status | at the participants' fifth birthday visit (maximum 5 years and 4 months post core baseline visit) | Number of participants with respiratory function status was reported |
| Number of Participants With Hearing Impairment of Any Type | at the participants' fifth birthday visit (maximum 5 years and 4 months post core baseline visit) | Number of participants with hearing function status was reported |
| Weight at the Time of First Hospital Discharge | From baseline of the core study up to 5 years and 4 months post core baseline visit | Weight (gram) at the time of first hospital discharge was reported to evaluate the health status of the subject |
| Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | at or before participant's 2 years corrected age visit (up to 2 years and 4 months post core baseline visit) | Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis, (7) Optic disc pallor, (8) Optic disc swelling, (9) Pigmentary disturbance in the macula, (10) Atrophic changes in the macula |
Countries
Austria, Belgium, Croatia, Czechia, Denmark, Egypt, Estonia, France, Germany, Greece, Hungary, India, Italy, Japan, Lithuania, Malaysia, Romania, Russia, Saudi Arabia, Slovakia, Taiwan, Turkey (Türkiye), United Kingdom, United States
Participant flow
Recruitment details
Study was carried out in Austria (2), Belgium (2), Croatia (1), Czech Republic (3), Denmark (1), Egypt (1), Estonia (1), France (2), Germany (1), Greece (3), Hungary (2), India (6), Italy (4), Japan (16), Lithuania (1), Malaysia (2), Romania (3), Russian Federation (5), Saudi Arabia (1), Slovakia (1), Taiwan (2), Turkey (3), United Kingdom (2), United States of America (9)
Pre-assignment details
This study was not randomized. During Epoch 1 (starting at the baseline visit for the extension study up to 40 weeks from the baseline visit in the core study) participants continued to receive treatment as in the core study (NCT02375971). During Epoch 2 (starting at the end of Epoch 1 up to participant's 5th birthday) participants no longer received treatment (the study was observational)
Participants by arm
| Arm | Count |
|---|---|
| Ranibizumab 0.2 mg 1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required | 61 |
| Ranibizumab 0.1 mg 1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required | 65 |
| Laser Therapy Laser treatment to each eye on Day 1 (Baseline), with supplementary treatments allowed | 54 |
| Total | 180 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Epoch 1 | Death | 0 | 0 | 1 |
| Epoch 1 | Withdrawal of informed consent | 1 | 0 | 0 |
| Epoch 2 | Death | 0 | 0 | 1 |
| Epoch 2 | Lost to Follow-up | 3 | 4 | 1 |
| Epoch 2 | Subject/guardian decision | 0 | 2 | 2 |
| Epoch 2 | Withdrawal of informed consent | 3 | 4 | 2 |
Baseline characteristics
| Characteristic | Ranibizumab 0.2 mg | Ranibizumab 0.1 mg | Laser Therapy | Total |
|---|---|---|---|---|
| Age, Continuous | 38.88 Weeks STANDARD_DEVIATION 7.316 | 40.16 Weeks STANDARD_DEVIATION 9.836 | 37.48 Weeks STANDARD_DEVIATION 8.745 | 38.92 Weeks STANDARD_DEVIATION 8.739 |
| Race/Ethnicity, Customized Asian | 22 Participants | 18 Participants | 18 Participants | 58 Participants |
| Race/Ethnicity, Customized Black | 0 Participants | 4 Participants | 2 Participants | 6 Participants |
| Race/Ethnicity, Customized Caucasian | 38 Participants | 40 Participants | 32 Participants | 110 Participants |
| Race/Ethnicity, Customized Native American | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 1 Participants | 3 Participants | 2 Participants | 6 Participants |
| Race/Ethnicity, Customized Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Unknown | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 32 Participants | 35 Participants | 27 Participants | 94 Participants |
| Sex: Female, Male Male | 29 Participants | 30 Participants | 27 Participants | 86 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 61 | 0 / 65 | 2 / 54 | 2 / 180 |
| other Total, other adverse events | 41 / 61 | 46 / 65 | 40 / 54 | 127 / 180 |
| serious Total, serious adverse events | 21 / 61 | 27 / 65 | 26 / 54 | 74 / 180 |
Outcome results
Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms
The VA assessment at the child's 5th birthday visit was performed using Early Treatment Diabetic Retinopathy Study (ETDRS) methodology. VA measurements were taken in a sitting position at an initial test distance of 3 meters using Lea Symbols charts. Scores represented the number of optotypes (Lea symbols) the participant identified and ranged from 0 to 100, with higher scores indicating better visual acuity. VA was tested in each eye, using the child's current refractive index. The better-seeing eye was defined as the eye with the higher ETDRS score at the 5th birthday visit. If both eyes had the same ETDRS score, then the right eye was assigned as the better-seeing eye.
Time frame: at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 66.8 Score on a scale | Standard Error 1.95 |
| Ranibizumab 0.1 mg | Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 64.6 Score on a scale | Standard Error 2 |
| Laser Therapy | Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 62.1 Score on a scale | Standard Error 2.18 |
Change From Baseline in Head Circumference
Subject´s head circumference was reported to evaluate the physical development.
Time frame: Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Change From Baseline in Head Circumference | 16.5 cm | Standard Deviation 2.6 |
| Ranibizumab 0.1 mg | Change From Baseline in Head Circumference | 16.2 cm | Standard Deviation 2.78 |
| Laser Therapy | Change From Baseline in Head Circumference | 17.2 cm | Standard Deviation 2.81 |
Change From Baseline in Sitting Diastolic Blood Pressure
Subject´s Sitting Diastolic Blood Pressure was reported to evaluate the physical development.
Time frame: Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Change From Baseline in Sitting Diastolic Blood Pressure | 16.7 mmHg | Standard Deviation 14.92 |
| Ranibizumab 0.1 mg | Change From Baseline in Sitting Diastolic Blood Pressure | 13.6 mmHg | Standard Deviation 14.1 |
| Laser Therapy | Change From Baseline in Sitting Diastolic Blood Pressure | 16.5 mmHg | Standard Deviation 12.14 |
Change From Baseline in Sitting Systolic Blood Pressure
Subject´s Sitting Systolic Blood Pressure was reported to evaluate the physical development.
Time frame: Baseline of the core study and at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Change From Baseline in Sitting Systolic Blood Pressure | 20.6 mmHg | Standard Deviation 16.13 |
| Ranibizumab 0.1 mg | Change From Baseline in Sitting Systolic Blood Pressure | 16.2 mmHg | Standard Deviation 15.95 |
| Laser Therapy | Change From Baseline in Sitting Systolic Blood Pressure | 17.6 mmHg | Standard Deviation 12.75 |
Change From Baseline in Weight
Subject´s weight was reported to evaluate the physical development.
Time frame: Baseline of the core study, at the subject's 2 years' corrected age (maximum 2 years and 4 months post core baseline visit) and at the subjects' fifth birthday (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. Number analyzed represents the number of participants with at least one non-missing value for the specific category and, therefore, it's not the same as the total number of participants analyzed.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Ranibizumab 0.2 mg | Change From Baseline in Weight | Year 2 | 8695.9 grams | Standard Deviation 1406.58 |
| Ranibizumab 0.2 mg | Change From Baseline in Weight | 5th Birthday | 14611.9 grams | Standard Deviation 3018.65 |
| Ranibizumab 0.1 mg | Change From Baseline in Weight | Year 2 | 8461.7 grams | Standard Deviation 1375.95 |
| Ranibizumab 0.1 mg | Change From Baseline in Weight | 5th Birthday | 14324.7 grams | Standard Deviation 2616.96 |
| Laser Therapy | Change From Baseline in Weight | Year 2 | 8840.6 grams | Standard Deviation 1643.8 |
| Laser Therapy | Change From Baseline in Weight | 5th Birthday | 14689.4 grams | Standard Deviation 3300.05 |
Duration of Hospitalization
Duration of hospitalization (from birth to first hospital discharge home) was reported to evaluate the health status of the subject
Time frame: From baseline of the core study up to 5 years and 4 months post core baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Duration of Hospitalization | 111.1 days | Standard Deviation 62.27 |
| Ranibizumab 0.1 mg | Duration of Hospitalization | 116.2 days | Standard Deviation 78.1 |
| Laser Therapy | Duration of Hospitalization | 95.7 days | Standard Deviation 57.07 |
Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit
The absence of active ROP in both eyes is defined by the absence of all of the following features: (1) Vessel dilatation of plus disease in at least 2 quardrants (some persisting tortuosity is allowed), (2) Extra-retina vessels extending from the retina into the vitreous and judged to be a sign of active ROP disease.
Time frame: at 40 weeks post core baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. Number analyzed represents the number of participants with at least one non-missing value for the specific category and, therefore, it's not the same as the total number of participants analyzed.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of vessel dilatation | 55 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of active ROP at 40 weeks post core baseline visit | 55 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of extra-retinal vessels | 57 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of vessel dilatation | 58 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of active ROP at 40 weeks post core baseline visit | 58 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of extra-retinal vessels | 59 Participants |
| Laser Therapy | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of active ROP at 40 weeks post core baseline visit | 46 Participants |
| Laser Therapy | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of extra-retinal vessels | 47 Participants |
| Laser Therapy | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline Visit | Absence of vessel dilatation | 46 Participants |
Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit
The absence of active ROP in both eyes is defined by the absence of all of the following features: (1) Vessel dilatation of plus disease in at least 2 quardrants (some persisting tortuosity is allowed), (2) Extra-retina vessels extending from the retina into the vitreous and judged to be a sign of active ROP disease.
Time frame: at 52 weeks post core baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit | 58 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit | 63 Participants |
| Laser Therapy | Number of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit | 49 Participants |
Number of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit
The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula
Time frame: at or before 40 weeks post baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | 59 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | 61 Participants |
| Laser Therapy | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | 47 Participants |
Number of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit
The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula
Time frame: at or before participant's 2 years corrected age visit (up to 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | 59 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | 61 Participants |
| Laser Therapy | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | 47 Participants |
Number of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit
The absence of all ocular structural abnormalities is defined by the absence of all of the following fundus features in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula
Time frame: at or before the participant's fifth birthday visit (up to maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | 59 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | 61 Participants |
| Laser Therapy | Number of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | 47 Participants |
Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit
Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis
Time frame: at or before 40 weeks post baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment not involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of posterior retinal fold involving the macula | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of pre-retinal fibrosis | 58 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of substantial temporal retinal vessel | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 60 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment involving the macula | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of pre-retinal fibrosis | 60 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment not involving the macula | 62 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of substantial temporal retinal vessel | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of posterior retinal fold involving the macula | 65 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of pre-retinal fibrosis | 49 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of substantial temporal retinal vessel | 49 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 53 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of posterior retinal fold involving the macula | 51 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment involving the macula | 51 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit | Absence of retinal detachment not involving the macula | 50 Participants |
Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit
Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis, (7) Optic disc pallor, (8) Optic disc swelling, (9) Pigmentary disturbance in the macula, (10) Atrophic changes in the macula
Time frame: at or before participant's 2 years corrected age visit (up to 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pre-retinal fibrosis | 58 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of posterior retinal fold involving the macula | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment not involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of atrophic changes in macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of substantial temporal retinal vessel dragging | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pigmentary disturbance in the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc pallor | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc swelling | 60 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of posterior retinal fold involving the macula | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment involving the macula | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of substantial temporal retinal vessel dragging | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment not involving the macula | 62 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pre-retinal fibrosis | 59 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc pallor | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc swelling | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pigmentary disturbance in the macula | 64 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of atrophic changes in macula | 65 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of substantial temporal retinal vessel dragging | 49 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of posterior retinal fold involving the macula | 51 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc pallor | 53 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pigmentary disturbance in the macula | 52 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment involving the macula | 50 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of atrophic changes in macula | 52 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of retinal detachment not involving the macula | 50 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 52 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of optic disc swelling | 53 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit | Absence of pre-retinal fibrosis | 48 Participants |
Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit
Number of participants with absence of each structural abnormality in both eyes at or before the given time point: (1) Substantial temporal retinal vessel dragging causing abnormal structural features/macular Ectopia, (2) Retrolental membrane obscuring the view of the posterior pole, (3) Posterior retinal fold involving the macula, (4) Retinal detachment involving the macula, (5) Retinal detachment not involving the macula, (6) Pre-retinal fibrosis, (7) Optic disc pallor, (8) Optic disc swelling, (9) Pigmentary disturbance in the macula, (10) Atrophic changes in the macula
Time frame: at or before the participant's fifth birthday visit (up to maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of temporal retinal vessel dragging | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pigmentary disturbance in the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of posterior retinal fold involving the macula | 59 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment not involving the macula | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pre-retinal fibrosis | 58 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc pallor | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc swelling | 60 Participants |
| Ranibizumab 0.2 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of atrophic changes in macula | 60 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of posterior retinal fold involving the macula | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc swelling | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment involving the macula | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment not involving the macula | 62 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pre-retinal fibrosis | 59 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of temporal retinal vessel dragging | 63 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc pallor | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pigmentary disturbance in the macula | 64 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 65 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of atrophic changes in macula | 65 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pre-retinal fibrosis | 48 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of posterior retinal fold involving the macula | 51 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of temporal retinal vessel dragging | 49 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc pallor | 52 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment involving the macula | 50 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of optic disc swelling | 53 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of atrophic changes in macula | 51 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of retinal detachment not involving the macula | 50 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of pigmentary disturbance in the macula | 52 Participants |
| Laser Therapy | Number of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit | Absence of Retrolental membrane obscuring the view of the posterior pole | 52 Participants |
Number of Participants With Hearing Impairment of Any Type
Number of participants with hearing function status was reported
Time frame: at the participants' fifth birthday visit (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Hearing Impairment of Any Type | 2 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Hearing Impairment of Any Type | 2 Participants |
| Laser Therapy | Number of Participants With Hearing Impairment of Any Type | 4 Participants |
Number of Participants With Non-ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship (Greater Than or Equal to 3% in Any Arm) by Preferred Term
Number of participants with non-ocular adverse events regardless of study treatment or procedure relationship (greater than or equal to 3% in any arm) by preferred term were reported.
Time frame: throughout the study, approximately 5 years
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Non-ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship (Greater Than or Equal to 3% in Any Arm) by Preferred Term | 46 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Non-ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship (Greater Than or Equal to 3% in Any Arm) by Preferred Term | 53 Participants |
| Laser Therapy | Number of Participants With Non-ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship (Greater Than or Equal to 3% in Any Arm) by Preferred Term | 46 Participants |
Number of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term
Number of participants with ocular AEs starting during the core study and ongoing at extension baseline, or starting on/after extension baseline were reported.
Time frame: throughout the study, approximately 5 years
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term | 19 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term | 26 Participants |
| Laser Therapy | Number of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term | 22 Participants |
Number of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study
Recurrence of ROP was defined as ROP receiving any post-baseline intervention after the 1st study treatment in the core study. In the ranibizumab arms, post-baseline interventions were ranibizumab retreatment or switch to laser. In the laser arm, post-baseline interventions were supplementary laser treatments after 11 days post-baseline, or switch to ranibizumab; supplementary laser treatment within 11 days post-baseline was not counted as recurrence.
Time frame: up to 40 weeks post baseline visit in the core study
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study | 19 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study | 22 Participants |
| Laser Therapy | Number of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study | 11 Participants |
Number of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study
Recurrence of ROP was defined as ROP receiving any post-baseline intervention after the 1st study treatment in the core study. In the ranibizumab arms, post-baseline interventions were ranibizumab retreatment or switch to laser. In the laser arm, post-baseline interventions were supplementary laser treatments after 11 days post-baseline, or switch to ranibizumab; supplementary laser treatment within 11 days post-baseline was not counted as recurrence. Beyond Week 40, participants did not receive any study intervention and no new data was collected after 40 weeks post core baseline visit.
Time frame: up to 52 weeks post baseline visit in the core study
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study | 19 Participants |
| Ranibizumab 0.1 mg | Number of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study | 22 Participants |
| Laser Therapy | Number of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study | 11 Participants |
Number of Participants With the Summary of Respiratory Function Status
Number of participants with respiratory function status was reported
Time frame: at the participants' fifth birthday visit (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. Number analyzed represents the number of participants with at least one non-missing value for the specific category and, therefore, it's not the same as the total number of participants analyzed.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of smoker at home | 15 Participants |
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with frequency of sleep disturbance due to wheezing | 47 Participants |
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with dry cough status at night | 5 Participants |
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with Wheezing/whistling status | 6 Participants |
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of wheezing limiting child's speech ability | 1 Participants |
| Ranibizumab 0.2 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with attacks of wheezing | 47 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of wheezing limiting child's speech ability | 0 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with dry cough status at night | 2 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with attacks of wheezing | 50 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of smoker at home | 8 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with Wheezing/whistling status | 4 Participants |
| Ranibizumab 0.1 mg | Number of Participants With the Summary of Respiratory Function Status | Number of participants with frequency of sleep disturbance due to wheezing | 52 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with frequency of sleep disturbance due to wheezing | 47 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with Wheezing/whistling status | 2 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with attacks of wheezing | 45 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of smoker at home | 4 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with presence of wheezing limiting child's speech ability | 0 Participants |
| Laser Therapy | Number of Participants With the Summary of Respiratory Function Status | Number of participants with dry cough status at night | 1 Participants |
Number of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period
Number of ranibizumab injections received in the treatment of participants with ROP up to and including 40 weeks post baseline visit in the core study were reported.
Time frame: up to and including 40 weeks post baseline visit in the core study
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Number of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period | 2.5 Number of injections | Standard Deviation 0.96 |
| Ranibizumab 0.1 mg | Number of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period | 2.5 Number of injections | Standard Deviation 1.06 |
| Laser Therapy | Number of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period | 2.4 Number of injections | Standard Deviation 0.92 |
Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age
Summary of participants was reported to evaluate the refraction in each eye at the participant's 2 years corrected age
Time frame: at participant's 2 years corrected age (maximum 2 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Ranibizumab 0.2 mg | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Best eye | -0.697 diopters | Standard Deviation 2.7032 |
| Ranibizumab 0.2 mg | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Worst eye | -0.825 diopters | Standard Deviation 2.6575 |
| Ranibizumab 0.1 mg | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Best eye | -0.713 diopters | Standard Deviation 2.61 |
| Ranibizumab 0.1 mg | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Worst eye | -0.829 diopters | Standard Deviation 2.8346 |
| Laser Therapy | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Best eye | -1.793 diopters | Standard Deviation 4.157 |
| Laser Therapy | Refraction Status: Summary of Participants at Participant's 2 Years Corrected Age | Worst eye | -1.516 diopters | Standard Deviation 3.5652 |
Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit
Summary of participants was reported to evaluate the refraction in each eye at the participant's 2 years' corrected age
Time frame: at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the participants from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Ranibizumab 0.2 mg | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Best eye | -0.601 diopters | Standard Deviation 2.8107 |
| Ranibizumab 0.2 mg | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Worst eye | -0.904 diopters | Standard Deviation 2.8501 |
| Ranibizumab 0.1 mg | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Best eye | -0.859 diopters | Standard Deviation 2.7406 |
| Ranibizumab 0.1 mg | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Worst eye | -1.074 diopters | Standard Deviation 3.0405 |
| Laser Therapy | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Best eye | -1.883 diopters | Standard Deviation 4.497 |
| Laser Therapy | Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visit | Worst eye | -1.706 diopters | Standard Deviation 3.574 |
Visual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms
The VA assessment at the child's 5th birthday visit was performed using Early Treatment Diabetic Retinopathy Study (ETDRS) methodology. VA measurements were taken in a sitting position at an initial test distance of 3 meters using Lea Symbols charts. Scores represented the number of optotypes (Lea symbols) the participant identified and ranged from 0 to 100, with higher scores indicating better visual acuity. VA was tested in each eye, using the child's current refractive index. The worse-seeing eye was the eye with a lower ETDRS score at the 5th birthday visit. If both eyes had the same ETDRS score, then the left eye was assigned as the worse-seeing eye.
Time frame: at the participant's fifth birthday visit (maximum 5 years and 4 months post core baseline visit)
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Visual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 60.2 Score on a scale | Standard Error 2.95 |
| Ranibizumab 0.1 mg | Visual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 53.8 Score on a scale | Standard Error 3.05 |
| Laser Therapy | Visual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms | 52.2 Score on a scale | Standard Error 3.3 |
Weight at the Time of First Hospital Discharge
Weight (gram) at the time of first hospital discharge was reported to evaluate the health status of the subject
Time frame: From baseline of the core study up to 5 years and 4 months post core baseline visit
Population: Extension Safety Set: defined as the subset of the patients from the Safety Set of the core study who entered the extension study and comprised data from both core and extension studies. The outcome measure included number of participants contributing to analysis.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ranibizumab 0.2 mg | Weight at the Time of First Hospital Discharge | 2910.9 gram | Standard Deviation 1359.34 |
| Ranibizumab 0.1 mg | Weight at the Time of First Hospital Discharge | 2966.5 gram | Standard Deviation 1198.6 |
| Laser Therapy | Weight at the Time of First Hospital Discharge | 2658.7 gram | Standard Deviation 926.92 |