Evidence map›Paper›PMID 34463842›Full record

Trial reportGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2022

Two-year results for ranibizumab for radiation retinopathy (RRR): a randomized, prospective trial.

Hannah J Yu, Dwain Fuller, Rajiv Anand, Timothy Fuller, Jose Munoz, Chelsey Moore, Ryan S Kim, Amy C Schefler, RRR Study Group

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02222610 (A Randomized, Active-Controlled, Phase II Study of the Efficacy and Tolerability of Intravitreal Injections of Ranibizumab Compared to Intravitreal Injections of Ranibizumab Combined With Targeted Retinal Photocoagulation in Subjects With Radiation Retinopathy), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT02222610 phase2completednot on this map

A Randomized, Active-Controlled, Phase II Study of the Efficacy and Tolerability of Intravitreal Injections of Ranibizumab Compared to Intravitreal Injections of Ranibizumab Combined With Targeted Retinal Photocoagulation in Subjects With Radiation Retinopathy (RRR Study).

TypeinterventionalSponsorGreater Houston Retina ResearchRan2014 to 2019Enrolled40ConditionsRadiation RetinopathyArms0.5 mg ranibizumab, Targeted Retinal Photocoagulation (TRP)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Radiation retinopathy: a review.International ophthalmology · 2026
    Review
  3. Ophthalmic complications of radiotherapy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  4. Article
  5. Review
  6. 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 at 3 institutions in 1 country.

Hannah J YuRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Dwain FullerTexas Retina Associates, Dalla, TX, USA.
Rajiv AnandTexas Retina Associates, Dalla, TX, USA.
Timothy FullerTexas Retina Associates, Dalla, TX, USA.
Jose MunozRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Chelsey MooreRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Ryan S KimRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Amy C ScheflerRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA. acsmd@retinaconsultantstexas.com.
RRR Study Group
Retina Consultants of Texas · USTexas Retina Associates (United States) · USMethodist Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy of a treat-and-extend strategy with intravitreal ranibizumab for radiation-related macular edema.

methodsForty eyes with radiation-induced macular edema and decreased visual acuity were enrolled in the phase IIb, prospective clinical trial and randomized into 3 cohorts: (A) monthly ranibizumab, (B) monthly ranibizumab with targeted retinal photocoagulation (TRP), or (C) as-needed ranibizumab and TRP. In year 2, all subjects entered a treat-and-extend protocol for ranibizumab. The primary outcome measure was mean change in early treatment diabetic retinopathy study (ETDRS) best-corrected visual acuity (BCVA) from baseline.

resultsThrough year 1, the mean change in ETDRS BCVA was significantly different between the three cohorts (p < 0.001); cohort A saw the largest gain with + 4.0 letters. Significant anatomic improvements were also seen in all cohorts. Comparatively, through year 2, cohorts A, B, and C had a mean change in ETDRS BCVA of - 1.9, - 3.9, and + 1.3 letters, respectively; additionally, no significant differences were found in absolute ETDRS BCVA across time (ANOVA, p = 0.123). Overall, 90% of eyes maintained VA 20/200 or better and 33.3% of subjects gained at least one line of vision. There were no significant differences in mean central macular thickness for any cohort compared to baseline (p = 0.09). The presence of retinal hemorrhage and intraretinal exudates stayed consistent from year 1 to year 2 for all cohorts.

conclusionsAmong eyes with radiation-related macular edema, a treat-and-extend regimen with ranibizumab may not result in as many visual and anatomic improvements as monthly injections. However, treat-and-extend still may prevent serious visual complications compared to historical controls.

trial registrationClinicalTrials.gov Identifier: NCT02222610.

Indexed as

Macular EdemaRanibizumabAngiogenesis InhibitorsHumansIntravitreal InjectionsLaser CoagulationProspective StudiesTomography, Optical CoherenceTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor AAnti-vascular endothelial growth factorBrachytherapyMacular edemaRadiation retinopathyTargeted retinal photocoagulationUveal melanoma

Identifiers

PMID34463842
OpenAlexW3196579009

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.