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A Study to Investigate Vamikibart (RO7200220) in Combination With Ranibizumab in Diabetic Macular Edema

A Phase II, Multicenter, Randomized, Double Masked, Active Comparator-Controlled Study to Investigate the Efficacy, Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of RO7200220 in Combination With Ranibizumab Administered Intravitreally in Patients With Diabetic Macular Edema

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05151744
Enrollment
187
Registered
2021-12-09
Start date
2021-12-17
Completion date
2024-10-01
Last updated
2025-10-16

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

Conditions

Diabetic Macular Edema

Brief summary

Study BP43464 is a phase II, multicenter, randomized, double-masked active comparator-controlled study designed to assess the efficacy, safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of vamikibart in combination with, anti-vascular endothelial growth factor (VEGF) inhibitor, ranibizumab compared with ranibizumab alone in participants with diabetic macular edema. Only one eye will be chosen as the study eye. The duration of the study will be 76 weeks.

Interventions

Vamikibart will be administered by IVT injection in the study eye.

DRUGRanibizumab

Ranibizumab will be administered by IVT injection in the study eye.

OTHERSham Procedure

Sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye.

Sponsors

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Diagnosis of diabetes mellitus (Type 1 or Type 2) * Macular thickening secondary to diabetic macular edema (DME) involving the center of the macula * Decreased visual acuity attributable primarily to DME * Ability and willingness to provide written informed consent and to comply with the study protocol * Willingness to allow Aqueous Humor collection * For women of childbearing potential: agreement to remain abstinent or use at least one highly effective contraceptive method that results in a failure rate of \<1% per year during the treatment period and for at least 12 weeks after the final dose of study treatment

Exclusion criteria

* Hemoglobin A1c (HbA1c) of greater than (\>) 12% * Uncontrolled blood pressure, defined as a systolic value greater than (\>)180 millimeters of mercury (mmHg) and/or a diastolic value \>100 mmHg while a patient is at rest * Currently pregnant or breastfeeding, or intend to become pregnant during the study * Prior treatment with panretinal photocoagulation or macular laser to the study eye * Any intraocular or periocular corticosteroid treatment within the past 16 weeks prior to Day 1 to the study eye * Prior Iluvien or Retisert implants within 3 years prior to Day 1 to the study eye * Prior or concomitant treatment with anti-VEGF therapy within 8 weeks prior to Day 1 to the study eye; Vabysmo\^TM within 16 weeks prior to Day 1, prior Beovu® is not permitted * Prior administration of IVT brolucizumab (Beovu®): ever; vamikibart: \</=24 weeks prior to Day 1) in either eye * Any proliferative diabetic retinopathy * Active intraocular or periocular infection or active intraocular inflammation in the study eye * Any current or history of ocular disease other than DME that may confound assessment of the macula or affect central vision in the study eye * Any current ocular condition which, in the opinion of the investigator, is currently causing or could be expected to contribute to irreversible vision loss due to a cause other than DME in the study eye * Other protocol-specified inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Best Corrected Visual Acuity (BCVA) Averaged Over Week 44 and Week 48 in Treatment-naïve ParticipantsBaseline, Week 44 and Week 48BCVA was measured via Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity (VA) examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a Mixed Model for Repeated Measurements (MMRM) model.

Secondary

MeasureTime frameDescription
Change From Baseline in BCVA Averaged Over Week 44 and Week 48 in Previously Treated ParticipantsBaseline, Week 44 and Week 48BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 44 and Week 48 in Overall ITT PopulationBaseline, Week 44 and Week 48BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Treatment-naïve ParticipantsBaseline, Week 32 and Week 36BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Previously Treated ParticipantsBaseline, Week 32 and Week 36BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Overall ITT PopulationBaseline, Week 32 and Week 36BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 20 and Week 24 in Treatment-naïve ParticipantsBaseline, Week 20 and Week 24BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 20 and Week 24 in Previously Treated ParticipantsBaseline, Week 20 and Week 24BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Averaged Over Week 20 and Week 24, in Overall ITT PopulationBaseline, Week 20 and Week 24BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Change From Baseline in BCVA Over Time in Overall ITT PopulationBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.
Percentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationUp to Week 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores indicate improvement in VA. Percentages have been rounded off.
Percentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationUp to Week 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores indicate improvement in VA. Percentages have been rounded off.
Percentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeBaseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.
Percentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeBaseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.
Number of Participants With Systemic and Ocular Adverse Events (AEs)Up to Week 72An AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Systemic AEs include all non-ocular AEs.
Change From Baseline in Central Subfield Thickness (CST) Averaged Over Week 44 and Week 48 in Treatment-naïve ParticipantsBaseline, Week 44 and Week 48CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. CST was measured using spectral domain optical coherence tomography (SD-OCT). Negative change from baseline values denotes improvement. This analysis used a MMRM model.
Change From Baseline in CST Averaged Over Week 44 and Week 48 in Previously Treated ParticipantsBaseline, Week 44 and Week 48CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used a MMRM model.
Change From Baseline in CST Averaged Over Week 44 and Week 48 in Overall ITT PopulationBaseline, Week 44 and Week 48CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Averaged Over Week 32 and Week 36 in Treatment-naïve ParticipantsBaseline, Week 32 and Week 36CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Averaged Over Week 32 and Week 36 in Previously Treated ParticipantsBaseline, Week 32 and Week 36CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline Averaged Over Week 32 and Week 36 in Overall ITT PopulationBaseline, Week 32 and Week 36CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Averaged Over Week 20 and Week 24 in Treatment-naïve ParticipantsBaseline, Week 20 and Week 24CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Averaged Over Week 20 and Week 24 in Previously Treated ParticipantsBaseline, Week 20 and Week 24CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Averaged Over Week 20 and Week 24 in Overall ITT PopulationBaseline, Week 20 and Week 24CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Change From Baseline in CST Over Time in Overall ITT PopulationBaseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.
Percentage of Participants With Absence of DME Over Time in Overall ITT PopulationBaseline, Weeks 4, 8, 12, 16, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72Absence of DME was defined as CST \< 325 μm for Spectralis SD-OCT, or \< 315 μm for Cirrus SD-OCT or Topcon SD-OCT. Percentages have been rounded off.
Percentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationBaseline, Weeks 4, 12, 24, 36, 48, and 72The absence of IRF in the study eye (defined as IRF absent or definite outside center subfield only) was assessed by the central reading center using SD-OCT. The percentage of participants with absence of IRF at foveal center are reported. Percentages have been rounded off.
Percentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationBaseline, Weeks 4, 12, 24, 36, 48, and 72The absence of SRF in the study eye (defined as SRF absent or definite outside center subfield only) was assessed by the central reading center using SD-OCT. The percentage of participants with absence of SRF at the foveal center are reported. Percentages have been rounded off.
Percentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeBaseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Countries

Argentina, Canada, Israel, Poland, Puerto Rico, South Korea, Spain, United Kingdom, United States

Participant flow

Recruitment details

A total of 187 participants with diabetic macular edema (DME) took part in the study at 37 investigative sites across the United States, Argentina, Israel, South Korea, Poland, Canada, Spain, and the United Kingdom from 17 December 2021 to 1 October 2024.

Pre-assignment details

Participants were randomized in 1:1 ratio to Vamikibart + Ranibizumab arm and Ranibizumab arm.

Participants by arm

ArmCount
Arm A: Vamikibart + Ranibizumab
Participants received vamikibart, 1 mg as IVT injection, Q4W in combination with ranibizumab, 0.5 mg as IVT injection, Q4W up to Week 44 followed by an observational period up to Week 72.
93
Arm B: Ranibizumab
Participants received ranibizumab, 0.5 mg as an IVT injection, Q4W in combination with sham treatment up to Week 44 followed by an observational period up to Week 72.
94
Total187

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event62
Overall StudyDeath12
Overall StudyLack of Efficacy11
Overall StudyLost to Follow-up22
Overall StudyNeed for Rescue Treatment01
Overall StudyNon-compliance with Study Drug01
Overall StudyPhysician Decision21
Overall StudyProtocol Violation10
Overall StudyReason not Specified100
Overall StudyWithdrawal by Subject63

Baseline characteristics

CharacteristicArm B: RanibizumabTotalArm A: Vamikibart + Ranibizumab
Age, Continuous62.1 years
STANDARD_DEVIATION 9.3
61.9 years
STANDARD_DEVIATION 9.7
61.7 years
STANDARD_DEVIATION 10.1
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants20 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
56 Participants112 Participants56 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
24 Participants55 Participants31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
3 Participants10 Participants7 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
31 Participants72 Participants41 Participants
Race (NIH/OMB)
White
60 Participants105 Participants45 Participants
Sex: Female, Male
Female
39 Participants70 Participants31 Participants
Sex: Female, Male
Male
55 Participants117 Participants62 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
1 / 932 / 94
other
Total, other adverse events
38 / 9348 / 94
serious
Total, serious adverse events
22 / 9317 / 94

Outcome results

Primary

Change From Baseline in Best Corrected Visual Acuity (BCVA) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants

BCVA was measured via Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity (VA) examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a Mixed Model for Repeated Measurements (MMRM) model.

Time frame: Baseline, Week 44 and Week 48

Population: Treatment naïve ITT population included all randomized participants who were IVT anti-vascular endothelial growth factor (anti-VEGF) or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in Best Corrected Visual Acuity (BCVA) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants12.8 lettersStandard Error 1.3
Arm B: RanibizumabChange From Baseline in Best Corrected Visual Acuity (BCVA) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants9.4 lettersStandard Error 1.25
p-value: 0.062595% CI: [-0.2, 7]MMRM
Secondary

Change From Baseline Averaged Over Week 32 and Week 36 in Overall ITT Population

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline Averaged Over Week 32 and Week 36 in Overall ITT Population-191.4 μmStandard Error 8.51
Arm B: RanibizumabChange From Baseline Averaged Over Week 32 and Week 36 in Overall ITT Population-172.1 μmStandard Error 8.38
p-value: 0.107195% CI: [-42.9, 4.2]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 20 and Week 24, in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24, in Overall ITT Population9.7 lettersStandard Error 0.84
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24, in Overall ITT Population7.8 lettersStandard Error 0.83
p-value: 0.103695% CI: [-0.4, 4.3]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 20 and Week 24 in Previously Treated Participants

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24 in Previously Treated Participants8.1 lettersStandard Error 1.46
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24 in Previously Treated Participants6.2 lettersStandard Error 1.47
p-value: 0.378395% CI: [-2.3, 6]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 20 and Week 24 in Treatment-naïve Participants

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Treatment naïve ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24 in Treatment-naïve Participants10.6 lettersStandard Error 1.04
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 20 and Week 24 in Treatment-naïve Participants8.5 lettersStandard Error 1.01
p-value: 0.149895% CI: [-0.8, 5]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Overall ITT Population10.6 lettersStandard Error 0.81
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Overall ITT Population8.7 lettersStandard Error 0.8
p-value: 0.110795% CI: [-0.4, 4.1]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Previously Treated Participants

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Previously Treated Participants8.3 lettersStandard Error 1.43
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Previously Treated Participants7.5 lettersStandard Error 1.46
p-value: 0.709195% CI: [-3.3, 4.9]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 32 and Week 36, in Treatment-naïve Participants

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Treatment-naïve ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Treatment-naïve Participants11.8 lettersStandard Error 0.97
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 32 and Week 36, in Treatment-naïve Participants9.3 lettersStandard Error 0.94
p-value: 0.063795% CI: [-0.1, 5.2]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 44 and Week 48 in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 44 and Week 48

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 44 and Week 48 in Overall ITT Population12.4 lettersStandard Error 0.99
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 44 and Week 48 in Overall ITT Population9.1 lettersStandard Error 0.96
p-value: 0.019295% CI: [0.5, 6]MMRM
Secondary

Change From Baseline in BCVA Averaged Over Week 44 and Week 48 in Previously Treated Participants

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Week 44 and Week 48

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Averaged Over Week 44 and Week 48 in Previously Treated Participants11.1 lettersStandard Error 1.5
Arm B: RanibizumabChange From Baseline in BCVA Averaged Over Week 44 and Week 48 in Previously Treated Participants8.4 lettersStandard Error 1.49
p-value: 0.205295% CI: [-1.5, 7]MMRM
Secondary

Change From Baseline in BCVA Over Time in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores and gain in BCVA from baseline indicate improvement in VA. This analysis used a MMRM model.

Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 6010.4 lettersStandard Error 1.18
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 2810.1 lettersStandard Error 0.87
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 128.9 lettersStandard Error 0.78
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 3210.5 lettersStandard Error 0.88
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 3610.6 lettersStandard Error 0.84
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 5610.8 lettersStandard Error 1.13
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 169.3 lettersStandard Error 0.83
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 4412.2 lettersStandard Error 1.01
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 4010.9 lettersStandard Error 0.95
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 4812.5 lettersStandard Error 1.03
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 5211.1 lettersStandard Error 1.07
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 209.7 lettersStandard Error 0.81
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 6410.2 lettersStandard Error 1.12
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 689.9 lettersStandard Error 1.14
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationBaseline62.6 lettersStandard Error 1.02
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 729.2 lettersStandard Error 1.12
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 46.7 lettersStandard Error 0.64
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 249.8 lettersStandard Error 1.03
Arm A: Vamikibart + RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 87.6 lettersStandard Error 0.76
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 248.0 lettersStandard Error 1.02
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 328.8 lettersStandard Error 0.87
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 489.4 lettersStandard Error 1
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 528.0 lettersStandard Error 1.03
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 567.8 lettersStandard Error 1.09
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 648.2 lettersStandard Error 1.1
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 687.6 lettersStandard Error 1.11
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 727.8 lettersStandard Error 1.11
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 126.4 lettersStandard Error 0.78
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 167.4 lettersStandard Error 0.83
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 207.6 lettersStandard Error 0.8
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 84.6 lettersStandard Error 0.76
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 288.5 lettersStandard Error 0.87
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 368.6 lettersStandard Error 0.83
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 408.8 lettersStandard Error 0.93
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 448.7 lettersStandard Error 0.99
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 607.7 lettersStandard Error 1.14
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationBaseline62.0 lettersStandard Error 1.01
Arm B: RanibizumabChange From Baseline in BCVA Over Time in Overall ITT PopulationChange at Week 44.2 lettersStandard Error 0.65
Secondary

Change From Baseline in Central Subfield Thickness (CST) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. CST was measured using spectral domain optical coherence tomography (SD-OCT). Negative change from baseline values denotes improvement. This analysis used a MMRM model.

Time frame: Baseline, Week 44 and Week 48

Population: Treatment naïve ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in Central Subfield Thickness (CST) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants-202.4 μmStandard Error 10.63
Arm B: RanibizumabChange From Baseline in Central Subfield Thickness (CST) Averaged Over Week 44 and Week 48 in Treatment-naïve Participants-192.4 μmStandard Error 10.11
p-value: 0.496895% CI: [-38.9, 18.9]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 20 and Week 24 in Overall ITT Population

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Overall ITT Population-176.1 μmStandard Error 9.89
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Overall ITT Population-153.9 μmStandard Error 9.8
p-value: 0.111195% CI: [-49.8, 5.2]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 20 and Week 24 in Previously Treated Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Previously Treated Participants-163.2 μmStandard Error 17.75
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Previously Treated Participants-120.2 μmStandard Error 17.65
p-value: 0.087895% CI: [-92.4, 6.4]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 20 and Week 24 in Treatment-naïve Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 20 and Week 24

Population: Treatment naïve ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Treatment-naïve Participants-184.3 μmStandard Error 10.05
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 20 and Week 24 in Treatment-naïve Participants-169.7 μmStandard Error 9.89
p-value: 0.30395% CI: [-42.4, 13.2]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 32 and Week 36 in Previously Treated Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 32 and Week 36 in Previously Treated Participants-177.2 μmStandard Error 18.38
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 32 and Week 36 in Previously Treated Participants-150.0 μmStandard Error 18.38
p-value: 0.297295% CI: [-78.6, 24.2]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 32 and Week 36 in Treatment-naïve Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 32 and Week 36

Population: Treatment naïve ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids treatment-naïve as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 32 and Week 36 in Treatment-naïve Participants-197.9 μmStandard Error 10.26
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 32 and Week 36 in Treatment-naïve Participants-180.3 μmStandard Error 9.97
p-value: 0.222795% CI: [-45.7, 10.7]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 44 and Week 48 in Overall ITT Population

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Week 44 and Week 48

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 44 and Week 48 in Overall ITT Population-201.6 μmStandard Error 8.33
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 44 and Week 48 in Overall ITT Population-178.8 μmStandard Error 8.15
p-value: 0.052195% CI: [-45.8, 0.2]MMRM
Secondary

Change From Baseline in CST Averaged Over Week 44 and Week 48 in Previously Treated Participants

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used a MMRM model.

Time frame: Baseline, Week 44 and Week 48

Population: Previously treated ITT population included all randomized participants who were IVT anti-VEGF or periocular/IVT corticosteroids previously treated participants as defined in the exclusion criteria 9 and 10 in the protocol.

ArmMeasureValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Averaged Over Week 44 and Week 48 in Previously Treated Participants-194.4 micrometre (μm)Standard Error 19.58
Arm B: RanibizumabChange From Baseline in CST Averaged Over Week 44 and Week 48 in Previously Treated Participants-171.2 micrometre (μm)Standard Error 18.79
p-value: 0.395195% CI: [-76.8, 30.5]MMRM
Secondary

Change From Baseline in CST Over Time in Overall ITT Population

CST was defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 mm central subfield. CST was measured using SD-OCT. Negative change from baseline values denotes improvement. This analysis used an MMRM model.

Time frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 32-186.4 μmStandard Error 8.87
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 20-172.8 μmStandard Error 10.11
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 4-121.0 μmStandard Error 9.82
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 24-174.1 μmStandard Error 10.12
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 40-193.4 μmStandard Error 8.92
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 56-173.8 μmStandard Error 11.43
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 44-197.3 μmStandard Error 8.95
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 8-138.9 μmStandard Error 9.67
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 48-200.1 μmStandard Error 9.04
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 28-181.1 μmStandard Error 10.53
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 52-172.7 μmStandard Error 12.92
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 12-147.9 μmStandard Error 9.63
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 60-155.5 μmStandard Error 13.18
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 36-191.1 μmStandard Error 9.58
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 64-161.4 μmStandard Error 13.65
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 16-158.6 μmStandard Error 10.28
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 68-160.1 μmStandard Error 11.26
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 72-159.5 μmStandard Error 11.62
Arm A: Vamikibart + RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationBaseline493.0 μmStandard Error 11.55
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 72-154.3 μmStandard Error 11.55
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 24-152.9 μmStandard Error 10.02
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 28-154.1 μmStandard Error 10.38
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 32-165.6 μmStandard Error 8.77
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 36-174.9 μmStandard Error 9.33
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 56-129.2 μmStandard Error 10.99
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 68-136.6 μmStandard Error 10.96
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationBaseline498.4 μmStandard Error 14.1
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 4-92.2 μmStandard Error 9.77
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 8-108.2 μmStandard Error 9.59
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 12-125.3 μmStandard Error 9.54
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 16-138.3 μmStandard Error 10.19
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 20-149.8 μmStandard Error 10
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 40-166.7 μmStandard Error 8.76
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 44-172.7 μmStandard Error 8.73
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 48-179.2 μmStandard Error 8.84
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 52-136.9 μmStandard Error 12.25
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 60-130.6 μmStandard Error 12.65
Arm B: RanibizumabChange From Baseline in CST Over Time in Overall ITT PopulationChange at Week 64-163.0 μmStandard Error 13.44
Secondary

Number of Participants With Systemic and Ocular Adverse Events (AEs)

An AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Systemic AEs include all non-ocular AEs.

Time frame: Up to Week 72

Population: Safety Population included all participants randomized to study treatment and received at least one dose of the study treatment, whether prematurely withdrawn from the study or not.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Arm A: Vamikibart + RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Systemic AEs54 Participants
Arm A: Vamikibart + RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Ocular AEs in Study Eyes33 Participants
Arm A: Vamikibart + RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Ocular AEs in Fellow Eyes25 Participants
Arm B: RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Systemic AEs60 Participants
Arm B: RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Ocular AEs in Study Eyes28 Participants
Arm B: RanibizumabNumber of Participants With Systemic and Ocular Adverse Events (AEs)Ocular AEs in Fellow Eyes27 Participants
Secondary

Percentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Time frame: Up to Week 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 5 Letters94.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 0 Letters98.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 15 Letters49.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 10 Letters76.3 percentage of participants
Arm B: RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 15 Letters44.7 percentage of participants
Arm B: RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 0 Letters98.9 percentage of participants
Arm B: RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 10 Letters69.1 percentage of participants
Arm B: RanibizumabPercentage of Participants Gaining ≥ 15, ≥ 10, ≥ 5, or ≥ 0 Letters in BCVA Over Time in Overall ITT PopulationParticipants Gaining ≥ 5 Letters90.4 percentage of participants
Secondary

Percentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT Population

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 to 100 letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Time frame: Up to Week 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 10 Letters7.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 15 Letters4.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 5 Letters19.4 percentage of participants
Arm B: RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 10 Letters11.7 percentage of participants
Arm B: RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 5 Letters27.7 percentage of participants
Arm B: RanibizumabPercentage of Participants Losing ≥ 15, ≥ 10, or ≥ 5 Letters in BCVA Over Time in Overall ITT PopulationParticipants Losing ≥ 15 Letters6.4 percentage of participants
Secondary

Percentage of Participants With Absence of DME Over Time in Overall ITT Population

Absence of DME was defined as CST \< 325 μm for Spectralis SD-OCT, or \< 315 μm for Cirrus SD-OCT or Topcon SD-OCT. Percentages have been rounded off.

Time frame: Baseline, Weeks 4, 8, 12, 16, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2064.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4077.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 1247.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4480.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2465.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4879.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 845.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 5270.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2875.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 5667.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 1657.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6062.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 3275.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6459.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 431.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6858.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 3675.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 7261.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationBaseline0 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 7262.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationBaseline2.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 425.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 837.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 1246.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 1649.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2060.7 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2466.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 2866.7 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 3267.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 3673.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4070.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4475.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 4872.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 5255.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 5657.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6062.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6462.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of DME Over Time in Overall ITT PopulationWeek 6861.2 percentage of participants
Secondary

Percentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT Population

The absence of IRF in the study eye (defined as IRF absent or definite outside center subfield only) was assessed by the central reading center using SD-OCT. The percentage of participants with absence of IRF at foveal center are reported. Percentages have been rounded off.

Time frame: Baseline, Weeks 4, 12, 24, 36, 48, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 1260.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 3670.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 453.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 4878.8 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 2469.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 7271.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationBaseline19.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 7275.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationBaseline22.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 447.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 1251.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 2469.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 3671.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Intraretinal Fluid (IRF) Over Time in Overall ITT PopulationWeek 4878.2 percentage of participants
Secondary

Percentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT Population

The absence of SRF in the study eye (defined as SRF absent or definite outside center subfield only) was assessed by the central reading center using SD-OCT. The percentage of participants with absence of SRF at the foveal center are reported. Percentages have been rounded off.

Time frame: Baseline, Weeks 4, 12, 24, 36, 48, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 1298.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 36100 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 489.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 4898.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 2498.8 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 7298.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationBaseline60.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 72100 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationBaseline63.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 482.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 1293.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 2496.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 3696.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With Absence of Subretinal Fluid (SRF) Over Time in Overall ITT PopulationWeek 4897.4 percentage of participants
Secondary

Percentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over Time

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Time frame: Baseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 12.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 122.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 402.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 161.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 441.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeBaseline3.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 480 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 201.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 521.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 42.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 563.0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 242.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 601.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 361.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 641.8 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 283.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 681.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 82.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 720 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 322.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 720 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeBaseline4.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 12.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 43.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 83.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 161.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 202.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 241.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 282.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 321.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 361.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 402.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 441.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 481.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 520 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 560 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 601.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 640 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 680 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≤ 38 Letters (20/200 Snellen Equivalent) Over TimeWeek 122.2 percentage of participants
Secondary

Percentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over Time

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Time frame: Baseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6482.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 463.0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 867.0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 1273.0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2074.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2470.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2871.8 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4078.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4482.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4880.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6881.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 7282.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeBaseline34.4 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 1669.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 3278.8 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 3672.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 5278.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 5682.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6082.0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 153.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6068.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 148.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 7271.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 3662.7 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeBaseline31.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 1657.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 453.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2067.0 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 848.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 1256.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2863.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 5658.7 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4070.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 2461.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4467.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 5264.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 4870.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6469.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 3262.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 69 Letters (20/40 Snellen Equivalent) Over TimeWeek 6871.4 percentage of participants
Secondary

Percentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over Time

BCVA was measured via ETDRS chart at a starting distance of 4 meters using a set of three Precision vision\^TM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified VA examiner. The BCVA letter score ranges from 0 (Snellen equivalent \<20/800) to 100 (Snellen equivalent of 20/10) letters. Higher scores indicate improvement in VA. Percentages have been rounded off.

Time frame: Baseline, Weeks 1, 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72

Population: Overall ITT population included all randomized participants grouped according to the treatment assigned at randomization. Number analyzed is the number of participants with data available for analysis at the specified timepoint.

ArmMeasureGroupValue (NUMBER)
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 2417.6 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 810.2 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 2812.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 4423.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 3217.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 46.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 3613.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 4823.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 5215.7 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeBaseline0 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 5614.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 1210.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 6013.1 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 1613.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 6419.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 12.3 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 6818.9 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 2014.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 7211.5 percentage of participants
Arm A: Vamikibart + RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 4012.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 7211.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 10 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 42.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 85.6 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 3612.0 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 4011.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 448.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 128.7 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 166.9 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 208.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 248.1 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 2811.5 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 3213.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 4814.8 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 527.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 569.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 609.4 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 6411.3 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeWeek 6810.2 percentage of participants
Arm B: RanibizumabPercentage of Participants With BCVA ≥ 84 Letters (20/20 Snellen Equivalent) Over TimeBaseline0 percentage of participants

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