Evidence map›Paper›PMID 34113074›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2021

ETOILE: Real-World Evidence of 24 Months of Ranibizumab 0.5 mg in Patients with Visual Impairment Due to Diabetic Macular Edema.

Laurent Kodjikian, Amélie Lecleire-Collet, Corinne Dot, Marie-Laure Le Lez, Stéphanie Baillif, Ali Erginay, Eric Souied, Eric Fourmaux, Philippe Gain, Anne Ponthieux

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  3. 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 1 country.

Laurent KodjikianDepartment of Ophthalmology, Croix-Rousse University Hospital, Lyon, France.
Amélie Lecleire-ColletMathilde Clinic, Rouen, France.
Corinne DotDepartment of Ophthalmology, Desgenettes Military Hospital, Lyon, France and French Military Health Service Academy, Val-de-Grâce, Paris, France.ORCID 0000-0003-4398-3978
Marie-Laure Le LezOphthalmology Department, Centre Hospitalier Regional Universitaire de Tours, Tours, France.
Stéphanie BaillifDepartment of Ophthalmology, Centre Hospitalier Universitaire de Nice, Hôpital Pasteur-2, Nice, France.
Ali ErginayDepartment of Ophthalmology, Lariboisière Hospital, AP HP, University Paris-Diderot Paris-7, Paris, France.
Eric SouiedDepartment of Ophthalmology, Hospital Intercommunal de Creteil, University Paris Est Creteil, Creteil, France.
Eric FourmauxCentre Gallien, Bordeaux, France.
Philippe GainOphthalmology Department, University Hospital, Saint-Etienne, France, Corneal Graft Biology, Engineering and Imaging Laboratory, BiiGC, EA2521, Federative Institute of Research in Sciences and Health Engineering, Faculty of Medicine, Jean Monnet University, Saint-Etienne, France.
Anne PonthieuxNovartis Pharma SAS, Rueil-Malmaison, France.
Biologie, ingénierie et imagerie pour l'Ophtalmologie · FRCentre Hospitalier Universitaire de Nice · FRCentre Hospitalier Universitaire de Tours · FRCentre Nouvelle Aquitaine-Bordeaux · FRDélégation Paris 7 · FRHôpital de la Croix-Rousse · FRNovartis (France) · FRService de Santé des Armées · FRUniversité Paris-Est Créteil · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the real-world effectiveness of intravitreal ranibizumab 0.5 mg (Lucentis) in improving visual acuity (VA) in adults with decreased VA due to diabetic macular edema (DME). PATIENTS AND

methodsReal-world prospective observational 24-month study. Ranibizumab-naïve patients (n=116) were enrolled, treated and followed up according to investigators' usual procedures. Outcomes included change from baseline to month 24 in best-corrected VA (BCVA; primary outcome), central retinal thickness (CRT), treatment exposure and safety.

resultsOverall, 62.9% of patients completed the study per protocol, 68.6% completed the induction phase (first three injections one month apart). On average, patients had 12.5 ophthalmologist visits and 5.74 injections in year 1, decreasing to 4.6 visits and 1.94 injections in year 2. Mean baseline BCVA was 58.4 letters, mean gain at M24 was +6.08 letters (95% CI: 2.95, 9.21). Gains were higher for patients who completed induction, and for patients who did not switch treatment. Mean CRT improved by 149.17 μm at M24. There were no new safety signals. BCVA variation of ≥6 letters by M3 was predictive of BCVA gains at M24 (p=0.007), as was hypertension medication at baseline (p=0.022).

conclusionReal-world ranibizumab treatment improved VA in DME patients, despite fewer injections than recommended.

Indexed as

inductionreal-world studyretinal thicknessswitchvisual acuity

Identifiers

PMID34113074
PMCPMC8185131
OpenAlexW3167717585

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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.