Evidence map›Paper›PMID 38530568›Full record

ArticleOphthalmology and therapy2024

Efficacy, Safety and Immunogenicity of Sun's Ranibizumab Biosimilar in Neovascular Age-Related Macular Degeneration: A Phase 3, Double-Blind Comparative Study.

Asim K Ghosh, Usha S Nikumbh, Chaitanya K Shukla, Rohit S Laul, Abhishek Dixit, Santosh K Mahapatra, Sameera Nayak, Urmil M Shah, Sandeep Parwal, Narendran Venkatapathy and 16 more

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Ranibizumab biosimilars vs. reference Ranibizumab for neovascular age-related macular degeneration: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Pooled it
  3. Review
  4. Review
  5. 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

26 authors at 13 institutions in 1 country.

Asim K GhoshRegional Institute of Ophthalmology, Kolkata, India.
Usha S NikumbhB. J. Govt. Medical College and Sassoon General Hospital, Pune, India.
Chaitanya K ShuklaLotus Multispeciality Hospital, Ahmedabad, India.
Rohit S LaulChopda Medicare & Research Centre Pvt. Ltd, Nashik, India.
Abhishek DixitSankat Mochan Nethralaya and Dental Care, Varanasi, India.
Santosh K MahapatraJPM Rotary Club of Cuttack Eye Hospital & Research Institute, Cuttack, India.
Sameera NayakL V Prasad Eye Institute, Vijayawada, India.
Urmil M ShahPagarav Hospital, Gandhinagar, India.
Sandeep ParwalSMS Hospital, Jaipur, India.
Narendran VenkatapathyAravind Eye Hospital, Coimbatore, India.
Natasha RadhakrishnanAmrita Institute of Medical Sciences and Research Centre, Kochi, India.
Anup KelgaonkarL V Prasad Eye Institute, Bhubaneswar, India.
Sandeep SaxenaKing George's Medical University, Lucknow, India.
Divyansh MishraSankara Eye Hospital, Bangalore, India.
Vivek Pravin DaveL V Prasad Eye Institute, Hyderabad, India.
Perwez KhanDepartment of Ophthalmology, GSVM Medical College, Kanpur, India.
Manojkumar R SaswadeSaswade Netra Rugnalay and Omkar Lasik Laser Centre, Aurangabad, India.
Malli S ShantilalDiva Eye Institute, Ahmedabad, India.
Kim RamasamyAravind Eye Hospital & Postgraduate Institute of Opthalmology, Coimbatore, India.
Smitha SreekantaKLEs Dr Prabhakar Kore Hospital & MRC, Belagavi, India.
Mandodari RajurkarIndia Clinical Research, Sun Pharma Laboratories Ltd, Sun House, Plot Number 201 B/1, Western Express Highway, Goregaon (East), Mumbai, 400063, India. Mandodari.Rajurkar@sunpharma.com.ORCID http://orcid.org/0000-0002-5513-0545
Maulik DoshiEx Sun Pharma Laboratories Limited, Mumbai, India.
Sapan BeheraEx Sun Pharma Laboratories Limited, Mumbai, India.
Piyush PatelEx Sun Pharma Laboratories Limited, Mumbai, India.
Shilpi DhawanEx Sun Pharma Laboratories Limited, Mumbai, India.
Lalit LakhwaniEx Sun Pharma Laboratories Limited, Mumbai, India.
Sun Pharma (India) · INL V Prasad Eye Institute · INAravind Eye Hospital · INAmrita Institute of Medical Sciences and Research Centre · INB. J. Medical College & Sassoon Hospital · INCentral Rice Research Institute · INEye Hospital in Bangalore · INGanesh Shankar Vidyarthi Memorial Medical College · INKing George's Medical University · INKLE Society Hospital · INMidas Multispeciality Hospital · INSankara Nethralaya · INSMS Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe study aimed to evaluate comparability in terms of efficacy, safety and immunogenicity of Sun's ranibizumab biosimilar with reference ranibizumab in patients with neovascular age-related macular degeneration (nAMD).

methodsThis prospective, randomised, double-blind, two-group, parallel-arm, multicentre, phase 3 comparative study included patients with nAMD ≥ 50 years, randomised (in a 2:1 ratio) in a double-blind manner to receive 0.5 mg (0.05 mL) intravitreal injection of either Sun's ranibizumab or reference ranibizumab in the study eye every 4 weeks until week 16 (total of four doses).

resultsPrimary endpoint results demonstrated equivalence in the proportion of patients who lost fewer than 15 letters from baseline best-corrected visual acuity (BCVA) to the end of week 16 (99% of patients in Sun's ranibizumab and 100% in reference ranibizumab; p > 0.9999), with the proportional difference (90% confidence interval) at -1% (-2.51, +0.61) lying within a pre-specified equivalence margin. Visual acuity improved by 15 or more letters in 43% of Sun's ranibizumab group and 37% of the reference ranibizumab group (p = 0.4267). The mean increase in BCVA was 15.7 letters in Sun's ranibizumab group and 14.6 letters in the reference ranibizumab group (p < 0.001 within both groups and p = 0.5275 between groups). The mean change in central macular thickness was comparable between groups (p = 0.7946). Anti-ranibizumab antibodies were found in one patient of the reference ranibizumab group, while neutralising antibodies were not found in any patients. Both products were well tolerated.

conclusionSun's ranibizumab biosimilar is found to be therapeutically equivalent to reference ranibizumab in patients with nAMD. There were no additional safety or immunogenicity concerns.

trial registrationCTRI/2020/09/027629, registered on 07 September 2020.

Indexed as

Anti-VEGFBiosimilar ranibizumabInnovator ranibizumabNeovascular age-related macular degeneration

Identifiers

PMID38530568
PMCPMC11039601
OpenAlexW4393192157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.