Evidence map›Paper›PMID 33377611›Full record

Trial reportActa ophthalmologica2021

Two different treatment regimens of ranibizumab 0.5 mg for neovascular age-related macular degeneration with or without polypoidal choroidal vasculopathy in Chinese patients: results from the Phase IV, randomized, DRAGON study.

Xiaoxin Li, Qi Zhu, Anna Egger, Liu Chang, Sebastian Wolf, Yanping Song, Junjun Zhang, Fangtian Dong, Xun Xu, Annemarie Weisberger

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

Trial report in Acta ophthalmologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 34% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Anti-Vascular Endothelial Growth Factor Therapy Regimens for Polypoidal Choroidal Vasculopathy: A Systematic Review.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2023
    Pooled it
  4. Review
  5. Review
  6. Article
  7. Review
  8. Anti-vascular endothelial growth factor therapies in ophthalmology.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
  9. 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

10 authors at 9 institutions in 3 countries.

Xiaoxin LiPeking University People's Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-0536-2951
Qi ZhuChina Novartis Institutes for Biomedical Research Co., Ltd., Shanghai, China.
Anna EggerNovartis Pharma AG, Basel, Switzerland.
Liu ChangChina Novartis Institutes for Biomedical Research Co., Ltd., Shanghai, China.
Sebastian WolfDepartment Ophthalmology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Yanping SongWuhan General Hospital of Guangzhou Military Command, Wuhan, China.ORCID https://orcid.org/0000-0002-9666-5482
Junjun ZhangWest China Hospital, Sichuan University, Chengdu, China.
Fangtian DongPeking Union Medical College Hospital, Beijing, China.
Xun XuShanghai First People's Hospital, Shanghai, China.
Annemarie WeisbergerNovartis Pharmaceutical Corporation, East Hanover, New Jersey, USA.
Novartis (China) · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNGeneral Hospital of Guangzhou Military Command · CNNovartis (Switzerland) · CHNovartis (United States) · USPeking University · CNShanghai First People's Hospital · CNSichuan University · CNUniversity of Bern · CH

Funding

Novartis Pharma AG, Basel, Switzerland
6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of monthly and pro re nata (PRN, guided by visual acuity stabilization and disease activity criteria) ranibizumab regimens in Chinese patients with neovascular age-related macular degeneration (nAMD) and polypoidal choroidal vasculopathy (PCV).

methodsThis double-masked study randomized nAMD patients (1:1) to ranibizumab monthly from baseline to Month (M) 11 to a PRN regimen from M12 to M23 (monthly group, n = 167) versus ranibizumab three monthly doses followed by a PRN regimen up to M23 (PRN group, n = 166). Subgroups were assessed based on the presence/absence of PCV (indicated by indocyanine green angiography).

resultsOf 334 randomized patients, 41.7% had PCV at baseline. Mean average best-corrected visual acuity (BCVA) change from M3 to M4 through M12 was 3.3 letters with monthly and 1.7 letters with PRN (mean difference: 1.6; 95% CI: -2.95, -0.20, primary end-point). Mean change in BCVA from baseline (monthly/PRN, 53.8/53.7) to M12 and M24 was 12.3 and 11.3 letters in monthly and 9.6 and 9.3 letters in PRN group. Corresponding values for patients with PCV/without PCV were 12.7/12.1 letters (M12) and 12.3/10.6 letters (M24) in monthly and 9.4/9.4 letters (M12) and 9.7/8.7 letters (M24) in PRN groups. The mean number of injections was 11.4 (monthly) and 8.2 (PRN) from Day 1 to M11 and 4.8 (monthly) and 5.0 (PRN) from M12 to M23. No new safety findings were reported.

conclusionsThe study results support the use of either ranibizumab monthly or PRN regimens in Chinese patients with nAMD, regardless of presence of PCV.

Indexed as

Angiogenesis InhibitorsMacular DegenerationRanibizumabAgedChinaChoroid DiseasesDouble-Blind MethodDrug Administration ScheduleFemaleHumansInjections, IntraocularMaleMiddle AgedVascular Endothelial Growth Factor AAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor Aage-related macular degenerationmonthly regimenpolypoidal choroidal vasculopathypro re nata regimenranibizumab

Identifiers

PMID33377611
PMCPMC8247421
OpenAlexW3113586038

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.