Evidence map›Paper›PMID 41098579›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Biosimilar Versus Innovator Ranibizumab in Myopic CNVM: Comparative Real-World Outcomes- The BRIM Study.

Debdulal Chakraborty, Tushar Kanti Sinha, Sourav Sinha, Rupak Kanti Biswas, Aniruddha Maiti, Krishnendu Nandi, Dinesh Rungta, Ranabir Bhattacharya

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

8 authors.

Debdulal ChakrabortyVitreo-Retina Services, Disha Eye Hospitals, Kolkata, WB, India.ORCID 0000-0001-9693-7882
Tushar Kanti SinhaVitreo-Retina Services, Disha Eye Hospitals, Kolkata, WB, India.
Sourav SinhaVitreo-retina Services, Nethralayam Superspeciality Eye Care, Kolkata, WB, India.
Rupak Kanti BiswasVitreo-retina Services, Nethralayam Superspeciality Eye Care, Kolkata, WB, India.
Aniruddha MaitiVitreo-Retina Services Global Eye Hospital, Kolkata, WB, India.
Krishnendu NandiVitreo-retina Services, Nethralayam Superspeciality Eye Care, Kolkata, WB, India.
Dinesh RungtaVitreo-Retina Services, Disha Eye Hospitals, Kolkata, WB, India.
Ranabir BhattacharyaVitreo-Retina Services, Disha Eye Hospitals, Kolkata, WB, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare the efficacy and safety of biosimilar ranibizumab (Razumab Methods: This retrospective, multicenter study included treatment-naïve patients with mCNVM between January 2021 and December 2023. Patients received intravitreal injections of either innovator or biosimilar ranibizumab, following a pro re nata (PRN) protocol. Inclusion criteria were: age ≥18years, axial length >26.5 mm or spherical equivalent ≥ -6.00 D, diagnosis confirmed by multimodal imaging, and a minimum 12-month follow-up. Outcomes assessed included change in best-corrected visual acuity (BCVA; ETDRS letters), central macular thickness (CMT), intraocular pressure (IOP), injection frequency, and safety profile. Results: A total of 80 eyes were analyzed (Group A: Innovator, n=38; Group B: Biosimilar, n=42). Mean BCVA improved from 51.0 ± 16.5 to 64.5 ± 5.5 ETDRS letters in the Innovator group and from 52.5 ± 16.5 to 64.5 ± 4.5 in the Biosimilar group at 12 months (p > 0.05). CMT reduced significantly in both groups (Innovator: from 332.03 ± 39.22 µm to 268.32 ± 18.78 µm; Biosimilar: from 315.03 ± 44.20 µm to 271.12 ± 20.39 µm; (p > 0.05). The mean number of injections was 2.68 ± 0.51 in the Innovator Ranibizumab group and 2.71 ± 0.49 in the Biosimilar Ranibizumab group. IOP remained stable in both cohorts, and no significant ocular or systemic adverse events were observed. Conclusion: Biosimilar ranibizumab demonstrated non-inferior visual and anatomical outcomes compared to innovator ranibizumab in the treatment of mCNVM, with a similar safety profile and treatment burden.

Indexed as

anti VEGFbiosimilar ranibizumabmyopiamyopic CNVMranibizumab

Identifiers

PMID41098579
PMCPMC12520007

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