Evidence map›Paper›PMID 39849439›Full record

ArticleBMC ophthalmology2025

Innovator ranibizumab ComparEd to Biosimilar ranibizumab in combination with Expansile gas in submaculaR HemorrhaGe: the ICEBERG study.

Debdulal Chakraborty, Tushar Kanti Sinha, Soumen Mondal, Subhendu Boral, Arnab Das, Saptorshi Majumbar, Angshuman Mukherjee, Ranabir Bhattacharya, Sumit Randhir Singh

Abstract readComparative Study
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Anti-vascular endothelial growth factor therapies in ophthalmology.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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.

Debdulal ChakrabortyDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India. devdc@rediffmail.com.
Tushar Kanti SinhaDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Soumen MondalDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Subhendu BoralDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Arnab DasDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Saptorshi MajumbarDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Angshuman MukherjeeDepartment of Vitreoretina Services, Disha Eye Hospitals, Kolkata, India.
Ranabir BhattacharyaDepartment of MIS, Disha Eye Hospitals, Kolkata, India.
Sumit Randhir SinghDepartment of Vitreoretina, Akhand Jyoti Eye Hospital, Mastichak, Saran, Bihar, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the anatomical and visual outcomes in eyes with submacular hemorrhage (SMH) treated with a combination of ranibizumab (RBZ) either innovator or biosimilar (Razumab) and intravitreal perfluoropropane gas (C

methodsTreatment naïve neovascular age related macular degeneration (n-AMD) patients with SMH were retrospectively analyzed. Patients received either innovator or biosimilar RBZ (3 loading doses followed by pro re nata regimen) and single injection of intravitreal C

resultsA total of 67 eyes (35 and 32 eyes in innovator and biosimilar group respectively) were analyzed. BCVA improved from 1.15 ± 0.19 to 0.51 ± 0.23 logarithm of minimum angle of resolution (logMAR) in innovator RBZ group (p < 0.001) and from 1.17 ± 0.15 to 0.53 ± 0.20 logMAR in biosimilar RBZ group (p < 0.001). Similarly, mean CMT showed significant reduction in both groups at 6 months (innovator RBZ: 609.5 ± 50.1 μm to 254.3 ± 20.3 μm, p < 0.001; biosimilar RBZ: 602.3 ± 58.9 μm to 251.8 ± 22.3 μm, p < 0.001). Intergroup comparisons between innovator and biosimilar RBZ showed no differences in either BCVA or CMT at all time points (all p values > 0.05). Mean number of intravitreal injections was marginally higher in innovator group compared to biosimilar RBZ (4.37 ± 0.49 vs. 4.22 ± 0.42; p = 0.18).

conclusionBiosimilar RBZ may act as a viable alternative to innovator RBZ to treat SMH with comparable anatomical and visual outcomes at 6 months.

Indexed as

Biosimilar PharmaceuticalsEndotamponadeFluorocarbonsRanibizumabRetinal HemorrhageWet Macular DegenerationAgedAged, 80 and overAngiogenesis InhibitorsDrug Therapy, CombinationFemaleFluorescein AngiographyFollow-Up StudiesHumansIntravitreal InjectionsMaleAngiogenesis InhibitorsBiosimilar PharmaceuticalsFluorocarbonsperflutrenRanibizumabAnti-vascular endothelial growth factoranti-VEGFBiosimilarBiosimilar ranibizumabNeovascular age related macular degenerationPerfluoropropaneSubmacular hemorrhage, ranibizumab

Identifiers

PMID39849439
PMCPMC11756025

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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.