Evidence map›Paper›PMID 31079057›Full record

Trial reportThe British journal of ophthalmology2020

Safety and tolerability of ranibizumab in uni/bilateral neovascular age-related macular degeneration: 12-month TWEYEs study.

Francesco Bandello, Giovanni Staurenghi, Federico Ricci, Edoardo Midena, Francesco Viola, Tommaso Lupieri Sinibaldi, Laura Colombo, Elena Peruzzi, Stefania Bassanini

Abstract readMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in The British journal of ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Objective evaluation of changes in lens clarity after repeated injections of ranibizumab in patients with neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
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

9 authors.

Francesco BandelloDepartment of Ophthalmology, University Vita Salute Hospital San Raffaele, Milano, Italy bandello.francesco@hsr.it.ORCID 0000-0003-3238-9682
Giovanni StaurenghiDepartment of Biomedical and Clinical Science Luigi Sacco, Luigi Sacco Hospital, University of Milan, Milan, Italy.
Federico RicciUOSD Patologie Retiniche, Policlinico Tor Vergata, University Tor Vergata, Rome, Italy.
Edoardo MidenaDepartment of Ophthalmology, University of Padua, Padova, Italy.
Francesco ViolaDepartment of Clinical Sciences and CommunityHealth, University of Milan, Ophthalmological Unit, IRCCS-Cà GrandaFoundation-Ospedale Maggiore Policlinico, Milano, Italy.
Tommaso Lupieri SinibaldiNovartis Farma S.p.A, Largo Umberto Boccioni, Origgio, Origgio, Italy.
Laura ColomboNovartis Farma S.p.A, Largo Umberto Boccioni, Origgio, Origgio, Italy.
Elena PeruzziNovartis Farma S.p.A, Largo Umberto Boccioni, Origgio, Origgio, Italy.
Stefania BassaniniNovartis Farma S.p.A, Largo Umberto Boccioni, Origgio, Origgio, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the safety and tolerability of ranibizumab 0.5 mg in patients with uni/bilateral neovascular age-related macular degeneration (nAMD) and best-corrected visual acuity (BCVA)<2/10 and/or second eye affected, regardless of BCVA.

methodsIn this 12-month, prospective, multicentre, open-label, single arm, pragmatic interventional study, patients (N=941) aged ≥ 50 years were to receive ranibizumab as per approved label, monthly until maximum stable visual acuity (VA) was achieved (initially, three or more injections may be required). Thereafter, patients were to be monitored monthly for VA and treatment was to be resumed if VA was reduced due to disease activity.

resultsOf the 936 patients treated with ranibizumab at least once during the study, 823/113 were unilaterally/bilaterally (not simultaneously) treated . The mean (SD) number of ranibizumab injections during the study was 5.4 (2.9)/10.6 (5.0) injections in uni/bilaterally treated patients. Three systemic drug-related adverse events (AEs) (all serious, all in unilaterally treated patients) and 18 systemic AE of special interest (AESIs) (11 serious, 16/2 in unilaterally/bilaterally treated patients) occurred during the study. The annual incidence rate (AIR) (events/1000 person-years) for systemic drug-related AEs, considering a 15-day/30-day risk period, 11.0/8.5 for unilaterally treated patients. Considering the same risk period, the AIR (events/1000 person-years) for systemic AESIs for unilaterally treated patients was 22.1/19.9. Considering a 30-day risk period, the AIR (events/1000 treated eye-years) of ocular drug-related AEs was 23 and AESIs was 11.5.

conclusionsThe low incidence of AEs and AESIs demonstrated the good safety and tolerability of ranibizumab in unilaterally/bilaterally treated patients with nAMD in this real-world setting.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsChoroidal NeovascularizationDrug Administration ScheduleDrug-Related Side Effects and Adverse ReactionsFemaleHumansIncidenceIntravitreal InjectionsItalyMaleMiddle AgedProspective StudiesRanibizumabRisk AssessmentAngiogenesis InhibitorsRanibizumabage-related macular degenerationbilateral AMDneovascular age-related macular degenerationneovascularisationretinaunilateral AMDvision

Identifiers

PMID31079057
PMCPMC6922014

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Registered trials

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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.