RHINE: A Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Participants With Diabetic Macular Edema

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT03622593
Collaborator
(none)
951
195
3
34.6
4.9
0.1

Study Details

Study Description

Brief Summary

This study will evaluate the efficacy, safety, and pharmacokinetics of faricimab administered at 8-week intervals or as specified in the protocol following treatment initiation, compared with aflibercept once every 8 weeks (Q8W), in participants with diabetic macular edema (DME).

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
951 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab (RO6867461) in Patients With Diabetic Macular Edema (RHINE)
Actual Study Start Date :
Oct 9, 2018
Actual Primary Completion Date :
Oct 19, 2020
Actual Study Completion Date :
Aug 27, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: A: Faricimab 6 mg Q8W

Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100.

Drug: Faricimab
Faricimab 6 mg was administered by IVT injection into the study eye either once every 8 weeks (Q8W) in arm A or according to a personalized treatment interval (PTI) in arm B.
Other Names:
  • VABYSMO™
  • RO6867461
  • RG7716
  • Procedure: Sham Procedure
    The sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It was administered to participants in all three treatments arms at applicable visits to maintain masking among treatment arms.

    Experimental: B: Faricimab 6 mg PTI

    Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections once every 4 weeks (Q4W), 8 weeks (Q8W), 12 weeks (Q12W), or 16 weeks (Q16W) up to Week 96, followed by the final study visit at Week 100.

    Drug: Faricimab
    Faricimab 6 mg was administered by IVT injection into the study eye either once every 8 weeks (Q8W) in arm A or according to a personalized treatment interval (PTI) in arm B.
    Other Names:
  • VABYSMO™
  • RO6867461
  • RG7716
  • Procedure: Sham Procedure
    The sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It was administered to participants in all three treatments arms at applicable visits to maintain masking among treatment arms.

    Active Comparator: C: Aflibercept 2 mg Q8W

    Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.

    Drug: Aflibercept
    Aflibercept 2 mg was administered by intravitreal (IVT) injection into the study eye once every 8 weeks (Q8W).
    Other Names:
  • Eylea
  • Procedure: Sham Procedure
    The sham is a procedure that mimics an IVT injection and involves the blunt end of an empty syringe (without a needle) being pressed against the anesthetized eye. It was administered to participants in all three treatments arms at applicable visits to maintain masking among treatment arms.

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in BCVA in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [From Baseline through Week 56]

      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 letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded. 97.5% CI is a rounding of 97.52% CI.

    Secondary Outcome Measures

    1. Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at Week 52, ITT and Treatment-Naive Populations [Baseline and Week 52]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 97.5% confidence interval (CI) is a rounding of 97.52% CI.

    2. Change From Baseline in BCVA in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded. 95% CI is a rounding of 95.04% CI.

    3. Change From Baseline in BCVA in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 attainable), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    4. Percentage of Participants Gaining Greater Than or Equal to (≥)15, ≥10, ≥5, or ≥0 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT Population [Baseline, average of Weeks 48, 52, and 56]

      BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    5. Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    6. Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    7. Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    8. Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    9. Percentage of Participants Gaining ≥15, ≥10, ≥5, or ≥0 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, Treatment-Naive Population [Baseline, average of Weeks 48, 52, and 56]

      BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    10. Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    11. Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    12. Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    13. Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    14. Percentage of Participants Avoiding a Loss of ≥15, ≥10, or ≥5 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT Population [Baseline, average of Weeks 48, 52, and 56]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    15. Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    16. Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    17. Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    18. Percentage of Participants Avoiding a Loss of ≥15, ≥10, or ≥5 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, Treatment-Naive Population [Baseline, average of Weeks 48, 52, and 56]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    19. Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    20. Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    21. Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    22. Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [Baseline, average of Weeks 48, 52, and 56]

      BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    23. Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    24. Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    25. Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [Baseline, average of Weeks 48, 52, and 56]

      BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    26. Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time, ITT Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    27. Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time, Treatment-Naive Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    28. Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [Baseline, average of Weeks 48, 52, and 56]

      BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.

    29. Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time, ITT Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 letter score from baseline indicates an improvement invisual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    30. Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time, Treatment-Naive Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 attainable), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.

    31. Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    32. Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    33. Percentage of Participants With a ≥3-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    34. Percentage of Participants With a ≥3-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    35. Percentage of Participants With a ≥4-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    36. Percentage of Participants With a ≥4-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 52, and 96]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    37. Percentage of Participants Without Proliferative Diabetic Retinopathy (PDR) at Baseline Who Developed New PDR at Week 52, ITT and Treatment-Naive Populations [Baseline and Week 52]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy (PDR). PDR was defined as an ETDRS DRSS score of ≥61 on the 7-field/4-wide field color fundus photographs assessment by a central reading center. The weighted percentages of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% CI is a rounding of 95.04% CI.

    38. Percentage of Participants Without High-Risk Proliferative Diabetic Retinopathy (PDR) at Baseline Who Developed High-Risk PDR at Week 52, ITT and Treatment-Naive Populations [Baseline and Week 52]

      The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced PDR. High-risk PDR was defined as an ETDRS DRSS score of ≥71 on the 7-field/4-wide field color fundus photographs assessment by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% CI is a rounding of 95.04% CI.

    39. Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 52, ITT Population [Week 52]

    40. Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 52, Treatment-Naive Population [Week 52]

    41. Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 96, ITT Population [Week 96]

    42. Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 96, Treatment-Naive Population [Week 96]

    43. Percentage of Participants in the Faricimab 6 mg PTI Arm at Week 52 Who Achieved a Once Every 12-Weeks or 16-Weeks Treatment Interval Without an Interval Decrease Below Once Every 12 Weeks, ITT and Treatment-Naive Populations [From start of PTI (Week 12 or later) until Week 52]

    44. Percentage of Participants in the Faricimab 6 mg PTI Arm at Week 96 Who Achieved a Once Every 12-Weeks or 16-Weeks Treatment Interval Without an Interval Decrease Below Once Every 12 Weeks, ITT and Treatment-Naive Populations [From start of PTI (Week 12 or later) until Week 96]

    45. Change From Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [From Baseline through Week 56]

      Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.

    46. Change From Baseline in Central Subfield Thickness in the Study Eye Over Time, ITT Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.

    47. Change From Baseline in Central Subfield Thickness in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.

    48. Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations [Average of Weeks 48, 52, and 56]

      Absence of diabetic macular edema was defined as achieving a central subfield thickness (CST) of <325 microns in the study eye. CST was defined as the distance between the internal limiting membrane and Bruch's membrane. For each participant, an average CST value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    49. Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Over Time, ITT Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    50. Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Over Time, Treatment-Naive Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      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 estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    51. Percentage of Participants With Retinal Dryness in the Study Eye Over Time, ITT Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Retinal dryness was defined as achieving a central subfield thickness (ILM-BM) of <280 microns. 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 estimates of the percentage of participants was based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    52. Percentage of Participants With Retinal Dryness in the Study Eye Over Time, Treatment-Naive Population [Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100]

      Retinal dryness was defined as achieving a central subfield thickness (ILM-BM) of <280 microns. 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 estimates of the percentage of participants was based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled patients. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    53. Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Intraretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    54. Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Intraretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    55. Percentage of Participants With Absence of Subretinal Fluid in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Subretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    56. Percentage of Participants With Absence of Subretinal Fluid in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Subretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    57. Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time, ITT Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Intraretinal fluid and subretinal fluid were measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    58. Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time, Treatment-Naive Population [Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100]

      Intraretinal fluid and subretinal fluid were measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.

    59. Change From Baseline in the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) Composite Score Over Time [Baseline, Weeks 24, 52, and 100]

    60. Percentage of Participants With at Least One Ocular Adverse Event [Up to 2 years]

    61. Percentage of Participants With at Least One Non-Ocular Adverse Event [Up to 2 years]

    62. Plasma Concentration of Faricimab Over Time [Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)]

    63. Percentage of Participants With Presence of Anti-Drug Antibodies [Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Documented diagnosis of diabetes mellitus (Type 1 or Type 2)

    • Hemoglobin A1c (HbA1c) of less than or equal to (≤)10% within 2 months prior to Day 1

    • Macular thickening secondary to diabetic macular edema (DME) involving the center of the fovea

    • Decreased visual acuity attributable primarily to DME

    • Ability and willingness to undertake all scheduled visits and assessments

    • For women of childbearing potential: agreement to remain abstinent or use acceptable contraceptive methods that result in a failure rate of <1% per year during the treatment period and for at least 3 months after the final dose of study treatment

    Exclusion Criteria:
    • Currently untreated diabetes mellitus or previously untreated patients who initiated oral or injectable anti-diabetic medication within 3 months prior to Day 1

    • Uncontrolled blood pressure, defined as a systolic value greater than (>)180 millimeters of mercury (mmHg) and/or a diastolic value >100 mmHg while a patient is at rest

    • Currently pregnant or breastfeeding, or intend to become pregnant during the study

    • Treatment with panretinal photocoagulation or macular laser within 3 months prior to Day 1 to the study eye

    • Any intraocular or periocular corticosteroid treatment within 6 months prior to Day 1 to the study eye

    • Prior administration of IVT faricimab in either eye

    • Active intraocular or periocular infection or active intraocular inflammation in the study eye

    • Any current or history of ocular disease other than DME that may confound assessment of the macula or affect central vision in the study eye

    • 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 DME in the study eye

    • Other protocol-specified inclusion/exclusion criteria may apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Retinal Research Institute, LLC Phoenix Arizona United States 85014
    2 Associated Retina Consultants Phoenix Arizona United States 85020
    3 Northwest Arkansas Retina Associates Springdale Arkansas United States 72762
    4 California Retina Consultants Bakersfield California United States 93309
    5 Retina-Vitreous Associates Medical Group Beverly Hills California United States 90211
    6 The Retina Partners Encino California United States 91436
    7 Retina Consultants of Orange County Fullerton California United States 92835
    8 Northern California Retina Vitreous Associates Mountain View California United States 94040
    9 Retinal Consultants Med Group Sacramento California United States 95825
    10 California Retina Consultants Santa Barbara California United States 93103
    11 Bay Area Retina Associates Walnut Creek California United States 94598
    12 University of Colorado; dept of ophthalmology Aurora Colorado United States 80045
    13 Retina Consultants of Southern Colorado Springs Colorado United States 80909
    14 Retina Group of New England Waterford Connecticut United States 06385
    15 Retina Group of Florida Fort Lauderdale Florida United States 33308
    16 National Ophthalmic Research Institute Fort Myers Florida United States 33912
    17 Florida Eye Associates Melbourne Florida United States 32901
    18 Bascom Palmer Eye Institute Palm Beach Gardens Florida United States 33418
    19 Fort Lauderdale Eye Institute Plantation Florida United States 33324
    20 Retina Vitreous Assoc of FL Saint Petersburg Florida United States 33711
    21 Southeast Retina Center Augusta Georgia United States 30909
    22 University Retina and Macula Associates, PC Oak Forest Illinois United States 60452
    23 Prairie Retina Center Springfield Illinois United States 62704
    24 Retina Specialists Towson Maryland United States 21204
    25 Tufts Medical Center; Ophthalmology Boston Massachusetts United States 02111
    26 Associated Retinal Consultants Grand Rapids Michigan United States 49546
    27 Vitreo-Retinal Associates Grand Rapids Michigan United States 49546
    28 Retina Consultants of Nevada Las Vegas Nevada United States 89123
    29 Envision Ocular, LLC Bloomfield New Jersey United States 07003
    30 Mid Atlantic Retina - Wills Eye Hospital Cherry Hill New Jersey United States 08034
    31 Long Is. Vitreoretinal Consult Great Neck New York United States 11021
    32 New York University New York New York United States 10017
    33 Ophthalmic Cons of Long Island Oceanside New York United States 11572
    34 Retina Assoc of Western NY Rochester New York United States 14620
    35 University of Rochester Flaum Eye Institute Rochester New York United States 14642
    36 The Retina Consultants Slingerlands New York United States 12159
    37 Cleveland Clinic Foundation; Cole Eye Institute Cleveland Ohio United States 44195
    38 Palmetto Retina Center Florence South Carolina United States 29501
    39 Retina Consultants Of Carolina Greenville South Carolina United States 29605
    40 Charleston Neuroscience Inst Ladson South Carolina United States 29456
    41 Southeastern Retina Associates Chattanooga Chattanooga Tennessee United States 37421
    42 Southeastern Retina Associates Knoxville Tennessee United States 37923
    43 Tennessee Retina PC Nashville Tennessee United States 37203
    44 Austin Retina Associates Austin Texas United States 78705
    45 Retina Consultants of Texas Bellaire Texas United States 77401
    46 Retina Center of Texas Southlake Texas United States 76092
    47 Univ of Virginia Ophthalmology Charlottesville Virginia United States 22903
    48 Retina Institute of Virginia Richmond Virginia United States 23235
    49 Retina Center Northwest Silverdale Washington United States 98383
    50 Organizacion Medica de Investigacion Buenos Aires Argentina C1015ABO
    51 Fundacion Zambrano Caba Argentina C1017AAO
    52 Oftalmos Capital Federal Argentina C1120AAN
    53 Oftar Mendoza Argentina M5500GGK
    54 Centro Oftalmólogos Especialistas Rosario Argentina S2000ANJ
    55 Grupo Laser Vision Rosario Argentina S2000DLA
    56 Strathfield Retina Clinic Strathfield New South Wales Australia 2135
    57 Sydney Eye Hospital Sydney New South Wales Australia 2000
    58 Sydney Retina Clinic and Day Surgery Sydney New South Wales Australia 2000
    59 Sydney West Retina Westmead New South Wales Australia 2145
    60 Centre For Eye Research Australia East Melbourne Victoria Australia 3002
    61 Retina Specialists Victoria Rowville Victoria Australia 3178
    62 The Lions Eye Institute Nedlands Western Australia Australia 6009
    63 Hospital de Olhos de Aparecida - HOA Aparecida de Goiania GO Brazil 74980-010
    64 Centro Brasileiro de Cirurgia Goiania GO Brazil 74210-010
    65 Hospital das Clinicas - UFRGS Porto Alegre RS Brazil 90035-903
    66 Botelho Hospital da Visao Blumenau SC Brazil 89052-504
    67 Faculdade de Medicina do ABC - FMABC Santo Andre SP Brazil 09060-650
    68 Universidade Federal de Sao Paulo - UNIFESP*X; Oftalmologia Sao Paulo SP Brazil 04023-062
    69 CEMAPE - Centro Médico Sao Paulo SP Brazil 04084-002
    70 Hospital das Clinicas - FMUSP Sao Paulo SP Brazil 05403-900
    71 Hosp de Olhos de Sorocaba Sorocaba SP Brazil 18031-060
    72 Calgary Retina Consultants Calgary Alberta Canada T2J 0C8
    73 University of British Columbia - Vancouver Coastal Health Authority Vancouver British Columbia Canada V5Z 1M9
    74 QEII - HSC Department of Ophthalmology Halifax Nova Scotia Canada B3H 2Y9
    75 Vitreous Retina Macula Specialists of Toronto Etobicoke Ontario Canada M8X 2X3
    76 Ivey Eye Institute London Ontario Canada N6A 4V2
    77 University of Ottawa Eye Institute Ottawa Ontario Canada K1H 8L6
    78 Toronto Retina Institute Toronto Ontario Canada M3C 0G9
    79 Unity Health Toronto Toronto Ontario Canada M5B IW8
    80 University Health Network Toronto Western Hospital Toronto Ontario Canada M5T 2S9
    81 Institut De L'Oeil Des Laurentides Boisbriand Quebec Canada J7H 0E8
    82 Hôpital Maisonneuve - Rosemont Montreal Quebec Canada H1T 2M4
    83 Peking Union Medical College Hospital Beijing City China 100032
    84 Beijing Friendship Hospital Beijing China 100050
    85 Beijing Tongren Hospital Beijing China 100730
    86 The Second Hospital of Jilin University Changchun China 130041
    87 West China Hospital, Sichuan University Chengdu China 610041
    88 Southwest Hospital , Third Military Medical University; Ophthalmology Chongqing City China 400014
    89 Third Affiliated Hospital of Third Military Medical University; Ophthalmology ChongQing China 400000
    90 Zhongshan Ophthalmic Center, Sun Yat-sen University Guangzhou City China 510060
    91 The Affiliated Eye Hospital of Nanjing Medical University Nanjing City China 210029
    92 Shanghai Tenth People's Hospital Shanghai China 200072
    93 Shanghai First People's Hospital Shanghai China 200080
    94 Tianjin Eye Hospital Tianjin City China 300050
    95 Tianjin Medical University Eye Hospital Tianjin City China 300070
    96 Eye Hospital, Wenzhou Medical University Wenzhou City China 325027
    97 Wuxi No.2 People's Hospital Wuxi China 214000
    98 FN Hradec Králové, Oční klinika; Ophthalmology clinic Hradec Králové Czechia 500 05
    99 Faculty Hospital Ostrava; Ophthalmology clinic Ostrava Czechia 708 52
    100 Faculty Hospital Kralovske Vinohrady; Ophthalmology clinic Prague Czechia 100 34
    101 AXON Clinical Prague Czechia
    102 Nemocnice Sokolov Sokolov Czechia 356 01
    103 Aalborg Universitetshospital; Øjenafdelingen Aalborg Denmark 9000
    104 Rigshospitalet Glostrup; Afdeling for Øjensygdomme, Center for Forskning Glostrup Denmark 2600
    105 Sjællands Universitetshospital, Roskilde; Øjenafdelingen Roskilde Denmark 4000
    106 Chi De Creteil; Ophtalmologie Creteil France 94010
    107 CHU Bocage; Ophtalmologie Dijon France 21079
    108 Hopital de la croix rousse; Ophtalmologie Lyon cedex France 69317
    109 CHNO des Quinze Vingts; Ophtalmologie Paris France 75012
    110 Centre Ophtalmologique; Imagerie et laser Paris France 75015
    111 Centres Ophtalmologique St Exupéry; Ophtalmologie St Cyr Sur Loire France 37540
    112 Hôpital PURPAN - CHU TOULOUSE; Ophtalmologie Toulouse France 31059
    113 Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Augenheilkunde Dresden Germany 01307
    114 Universitätsklinikum Freiburg, Klinik für Augenheilkunde Freiburg Germany 79106
    115 Universitätsklinikum des Saarlandes; Klinik für Augenheilkunde Homburg/Saar Germany 66424
    116 Universitätsklinikum Magdeburg A.ö.R., Universitätsaugenklinik Magdeburg Germany 39120
    117 LMU Klinikum der Universität, Augenklinik München Germany 80336
    118 Klinikum rechts der Isar der TU München; Augenklinik München Germany 81675
    119 Universitätsklinikum Würzburg, Augenklinik und Poliklinik Würzburg Germany 97080
    120 Queen Mary Hospital; Department of Ophthalmology Hong Kong Hong Kong 999077
    121 Hong Kong Eye Hospital; CUHK Eye Centre Mongkok Hong Kong
    122 Magyar Honvedseg Egeszsegugyi Kozpont; Szemészeti Osztály Budapest Hungary 1068
    123 Peterfy Sandor utcai Korhaz-Rendelointezet es Baleseti Kozpont, Szemeszet KR Budapest Hungary 1076
    124 Semmelweis Egyetem Szemészeti Vizsgálóhely Budapest Hungary 1085
    125 Bajcsy-Zsilinszky Hospital Budapest Hungary 1106
    126 Fondazione Ptv Policlinico Tor Vergata Di Roma;U.O.S.D. Patologie Renitiche Roma Lazio Italy 00133
    127 ASST FATEBENEFRATELLI SACCO; Oculistica (Sacco) Milano Lombardia Italy 20157
    128 Azienda Ospedaliero-Universitaria Careggi; S.O.D. Oculistica Firenze Toscana Italy 50134
    129 Nuovo Ospedale S. Chiara - A.O.U.P Presidio Ospedaliero di Cisanello; U.O. Oculistica Universitaria Pisa Toscana Italy 56124
    130 Ospedale Classificato Equiparato Sacro Cuore - Don Calabria; Dipartimento Oculistica Negrar - Verona Veneto Italy 37024
    131 A.O. Universitaria S. Maria Della Misericordia Di Udine; Clinica Oculistica Udine Veneto Italy 33100
    132 Seoul National University Bundang Hospital Seongnam-si Korea, Republic of 13605
    133 Kyung Hee University Hospital Seoul Korea, Republic of 02447
    134 Seoul National University Hospital Seoul Korea, Republic of 03080
    135 Samsung Medical Center Seoul Korea, Republic of 06351
    136 Asan Medical Center. Seoul Korea, Republic of 138-736
    137 OFTALMIKA Sp. z o.o Bydgoszcz Poland 85-631
    138 Specjalistyczny Ośrodek Okulistyczny Oculomedica Bydgoszcz Poland 85-870
    139 Optimum Profesorskie Centrum Okulistyki Gdańsk Poland 80-809
    140 Poradnia Okulistyczna i Salon Optyczny w Gliwicach- PRYZMAT Gliwice Poland 44-100
    141 SP ZOZ Szpital Uniwersytecki w Krakowie Oddział Kliniczny Okulistyki i Onkologii Okulistycznej Krakow Poland 31-501
    142 Osrodek Chirurgii Oka prof. Zagorskiego Rzeszow Rzeszów Poland 35-017
    143 Caminomed Tarnowskie Góry Poland 42-600
    144 Centrum Zdrowia MDM Warszawa Poland 00-631
    145 Hospital de Braga; Servico de Oftalmologia Braga Portugal 4710-243
    146 AIBILI - Association for Innovation and Biomedical Research on Light Coimbra Portugal 3000-548
    147 Espaco Medico Coimbra Coimbra Portugal 3030-163
    148 Hospital de Santa Maria; Servico de Oftalmologia Lisboa Portugal 1649-035
    149 Intersec Research and Technology Complex "Eye Microsurgery" n.a. S.N. Fyodorov; Cheboksary Branch Cheboksary Marij EL Russian Federation 428000
    150 Clinics of Eye Diseases, LLC Kazan Tatarstan Russian Federation 420066
    151 "Intersec. Research and Technology Complex "Eye Microsurgery" n a Fyodorov Irkutsk branch Irkutsk Russian Federation 664033
    152 "Intersec Research and Technology Complex Eye Microsurgery n a Fyodorov Novosibirsk Branch Novosibirsk Russian Federation 630096
    153 National University Hospital; Ophthalmology Department Singapore Singapore 119074
    154 Singapore Eye Research Institute Singapore Singapore 168751
    155 Tan Tock Seng Hospital; Ophthalmology Department Singapore Singapore 308433
    156 Instituto Oftalmologico Fernandez Vega; Servicio de oftalmologia Oviedo Asturias Spain 33012
    157 Hospital Universitario de Bellvitge Hospitalet de Llobregat Barcelona Spain 08907
    158 Hospital General de Catalunya San Cugat Del Valles Barcelona Spain 08195
    159 Complejo Hospitalario de Navarra; Servicio de oftalmologia Pamplona Navarra Spain 31008
    160 Oftalvist Valencia Burjassot Valencia Spain 46100
    161 Institut de la Macula i la retina Barcelona Spain 08022
    162 Hospital dos de maig; Pharmacy Service Barcelona Spain 08025
    163 Hospital Clinico San Carlos; Servicio de oftalmologia Madrid Spain 28040
    164 Clinica Baviera; Servicio Oftalmologia Madrid Spain 28046
    165 Fisabio-Ofalmologia Medica; Servicio de Oftalmología Valencia Spain 46015
    166 Hospital Universitario Rio Hortega; Servicio de Oftalmologia Valladolid Spain 47012
    167 Vista Klinik Ophthalmologische Klinik Binningen Switzerland 4102
    168 Taipei Veterans General Hospital; Ophthalmology Taipei Taiwan 11217
    169 Chang Gung Medical Foundation - Linkou; Ophthalmology Taoyuan Taiwan 333
    170 National Taiwan University Hospital; Ophthalmology Zhongzheng Dist. Taiwan 10002
    171 King Chulalongkorn Memorial Hospital; Ophthalmology Department Bangkok Thailand 10330
    172 Rajavithi Hospital; Ophthalmology Department Bangkok Thailand 10400
    173 Maharaj Nakorn ChiangMai Hospital; Ophthalmology Department ChiangMai Thailand 50200
    174 Ankara University Medical Faculty; Department of Ophthalmology Ankara Turkey 06340
    175 Ankara Baskent University Medical Faculty; Department of Ophthalmology Ankara Turkey 06490
    176 Beyoglu Goz Training and Research Hospital; Department Of Ophthalmology Istanbul Turkey 34421
    177 Kocaeli Üniversitesi Tıp Fakültesi; Department of Ophthalmology Kocaeli Turkey 41380
    178 Barnet Hospital; ROYAL FREE LONDON NHS FOUNDATION TRUST Barnet United Kingdom EN5 3DJ
    179 Belfast Health and Social Care Trust, ROYAL VICTORIA HOSPITAL Belfast United Kingdom BT12 6BA
    180 Bradford Royal Infirmary Bradford United Kingdom BD9 6RJ
    181 University Hospitals Bristol NHS Foundation Trust, Bristol Eye Hospital Bristol United Kingdom BS1 2LX
    182 East Kent Hospitals University NHS Foundation Trust Canterbury United Kingdom CT1 3NG
    183 Frimley Park Hospital Frimley United Kingdom GU16 7UJ
    184 Gloucestershire Hospitals NHS Foundation Trust Gloucestershire United Kingdom GL1 3NN
    185 St James University Hospital Leeds United Kingdom LS9 7TF
    186 Royal Liverpool University Hospital; St Paul's Clinical Eye Research Centre Liverpool United Kingdom L7 8XP
    187 Moorfields Eye Hospital NHS Foundation Trust London United Kingdom EC1V 2PD
    188 Royal Free Hospital London United Kingdom NW3 2QS
    189 Kings College Hospital London United Kingdom SW9 8RR
    190 Manchester Royal Eye Hospital Manchester United Kingdom M13 9WL
    191 Hillingdon Hospital Middx United Kingdom UB8 3NN
    192 Royal Victoria Infirmary Newcastle upon Tyne United Kingdom NE1 4LP
    193 James Paget University Hospitals NHS Foundation Trust Norfolk United Kingdom NR31 6LA
    194 University Hospital Southampton NHS Foundation Trust; Southampton Eye Unit Southampton United Kingdom SO16 6YD
    195 Sunderland Eye Infirmary Sunderland United Kingdom SR2 9HP

    Sponsors and Collaborators

    • Hoffmann-La Roche

    Investigators

    • Study Director: Clinical Trials, Hoffmann-La Roche

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT03622593
    Other Study ID Numbers:
    • GR40398
    • 2017-005105-12
    First Posted:
    Aug 9, 2018
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Mar 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Period Title: Overall Study
    STARTED 317 319 315
    Received at Least One Dose of Study Drug 317 319 314
    Completed up to Week 56 298 312 299
    COMPLETED 0 0 0
    NOT COMPLETED 317 319 315

    Baseline Characteristics

    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W Total
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100. Total of all reporting groups
    Overall Participants 317 319 315 951
    Age (Years) [Mean (Standard Deviation) ]
    ITT Population
    62.5
    (10.1)
    61.6
    (10.1)
    62.3
    (10.1)
    62.2
    (10.1)
    Treatment-Naive Population
    62.5
    (9.9)
    61.3
    (10.3)
    62.5
    (10.0)
    62.1
    (10.0)
    Sex: Female, Male (Count of Participants)
    Female
    123
    38.8%
    120
    37.6%
    129
    41%
    372
    39.1%
    Male
    194
    61.2%
    199
    62.4%
    186
    59%
    579
    60.9%
    Female
    100
    31.5%
    94
    29.5%
    97
    30.8%
    291
    30.6%
    Male
    154
    48.6%
    161
    50.5%
    151
    47.9%
    466
    49%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    56
    17.7%
    78
    24.5%
    67
    21.3%
    201
    21.1%
    Not Hispanic or Latino
    252
    79.5%
    232
    72.7%
    240
    76.2%
    724
    76.1%
    Unknown or Not Reported
    9
    2.8%
    9
    2.8%
    8
    2.5%
    26
    2.7%
    Hispanic or Latino
    42
    13.2%
    57
    17.9%
    54
    17.1%
    153
    16.1%
    Not Hispanic or Latino
    204
    64.4%
    190
    59.6%
    188
    59.7%
    582
    61.2%
    Unknown or Not Reported
    8
    2.5%
    8
    2.5%
    6
    1.9%
    22
    2.3%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    1
    0.3%
    1
    0.1%
    Asian
    34
    10.7%
    36
    11.3%
    32
    10.2%
    102
    10.7%
    Native Hawaiian or Other Pacific Islander
    2
    0.6%
    0
    0%
    0
    0%
    2
    0.2%
    Black or African American
    18
    5.7%
    23
    7.2%
    24
    7.6%
    65
    6.8%
    White
    250
    78.9%
    249
    78.1%
    253
    80.3%
    752
    79.1%
    More than one race
    2
    0.6%
    1
    0.3%
    0
    0%
    3
    0.3%
    Unknown or Not Reported
    11
    3.5%
    10
    3.1%
    5
    1.6%
    26
    2.7%
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    26
    8.2%
    29
    9.1%
    25
    7.9%
    80
    8.4%
    Native Hawaiian or Other Pacific Islander
    2
    0.6%
    0
    0%
    0
    0%
    2
    0.2%
    Black or African American
    16
    5%
    20
    6.3%
    17
    5.4%
    53
    5.6%
    White
    197
    62.1%
    197
    61.8%
    201
    63.8%
    595
    62.6%
    More than one race
    2
    0.6%
    1
    0.3%
    0
    0%
    3
    0.3%
    Unknown or Not Reported
    11
    3.5%
    8
    2.5%
    5
    1.6%
    24
    2.5%
    Number of Participants by Previous Treatment Status with Intravitreal Anti-VEGF Agents (Count of Participants)
    Treatment-Naive
    254
    80.1%
    255
    79.9%
    248
    78.7%
    757
    79.6%
    Previously Treated
    63
    19.9%
    64
    20.1%
    67
    21.3%
    194
    20.4%
    Region of Enrollment (Count of Participants)
    United States and Canada
    110
    34.7%
    111
    34.8%
    109
    34.6%
    330
    34.7%
    Asia
    29
    9.1%
    29
    9.1%
    26
    8.3%
    84
    8.8%
    Rest of the World
    178
    56.2%
    179
    56.1%
    180
    57.1%
    537
    56.5%
    United States and Canada
    87
    27.4%
    88
    27.6%
    84
    26.7%
    259
    27.2%
    Asia
    23
    7.3%
    24
    7.5%
    21
    6.7%
    68
    7.2%
    Rest of the World
    144
    45.4%
    143
    44.8%
    143
    45.4%
    430
    45.2%
    Number of Participants by the Eye Chosen as the Study Eye (Left or Right) (Count of Participants)
    Left Eye
    156
    49.2%
    168
    52.7%
    146
    46.3%
    470
    49.4%
    Right Eye
    161
    50.8%
    151
    47.3%
    169
    53.7%
    481
    50.6%
    Left Eye
    128
    40.4%
    136
    42.6%
    117
    37.1%
    381
    40.1%
    Right Eye
    126
    39.7%
    119
    37.3%
    131
    41.6%
    376
    39.5%
    Baseline Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye (ETDRS Letters) [Mean (Standard Deviation) ]
    ITT Population
    61.9
    (10.1)
    62.5
    (9.3)
    62.1
    (9.4)
    62.1
    (9.6)
    Treatment-Naive Population
    62.1
    (10.1)
    62.8
    (9.3)
    62.6
    (9.2)
    62.5
    (9.5)
    Number of Participants by the Baseline BCVA Letter Score Categories in the Study Eye (Count of Participants)
    ≤38 Letters
    14
    4.4%
    11
    3.4%
    9
    2.9%
    34
    3.6%
    39 to 63 Letters
    128
    40.4%
    132
    41.4%
    132
    41.9%
    392
    41.2%
    ≥64 Letters
    174
    54.9%
    174
    54.5%
    174
    55.2%
    522
    54.9%
    Missing/Invalid BCVA
    1
    0.3%
    2
    0.6%
    0
    0%
    3
    0.3%
    ≤38 Letters
    10
    3.2%
    8
    2.5%
    5
    1.6%
    23
    2.4%
    39 to 63 Letters
    100
    31.5%
    103
    32.3%
    100
    31.7%
    303
    31.9%
    ≥64 Letters
    143
    45.1%
    142
    44.5%
    143
    45.4%
    428
    45%
    Missing/Invalid BCVA
    1
    0.3%
    2
    0.6%
    0
    0%
    3
    0.3%
    Number of Participants by Baseline Diabetic Retinopathy Severity (DRS) Status in the Study Eye (Count of Participants)
    1 - Diabetic Retinopathy (DR) Absent
    2
    0.6%
    4
    1.3%
    1
    0.3%
    7
    0.7%
    2 - DR Questionable / Microaneurysms Only
    3
    0.9%
    10
    3.1%
    6
    1.9%
    19
    2%
    3 - Mild Non-Proliferative Diabetic Retinopathy (NPDR)
    90
    28.4%
    92
    28.8%
    94
    29.8%
    276
    29%
    4 - Moderate NPDR
    88
    27.8%
    72
    22.6%
    79
    25.1%
    239
    25.1%
    5 - Moderately Severe NPDR
    59
    18.6%
    63
    19.7%
    54
    17.1%
    176
    18.5%
    6 - Severe NPDR
    50
    15.8%
    36
    11.3%
    51
    16.2%
    137
    14.4%
    7 - Mild Proliferative Diabetic Retinopathy (PDR)
    12
    3.8%
    26
    8.2%
    11
    3.5%
    49
    5.2%
    8 - Moderate PDR
    6
    1.9%
    10
    3.1%
    6
    1.9%
    22
    2.3%
    9 - High Risk PDR (DRS Level 71)
    2
    0.6%
    1
    0.3%
    3
    1%
    6
    0.6%
    10 - High Risk PDR (DRS Level 75)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    11 - Advanced PDR (DRS Level 81)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    12 - Advanced PDR (DRS Level 85)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Cannot Grade
    2
    0.6%
    5
    1.6%
    5
    1.6%
    12
    1.3%
    Missing
    3
    0.9%
    0
    0%
    5
    1.6%
    8
    0.8%
    1 - Diabetic Retinopathy (DR) Absent
    2
    0.6%
    3
    0.9%
    1
    0.3%
    6
    0.6%
    2 - DR Questionable / Microaneurysms Only
    1
    0.3%
    8
    2.5%
    6
    1.9%
    15
    1.6%
    3 - Mild Non-Proliferative Diabetic Retinopathy (NPDR)
    63
    19.9%
    66
    20.7%
    71
    22.5%
    200
    21%
    4 - Moderate NPDR
    74
    23.3%
    59
    18.5%
    56
    17.8%
    189
    19.9%
    5 - Moderately Severe NPDR
    48
    15.1%
    56
    17.6%
    43
    13.7%
    147
    15.5%
    6 - Severe NPDR
    44
    13.9%
    32
    10%
    47
    14.9%
    123
    12.9%
    7 - Mild Proliferative Diabetic Retinopathy (PDR)
    11
    3.5%
    17
    5.3%
    7
    2.2%
    35
    3.7%
    8 - Moderate PDR
    5
    1.6%
    9
    2.8%
    5
    1.6%
    19
    2%
    9 - High Risk PDR (DRS Level 71)
    2
    0.6%
    1
    0.3%
    3
    1%
    6
    0.6%
    10 - High Risk PDR (DRS Level 75)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    11 - Advanced PDR (DRS Level 81)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    12 - Advanced PDR (DRS Level 85)
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Cannot Grade
    1
    0.3%
    4
    1.3%
    4
    1.3%
    9
    0.9%
    Missing
    3
    0.9%
    0
    0%
    5
    1.6%
    8
    0.8%
    Baseline Central Subfield Thickness in the Study Eye (microns) [Mean (Standard Deviation) ]
    ITT Population
    466.2
    (119.4)
    471.3
    (127.0)
    477.3
    (129.4)
    471.6
    (125.3)
    Treatment-Naive Population
    464.6
    (117.9)
    473.0
    (130.5)
    474.3
    (129.5)
    470.6
    (126.0)

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in BCVA in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description 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 letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded. 97.5% CI is a rounding of 97.52% CI.
    Time Frame From Baseline through Week 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 317 319 315
    ITT Population
    11.8
    10.8
    10.3
    Treatment-Naive Population
    11.7
    11.2
    10.5
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the non-inferiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Non-Inferiority
    Comments If the lower bound of the two-sided 97.52% confidence interval for the difference in adjusted means for the faricimab 6 mg Q8W and the active comparator (aflibercept 2 mg Q8W) arms was greater than -4 letters, then faricimab 6 mg Q8W was considered non-inferior to aflibercept 2 mg Q8W. Non-inferiority was tested one-sided at a significance level of α = 0.0248.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 1.5
    Confidence Interval (2-Sided) 97.5%
    -0.1 to 3.2
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.73
    Estimation Comments The difference in adjusted means was calculated as Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the non-inferiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Non-Inferiority
    Comments If the lower bound of the two-sided 97.52% confidence interval for the difference in adjusted means for the faricimab 6 mg PTI and the active comparator (aflibercept 2 mg Q8W) arms was greater than -4 letters, then faricimab 6 mg PTI was considered non-inferior to aflibercept 2 mg Q8W. Non-inferiority was tested one-sided at a significance level of α = 0.0248.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 0.5
    Confidence Interval (2-Sided) 97.5%
    -1.1 to 2.1
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.73
    Estimation Comments The difference in adjusted means was calculated as Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the superiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1718
    Comments Tested at an overall significance level of α = 0.0248.
    Method Mixed Model for Repeated Measures
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 1.1
    Confidence Interval (2-Sided) 97.5%
    -0.7 to 3.0
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.83
    Estimation Comments The difference in adjusted means was calculated as Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the superiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4602
    Comments Tested at an overall significance level of α = 0.0248.
    Method Mixed Model for Repeated Measures
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 0.6
    Confidence Interval (2-Sided) 97.5%
    -1.2 to 2.4
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.82
    Estimation Comments The difference in adjusted means was calculated as Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the superiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0361
    Comments Tested at an overall significance level of α = 0.0248.
    Method Mixed Model for Repeated Measures
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 1.5
    Confidence Interval (2-Sided) 97.5%
    -0.1 to 3.2
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.73
    Estimation Comments The difference in adjusted means was calculated as Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments Three hypotheses were tested in order for each faricimab arm (Q8W or PTI) separately against the aflibercept arm using a graph-based testing procedure. The analysis presented here is for the superiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4930
    Comments Tested at an overall significance level of α = 0.0248.
    Method Mixed Model for Repeated Measures
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value 0.5
    Confidence Interval (2-Sided) 97.5%
    -1.1 to 2.1
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.73
    Estimation Comments The difference in adjusted means was calculated as Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    2. Secondary Outcome
    Title Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity (DRS) Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale (DRSS) at Week 52, ITT and Treatment-Naive Populations
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 97.5% confidence interval (CI) is a rounding of 97.52% CI.
    Time Frame Baseline and Week 52

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with non-missing, valid assessments at Baseline and Week 52 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 231 251 238
    ITT Population
    44.2
    13.9%
    43.7
    13.7%
    46.8
    14.9%
    Treatment-Naive Population
    46.9
    14.8%
    45.7
    14.3%
    52.3
    16.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the non-inferiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Non-Inferiority
    Comments If the lower bound of the two-sided 97.52% confidence interval for the difference in CMH weighted percentages of participants for the faricimab Q8W and the active comparator (aflibercept Q8W) arms was greater than -10%, then faricimab Q8W was considered non-inferior to aflibercept.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -2.6
    Confidence Interval (2-Sided) 97.5%
    -12.6 to 7.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the non-inferiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Non-Inferiority
    Comments If the lower bound of the two-sided 97.52% confidence interval for the difference in CMH weighted percentages of participants for the faricimab PTI and the active comparator (aflibercept Q8W) arms was greater than -10%, then faricimab PTI was considered non-inferior to aflibercept.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -3.5
    Confidence Interval (2-Sided) 97.5%
    -13.4 to 6.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the superiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3009
    Comments Tested at an overall significance level of α = 0.0248.
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -5.4
    Confidence Interval (2-Sided) 97.5%
    -16.9 to 6.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the superiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1735
    Comments Tested at an overall significance level of α = 0.0248.
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -6.9
    Confidence Interval (2-Sided) 97.5%
    -18.3 to 4.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the superiority of Arm A: Faricimab 6 mg Q8W compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5757
    Comments Tested at an overall significance level of α = 0.0248.
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -2.6
    Confidence Interval (2-Sided) 97.5%
    -12.6 to 7.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This analysis is for the superiority of Arm B: Faricimab 6 mg PTI compared with Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4293
    Comments Tested at an overall significance level of α = 0.0248.
    Method Cochran-Mantel-Haenszel
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -3.5
    Confidence Interval (2-Sided) 97.5%
    -13.4 to 6.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Change From Baseline in BCVA in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded. 95% CI is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    4. Secondary Outcome
    Title Change From Baseline in BCVA in the Study Eye Over Time, Treatment-Naive Population
    Description 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 attainable), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline BCVA (continuous), baseline BCVA (<64 vs. ≥64 letters), and region of enrollment. An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    5. Secondary Outcome
    Title Percentage of Participants Gaining Greater Than or Equal to (≥)15, ≥10, ≥5, or ≥0 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT Population
    Description BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 293 279
    Gaining ≥15 Letters
    33.8
    10.7%
    28.5
    8.9%
    30.3
    9.6%
    Gaining ≥10 Letters
    59.3
    18.7%
    53.0
    16.6%
    53.9
    17.1%
    Gaining ≥5 Letters
    81.8
    25.8%
    77.4
    24.3%
    78.0
    24.8%
    Gaining ≥0 Letters
    92.1
    29.1%
    91.1
    28.6%
    91.4
    29%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥15 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 3.5
    Confidence Interval (2-Sided) 95%
    -4.0 to 11.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥15 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -2.0
    Confidence Interval (2-Sided) 95%
    -9.1 to 5.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥10 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 5.4
    Confidence Interval (2-Sided) 95%
    -2.5 to 13.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥10 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -1.1
    Confidence Interval (2-Sided) 95%
    -8.9 to 6.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥5 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 3.8
    Confidence Interval (2-Sided) 95%
    -2.7 to 10.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥5 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.7
    Confidence Interval (2-Sided) 95%
    -7.3 to 5.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥0 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.7
    Confidence Interval (2-Sided) 95%
    -3.8 to 5.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥0 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.3
    Confidence Interval (2-Sided) 95%
    -4.9 to 4.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    6. Secondary Outcome
    Title Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    7. Secondary Outcome
    Title Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    8. Secondary Outcome
    Title Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    9. Secondary Outcome
    Title Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    10. Secondary Outcome
    Title Percentage of Participants Gaining ≥15, ≥10, ≥5, or ≥0 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, Treatment-Naive Population
    Description BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    Treatment-Naive Population: all participants randomized in the study who had not received any intravitreal anti-VEGF agents in the study eye prior to randomization. Participants were grouped according to the treatment assigned at randomization. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 208 231 213
    Gaining ≥15 Letters
    32.9
    10.4%
    29.4
    9.2%
    32.7
    10.4%
    Gaining ≥10 Letters
    58.3
    18.4%
    55.5
    17.4%
    56.1
    17.8%
    Gaining ≥5 Letters
    81.8
    25.8%
    79.6
    25%
    80.6
    25.6%
    Gaining ≥0 Letters
    93.2
    29.4%
    92.2
    28.9%
    92.0
    29.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥15 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.2
    Confidence Interval (2-Sided) 95%
    -8.5 to 8.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥15 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -3.5
    Confidence Interval (2-Sided) 95%
    -11.8 to 4.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥10 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 2.2
    Confidence Interval (2-Sided) 95%
    -6.9 to 11.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥10 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.8
    Confidence Interval (2-Sided) 95%
    -9.8 to 8.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥5 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -6.2 to 8.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥5 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -1.1
    Confidence Interval (2-Sided) 95%
    -8.3 to 6.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥0 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -3.8 to 6.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants gaining ≥0 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.2
    Confidence Interval (2-Sided) 95%
    -4.8 to 5.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    11. Secondary Outcome
    Title Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    12. Secondary Outcome
    Title Percentage of Participants Gaining ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    13. Secondary Outcome
    Title Percentage of Participants Gaining ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    14. Secondary Outcome
    Title Percentage of Participants Gaining ≥0 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    15. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥15, ≥10, or ≥5 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 293 279
    Avoiding a Loss of ≥15 Letters
    98.9
    31.2%
    98.7
    30.9%
    98.6
    31.3%
    Avoiding a Loss of ≥10 Letters
    98.1
    30.9%
    98.0
    30.7%
    98.2
    31.2%
    Avoiding a Loss of ≥5 Letters
    96.7
    30.5%
    97.0
    30.4%
    95.4
    30.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥15 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.3
    Confidence Interval (2-Sided) 95%
    -1.6 to 2.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥15 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    -1.8 to 1.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥10 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.1
    Confidence Interval (2-Sided) 95%
    -2.3 to 2.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥10 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.3
    Confidence Interval (2-Sided) 95%
    -2.4 to 1.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥5 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.3
    Confidence Interval (2-Sided) 95%
    -1.9 to 4.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥5 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.6
    Confidence Interval (2-Sided) 95%
    -1.5 to 4.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    16. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    17. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    18. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, ITT Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    19. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥15, ≥10, or ≥5 Letters in BCVA From Baseline in the Study Eye Averaged Over Weeks 48, 52, and 56, Treatment-Naive Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    Treatment-Naive Population: all participants randomized in the study who had not received any intravitreal anti-VEGF agents in the study eye prior to randomization. Participants were grouped according to the treatment assigned at randomization. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 208 231 213
    Avoiding a Loss of ≥15 Letters
    98.5
    31.1%
    98.7
    30.9%
    98.6
    31.3%
    Avoiding a Loss of ≥10 Letters
    98.1
    30.9%
    97.8
    30.7%
    98.1
    31.1%
    Avoiding a Loss of ≥5 Letters
    97.6
    30.8%
    97.4
    30.5%
    96.2
    30.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥15 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    -2.3 to 2.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥15 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.1
    Confidence Interval (2-Sided) 95%
    -2.0 to 2.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥10 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    -2.7 to 2.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥10 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.3
    Confidence Interval (2-Sided) 95%
    -2.9 to 2.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥5 letters in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.3
    Confidence Interval (2-Sided) 95%
    -2.0 to 4.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants avoiding a loss of ≥5 letters in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -2.1 to 4.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    20. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥15 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    21. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥10 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    22. Secondary Outcome
    Title Percentage of Participants Avoiding a Loss of ≥5 Letters in BCVA From Baseline in the Study Eye Over Time, Treatment-Naive Population
    Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted estimates of the percentage of participants avoiding a loss of letters in BCVA from baseline were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    23. Secondary Outcome
    Title Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 294 279
    ITT Population
    38.3
    12.1%
    32.4
    10.2%
    33.5
    10.6%
    Treatment-Naive Population
    38.1
    12%
    34.4
    10.8%
    35.5
    11.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 4.8
    Confidence Interval (2-Sided) 95%
    -3.1 to 12.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -1.3
    Confidence Interval (2-Sided) 95%
    -8.8 to 6.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 2.6
    Confidence Interval (2-Sided) 95%
    -6.5 to 11.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -1.3
    Confidence Interval (2-Sided) 95%
    -10.0 to 7.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    24. Secondary Outcome
    Title Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    25. Secondary Outcome
    Title Percentage of Participants Gaining ≥15 Letters in BCVA From Baseline or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    26. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 293 279
    ITT Population
    73.2
    23.1%
    71.6
    22.4%
    68.5
    21.7%
    Treatment-Naive Population
    73.6
    23.2%
    74.2
    23.3%
    72.1
    22.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 4.7
    Confidence Interval (2-Sided) 95%
    -2.4 to 11.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 2.8
    Confidence Interval (2-Sided) 95%
    -4.1 to 9.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.5
    Confidence Interval (2-Sided) 95%
    -6.5 to 9.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.7
    Confidence Interval (2-Sided) 95%
    -6.0 to 9.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    27. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    28. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time, Treatment-Naive Population
    Description 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 letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥69 vs. <69 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    29. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description BCVA was measured on the 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. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 294 279
    ITT Population
    0.8
    0.3%
    0.0
    0%
    0.7
    0.2%
    Treatment-Naive Population
    1.0
    0.3%
    0.0
    0%
    0.5
    0.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.1
    Confidence Interval (2-Sided) 95%
    -1.4 to 1.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.7
    Confidence Interval (2-Sided) 95%
    -1.6 to 0.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.5
    Confidence Interval (2-Sided) 95%
    -1.1 to 2.1
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value -0.5
    Confidence Interval (2-Sided) 95%
    -1.4 to 0.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    30. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time, ITT Population
    Description 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 letter score from baseline indicates an improvement invisual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    31. Secondary Outcome
    Title Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time, Treatment-Naive Population
    Description 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 attainable), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    32. Secondary Outcome
    Title Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    33. Secondary Outcome
    Title Percentage of Participants With a ≥2-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    34. Secondary Outcome
    Title Percentage of Participants With a ≥3-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    35. Secondary Outcome
    Title Percentage of Participants With a ≥3-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    36. Secondary Outcome
    Title Percentage of Participants With a ≥4-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, ITT Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    37. Secondary Outcome
    Title Percentage of Participants With a ≥4-Step Diabetic Retinopathy Severity Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale in the Study Eye Over Time, Treatment-Naive Population
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy. Ocular imaging assessments were made independently by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 52, and 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    38. Secondary Outcome
    Title Percentage of Participants Without Proliferative Diabetic Retinopathy (PDR) at Baseline Who Developed New PDR at Week 52, ITT and Treatment-Naive Populations
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced proliferative diabetic retinopathy (PDR). PDR was defined as an ETDRS DRSS score of ≥61 on the 7-field/4-wide field color fundus photographs assessment by a central reading center. The weighted percentages of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% CI is a rounding of 95.04% CI.
    Time Frame Baseline and Week 52

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with non-missing, valid assessments at Baseline and Week 52 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 215 221 221
    ITT Population
    0.8
    0.3%
    0.9
    0.3%
    0.4
    0.1%
    Treatment-Naive Population
    0.6
    0.2%
    1.2
    0.4%
    0.0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.4
    Confidence Interval (2-Sided) 95%
    -1.0 to 1.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.5
    Confidence Interval (2-Sided) 95%
    -1.0 to 2.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.6
    Confidence Interval (2-Sided) 95%
    -0.6 to 1.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 1.2
    Confidence Interval (2-Sided) 95%
    -0.4 to 2.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    39. Secondary Outcome
    Title Percentage of Participants Without High-Risk Proliferative Diabetic Retinopathy (PDR) at Baseline Who Developed High-Risk PDR at Week 52, ITT and Treatment-Naive Populations
    Description The Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) classifies diabetic retinopathy into 12 severity levels ranging from absence of retinopathy to advanced PDR. High-risk PDR was defined as an ETDRS DRSS score of ≥71 on the 7-field/4-wide field color fundus photographs assessment by a central reading center. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% CI is a rounding of 95.04% CI.
    Time Frame Baseline and Week 52

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with non-missing, valid assessments at Baseline and Week 52 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 230 250 236
    ITT Population
    0.0
    0%
    0.0
    0%
    0.0
    0%
    Treatment-Naive Population
    0.0
    0%
    0.0
    0%
    0.0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    0.0 to 0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    0.0 to 0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    0.0 to 0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 0.0
    Confidence Interval (2-Sided) 95%
    0.0 to 0.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    40. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 52, ITT Population
    Description
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. The number analyzed includes all participants in Arm B: Faricimab 6 mg PTI who had not discontinued the study prior to Week 52.
    Arm/Group Title B: Faricimab 6 mg PTI
    Arm/Group Description Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100.
    Measure Participants 308
    Once Every 4 Weeks
    13.3
    4.2%
    Once Every 8 Weeks
    15.6
    4.9%
    Once Every 12 Weeks
    20.1
    6.3%
    Once Every 16 Weeks
    51.0
    16.1%
    41. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 52, Treatment-Naive Population
    Description
    Time Frame Week 52

    Outcome Measure Data

    Analysis Population Description
    Treatment-Naive Population: all participants randomized in the study who had not received any intravitreal anti-VEGF agents in the study eye prior to randomization. Participants were grouped according to the treatment assigned at randomization. The number analyzed includes all participants in Arm B: Faricimab 6 mg PTI who had not discontinued the study prior to Week 52.
    Arm/Group Title B: Faricimab 6 mg PTI
    Arm/Group Description Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100.
    Measure Participants 245
    Once Every 4 Weeks
    11.8
    3.7%
    Once Every 8 Weeks
    13.9
    4.4%
    Once Every 12 Weeks
    20.0
    6.3%
    Once Every 16 Weeks
    54.3
    17.1%
    42. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 96, ITT Population
    Description
    Time Frame Week 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    43. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm on a Once Every 4-Weeks, 8-Weeks, 12-Weeks, or 16-Weeks Treatment Interval at Week 96, Treatment-Naive Population
    Description
    Time Frame Week 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    44. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm at Week 52 Who Achieved a Once Every 12-Weeks or 16-Weeks Treatment Interval Without an Interval Decrease Below Once Every 12 Weeks, ITT and Treatment-Naive Populations
    Description
    Time Frame From start of PTI (Week 12 or later) until Week 52

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. The number analyzed includes all participants in Arm B: Faricimab 6 mg PTI who had not discontinued the study prior to Week 52.
    Arm/Group Title B: Faricimab 6 mg PTI
    Arm/Group Description Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100.
    Measure Participants 308
    ITT Population
    64.3
    20.3%
    Treatment-Naive Population
    66.9
    21.1%
    45. Secondary Outcome
    Title Percentage of Participants in the Faricimab 6 mg PTI Arm at Week 96 Who Achieved a Once Every 12-Weeks or 16-Weeks Treatment Interval Without an Interval Decrease Below Once Every 12 Weeks, ITT and Treatment-Naive Populations
    Description
    Time Frame From start of PTI (Week 12 or later) until Week 96

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    46. Secondary Outcome
    Title Change From Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame From Baseline through Week 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 317 319 315
    ITT Population
    -195.8
    -187.6
    -170.1
    Treatment-Naive Population
    -195.0
    -189.4
    -175.1
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the adjusted mean difference for Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value -25.7
    Confidence Interval (2-Sided) 95%
    -37.4 to -14.0
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 5.95
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the adjusted mean difference for Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W in the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value -17.6
    Confidence Interval (2-Sided) 95%
    -29.2 to -6.0
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 5.88
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the adjusted mean difference for Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value -20.0
    Confidence Interval (2-Sided) 95%
    -32.9 to -7.0
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 6.59
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the adjusted mean difference for Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W in the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Adjusted mean difference
    Estimated Value -14.3
    Confidence Interval (2-Sided) 95%
    -27.1 to -1.5
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 6.51
    Estimation Comments
    47. Secondary Outcome
    Title Change From Baseline in Central Subfield Thickness in the Study Eye Over Time, ITT Population
    Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), prior intravitreal anti-VEGF therapy (yes vs. no), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    48. Secondary Outcome
    Title Change From Baseline in Central Subfield Thickness in the Study Eye Over Time, Treatment-Naive Population
    Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and Bruch's membrane (BM) as assessed by a central reading center. For the Mixed Model for Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (<64 vs. ≥64 letters), and region of enrollment (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    49. Secondary Outcome
    Title Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Averaged Over Weeks 48, 52, and 56, ITT and Treatment-Naive Populations
    Description Absence of diabetic macular edema was defined as achieving a central subfield thickness (CST) of <325 microns in the study eye. CST was defined as the distance between the internal limiting membrane and Bruch's membrane. For each participant, an average CST value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Average of Weeks 48, 52, and 56

    Outcome Measure Data

    Analysis Population Description
    ITT Population and Treatment-Naive Population. Only participants with at least one non-missing, valid assessment at Weeks 48, 52, or 56 were included in the analysis.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    Measure Participants 268 294 279
    ITT Population
    85.5
    27%
    81.5
    25.5%
    73.2
    23.2%
    Treatment-Naive Population
    86.0
    27.1%
    83.2
    26.1%
    77.0
    24.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 12.3
    Confidence Interval (2-Sided) 95%
    5.7 to 18.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the ITT Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 8.2
    Confidence Interval (2-Sided) 95%
    1.5 to 14.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm A: Faricimab 6 mg Q8W minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 9.0
    Confidence Interval (2-Sided) 95%
    1.6 to 16.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection B: Faricimab 6 mg PTI, C: Aflibercept 2 mg Q8W
    Comments This is the difference in percentage of participants in Arm B: Faricimab 6 mg PTI minus Arm C: Aflibercept 2 mg Q8W for the Treatment-Naive Population.
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 6.2
    Confidence Interval (2-Sided) 95%
    -1.2 to 13.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    50. Secondary Outcome
    Title Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Over Time, ITT Population
    Description 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 estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    51. Secondary Outcome
    Title Percentage of Participants With Absence of Diabetic Macular Edema in the Study Eye Over Time, Treatment-Naive Population
    Description 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 estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    52. Secondary Outcome
    Title Percentage of Participants With Retinal Dryness in the Study Eye Over Time, ITT Population
    Description Retinal dryness was defined as achieving a central subfield thickness (ILM-BM) of <280 microns. 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 estimates of the percentage of participants was based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    53. Secondary Outcome
    Title Percentage of Participants With Retinal Dryness in the Study Eye Over Time, Treatment-Naive Population
    Description Retinal dryness was defined as achieving a central subfield thickness (ILM-BM) of <280 microns. 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 estimates of the percentage of participants was based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled patients. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    54. Secondary Outcome
    Title Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye Over Time, ITT Population
    Description Intraretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    55. Secondary Outcome
    Title Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye Over Time, Treatment-Naive Population
    Description Intraretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    56. Secondary Outcome
    Title Percentage of Participants With Absence of Subretinal Fluid in the Study Eye Over Time, ITT Population
    Description Subretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    57. Secondary Outcome
    Title Percentage of Participants With Absence of Subretinal Fluid in the Study Eye Over Time, Treatment-Naive Population
    Description Subretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    58. Secondary Outcome
    Title Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time, ITT Population
    Description Intraretinal fluid and subretinal fluid were measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters), prior IVT anti-VEGF therapy (yes vs. no), and region (U.S. and Canada vs. the rest of the world); Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    59. Secondary Outcome
    Title Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time, Treatment-Naive Population
    Description Intraretinal fluid and subretinal fluid were measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) test stratified by baseline BCVA (≥64 vs. <64 letters) and region (U.S. and Canada vs. the rest of the world; Asia and rest of the world regions were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.04% CI.
    Time Frame Baseline, Weeks 16, 48, 52, 56, 92, 96, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    60. Secondary Outcome
    Title Change From Baseline in the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) Composite Score Over Time
    Description
    Time Frame Baseline, Weeks 24, 52, and 100

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    61. Secondary Outcome
    Title Percentage of Participants With at Least One Ocular Adverse Event
    Description
    Time Frame Up to 2 years

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    62. Secondary Outcome
    Title Percentage of Participants With at Least One Non-Ocular Adverse Event
    Description
    Time Frame Up to 2 years

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    63. Secondary Outcome
    Title Plasma Concentration of Faricimab Over Time
    Description
    Time Frame Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    64. Secondary Outcome
    Title Percentage of Participants With Presence of Anti-Drug Antibodies
    Description
    Time Frame Pre-dose on Day 1; Weeks 4, 28, 52, 76, and 100; and at Early Termination Visit (up to 2 years)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description

    Adverse Events

    Time Frame From Baseline until Week 56 (data cutoff for primary completion date)
    Adverse Event Reporting Description Adverse events (AEs) are reported for the safety population, which includes all participants who received at least one injection of active study drug (faricimab or aflibercept) in the study eye. For ocular AEs, the number of participants and events reported per term are combined totals of AEs that occurred in the study eye or the fellow eye. AEs are still being collected until the end of the study and the results will be updated within 1 year of the final collection date.
    Arm/Group Title A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Arm/Group Description Participants randomized to Arm A received 6 milligrams (mg) faricimab intravitreal (IVT) injections once every 4 weeks (Q4W) to Week 20, followed by 6 mg faricimab IVT injections once every 8 weeks (Q8W) to Week 96, followed by the final study visit at Week 100. Participants randomized to Arm B received 6 milligrams (mg) faricimab intravitreal (IVT) injections Q4W to at least Week 12, followed by a personalized treatment interval (PTI) dosing of 6 mg faricimab IVT injections up to once every 16 weeks (Q16W) through Week 96, followed by the final study visit at Week 100. Participants randomized to Arm C received 2 milligrams (mg) aflibercept intravitreal (IVT) injections Q4W to Week 16, followed by 2 mg aflibercept IVT injections Q8W to Week 96, followed by the final study visit at Week 100.
    All Cause Mortality
    A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/317 (1.6%) 0/319 (0%) 5/314 (1.6%)
    Serious Adverse Events
    A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 67/317 (21.1%) 49/319 (15.4%) 58/314 (18.5%)
    Blood and lymphatic system disorders
    Anaemia 1/317 (0.3%) 1 1/319 (0.3%) 1 2/314 (0.6%) 2
    Microcytic anaemia 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Cardiac disorders
    Acute coronary syndrome 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Acute myocardial infarction 0/317 (0%) 0 1/319 (0.3%) 1 2/314 (0.6%) 2
    Angina pectoris 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Angina unstable 1/317 (0.3%) 1 1/319 (0.3%) 2 0/314 (0%) 0
    Aortic valve stenosis 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Arteriosclerosis coronary artery 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Atrial fibrillation 1/317 (0.3%) 1 1/319 (0.3%) 1 0/314 (0%) 0
    Cardiac arrest 2/317 (0.6%) 2 1/319 (0.3%) 1 0/314 (0%) 0
    Cardiac failure 1/317 (0.3%) 1 1/319 (0.3%) 1 3/314 (1%) 4
    Cardiac failure acute 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Cardiac failure chronic 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Cardiac failure congestive 4/317 (1.3%) 4 2/319 (0.6%) 2 1/314 (0.3%) 1
    Coronary artery disease 1/317 (0.3%) 1 1/319 (0.3%) 1 1/314 (0.3%) 1
    Ischaemic cardiomyopathy 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Myocardial infarction 3/317 (0.9%) 3 1/319 (0.3%) 1 2/314 (0.6%) 2
    Myocardial ischaemia 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Right ventricular failure 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Subendocardial ischaemia 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Ear and labyrinth disorders
    Tinnitus 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Eye disorders
    Cataract 2/317 (0.6%) 2 0/319 (0%) 0 1/314 (0.3%) 1
    Cataract subcapsular 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Diabetic retinal oedema 5/317 (1.6%) 7 2/319 (0.6%) 2 0/314 (0%) 0
    Diabetic retinopathy 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Dry eye 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Eye haemorrhage 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Macular fibrosis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Ocular hypertension 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Retinal neovascularisation 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Retinal tear 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Retinal vein occlusion 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Visual acuity reduced 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Visual acuity reduced transiently 1/317 (0.3%) 1 1/319 (0.3%) 1 1/314 (0.3%) 1
    Visual impairment 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Vitreous haemorrhage 4/317 (1.3%) 4 1/319 (0.3%) 1 1/314 (0.3%) 1
    Gastrointestinal disorders
    Colitis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Gastrointestinal dysplasia 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Gastrointestinal haemorrhage 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Impaired gastric emptying 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Rectal haemorrhage 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Upper gastrointestinal haemorrhage 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    General disorders
    Chest pain 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Inflammation 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Malaise 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Multiple organ dysfunction syndrome 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Necrosis 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Pyrexia 0/317 (0%) 0 0/319 (0%) 0 3/314 (1%) 3
    Soft tissue inflammation 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Hepatobiliary disorders
    Bile duct stenosis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Cholecystitis 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Cholelithiasis 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Immune system disorders
    Anaphylactic reaction 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Hypersensitivity 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Infections and infestations
    Abscess limb 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Anal abscess 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Arthritis bacterial 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    COVID-19 pneumonia 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Cellulitis 3/317 (0.9%) 4 1/319 (0.3%) 1 7/314 (2.2%) 7
    Cellulitis gangrenous 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Cystitis 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Diabetic foot infection 3/317 (0.9%) 3 0/319 (0%) 0 0/314 (0%) 0
    Diabetic gangrene 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 2
    Diverticulitis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Endocarditis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Endophthalmitis 2/317 (0.6%) 2 0/319 (0%) 0 1/314 (0.3%) 1
    Escherichia sepsis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Gallbladder empyema 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Gangrene 1/317 (0.3%) 1 2/319 (0.6%) 2 0/314 (0%) 0
    Gastroenteritis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Influenza 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Osteomyelitis 2/317 (0.6%) 2 1/319 (0.3%) 1 3/314 (1%) 4
    Pneumonia 5/317 (1.6%) 5 4/319 (1.3%) 4 3/314 (1%) 3
    Pyelonephritis 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Respiratory tract infection 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Sepsis 5/317 (1.6%) 5 0/319 (0%) 0 1/314 (0.3%) 1
    Upper respiratory tract infection 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Urinary tract infection 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Injury, poisoning and procedural complications
    Chemical burns of eye 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 2
    Corneal abrasion 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Fall 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Femoral neck fracture 1/317 (0.3%) 1 1/319 (0.3%) 1 2/314 (0.6%) 2
    Femur fracture 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Fracture displacement 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Limb injury 1/317 (0.3%) 1 1/319 (0.3%) 1 0/314 (0%) 0
    Nail avulsion 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Pelvic fracture 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Investigations
    Blood glucose fluctuation 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Intraocular pressure increased 1/317 (0.3%) 1 1/319 (0.3%) 1 0/314 (0%) 0
    Metabolism and nutrition disorders
    Dehydration 1/317 (0.3%) 1 0/319 (0%) 0 1/314 (0.3%) 1
    Diabetic endorgan damage 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Diabetic ketoacidosis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 7
    Gout 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Hyperkalaemia 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Hypoglycaemia 1/317 (0.3%) 1 3/319 (0.9%) 3 0/314 (0%) 0
    Type 1 diabetes mellitus 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Musculoskeletal and connective tissue disorders
    Neuropathic arthropathy 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Spondylitis 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Bladder cancer 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Colon cancer 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Hairy cell leukaemia 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Lung neoplasm malignant 1/317 (0.3%) 2 0/319 (0%) 0 0/314 (0%) 0
    Pancreatic carcinoma 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Nervous system disorders
    Cauda equina syndrome 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Cerebral haemorrhage 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Cerebral infarction 1/317 (0.3%) 1 1/319 (0.3%) 1 0/314 (0%) 0
    Cerebrovascular accident 1/317 (0.3%) 1 1/319 (0.3%) 1 1/314 (0.3%) 1
    Cervical radiculopathy 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 2
    Guillain-Barre syndrome 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Lacunar stroke 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Metabolic encephalopathy 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Spinal cord compression 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Syncope 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Transient ischaemic attack 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Psychiatric disorders
    Delirium 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Depression 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 2/317 (0.6%) 2 2/319 (0.6%) 2 1/314 (0.3%) 1
    Azotaemia 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Calculus urinary 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Chronic kidney disease 1/317 (0.3%) 1 0/319 (0%) 0 1/314 (0.3%) 1
    Diabetic nephropathy 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    End stage renal disease 2/317 (0.6%) 2 1/319 (0.3%) 1 0/314 (0%) 0
    Renal cyst 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Renal failure 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Urinary tract inflammation 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure 0/317 (0%) 0 1/319 (0.3%) 1 1/314 (0.3%) 1
    Dyspnoea 2/317 (0.6%) 2 1/319 (0.3%) 1 0/314 (0%) 0
    Lung disorder 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Pleural effusion 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Pulmonary fibrosis 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Pulmonary oedema 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Respiratory arrest 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Respiratory failure 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Skin and subcutaneous tissue disorders
    Diabetic foot 0/317 (0%) 0 2/319 (0.6%) 2 1/314 (0.3%) 1
    Vascular disorders
    Arterial occlusive disease 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Deep vein thrombosis 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Extremity necrosis 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Hypertension 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Hypertensive crisis 0/317 (0%) 0 1/319 (0.3%) 1 0/314 (0%) 0
    Hypertensive urgency 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 1
    Hypotension 0/317 (0%) 0 2/319 (0.6%) 2 1/314 (0.3%) 1
    Orthostatic hypotension 0/317 (0%) 0 0/319 (0%) 0 1/314 (0.3%) 2
    Peripheral arterial occlusive disease 1/317 (0.3%) 2 0/319 (0%) 0 0/314 (0%) 0
    Peripheral vascular disorder 1/317 (0.3%) 1 0/319 (0%) 0 0/314 (0%) 0
    Other (Not Including Serious) Adverse Events
    A: Faricimab 6 mg Q8W B: Faricimab 6 mg PTI C: Aflibercept 2 mg Q8W
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 116/317 (36.6%) 98/319 (30.7%) 116/314 (36.9%)
    Eye disorders
    Cataract 26/317 (8.2%) 36 17/319 (5.3%) 26 15/314 (4.8%) 24
    Conjunctival haemorrhage 30/317 (9.5%) 38 20/319 (6.3%) 23 22/314 (7%) 31
    Diabetic retinal oedema 24/317 (7.6%) 25 19/319 (6%) 23 16/314 (5.1%) 18
    Vitreous detachment 15/317 (4.7%) 20 10/319 (3.1%) 11 19/314 (6.1%) 22
    Infections and infestations
    Nasopharyngitis 23/317 (7.3%) 25 22/319 (6.9%) 27 31/314 (9.9%) 35
    Urinary tract infection 7/317 (2.2%) 10 11/319 (3.4%) 12 20/314 (6.4%) 23
    Nervous system disorders
    Headache 16/317 (5%) 26 9/319 (2.8%) 11 5/314 (1.6%) 6
    Vascular disorders
    Hypertension 15/317 (4.7%) 15 19/319 (6%) 19 11/314 (3.5%) 11

    Limitations/Caveats

    All secondary outcome measures were unpowered for statistical analysis, and the results should be interpreted with caution.

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.

    Results Point of Contact

    Name/Title Medical Communications
    Organization Hoffmann-La Roche
    Phone 800-821-8590
    Email genentech@druginfo.com
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT03622593
    Other Study ID Numbers:
    • GR40398
    • 2017-005105-12
    First Posted:
    Aug 9, 2018
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Mar 1, 2022