A Study to Evaluate the Efficacy and Safety of Faricimab in Participants With Macular Edema Secondary to Branch Retinal Vein Occlusion (BALATON)
A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Macular Edema Secondary to Branch Retinal Vein Occlusion
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Caba, Argentina, C1017AAO
- Fundacion Zambrano
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Capital Federal, Argentina, C1015ABO
- Centro Oftalmologico Dr. Charles S.A.
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Capital Federal, Argentina, C1120AAN
- Oftalmos
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Capital Federal, Argentina, C1199ABC
- Hospital Italiano; Ophtalmology
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Ciudad Autonoma Buenos Aires, Argentina, C1061AAE
- Buenos Aires Mácula
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Mendoza, Argentina, M5500GGK
- Oftar
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Rosario, Argentina, S2000DLA
- Grupo Laser Vision
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Rosario, Argentina, S2000ANJ
- Centro Oftalmólogos Especialistas
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San Nicolás, Argentina, C1015ABO
- Organizacion Medica de Investigacion
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New South Wales
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Strathfield, New South Wales, Australia, 2135
- Strathfield Retina Clinic
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Sydney, New South Wales, Australia, 2000
- Save Sight Institute
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Sydney, New South Wales, Australia, 2000
- Sydney Retina Clinic and Day Surgery
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Victoria
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East Melbourne, Victoria, Australia, 3002
- Centre for Eye Research Australia
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Rowville, Victoria, Australia, 3178
- Retina Specialists Victoria
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- The Lions Eye Institute
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Graz, Austria, 8036
- LKH-Univ.Klinikum Graz; Universitäts-Augenklinik
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RS
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Porto Alegre, RS, Brazil, 90035-903
- Hospital das Clinicas - UFRGS
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SC
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Blumenau, SC, Brazil, 89052-504
- Botelho Hospital da Visao
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SP
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Sao Paulo, SP, Brazil, 04023-062
- Universidade Federal de Sao Paulo - UNIFESP*X; Oftalmologia
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Sorocaba, SP, Brazil, 18031-060
- Hosp de Olhos de Sorocaba
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Beijing, China, 100730
- Beijing Hospital of Ministry of Health
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Changchun, China, 130041
- The Second Hospital of Jilin University
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Chengdu, China, 610041
- West China Hospital, Sichuan University
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Guangzhou City, China, 510060
- Zhongshan Ophthalmic Center, Sun Yat-sen University
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Harbin, China, 150001
- The 2nd Affiliated Hospital of Harbin Medical University
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Nanjing City, China, 210029
- The Affiliated Eye Hospital of Nanjing Medical University
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Shanghai, China, 200080
- Shanghai First People's Hospital
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Shanghai, China, 200072
- Shanghai Tenth People's Hospital
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Shenyang City, China, 110034
- He Eye Specialist Shenyang Hospital
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Tianjin City, China, 300050
- Tianjin Eye Hospital
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Tianjin City, China, 300070
- Tianjin Medical University Eye Hospital
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Wenzhou City, China, 325027
- Eye Hospital, Wenzhou Medical University
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Wuhan, China, 430060
- Renmin Hospital of Wuhan University
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Zhengzhou, China
- Henan Provincial Eye Hosptial
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Ostrava, Czechia, 708 52
- Faculty Hospital Ostrava; Ophthalmology clinic
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Prague, Czechia, 100 34
- Faculty Hospital Kralovske Vinohrady; Ophthalmology clinic
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Prague, Czechia
- AXON Clinical
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Sokolov, Czechia, 356 01
- Nemocnice Sokolov
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Creteil, France, 94010
- Chi De Creteil; Ophtalmologie
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Paris, France, 75010
- Hopital Lariboisiere; Ophtalmologie
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Freiburg, Germany, 79106
- Universitätsklinikum Freiburg, Klinik für Augenheilkunde
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Göttingen, Germany, 37075
- Universitätsmedizin Göttingen Georg-August-Universität; Klinik für Augenheilkunde
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Ludwigshafen, Germany, 67063
- Klinikum der Stadt Ludwigshafen am Rhein gGmbH; Augenklinik
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Hong Kong, Hong Kong
- Queen Mary Hospital; Department of Ophthalmology
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Mongkok, Hong Kong
- Hong Kong Eye Hospital; CUHK Eye Centre
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Budapest, Hungary, 1133
- Budapest Retina Associates Kft.
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Debrecen, Hungary, 4032
- Debreceni Egyetem Klinikai Kozpont; Szemeszeti Klinika
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Pécs, Hungary, 7621
- Ganglion Medial Center
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Szeged, Hungary, 6720
- Szegedi Tudományegyetem ÁOK; Department of Ophtalmology
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Haifa, Israel, 3109601
- Rambam Medical Center; Opthalmology
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Jerusalem, Israel, 9112001
- Hadassah MC; Ophtalmology
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Petach Tikva, Israel, 4941492
- Rabin MC; Ophtalmology
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Rehovot, Israel, 7660101
- Kaplan Medical Center; Ophtalmology
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Tel Aviv, Israel, 6423906
- Tel Aviv Sourasky MC; Ophtalmology
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Lazio
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Roma, Lazio, Italy, 00133
- Fondazione Ptv Policlinico Tor Vergata Di Roma;U.O.S.D. Patologie Renitiche
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Lombardia
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Milano, Lombardia, Italy, 20100
- Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico-Clinica Regina Elena;U.O.C Oculistica
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Toscana
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Firenze, Toscana, Italy, 50134
- Azienda Ospedaliero-Universitaria Careggi; S.O.D. Oculistica
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Aichi, Japan, 480-1195
- Aichi Medical University Hospital
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Aichi, Japan, 460-0008
- Sugita Eye Hospital
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Aichi, Japan, 466-8560
- Nagoya University Hospital
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Aichi, Japan, 467-8602
- Nagoya City University Hospital
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Chiba, Japan, 285-8741
- Toho University Sakura Medical Center
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Fukuoka, Japan, 812-0011
- Hayashi Eye Hospital
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Fukushima, Japan, 963-8052
- Southern Tohoku Eye Clinic
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Hokkaido, Japan, 078-8510
- Asahikawa Medical University Hospital
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Hyogo, Japan, 663-8501
- Hyogo Medical University Hospital
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Hyogo, Japan, 660-8550
- Hyogo Prefectural Amagasaki General Medical Center (Hyogo AGMC)
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Ibaraki, Japan, 310-0845
- Kozawa Eye Hospital And Diabetes Center
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Kyoto, Japan, 606-8507
- Kyoto University Hospital
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Tokushima, Japan, 770-8503
- Tokushima University Hospital
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Tokyo, Japan, 101-8309
- Nihon University Hospital
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Tokyo, Japan, 193-0998
- Tokyo Medical University Hachioji Medical Center
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Busan, Korea, Republic of, 602-739
- Pusan National University Hospital
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Daegu, Korea, Republic of, 42415
- Yeungnam University Medical Center
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Seongnam-si, Korea, Republic of, 463-707
- Seoul National University Bundang Hospital
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Seoul, Korea, Republic of, 05505
- Asan Medical Center
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Seoul, Korea, Republic of, 02447
- Kyung Hee University Hospital
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Seoul, Korea, Republic of, 06351
- Samsung Medical Center
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Bydgoszcz, Poland, 85-870
- Specjalistyczny O?rodek Okulistyczny Oculomedica
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Bytom, Poland, 41-902
- Szpital Specjalistyczny nr 1; Oddzial Okulistyki
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Gda?sk, Poland, 80-402
- Dobry Wzrok Sp Z O O
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Gliwice, Poland, 44-100
- Poradnia Okulistyczna i Salon Optyczny w Gliwicach- PRYZMAT
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Katowice, Poland, 40-594
- Gabinet Okulistyczny Prof Edward Wylegala
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Kraków, Poland, 31-070
- Centrum Medyczne Dietla 19 Sp. z o.o.
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Piaseczno, Poland, 05-500
- Centrum Medyczne Pulawska Sp. z o.o.
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Rybnik, Poland, 44-203
- Lens Clinic
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Tarnowskie Góry, Poland, 42-600
- Caminomed
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Warszawa, Poland, 00-189
- Centrum Zdrowia MDM
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Coimbra, Portugal, 3000-075
- Centro Hospitalar E Universitário de Coimbra EPE - Serviço Oftalmologia; Serviço Oftalmologia
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Coimbra, Portugal, 3030-163
- Espaco Medico Coimbra
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Porto, Portugal, 4099-001
- Centro Hospitalar Universitário do Porto ? Hospital de Santo António; Servico de Oftalmologia
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Irkutsk, Russian Federation, 664033
- ?Intersec. Research and Technology Complex ?Eye Microsurgery? n a Fyodorov Irkutsk branch
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Baskortostan
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UFA, Baskortostan, Russian Federation, 450059
- Clinic Optimed
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Tatarstan
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Kazan, Tatarstan, Russian Federation, 420066
- Clinics of Eye Diseases, LLC
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Singapore, Singapore, 168751
- Singapore Eye Research Institute
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Singapore, Singapore, 308433
- Tan Tock Seng Hospital; Ophthalmology Department
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Barcelona, Spain, 08025
- Hospital dos de maig; servicio de oftalmologia
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Madrid, Spain, 28046
- Clinica Baviera; Servicio Oftalmologia
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Valladolid, Spain, 47012
- Hospital Universitario Rio Hortega; Servicio de Oftalmologia
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Navarra
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Pamplona, Navarra, Spain, 31008
- Clinica Universitaria de Navarra; Servicio de Oftalmologia
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Valencia
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Burjassot, Valencia, Spain, 46100
- Oftalvist Valencia
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Changhua, Taiwan, 500
- Changhua Christian Hospital; Department of Ophthalmology
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Taipei, Taiwan, 11217
- Taipei Veterans General Hospital; Ophthalmology
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Taoyuan, Taiwan, 333
- Chang Gung Medical Foundation - Linkou; Ophthalmology
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Zhongzheng Dist., Taiwan, 10002
- National Taiwan University Hospital; Ophthalmology
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Belfast, United Kingdom, BT12 6BA
- Belfast Health and Social Care Trust, ROYAL VICTORIA HOSPITAL
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Bristol, United Kingdom, BS1 2LX
- Bristol Eye Hospital;Retinal Treatment and Research Unit
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Cardiff, United Kingdom, CF14 4XW
- University Hospital of Wales
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Gloucestershire, United Kingdom, GL1 3NN
- Gloucestershire Hospitals NHS Foundation Trust
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Leeds, United Kingdom, LS9 7TF
- St James University Hospital
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London, United Kingdom, NW10 7NS
- Central Middlesex Hospital
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Arizona
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Phoenix, Arizona, United States, 85014
- Retinal Research Institute, LLC
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Tucson, Arizona, United States, 85704
- Retina Associates Southwest PC
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California
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Campbell, California, United States, 95008
- Retinal Diagnostic Center
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Encino, California, United States, 91436
- The Retina Partners
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Pasadena, California, United States, 91107
- California Eye Specialists Medical Group Inc.
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Poway, California, United States, 92064
- Retina Consultants, San Diego
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Retina Consultants of Southern Colorado PC
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Connecticut
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Waterford, Connecticut, United States, 06385
- Retina Group of New England
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Florida
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Melbourne, Florida, United States, 32901
- Florida Eye Associates
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Plantation, Florida, United States, 33324
- Fort Lauderdale Eye Institute
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Saint Petersburg, Florida, United States, 33711
- Retina Vitreous Assoc of FL
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Tallahassee, Florida, United States, 32308
- Southern Vitreoretinal Assoc
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Tampa, Florida, United States, 33609
- Retina Associates of Florida, LLC
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Georgia
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Augusta, Georgia, United States, 30909
- Southeast Retina Center
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Marietta, Georgia, United States, 30060-1137
- Georgia Retina PC
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Hawaii
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'Aiea, Hawaii, United States, 96701
- Retina Consultants Of Hawaii
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Illinois
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Oak Forest, Illinois, United States, 60452
- University Retina and Macula Associates, PC
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Springfield, Illinois, United States, 62704
- Prairie Retina Center
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Maryland
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Hagerstown, Maryland, United States, 21740
- Cumberland Valley Retina PC
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Massachusetts
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Boston, Massachusetts, United States, 02111
- Tufts Medical Center; Ophthalmology
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Michigan
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Royal Oak, Michigan, United States, 48073
- Assoc Retinal Consultants PC
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Minnesota
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Edina, Minnesota, United States, 55435
- VitreoRetinal Surgery, PLLC.; DBA Retina Consultants of Minnesota
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Missouri
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Chesterfield, Missouri, United States, 63017
- Midwest Vision Research Foundation
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Nevada
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Reno, Nevada, United States, 89502
- Sierra Eye Associates
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New Jersey
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Teaneck, New Jersey, United States, 07666
- Retina Associates of NJ
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New York
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Hauppauge, New York, United States, 11788
- Long Is. Vitreoretinal Consult
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Liverpool, New York, United States, 13088
- Retina Vit Surgeons/Central NY
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North Carolina
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Hickory, North Carolina, United States, 28602
- Graystone Eye
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Ohio
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Cincinnati, Ohio, United States, 45242
- Cincinnati Eye Institute
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South Dakota
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Rapid City, South Dakota, United States, 57701
- Black Hills Eye Institute
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Tennessee
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Germantown, Tennessee, United States, 38138
- Charles Retina Institute
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Nashville, Tennessee, United States, 37203
- Tennessee Retina PC
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Texas
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Abilene, Texas, United States, 79606
- Retina Res Institute of Texas
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Austin, Texas, United States, 78705-1169
- Austin Retina Associates
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Bellaire, Texas, United States, 77401-3510
- Retina & Vitreous of Texas
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Dallas, Texas, United States, 75231
- Texas Retina Associates
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The Woodlands, Texas, United States, 77384-4167
- Retina Consultants of Texas
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Willow Park, Texas, United States, 76087
- Strategic Clinical Research Group, LLC
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Utah
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Salt Lake City, Utah, United States, 84107
- Retina Associates of Utah, PLLC
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Foveal center-involved macular edema due to branch retinal vein occlusion (BRVO), diagnosed no longer than 4 months prior to the screening visit
- Best-corrected visual acuity (BCVA) of 73 to 19 letters, inclusive (20/40 to 20/400 approximate Snellen equivalent) on Day 1
- Sufficiently clear ocular media and adequate pupillary dilatation to allow acquisition of good quality retinal images to confirm diagnosis
- For women of childbearing potential: agreement to remain abstinent or use contraception, and agreement to refrain from donating eggs during the treatment period and for 3 months after the final dose of study treatment
Exclusion Criteria:
- Any major illness or major surgical procedure within 1 month before screening
- Uncontrolled blood pressure
- Stroke (cerebral vascular accident) or myocardial infarction within 6 months prior to Day 1
- Pregnant or breastfeeding, or intending to become pregnant during the study
Ocular Exclusion Criteria for Study Eye:
- History of previous episodes of macular edema due to RVO or persistent macular edema due to RVO diagnosed more than 4 months before screening
- Any current ocular condition which, in the opinion of the investigator, is currently causing or could be expected to contribute to irreversible vision loss due to a cause other than macular edema due to RVO in the study eye (e.g., ischemic maculopathy, Irvine-Gass syndrome, foveal atrophy, foveal fibrosis, pigment abnormalities, dense subfoveal hard exudates, or other non-retinal conditions)
- Macular laser (focal/grid) in the study eye at any time prior to Day 1
- Panretinal photocoagulation in the study eye within 3 months prior to Day 1 or anticipated within 3 months of study start on Day 1
- Any prior or current treatment for macular edema; macular neovascularization, including diabetic macular edema (DME) and neovascular age-related macular degeneration (nAMD); and vitreomacular-interface abnormalities, including, but not restricted to, IVT treatment with anti-VEGF, steroids, tissue plasminogen activator, ocriplasmin, C3F8, air or periocular injection
- Any prior intervention with verteporfin photodynamic therapy, diode laser, transpupillary thermotherapy, or vitreo-retinal surgery including sheatotomy
- Any prior steroid implant use including dexamethasone intravitreal implant (Ozurdex) and fluocinolone acetonide intravitreal implant (Iluvien)
Ocular Exclusion Criteria for Both Eyes:
- Prior IVT administration of faricimab in either eye
- History of idiopathic or autoimmune-associated uveitis in either eye
- Active periocular, ocular or intraocular inflammation or infection (including suspected) in either eye on Day 1
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Arm A: Faricimab Q4W (Part 1), Faricimab PTI (Part 2)
In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm A will receive faricimab 6 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections).
In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen.
To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen).
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Faricimab will be administered by intravitreal (IVT) injection as specified in each treatment arm.
Other Names:
The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye.
It will be administered to participants in both treatments arms at applicable visits to maintain masking.
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Active Comparator: Arm B: Aflibercept Q4W (Part 1), Faricimab PTI (Part 2)
In Part 1 (Day 1 through Week 24), participants randomly assigned to Arm B will receive aflibercept 2 milligrams (mg) by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections).
In Part 2 (from Week 24 to Week 72), participants will receive faricimab 6 mg by IVT injection according to a personalized treatment interval (PTI) dosing regimen.
To preserve masking for Part 2, a sham procedure will be administered during study visits at which no faricimab treatment is administered (according to the PTI dosing regimen).
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Faricimab will be administered by intravitreal (IVT) injection as specified in each treatment arm.
Other Names:
The sham is a procedure that mimics an intravitreal (IVT) injection, but involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye.
It will be administered to participants in both treatments arms at applicable visits to maintain masking.
Aflibercept 2 mg will be administered by IVT injection once every 4 weeks (Q4W) from Day 1 through Week 20 (a total of 6 injections).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part 1: Change From Baseline in Best Corrected Visual Acuity (BCVA) in the Study Eye at Week 24
Time Frame: From Baseline through Week 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
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From Baseline through Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part 1: Change From Baseline in BCVA in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye at Week 24
Time Frame: Baseline and Week 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline and Week 24
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Part 1: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Gaining >0 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
|
Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Achieving ≥84 Letters in BCVA (20/20 Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants Achieving ≥69 Letters in BCVA (20/40 or Better Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants With ≤38 Letters in BCVA (20/200 or Worse Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (>38 and ≤38 letters) and region (U.S. and Canada, Asia, and rest of the world).
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Change From Baseline in Central Subfield Thickness in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and the retinal pigment epithelium (RPE) using optical coherence tomography (OCT), as assessed by the central reading center.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline CST (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants With Absence of Macular Edema in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Absence of diabetic macular edema was defined as achieving a central subfield thickness of <325 microns in the study eye.
Central subfield thickness was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Intraretinal fluid was measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants With Absence of Subretinal Fluid in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Subretinal fluid was measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye at Specified Timepoints Through Week 24
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Intraretinal fluid and subretinal fluid were measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, and 24
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Part 1: Change From Baseline in National Eye Institute 25-Item Visual Functioning Questionnaire (NEI VFQ-25) Composite Score at Week 24
Time Frame: Baseline and Week 24
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The NEI VFQ-25 captures a patient's perception of vision-related functioning and vision-related quality of life.
The core measure includes 25 items that comprise 11 vision-related subscales and 1 item on general health.
The composite score ranges from 0 to 100, with higher scores indicating better vision-related functioning.
For the ANCOVA analysis, the model uses the non-missing change from baseline in BCVA at Weeks 24 as the response variables adjusted for the treatment group, baseline NEI VFQ-25 Composite Score (continuous), baseline BCVA score (≥55 and ≤54 letters) and region (U.S. and Canada, Asia, and the rest of the world).
Observed NEI VFQ-25 assessments were used regardless of the occurrence of intercurrent events.
Missing data were not imputed.
95% CI is a rounding of 95.03% CI.
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Baseline and Week 24
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Part 2: Number of Study Drug Injections Received in the Study Eye From Week 24 Through Week 72
Time Frame: From Week 24 to Week 72
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From Week 24 to Week 72
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Parts 1 and 2: Percentage of Participants With ≤38 Letters in BCVA (20/200 or Worse Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (>38 and ≤38 letters) and region (U.S. and Canada, Asia, and rest of the world).
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Part 2: Percentage of Participants on Different Treatment Intervals at Week 68
Time Frame: Week 68
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In Part 2 of the study, participants in both the faricimab Q4W and aflibercept Q4W arms in Part 1 received 6 mg faricimab intravitreal injections administered according to a personalized treatment interval (PTI) dosing regimen in intervals between Q4W and Q16W.
At faricimab dosing visits, treatment intervals were maintained or adjusted (i.e., increased by 4 weeks or decreased by 4, 8, or 12 weeks), based on central subfield thickness (CST) and BCVA values.
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Week 68
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Incidence and Severity of Ocular Adverse Events in the Study Eye, With Severity Determined According to Adverse Event Severity Grading Scale
Time Frame: Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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This analysis of adverse events (AEs) only includes ocular AEs that occurred in the study eye.
Investigators sought information on AEs at each contact with the participants.
All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE.
Ocular AEs of special interest included the following: Suspected transmission of an infectious agent by the study drug; Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, require surgical or medical intervention to prevent permanent loss of sight, or are associated with severe intraocular inflammation (IOI).
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Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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Incidence of Ocular Adverse Events in the Fellow Eye
Time Frame: Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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This analysis of adverse events (AEs) only includes ocular AEs that occurred in the fellow eye.
Investigators sought information on AEs at each contact with the participants.
All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE.
Ocular AEs of special interest included the following: Suspected transmission of an infectious agent by the study drug; Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, require surgical or medical intervention to prevent permanent loss of sight, or are associated with severe intraocular inflammation (IOI).
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Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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Incidence of Non-Ocular Adverse Events
Time Frame: Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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This analysis of adverse events (AEs) only includes non-ocular (systemic) AEs.
Investigators sought information on adverse events (AEs) at each contact with the participants.
All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE.
The non-ocular AE of special interest was: Cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
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Part 1: From first dose up to Week 24; Part 2: from Week 24 through Week 72
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Plasma Concentration of Faricimab Over Time
Time Frame: Predose at Day 1 (Baseline), Weeks 4, 24, 28, 52, and 72
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Predose at Day 1 (Baseline), Weeks 4, 24, 28, 52, and 72
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Number of Participants With Anti-Drug Antibodies (ADAs) to Faricimab at Baseline and Post-Baseline During the Study
Time Frame: Predose at Day 1 (Baseline), Weeks 4, 24, 28, 52, and 72
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Anti-drug antibodies (ADAs) against fariciamb were detected in plasma using a validated bridging enzyme-linked immunosorbent assay (ELISA).
The number of participants with treatment-emergent ADA-positive samples includes post-baseline evaluable participants with at least one treatment-induced (defined as having an ADA-negative sample or missing sample at baseline and any positive post-baseline sample) or treatment-boosted (defined as having an ADA-positive sample at baseline and any positive post-baseline sample with a titer that is equal to or greater than 4-fold baseline titer) ADA-positive sample during the study treatment period.
Treatment-unaffected ADA-positive is a post-baseline sample with a titer that is lower than 4-fold the ADA-positive baseline titer (faricimab arm) or the ADA-positive titer prior to first faricimab injection (aflibercept arm).
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Predose at Day 1 (Baseline), Weeks 4, 24, 28, 52, and 72
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Parts 1 and 2: Change From Baseline in BCVA in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Gaining >0 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Achieving ≥84 Letters in BCVA (20/20 Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants Achieving ≥69 Letters in BCVA (20/40 or Better Snellen Equivalent) in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Change From Baseline in NEI VFQ-25 Questionnaire Composite Score at Specified Timepoints Through Week 72
Time Frame: Baseline and Weeks 24, 48, and 72
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The NEI VFQ-25 captures a patient's perception of vision-related functioning and vision-related quality of life.
The core measure includes 25 items that comprise 11 vision-related subscales and 1 item on general health.
The composite score ranges from 0 to 100, with higher scores indicating better vision-related functioning.
For the MMRM analysis, the model adjusted for the treatment group, visit, visit-by-treatment group interaction, baseline NEI VFQ-25 Composite Score continuous), baseline BCVA score (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and the rest of the world).
Observed NEI VFQ-25 assessments were used regardless of the occurrence of intercurrent events.
Missing data were implicitly imputed.
Invalid BCVA values were excluded.
95% CI is a rounding of 95.03% CI.
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Baseline and Weeks 24, 48, and 72
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Parts 1 and 2: Change From Baseline in Central Subfield Thickness in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and the retinal pigment epithelium (RPE) using optical coherence tomography (OCT), as assessed by the central reading center.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline CST (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
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Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants With Absence of Macular Edema in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Absence of diabetic macular edema was defined as achieving a central subfield thickness of <325 microns in the study eye.
Central subfield thickness was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Intraretinal fluid was measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Parts 1 and 2: Percentage of Participants With Absence of Subretinal Fluid in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Subretinal fluid was measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
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Parts 1 and 2: Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Intraretinal fluid and subretinal fluid were measured in the study eye using optical coherence tomography (OCT) in the central subfield (center 1 mm) by a central reading center.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
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Part 2: Change From Week 24 in BCVA in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
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Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The Mixed Model of Repeated Measures (MMRM) analysis included the categorical covariates of treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), and randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)] as fixed effects.
An unstructured covariance structure was used.
Missing data were implicitly imputed by MMRM model assuming missing at random.
Treatment policy strategy (i.e., all observed values used) was applied to all intercurrent events (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
95% CI is a rounding of 95.03% CI.
|
Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
|
Part 2: Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Week 24 in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
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Part 2: Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Week 24 in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
|
Part 2: Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Week 24 in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
|
Part 2: Percentage of Participants Avoiding a Loss of >0 Letters in BCVA From Week 24 in the Study Eye at Specified Timepoints Through Week 72
Time Frame: Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters.
The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity.
The weighted percentage of participants was estimated based on the Cochran-Mantel Haenszel (CMH) weights stratified by randomization stratification factors [baseline BCVA (≥55 and ≤54 letters), and region (U.S. and Canada, Asia, and rest of the world)].
All observed values were used regardless of the occurrence of an intercurrent event (discontinuation of treatment due to AEs or lack of efficacy, use of prohibited therapy).
Missing assessments were imputed by last observation carried forward.
95% CI is a rounding of 95.03% CI.
|
Weeks 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, and 72
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Clinical Trials, Hoffmann-La Roche
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Eye Diseases
- Retinal Degeneration
- Retinal Diseases
- Embolism and Thrombosis
- Venous Thrombosis
- Thrombosis
- Macular Degeneration
- Macular Edema
- Retinal Vein Occlusion
- Edema
- Physiological Effects of Drugs
- Antineoplastic Agents
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Aflibercept
- Faricimab
Other Study ID Numbers
Other Study ID Numbers
- GR41984
- 2020-000440-63 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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