Evidence map›Paper›PMID 31918685›Full record

Trial reportBMC ophthalmology2020

Functional versus functional and anatomical criteria-guided ranibizumab treatment in patients with neovascular age-related macular degeneration - results from the randomized, phase IIIb OCTAVE study.

Giovanni Staurenghi, Justus G Garweg, Bianca S Gerendas, Wayne Macfadden, Boris Gekkiev, Philippe Margaron, Cornelia Dunger-Baldauf, Petr Kolar

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in BMC ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01780935 (A 24-month, Phase IIIb, Randomized, Double-masked, Multicenter Study Assessing the Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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.

NCT01780935 phase3completednot on this map

A 24-month, Phase IIIb, Randomized, Double-masked, Multicenter Study Assessing the Efficacy and Safety of Two Treatment Regimens of 0.5 mg Ranibizumab Intravitreal Injections Guided by Functional and/or Anatomical Criteria, in Patients With Neovascular Age-related Macular Degeneration

TypeinterventionalSponsorNovartis PharmaceuticalsRan2013 to 2015Enrolled671ConditionsNeovascular Age-related Macular DegenerationArmsRanibizumab
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Disease stability and extended dosing under anti-VEGF treatment of exudative age-related macular degeneration (AMD) - a meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Effects of delay in anti-vascular endothelial growth factor intravitreal injections for neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  6. Article
  7. Article
  8. 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

8 authors at 5 institutions in 4 countries.

Giovanni StaurenghiDepartment of Biomedical and Clinical Sciences "Luigi Sacco", Sacco Hospital, University of Milan, G. B. Grassi, 74, 20157, Milan, Italy. giovanni.staurenghi@unimi.it.ORCID http://orcid.org/0000-0002-2299-5251
Justus G GarwegBerner Augenklinik am Lindenhofspital and University of Bern, Bern, Switzerland.
Bianca S GerendasVienna Reading Center, Department of Ophthalmology and Optometry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Wayne MacfaddenInternational Psychiatric Services, 1900 JFK Boulevard, #621, Philadelphia, PA, 19103, USA.
Boris GekkievNovartis Pharma AG, Postfach, 4002, Basel, Switzerland.
Philippe MargaronNovartis Pharma AG, Postfach, 4002, Basel, Switzerland.
Cornelia Dunger-BaldaufNovartis Pharma AG, Postfach, 4002, Basel, Switzerland.
Petr KolarSlowak Medical University and University Hospital Bratislava, Antolska 11, 85107, Bratislava, Slovakia.
Novartis (Switzerland) · CHMedical University of Vienna · ATUniversity Hospital Bratislava · SKUniversity of Bern · CHUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the efficacy and safety of two individualized ranibizumab retreatment schemes in neovascular age-related macular degeneration.

methodsPatients (N = 671) were randomized (1:1) to receive three initial monthly ranibizumab 0.5 mg injections, then retreatment guided by either best-corrected visual acuity (BCVA) loss (Group I) or BCVA loss and/or signs of disease activity on optical coherence tomography (OCT; Group II). The study was terminated prematurely and the decision to discontinue the study was made by the sponsor. Efficacy analyses were performed on patients who completed 12 months of the originally planned 24-month study. Safety analyses are presented for all safety analyzable patients.

resultsOf 671 randomized patients, 305 completed 12 months of the study. For the 12-month completers, baseline mean (standard deviation) BCVA and reading-center evaluated central subfield thickness (CSFT) were comparable [Group I: 60.9 (13.10) letters and 517.7(201.79) μm; Group II: 60.2 (12.21) letters and 515.3 (198.37) μm]. The change from baseline at Month 12 in BCVA was 6.7 (13.48) letters in Group I and 8.3 (13.53) letters in Group II and the change in CSFT was - 161.3 (163.48) μm and - 175.3 (170.45) μm, respectively. The mean number of ranibizumab injections was 8.2 in Group I and 8.4 in Group II.

conclusionRanibizumab treatment resulted in visual and anatomic gains at 12 months for both retreatment strategies, with a trend in favor of OCT-guided vs BCVA loss guided retreatment. No new safety signals were seen.

trial registrationwww.ClinicalTrials.gov (NCT01780935). Registered 31 January 2013.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsChoroidal NeovascularizationDouble-Blind MethodFemaleHumansIntravitreal InjectionsMaleMiddle AgedRanibizumabTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityWet Macular DegenerationAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor AVEGFA protein, humanBest-corrected visual acuityNeovascular age-related macular degenerationOptical coherence tomographyRanibizumabRetreatment criteria

Identifiers

PMID31918685
PMCPMC6953154
OpenAlexW2998863827

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.