Evidence map›Paper›PMID 30204730›Full record

Trial reportRetina (Philadelphia, Pa.)2019

RANIBIZUMAB VERSUS VERTEPORFIN PHOTODYNAMIC THERAPY IN ASIAN PATIENTS WITH MYOPIC CHOROIDAL NEOVASCULARIZATION: BRILLIANCE, a 12-Month, Randomized, Double-Masked Study.

Youxin Chen, Tarun Sharma, Xiaorong Li, Yanping Song, Qing Chang, Renxin Lin, Anna Egger, Arthur Foo, Margarita Gekkieva, Timothy Y Y Lai

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Retina (Philadelphia, Pa.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Differential diagnosis of myopic choroidal neovascularization (mCNV): insights from multimodal imaging and treatment implications.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Pooled it
  2. Pooled it
  3. POYANG: A phase III randomized clinical trial of faricimab for choroidal neovascularization secondary to pathologic myopia: study design and rationale.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Trial
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  7. Myopic macular neovascularization treatment: A 2-year follow-up of a real-life cohort.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  8. Article
  9. Treatment of myopic choroidal neovascularization: a network meta-analysis and review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Review
  10. Observational
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  16. IMI Pathologic Myopia.Investigative ophthalmology & visual science · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 5 countries.

Youxin ChenDepartment of Ophthalmology, Peking Union Medical College Hospital, Beijing, China.
Tarun SharmaDepartment of Ophthalmology, The Edward S. Harkness Eye Institute, Columbia University, New York, New York.
Xiaorong LiTianjin Medical University Eye Hospital, Tianjin, China.
Yanping SongDepartment of Ophthalmology, Wuhan General Hospital of Chinese People's Liberation Army, Wuhan, China.
Qing ChangDepartment of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China.
Renxin LinDepartment of Ophthalmology, China Novartis Institutes for BioMedical Research Co, Ltd, Shanghai, China.
Anna EggerDepartment of Ophthalmology, Novartis Pharma AG, Basel, Switzerland.
Arthur FooDepartment of Ophthalmology, Novartis Asia Pacific Pharmaceuticals, Singapore, Singapore.
Margarita GekkievaDepartment of Ophthalmology, Novartis Pharma AG, Basel, Switzerland.
Timothy Y Y LaiDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Hong Kong SAR, China.
Novartis (Switzerland) · CHChinese Academy of Medical Sciences & Peking Union Medical College · CNColumbia University · USEye & ENT Hospital of Fudan University · CNHong Kong Eye Hospital · CNNovartis (China) · CNNovartis (Singapore) · SGTianjin Medical University · CNWuhan General Hospital of Guangzhou · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of 2 dosing regimens of ranibizumab 0.5 mg versus verteporfin photodynamic therapy in Asian patients with visual impairment due to myopic choroidal neovascularization.

methodsEligible patients (aged ≥18 years) were randomized 2:2:1 to Group I (n = 182; ranibizumab treatment guided by visual acuity stabilization criteria); Group II (n = 184; ranibizumab treatment guided by disease activity); or Group III (n = 91; verteporfin photodynamic therapy on Day 1; from Month 3, ranibizumab/verteporfin photodynamic therapy/both treatment guided by disease activity).

resultsThe mean average best-corrected visual acuity change from baseline to Month 1 through Month 3 was significantly higher in Groups I/II versus Group III (Group I/II: +9.5/+9.8 letters vs. Group III: +4.5 letters; both P < 0.001). Group II was statistically noninferior to Group I for the mean average best-corrected visual acuity change from baseline to Month 1 through Month 6 (10.7 vs. 10.4 letters; P < 0.001). Over 12 months, the mean number of ranibizumab injections received by Groups I/II/III was 4.6/3.9/3.2.

conclusionIn Asian patients, ranibizumab treatments demonstrated superior efficacy versus verteporfin photodynamic therapy at Month 3, and the beneficial treatment effects persisted at Month 12. Ranibizumab was well-tolerated and demonstrated a good safety profile.

Indexed as

Visual AcuityAngiogenesis InhibitorsChinaChoroidal NeovascularizationDose-Response Relationship, DrugDouble-Blind MethodFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansIntravitreal InjectionsMaleMiddle AgedMyopiaPhotochemotherapyAngiogenesis InhibitorsPhotosensitizing AgentsRanibizumabVascular Endothelial Growth Factor AVerteporfin

Identifiers

PMID30204730
PMCPMC6768610
OpenAlexW2892856927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.