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Rainbow Extension Study

RAINBOW Extension Study: an Extension Study to Evaluate the Long Term Efficacy and Safety of RAnibizumab Compared With Laser Therapy for the Treatment of INfants BOrn Prematurely With Retinopathy of Prematurity

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02640664
Acronym
RainbowExt
Enrollment
180
Registered
2015-12-29
Start date
2016-06-16
Completion date
2022-04-21
Last updated
2023-02-13

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

Conditions

Retinopathy of Prematurity (ROP)

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

DRUGRanibizumab

1 intravitreal injection in both eyes on Day 1 (Baseline), with up to 2 re-treatments allowed for each eye if required

Sponsors

Novartis Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
6 Months to 5 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Visual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Armsat 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

MeasureTime frameDescription
Refraction Status: Summary of Participants at the Participant's Fifth Birthday Visitat 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 Termthroughout the study, approximately 5 yearsNumber 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 Termthroughout the study, approximately 5 yearsNumber 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 Armsat 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 Visitat 40 weeks post core baseline visitThe 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 Visitat 52 weeks post core baseline visitThe 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 Visitat or before 40 weeks post baseline visitThe 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 Visitat 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 Visitat or before 40 weeks post baseline visitNumber 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 Visitat 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 Visitat 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 Ageat 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 Studyup to 40 weeks post baseline visit in the core studyRecurrence 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 Studyup to 52 weeks post baseline visit in the core studyRecurrence 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 Periodup to and including 40 weeks post baseline visit in the core studyNumber 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 HospitalizationFrom baseline of the core study up to 5 years and 4 months post core baseline visitDuration of hospitalization (from birth to first hospital discharge home) was reported to evaluate the health status of the subject
Change From Baseline in WeightBaseline 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 CircumferenceBaseline 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 PressureBaseline 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 PressureBaseline 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 Statusat 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 Typeat 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 DischargeFrom baseline of the core study up to 5 years and 4 months post core baseline visitWeight (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 Visitat 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

ArmCount
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
Total180

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Epoch 1Death001
Epoch 1Withdrawal of informed consent100
Epoch 2Death001
Epoch 2Lost to Follow-up341
Epoch 2Subject/guardian decision022
Epoch 2Withdrawal of informed consent342

Baseline characteristics

CharacteristicRanibizumab 0.2 mgRanibizumab 0.1 mgLaser TherapyTotal
Age, Continuous38.88 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 Participants18 Participants18 Participants58 Participants
Race/Ethnicity, Customized
Black
0 Participants4 Participants2 Participants6 Participants
Race/Ethnicity, Customized
Caucasian
38 Participants40 Participants32 Participants110 Participants
Race/Ethnicity, Customized
Native American
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Other
1 Participants3 Participants2 Participants6 Participants
Race/Ethnicity, Customized
Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Unknown
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
32 Participants35 Participants27 Participants94 Participants
Sex: Female, Male
Male
29 Participants30 Participants27 Participants86 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 610 / 652 / 542 / 180
other
Total, other adverse events
41 / 6146 / 6540 / 54127 / 180
serious
Total, serious adverse events
21 / 6127 / 6526 / 5474 / 180

Outcome results

Primary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Ranibizumab 0.2 mgVisual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms66.8 Score on a scaleStandard Error 1.95
Ranibizumab 0.1 mgVisual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms64.6 Score on a scaleStandard Error 2
Laser TherapyVisual Acuity (VA) of the Better-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms62.1 Score on a scaleStandard Error 2.18
95% CI: [-1.1, 10.5]ANOVA
95% CI: [-3.4, 8.3]ANOVA
95% CI: [-3.3, 7.8]ANOVA
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgChange From Baseline in Head Circumference16.5 cmStandard Deviation 2.6
Ranibizumab 0.1 mgChange From Baseline in Head Circumference16.2 cmStandard Deviation 2.78
Laser TherapyChange From Baseline in Head Circumference17.2 cmStandard Deviation 2.81
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgChange From Baseline in Sitting Diastolic Blood Pressure16.7 mmHgStandard Deviation 14.92
Ranibizumab 0.1 mgChange From Baseline in Sitting Diastolic Blood Pressure13.6 mmHgStandard Deviation 14.1
Laser TherapyChange From Baseline in Sitting Diastolic Blood Pressure16.5 mmHgStandard Deviation 12.14
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgChange From Baseline in Sitting Systolic Blood Pressure20.6 mmHgStandard Deviation 16.13
Ranibizumab 0.1 mgChange From Baseline in Sitting Systolic Blood Pressure16.2 mmHgStandard Deviation 15.95
Laser TherapyChange From Baseline in Sitting Systolic Blood Pressure17.6 mmHgStandard Deviation 12.75
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.2 mgChange From Baseline in WeightYear 28695.9 gramsStandard Deviation 1406.58
Ranibizumab 0.2 mgChange From Baseline in Weight5th Birthday14611.9 gramsStandard Deviation 3018.65
Ranibizumab 0.1 mgChange From Baseline in WeightYear 28461.7 gramsStandard Deviation 1375.95
Ranibizumab 0.1 mgChange From Baseline in Weight5th Birthday14324.7 gramsStandard Deviation 2616.96
Laser TherapyChange From Baseline in WeightYear 28840.6 gramsStandard Deviation 1643.8
Laser TherapyChange From Baseline in Weight5th Birthday14689.4 gramsStandard Deviation 3300.05
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgDuration of Hospitalization111.1 daysStandard Deviation 62.27
Ranibizumab 0.1 mgDuration of Hospitalization116.2 daysStandard Deviation 78.1
Laser TherapyDuration of Hospitalization95.7 daysStandard Deviation 57.07
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of vessel dilatation55 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of active ROP at 40 weeks post core baseline visit55 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of extra-retinal vessels57 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of vessel dilatation58 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of active ROP at 40 weeks post core baseline visit58 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of extra-retinal vessels59 Participants
Laser TherapyNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of active ROP at 40 weeks post core baseline visit46 Participants
Laser TherapyNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of extra-retinal vessels47 Participants
Laser TherapyNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 40 Weeks Post Core Baseline VisitAbsence of vessel dilatation46 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit58 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit63 Participants
Laser TherapyNumber of Participants With Absence of Active Retinopathy of Prematurity (ROP) at 52 Weeks Post Core Baseline Visit49 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit59 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit61 Participants
Laser TherapyNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline Visit47 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit59 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit61 Participants
Laser TherapyNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age Visit47 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit59 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit61 Participants
Laser TherapyNumber of Participants With Absence of All Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday Visit47 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment not involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of posterior retinal fold involving the macula59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of pre-retinal fibrosis58 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of substantial temporal retinal vessel59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of Retrolental membrane obscuring the view of the posterior pole60 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment involving the macula63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of Retrolental membrane obscuring the view of the posterior pole65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of pre-retinal fibrosis60 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment not involving the macula62 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of substantial temporal retinal vessel63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of posterior retinal fold involving the macula65 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of pre-retinal fibrosis49 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of substantial temporal retinal vessel49 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of Retrolental membrane obscuring the view of the posterior pole53 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of posterior retinal fold involving the macula51 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment involving the macula51 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before 40 Weeks Post Baseline VisitAbsence of retinal detachment not involving the macula50 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pre-retinal fibrosis58 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of posterior retinal fold involving the macula59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment not involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of atrophic changes in macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of substantial temporal retinal vessel dragging59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pigmentary disturbance in the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc pallor60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of Retrolental membrane obscuring the view of the posterior pole60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc swelling60 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of posterior retinal fold involving the macula65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment involving the macula63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of substantial temporal retinal vessel dragging63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of Retrolental membrane obscuring the view of the posterior pole65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment not involving the macula62 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pre-retinal fibrosis59 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc pallor65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc swelling65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pigmentary disturbance in the macula64 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of atrophic changes in macula65 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of substantial temporal retinal vessel dragging49 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of posterior retinal fold involving the macula51 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc pallor53 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pigmentary disturbance in the macula52 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment involving the macula50 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of atrophic changes in macula52 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of retinal detachment not involving the macula50 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of Retrolental membrane obscuring the view of the posterior pole52 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of optic disc swelling53 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before Participant's 2 Years Corrected Age VisitAbsence of pre-retinal fibrosis48 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of temporal retinal vessel dragging59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pigmentary disturbance in the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of Retrolental membrane obscuring the view of the posterior pole60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of posterior retinal fold involving the macula59 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment not involving the macula60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pre-retinal fibrosis58 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc pallor60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc swelling60 Participants
Ranibizumab 0.2 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of atrophic changes in macula60 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of posterior retinal fold involving the macula65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc swelling65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment involving the macula63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment not involving the macula62 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pre-retinal fibrosis59 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of temporal retinal vessel dragging63 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc pallor65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pigmentary disturbance in the macula64 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of Retrolental membrane obscuring the view of the posterior pole65 Participants
Ranibizumab 0.1 mgNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of atrophic changes in macula65 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pre-retinal fibrosis48 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of posterior retinal fold involving the macula51 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of temporal retinal vessel dragging49 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc pallor52 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment involving the macula50 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of optic disc swelling53 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of atrophic changes in macula51 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of retinal detachment not involving the macula50 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of pigmentary disturbance in the macula52 Participants
Laser TherapyNumber of Participants With Absence of Individual Ocular Structural Abnormalities at or Before the Participant's Fifth Birthday VisitAbsence of Retrolental membrane obscuring the view of the posterior pole52 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Hearing Impairment of Any Type2 Participants
Ranibizumab 0.1 mgNumber of Participants With Hearing Impairment of Any Type2 Participants
Laser TherapyNumber of Participants With Hearing Impairment of Any Type4 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber 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 Term46 Participants
Ranibizumab 0.1 mgNumber 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 Term53 Participants
Laser TherapyNumber 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 Term46 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term19 Participants
Ranibizumab 0.1 mgNumber of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term26 Participants
Laser TherapyNumber of Participants With Ocular Adverse Events (AEs) Regardless of Study Treatment or Procedure Relationship by Preferred Term22 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study19 Participants
Ranibizumab 0.1 mgNumber of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study22 Participants
Laser TherapyNumber of Participants With Recurrence of ROP up to 40 Weeks Post Baseline Visit in the Core Study11 Participants
Secondary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study19 Participants
Ranibizumab 0.1 mgNumber of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study22 Participants
Laser TherapyNumber of Participants With Recurrence of ROP up to 52 Weeks Post Baseline Visit in the Core Study11 Participants
Secondary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of smoker at home15 Participants
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with frequency of sleep disturbance due to wheezing47 Participants
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with dry cough status at night5 Participants
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with Wheezing/whistling status6 Participants
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of wheezing limiting child's speech ability1 Participants
Ranibizumab 0.2 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with attacks of wheezing47 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of wheezing limiting child's speech ability0 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with dry cough status at night2 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with attacks of wheezing50 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of smoker at home8 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with Wheezing/whistling status4 Participants
Ranibizumab 0.1 mgNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with frequency of sleep disturbance due to wheezing52 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with frequency of sleep disturbance due to wheezing47 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with Wheezing/whistling status2 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with attacks of wheezing45 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of smoker at home4 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with presence of wheezing limiting child's speech ability0 Participants
Laser TherapyNumber of Participants With the Summary of Respiratory Function StatusNumber of participants with dry cough status at night1 Participants
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgNumber of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period2.5 Number of injectionsStandard Deviation 0.96
Ranibizumab 0.1 mgNumber of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period2.5 Number of injectionsStandard Deviation 1.06
Laser TherapyNumber of Ranibizumab Injections Received Per Participant Over the Whole Safety Observation Period2.4 Number of injectionsStandard Deviation 0.92
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.2 mgRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeBest eye-0.697 dioptersStandard Deviation 2.7032
Ranibizumab 0.2 mgRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeWorst eye-0.825 dioptersStandard Deviation 2.6575
Ranibizumab 0.1 mgRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeBest eye-0.713 dioptersStandard Deviation 2.61
Ranibizumab 0.1 mgRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeWorst eye-0.829 dioptersStandard Deviation 2.8346
Laser TherapyRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeBest eye-1.793 dioptersStandard Deviation 4.157
Laser TherapyRefraction Status: Summary of Participants at Participant's 2 Years Corrected AgeWorst eye-1.516 dioptersStandard Deviation 3.5652
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Ranibizumab 0.2 mgRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitBest eye-0.601 dioptersStandard Deviation 2.8107
Ranibizumab 0.2 mgRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitWorst eye-0.904 dioptersStandard Deviation 2.8501
Ranibizumab 0.1 mgRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitBest eye-0.859 dioptersStandard Deviation 2.7406
Ranibizumab 0.1 mgRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitWorst eye-1.074 dioptersStandard Deviation 3.0405
Laser TherapyRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitBest eye-1.883 dioptersStandard Deviation 4.497
Laser TherapyRefraction Status: Summary of Participants at the Participant's Fifth Birthday VisitWorst eye-1.706 dioptersStandard Deviation 3.574
Secondary

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.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Ranibizumab 0.2 mgVisual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms60.2 Score on a scaleStandard Error 2.95
Ranibizumab 0.1 mgVisual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms53.8 Score on a scaleStandard Error 3.05
Laser TherapyVisual Acuity (VA) of the Worse-seeing Eye at the Participant's Fifth Birthday Visit - Comparison Between Treatment Arms52.2 Score on a scaleStandard Error 3.3
95% CI: [-0.8, 16.7]ANOVA
95% CI: [-7.3, 10.5]ANOVA
95% CI: [-2, 14.8]ANOVA
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Ranibizumab 0.2 mgWeight at the Time of First Hospital Discharge2910.9 gramStandard Deviation 1359.34
Ranibizumab 0.1 mgWeight at the Time of First Hospital Discharge2966.5 gramStandard Deviation 1198.6
Laser TherapyWeight at the Time of First Hospital Discharge2658.7 gramStandard Deviation 926.92

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026