Evidence map›Paper›PMID 40879891›Full record

ArticleOphthalmology and therapy2025

Long-Term Efficacy and Safety of CT-P42 in Patients with Diabetic Macular Edema: 52-Week Results from a Phase 3 Randomized Clinical Trial.

David M Brown, Sebastian Wolf, Milan Veselovsky, Miroslav Veith, Andras Papp, Shobhana Mange, Lakshmi Kanta Mondal, Dominika Romanczak, Ladislav Janco, Rohan Chauhan and 12 more

Registry-linked trialAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04739306 (A Randomized, Active-Controlled, Double-Masked, Parallel-Group, Phase 3 Study to Compare Efficacy and Safety of CT-P42 in Comparison With Eylea in Patients With Diabetic Macular Edema), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04739306 phase3completednot on this map

A Randomized, Active-Controlled, Double-Masked, Parallel-Group, Phase 3 Study to Compare Efficacy and Safety of CT-P42 in Comparison With Eylea in Patients With Diabetic Macular Edema

TypeinterventionalSponsorCelltrionRan2021 to 2023Enrolled348ConditionsDiabetic Macular Edema (DME)ArmsCT-P42, Eylea
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

22 authors.

David M BrownRetina Consultants of Texas, Retina Consultants of America, Houston, TX, USA.
Sebastian WolfDepartment of Ophthalmology, Inselspital, Bern University Hospital, Bern, Switzerland.
Milan VeselovskyOphthalmology Department, Faculty Hospital and Policlinic Zilina, Zilina, Slovakia.
Miroslav VeithUniversity Hospital Královské Vinohrady, Prague, Czech Republic.
Andras PappDepartment of Ophthalmology, Semmelweis University, Budapest, Hungary.
Shobhana MangeShivam Retina Clinic and Eye Hospital, Surat, India.
Lakshmi Kanta MondalRegional Institute of Ophthalmology, Kolkata, India.
Dominika RomanczakCentrum Zdrowia MDM, Warsaw, Poland.
Ladislav JancoII. Ocna Klinika SZU, F.D. Roosevelt Hospital, Banska Bystrica, Slovakia.
Rohan ChauhanRising Retina Clinic, Ahmedabad, India.
Bożena Romanowska-DixonUniversity Hospital of Kraków, Jagiellonian University, Kraków, CM, Poland.
Alena EreminaNovosibirsk Branch of FBSI IRTC, Novosibirsk, Russia.
Jaroslava DusovaUniversity Hospital Hradec Králové, Hradec Králové, Czech Republic.
Min SagongDepartment of Ophthalmology, Yeungnam University College of Medicine, Daegu, Republic of Korea.
Sunghyun KimCelltrion, Inc., Incheon, Republic of Korea.
YunJu BaeCelltrion, Inc., Incheon, Republic of Korea.
Suyoung KimCelltrion, Inc., Incheon, Republic of Korea.
Youngmin BaeCelltrion, Inc., Incheon, Republic of Korea.
Dain SonCelltrion, Inc., Incheon, Republic of Korea.
Hyejin KangCelltrion, Inc., Incheon, Republic of Korea.
Sujin ChoiCelltrion, Inc., Incheon, Republic of Korea.
Paulo-Eduardo StangaThe Retina Clinic London, 24 Queen Anne Street, London, W1G 9AX, UK. p.stanga@theretinacliniclondon.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA 24-week phase 3 analysis previously demonstrated equivalent efficacy and comparable tolerability between candidate biosimilar CT-P42 and reference aflibercept in participants with diabetic macular edema. Here, we report long-term outcomes through week 52.

methodsThis was a randomized, double-masked, active-controlled, phase 3 international trial, conducted at 83 study centers across Czech Republic, Estonia, Germany, Hungary, India, Latvia, Lithuania, Poland, Republic of Korea, Russia, Slovakia, Spain, and Ukraine. Adults (aged ≥ 18 years) diagnosed with type 1 or 2 diabetes mellitus, with diabetic macular edema involving the center of the macula, were randomized (1:1) to receive CT-P42 or reference aflibercept (2 mg in 0.05 mL) by intravitreal injection every 4 weeks (five doses), then every 8 weeks (four doses), over a 52-week study period. Study data were collected from July 2021 to April 2023. Efficacy, safety, and immunogenicity of CT-P42 compared with reference aflibercept were evaluated until week 52.

resultsOverall, 306 participants (CT-P42, 153; reference aflibercept, 153) completed the study through week 52. The primary efficacy endpoint of mean change from baseline in best corrected visual acuity through week 8 was reported previously. Improvements in best corrected visual acuity were maintained throughout and were similar between CT-P42 and reference aflibercept, with mean (standard deviation) change from baseline at week 52 of 12.1 (8.9) versus 11.1 (9.9) letters, respectively. Changes from baseline in central subfield thickness and other secondary efficacy endpoints as well as safety endpoints, including treatment-emergent adverse events and immunogenicity, were comparable between groups through week 52.

conclusionsResults through week 52 support the therapeutic equivalence between CT-P42 and reference aflibercept by demonstrating comparable long-term efficacy, safety, and immunogenicity.

trial registrationClinicalTrials.gov identifier: NCT04739306.

Indexed as

AfliberceptBiosimilarCT-P42Diabetic macular edemaEfficacySafety

Identifiers

PMID40879891
PMCPMC12534644

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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.