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

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT03622580
Collaborator
(none)
940
185
3
35.9
5.1
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 :
940 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 (YOSEMITE)
Actual Study Start Date :
Sep 5, 2018
Actual Primary Completion Date :
Oct 20, 2020
Actual Study Completion Date :
Sep 3, 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 clinic 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 clinic 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 clinic 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 Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale 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 the past 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 Barnet Dulaney Perkins Eye Center Mesa Arizona United States 85206
    2 Arizona Retina and Vitreous Consultants Phoenix Arizona United States 85021
    3 Retina Associates Southwest PC Tucson Arizona United States 85704
    4 Retinal Diagnostic Center Campbell California United States 95008
    5 Eye Medical Center Fresno California United States 93720
    6 East Bay Retina Consultants Oakland California United States 94609
    7 Southern CA Desert Retina Cons Palm Desert California United States 92211
    8 California Eye Specialists Medical group Inc. Pasadena California United States 91107
    9 Retina Consultants, San Diego Poway California United States 92064
    10 Retina Consultants of Southern California Redlands California United States 92373
    11 Kaiser Permanente Riverside Medical Center Riverside California United States 92505
    12 University of California, Davis, Eye Center Sacramento California United States 95817
    13 W Coast Retina Med Group Inc San Francisco California United States 94107
    14 Orange County Retina Med Group Santa Ana California United States 92705
    15 Colorado Retina Associates, PC Lakewood Colorado United States 80228
    16 Rand Eye Deerfield Beach Florida United States 33064
    17 Retina Care Specialists Palm Beach Gardens Florida United States 33410
    18 Retina Specialty Institute Pensacola Florida United States 32503
    19 Southern Vitreoretinal Assoc Tallahassee Florida United States 32308
    20 Retina Associates of Florida, LLC Tampa Florida United States 33609
    21 University of South Florida Tampa Florida United States 33612
    22 Georgia Retina PC Marietta Georgia United States 30060
    23 Retina Consultants of Hawaii 'Aiea Hawaii United States 96701
    24 Midwest Eye Institute Indianapolis Indiana United States 46290
    25 Wolfe Eye Clinic West Des Moines Iowa United States 50266
    26 Retina Associates Lenexa Kansas United States 66215
    27 Vitreo-Retinal Consultants Wichita Kansas United States 67214
    28 Retina Associates of Kentucky Lexington Kentucky United States 40509
    29 Paducah Retinal Center Paducah Kentucky United States 42001
    30 Maine Eye Center Portland Maine United States 04101
    31 The Retina Care Center Baltimore Maryland United States 21209
    32 Johns Hopkins Med; Wilmer Eye Inst Baltimore Maryland United States 21287
    33 Retina Group of Washington Chevy Chase Maryland United States 20815
    34 Cumberland Valley Retina PC Hagerstown Maryland United States 21740
    35 Ophthalmic Consultants of Boston Boston Massachusetts United States 02114
    36 Beetham Eye Institute, Joslin Diabetes Center Boston Massachusetts United States 02215
    37 Vitreo-Retinal Associates, PC Worcester Massachusetts United States 01605
    38 Foundation for Vision Research Grand Rapids Michigan United States 49546
    39 Assoc Retinal Consultants PC Royal Oak Michigan United States 48073
    40 Associated Retinal Consultants, P.C. Traverse City Michigan United States 49686
    41 Vitreoretinal Surgery Edina Minnesota United States 55435
    42 Midwest Vision Research Foundation Chesterfield Missouri United States 63017
    43 Sierra Eye Associates Reno Nevada United States 89502
    44 Mid Atlantic Retina - Wills Eye Hospital Cherry Hill New Jersey United States 08034
    45 NJ Retina Edison New Jersey United States 08820
    46 Retinal & Ophthalmic Cons PC Northfield New Jersey United States 08225
    47 Retina Associates of NJ Teaneck New Jersey United States 07666
    48 University of New Mexico Albuquerque New Mexico United States 87131
    49 Capital Region Retina Albany New York United States 12206
    50 Long Is. Vitreoretinal Consult Great Neck New York United States 11021
    51 Retina Vit Surgeons/Central NY Liverpool New York United States 13088
    52 MaculaCare, PLLC New York New York United States 10021
    53 Island Retina Shirley New York United States 11967
    54 Western Carolina Retinal Associate PA Asheville North Carolina United States 28803
    55 Char Eye Ear &Throat Assoc Charlotte North Carolina United States 28210
    56 Graystone Eye Hickory North Carolina United States 28602
    57 Carolina Eye Associates Southern Pines North Carolina United States 28387
    58 Wake Forest Baptist Medical Center Winston-Salem North Carolina United States 27157
    59 Cincinnati Eye Institute Cincinnati Ohio United States 45242
    60 Retina Assoc of Cleveland Inc Cleveland Ohio United States 44122
    61 OSU Eye Physicians & Surgeons Columbus Ohio United States 43212
    62 Midwest Retina Dublin Ohio United States 43016
    63 Retina Vitreous Center Edmond Oklahoma United States 73013
    64 Retina Northwest Portland Oregon United States 97221
    65 Black Hills Eye Institute Rapid City South Dakota United States 57701
    66 Charles Retina Institute Memphis Tennessee United States 38119
    67 Retina Res Institute of Texas Abilene Texas United States 79606
    68 Austin Clinical Research LLC Austin Texas United States 78750
    69 Retina Consultants of Texas Bellaire Texas United States 77401
    70 Texas Retina Associates Dallas Texas United States 75231
    71 Retina Specialists DeSoto Texas United States 75115
    72 Valley Retina Institute P.A. Harlingen Texas United States 78550
    73 Retina & Vitreous of Texas Houston Texas United States 77025
    74 Med Center Ophthalmology Assoc San Antonio Texas United States 78240
    75 Eye Care Assoc of East Texas Tyler Texas United States 75701
    76 Strategic Clinical Research Group, LLC Willow Park Texas United States 76087
    77 Retina Associates of Utah Salt Lake City Utah United States 84107
    78 University of Utah; Division of Gastroenterology/Hepatology Salt Lake City Utah United States 84132
    79 University of Vermont Medical Center; Investigational Drug Service, Pharmacy Department/Baird 1 Burlington Vermont United States 05401
    80 Emerson Clinical Research Institute Falls Church Virginia United States 22042
    81 Piedmont Eye Center Lynchburg Virginia United States 24502
    82 Wagner Macula & Retina Center Norfolk Virginia United States 23502
    83 Spokane Eye Clinical Research Spokane Washington United States 99204
    84 West Virginia University Eye Institute Morgantown West Virginia United States 26506
    85 University of Wisconsin Madison Wisconsin United States 53792
    86 LKH-Univ.Klinikum Graz; Universitäts-Augenklinik Graz Austria 8036
    87 Kepler Universitätskliniken GmbH - Med Campus III; Abt. für Augenheilkunde Linz Austria 4021
    88 Medizinische Universität Wien; Universitätsklinik für Augenheilkunde und Optometrie Wien Austria 1090
    89 Hanusch Krankenhaus; Abteilung für Augenkrankheiten mit Augen-Tagesklinik Wien Austria 1140
    90 Medical Center for Eye Health - Focus Ltd Sofia Bulgaria 1303
    91 Pentagram Eye Hospital (Medical Center "Pentagram") Sofia Bulgaria 1309
    92 Spec. Ophth. Hospital for Active Treatment- Academic Pashev Sofia Bulgaria 1517
    93 Specialized Hospital for Active Treatment of Eye Diseases Zora Sofia Bulgaria 1784
    94 Ambulatory - Medical Center for Specialized Medical Assistance - "Eye Clinic Sveta Petka" Ltd Varna Bulgaria 9002
    95 Hopital Pellegrin; Ophtalmologie Bordeaux France 33000
    96 Pole Vision Val d'Ouest; Ophtalmologie Ecully France 69130
    97 Centre Paradis Monticelli; Ophtalmologie Marseille France 13008
    98 CHU Nantes - Hôtel Dieu; Ophthalmology Nantes France 44093
    99 Centre Odeon; Exploration Ophtalmologique Paris France 75006
    100 Hopital Lariboisiere; Ophtalmologie Paris France 75010
    101 Universitäts-Augenklinik Bonn Bonn Germany 53127
    102 Universitätsmedizin Göttingen Georg-August-Universität; Klinik für Augenheilkunde 3.B1.266 Göttingen Germany 37075
    103 Medizinische Hochschule Hannover, Klinik für Augenheilkunde Hannover Germany 30625
    104 Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Augenklinik und Poliklinik Mainz Germany 55131
    105 Augenabteilung am St. Franziskus-Hospital Münster Germany 48145
    106 Universitätsklinikum Münster; Augenheilkunde Münster Germany 48149
    107 Budapest Retina Associates Kft. Budapest Hungary 1133
    108 Debreceni Egyetem Klinikai Kozpont; Szemeszeti Klinika Debrecen Hungary 4032
    109 Ganglion Medial Center Pécs Hungary 7621
    110 Szegedi Tudományegyetem ÁOK; Department of Ophtalmology Szeged Hungary 6720
    111 Markusovszky Egyetemi Oktatokorhaz ; SZEMESZET Szombathely Hungary 9700
    112 Zala Megyei Kórház; SZEMESZET Zalaegerszeg Hungary 8900
    113 Rambam Medical Center; Opthalmology Haifa Israel 3109601
    114 Hadassah MC; Ophtalmology Jerusalem Israel 9112001
    115 Rabin MC; Ophtalmology Petach Tikva Israel 4941492
    116 Kaplan Medical Center Rehovot Israel 7610001
    117 Tel Aviv Sourasky MC; Ophtalmology Tel Aviv Israel 6423906
    118 Ospedale Clinicizzato SS Annunziata; Clinica Oftalmologica Chieti Abruzzo Italy 66100
    119 Fondazione G.B. Bietti Per Lo Studio E La Ricerca in Oftalmologia-Presidio Ospedaliero Britannico Roma Lazio Italy 00198
    120 UNIVERSITA' DEGLI STUDI DI GENOVA - Di.N.O.G.;CLINICA OCULISTICA Genova Liguria Italy 16132
    121 Fondazione Irccs Ca' Granda Ospedale Maggiore Policlinico-Clinica Regina Elena;U.O.C Oculistica Milano Lombardia Italy 20100
    122 Irccs Ospedale San Raffaele;U.O. Oculistica Milano Lombardia Italy 20132
    123 Azienda Ospedaliera di Perugia Ospedale S. Maria Della Misericordia; Clinica Oculistica Perugia Umbria Italy 06129
    124 Sugita Eye Hospital Aichi Japan 460-0008
    125 Nagoya University Hospital Aichi Japan 466-8560
    126 Nagoya City University Hospital Aichi Japan 467-8602
    127 Aichi Medical University Hospital Aichi Japan 480-1195
    128 Toho University Sakura Medical Center Chiba Japan 285-8741
    129 Hayashi Eye Hospital Fukuoka Japan 812-0011
    130 Kurume University Hospital Fukuoka Japan 830-0011
    131 Hokkaido University Hospital Hokkaido Japan 060-8648
    132 Asahikawa Medical University Hospital Hokkaido Japan 078-8510
    133 Hyogo Prefectural Amagasaki General Medical Center (Hyogo AGMC) Hyogo Japan 660-8550
    134 Kozawa eye hospital and diabetes center Ibaraki Japan 310-0845
    135 St. Marianna University Hospital Kanagawa Japan 216-8511
    136 Ideta Eye Hospital Kumamoto Japan 860-0027
    137 Kyoto University Hospital Kyoto Japan 606-8507
    138 Mie University Hospital Mie Japan 514-8507
    139 University of Miyazaki Hospital Miyazaki Japan 889-1692
    140 Nara Medical University Hospital Nara Japan 634-8522
    141 Kitano Hospital Osaka Japan 530-8480
    142 Osaka City University Hospital Osaka Japan 545-8586
    143 National Defense Medical College Hospital Saitama Japan 359-8513
    144 Shiga University Of Medical Science Hospital Shiga Japan 520-2192
    145 Seirei Hamamatsu General Hospital Shizuoka Japan 430-8558
    146 Tokushima University Hospital Tokushima Japan 770-8503
    147 Tokyo Women's Medical University Hospital Tokyo Japan 162-8666
    148 Kyorin University Hospital Tokyo Japan 181-8611
    149 Tokyo Medical University Hachioji Medical Center Tokyo Japan 193-0998
    150 Yamaguchi University Hospital Yamaguchi Japan 755-8505
    151 Centro Oftalmológico Mira, S.C Del. Cuauhtemoc Mexico CITY (federal District) Mexico 06760
    152 Macula Retina Consultores Mexico, D.F. Mexico 01120
    153 Hospital de la Ceguera APEC Mexico, D.F. Mexico 04030
    154 Instituto Mexicano de Oftalmologia I.A.P. Querétaro Mexico 76090
    155 Mácula D&T Lima Peru 27
    156 Oftalmosalud Srl Lima Peru 27
    157 TG Laser Oftalmica Lima Peru 27
    158 Oftalmolaser Lima Peru Lima 33
    159 Szpital sw. Lukasza Bielsko-Biala Poland 43-309
    160 Szpital Specjalistyczny nr 1; Oddzial Okulistyki Bytom Poland 41-902
    161 Dobry Wzrok Sp Z O O Gdańsk Poland 80-402
    162 Gabinet Okulistyczny Prof Edward Wylegala Katowice Poland 40-594
    163 Centrum Medyczne UNO-MED Krakow Poland 31-070
    164 Optomed Sp. z o.o. Rybnik Poland 44-203
    165 Kliniczny Szpital Wojewodzki nr 1 im. F. Chopina; Klinika Okulistyki Rzeszów Poland 35-055
    166 SPEKTRUM Osrodek Okulistyki Klinicznej Wroclaw Poland 53-334
    167 Clinic Optimed UFA Baskortostan Russian Federation 450059
    168 FSBI "Scientific Research Institute of Eye Diseases" of Russian Academy of medical Sciences Moscow Russian Federation 119435
    169 Medical Military Academy n.a S.M.Kirov St.Petersburg Russian Federation 194044
    170 Nemocnica s poliklinikou Trebišov, a.s. Trebišov Slovakia 075 01
    171 Fakultna nemocnica Trencin Ocna klinika Trencin Slovakia 911 71
    172 Fakultna nemocnica s poliklinikou Zilina; Ocne oddelenie Zilina Slovakia 012 07
    173 Instituto Oftalmologico Gomez Ulla; Servicio de Oftalmologia Santiago de Compostela LA Coruña Spain 15706
    174 Hospital Universitario de Gran Canaria; Servicio de oftalmologia Las Palmas de Gran Canaria LAS Palmas Spain 35016
    175 Hospital Universitario Puerta de Hierro Majadahonda Madrid Spain 28222
    176 Clinica Universitaria de Navarra; Servicio de Oftalmologia Pamplona Navarra Spain 31008
    177 Complejo Hospitalario Universitario Albacete; Servicio de oftalmologia Albacete Spain 02006
    178 VISSUM Instituto Oftalmológico de Alicante Alicante Spain 03016
    179 Centro de Oftalmologia Barraquer; Servicio Oftalmologia Barcelona Spain 08021
    180 Hospital Clinic de Barcelona; Consultas Externas Oftalmologia Barcelona Spain 08028
    181 Hospital de Santa Creu I Sant Pau; Servicio de Oftalmologia Barcelona Spain 08041
    182 Clinica Universitaria de Navarra; Servicio de Oftalmologia Madrid Spain 28027
    183 Hacettepe University Medical Faculty; Department of Ophthalmology Ankara Turkey 06100
    184 Ege University Medical Faculty; Department of Ophthalmology Izmir Turkey 35100
    185 Selcuk University Faculty of Medicine; Department Of Ophthalmology Konya Turkey 42130

    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:
    NCT03622580
    Other Study ID Numbers:
    • GR40349
    • 2017-005104-10
    First Posted:
    Aug 9, 2018
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Mar 1, 2022
    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 315 313 312
    Received at Least One Dose of Study Drug 313 313 311
    Completed up to Week 56 291 289 292
    COMPLETED 0 0 0
    NOT COMPLETED 315 313 312

    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 315 313 312 940
    Age (Years) [Mean (Standard Deviation) ]
    ITT Population
    61.6
    (9.5)
    62.8
    (10.0)
    62.2
    (9.6)
    62.2
    (9.7)
    Treatment-Naive Population
    61.0
    (9.6)
    62.5
    (10.3)
    62.2
    (9.9)
    61.9
    (10.0)
    Sex: Female, Male (Count of Participants)
    Female
    128
    40.6%
    116
    37.1%
    134
    42.9%
    378
    40.2%
    Male
    187
    59.4%
    197
    62.9%
    178
    57.1%
    562
    59.8%
    Female
    93
    29.5%
    91
    29.1%
    108
    34.6%
    292
    31.1%
    Male
    145
    46%
    154
    49.2%
    134
    42.9%
    433
    46.1%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    37
    11.7%
    40
    12.8%
    37
    11.9%
    114
    12.1%
    Not Hispanic or Latino
    273
    86.7%
    268
    85.6%
    272
    87.2%
    813
    86.5%
    Unknown or Not Reported
    5
    1.6%
    5
    1.6%
    3
    1%
    13
    1.4%
    Hispanic or Latino
    31
    9.8%
    32
    10.2%
    31
    9.9%
    94
    10%
    Not Hispanic or Latino
    202
    64.1%
    210
    67.1%
    208
    66.7%
    620
    66%
    Unknown or Not Reported
    5
    1.6%
    3
    1%
    3
    1%
    11
    1.2%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    6
    1.9%
    5
    1.6%
    7
    2.2%
    18
    1.9%
    Asian
    31
    9.8%
    26
    8.3%
    27
    8.7%
    84
    8.9%
    Native Hawaiian or Other Pacific Islander
    2
    0.6%
    0
    0%
    3
    1%
    5
    0.5%
    Black or African American
    22
    7%
    25
    8%
    12
    3.8%
    59
    6.3%
    White
    241
    76.5%
    240
    76.7%
    253
    81.1%
    734
    78.1%
    More than one race
    0
    0%
    1
    0.3%
    0
    0%
    1
    0.1%
    Unknown or Not Reported
    13
    4.1%
    16
    5.1%
    10
    3.2%
    39
    4.1%
    American Indian or Alaska Native
    4
    1.3%
    3
    1%
    6
    1.9%
    13
    1.4%
    Asian
    21
    6.7%
    18
    5.8%
    20
    6.4%
    59
    6.3%
    Native Hawaiian or Other Pacific Islander
    2
    0.6%
    0
    0%
    2
    0.6%
    4
    0.4%
    Black or African American
    17
    5.4%
    24
    7.7%
    9
    2.9%
    50
    5.3%
    White
    181
    57.5%
    186
    59.4%
    196
    62.8%
    563
    59.9%
    More than one race
    0
    0%
    1
    0.3%
    0
    0%
    1
    0.1%
    Unknown or Not Reported
    13
    4.1%
    13
    4.2%
    9
    2.9%
    35
    3.7%
    Number of Participants by Previous Treatment Status with Intravitreal Anti-VEGF Agents (Count of Participants)
    Treatment-Naive
    238
    75.6%
    245
    78.3%
    242
    77.6%
    725
    77.1%
    Previously Treated
    77
    24.4%
    68
    21.7%
    70
    22.4%
    215
    22.9%
    Region of Enrollment (Count of Participants)
    United States and Canada
    167
    53%
    168
    53.7%
    168
    53.8%
    503
    53.5%
    Asia
    21
    6.7%
    19
    6.1%
    20
    6.4%
    60
    6.4%
    Rest of the World
    127
    40.3%
    126
    40.3%
    124
    39.7%
    377
    40.1%
    United States and Canada
    130
    41.3%
    134
    42.8%
    135
    43.3%
    399
    42.4%
    Asia
    14
    4.4%
    14
    4.5%
    15
    4.8%
    43
    4.6%
    Rest of the World
    94
    29.8%
    97
    31%
    92
    29.5%
    283
    30.1%
    Number of Participants by the Eye Chosen as the Study Eye (Left or Right) (Count of Participants)
    Left Eye
    150
    47.6%
    172
    55%
    151
    48.4%
    473
    50.3%
    Right Eye
    165
    52.4%
    141
    45%
    161
    51.6%
    467
    49.7%
    Left Eye
    117
    37.1%
    130
    41.5%
    117
    37.5%
    364
    38.7%
    Right Eye
    121
    38.4%
    115
    36.7%
    125
    40.1%
    361
    38.4%
    Baseline Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye (ETDRS Letters) [Mean (Standard Deviation) ]
    ITT Population
    62.0
    (9.9)
    61.9
    (10.2)
    62.2
    (9.5)
    62.0
    (9.9)
    Treatment-Naive Population
    62.3
    (9.9)
    61.8
    (10.7)
    62.6
    (9.2)
    62.2
    (9.9)
    Number of Participants by the Baseline BCVA Letter Score Categories in the Study Eye (Count of Participants)
    ≤38 Letters
    15
    4.8%
    12
    3.8%
    12
    3.8%
    39
    4.1%
    39 to 63 Letters
    132
    41.9%
    126
    40.3%
    132
    42.3%
    390
    41.5%
    ≥64 Letters
    168
    53.3%
    175
    55.9%
    168
    53.8%
    511
    54.4%
    Missing/Invalid BCVA
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    ≤38 Letters
    10
    3.2%
    11
    3.5%
    8
    2.6%
    29
    3.1%
    39 to 63 Letters
    98
    31.1%
    95
    30.4%
    100
    32.1%
    293
    31.2%
    ≥64 Letters
    130
    41.3%
    139
    44.4%
    134
    42.9%
    403
    42.9%
    Missing/Invalid BCVA
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    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%
    3
    1%
    4
    1.3%
    9
    1%
    2 - DR Questionable / Microaneurysms Only
    4
    1.3%
    6
    1.9%
    10
    3.2%
    20
    2.1%
    3 - Mild Non-Proliferative Diabetic Retinopathy (NPDR)
    84
    26.7%
    92
    29.4%
    83
    26.6%
    259
    27.6%
    4 - Moderate NPDR
    84
    26.7%
    86
    27.5%
    85
    27.2%
    255
    27.1%
    5 - Moderately Severe NPDR
    67
    21.3%
    59
    18.8%
    54
    17.3%
    180
    19.1%
    6 - Severe NPDR
    46
    14.6%
    40
    12.8%
    49
    15.7%
    135
    14.4%
    7 - Mild Proliferative Diabetic Retinopathy (PDR)
    16
    5.1%
    11
    3.5%
    9
    2.9%
    36
    3.8%
    8 - Moderate PDR
    6
    1.9%
    9
    2.9%
    7
    2.2%
    22
    2.3%
    9 - High Risk PDR (DRS Level 71)
    0
    0%
    1
    0.3%
    2
    0.6%
    3
    0.3%
    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
    4
    1.3%
    5
    1.6%
    7
    2.2%
    16
    1.7%
    Missing
    2
    0.6%
    1
    0.3%
    2
    0.6%
    5
    0.5%
    1 - Diabetic Retinopathy (DR) Absent
    2
    0.6%
    3
    1%
    2
    0.6%
    7
    0.7%
    2 - DR Questionable / Microaneurysms Only
    1
    0.3%
    4
    1.3%
    4
    1.3%
    9
    1%
    3 - Mild Non-Proliferative Diabetic Retinopathy (NPDR)
    65
    20.6%
    66
    21.1%
    57
    18.3%
    188
    20%
    4 - Moderate NPDR
    56
    17.8%
    58
    18.5%
    65
    20.8%
    179
    19%
    5 - Moderately Severe NPDR
    50
    15.9%
    52
    16.6%
    48
    15.4%
    150
    16%
    6 - Severe NPDR
    40
    12.7%
    38
    12.1%
    46
    14.7%
    124
    13.2%
    7 - Mild Proliferative Diabetic Retinopathy (PDR)
    13
    4.1%
    9
    2.9%
    6
    1.9%
    28
    3%
    8 - Moderate PDR
    6
    1.9%
    9
    2.9%
    6
    1.9%
    21
    2.2%
    9 - High Risk PDR (DRS Level 71)
    0
    0%
    0
    0%
    2
    0.6%
    2
    0.2%
    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
    4
    1.3%
    5
    1.6%
    5
    1.6%
    14
    1.5%
    Missing
    1
    0.3%
    1
    0.3%
    1
    0.3%
    3
    0.3%
    Baseline Central Subfield Thickness in the Study Eye (microns) [Mean (Standard Deviation) ]
    ITT Population
    492.3
    (135.8)
    485.8
    (130.8)
    484.5
    (131.1)
    487.5
    (132.5)
    Treatment-Naive Population
    488.8
    (136.8)
    483.5
    (127.3)
    486.8
    (130.4)
    486.3
    (131.3)

    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 315 313 312
    ITT Population
    10.7
    11.6
    10.9
    Treatment-Naive Population
    10.6
    11.4
    11.3
    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 -0.2
    Confidence Interval (2-Sided) 97.5%
    -2.0 to 1.6
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.79
    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 0.7
    Confidence Interval (2-Sided) 97.5%
    -1.1 to 2.5
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.79
    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 0.4699
    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 -0.7
    Confidence Interval (2-Sided) 97.5%
    -2.8 to 1.4
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.95
    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 0.9650
    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 0.0
    Confidence Interval (2-Sided) 97.5%
    -2.1 to 2.2
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.94
    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 0.7967
    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 -0.2
    Confidence Interval (2-Sided) 97.5%
    -2.0 to 1.6
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.79
    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 0.3772
    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 0.7
    Confidence Interval (2-Sided) 97.5%
    -1.1 to 2.5
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.79
    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 Improvement From Baseline on the ETDRS Diabetic Retinopathy Severity Scale 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 237 242 229
    ITT Population
    46.0
    14.6%
    42.5
    13.6%
    35.8
    11.5%
    Treatment-Naive Population
    49.7
    15.8%
    47.6
    15.2%
    42.5
    13.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection A: Faricimab 6 mg Q8W, C: Aflibercept 2 mg Q8W
    Comments 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 CMH weighted percentages of participants for the faricimab 6 mg Q8W and the active comparator (aflibercept 2 mg Q8W) arms was greater than -10%, then faricimab 6 mg Q8W was considered non-inferior to aflibercept 2 mg Q8W.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 10.2
    Confidence Interval (2-Sided) 97.5%
    0.3 to 20.0
    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 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 CMH weighted percentages of participants for the faricimab 6 mg PTI and the active comparator (aflibercept 2 mg Q8W) arms was greater than -10%, then faricimab 6 mg PTI was considered non-inferior to aflibercept 2 mg Q8W.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
    Estimated Value 6.1
    Confidence Interval (2-Sided) 97.5%
    -3.6 to 15.8
    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 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 0.1761
    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 7.2
    Confidence Interval (2-Sided) 97.5%
    -4.6 to 18.9
    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 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 0.3539
    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 4.8
    Confidence Interval (2-Sided) 97.5%
    -6.7 to 16.3
    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 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 0.0237
    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 10.2
    Confidence Interval (2-Sided) 97.5%
    0.3 to 20.0
    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 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 0.1677
    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 6.1
    Confidence Interval (2-Sided) 97.5%
    -3.6 to 15.8
    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 271 276 276
    Gaining ≥15 Letters
    29.2
    9.3%
    35.5
    11.3%
    31.8
    10.2%
    Gaining ≥10 Letters
    57.2
    18.2%
    58.3
    18.6%
    57.6
    18.5%
    Gaining ≥5 Letters
    78.9
    25%
    79.6
    25.4%
    81.4
    26.1%
    Gaining ≥0 Letters
    91.5
    29%
    94.5
    30.2%
    91.4
    29.3%
    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 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 -2.6
    Confidence Interval (2-Sided) 95%
    -10.0 to 4.9
    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%
    -4.0 to 11.1
    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 -0.4
    Confidence Interval (2-Sided) 95%
    -8.6 to 7.9
    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 0.7
    Confidence Interval (2-Sided) 95%
    -7.4 to 8.8
    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 -2.5
    Confidence Interval (2-Sided) 95%
    -9.1 to 4.1
    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 -2.0
    Confidence Interval (2-Sided) 95%
    -8.5 to 4.5
    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 0.1
    Confidence Interval (2-Sided) 95%
    -4.6 to 4.8
    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 3.3
    Confidence Interval (2-Sided) 95%
    -1.0 to 7.5
    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 200 215 212
    Gaining ≥15 Letters
    28.6
    9.1%
    35.5
    11.3%
    33.8
    10.8%
    Gaining ≥10 Letters
    57.5
    18.3%
    59.6
    19%
    57.5
    18.4%
    Gaining ≥5 Letters
    80.0
    25.4%
    77.2
    24.7%
    84.5
    27.1%
    Gaining ≥0 Letters
    91.5
    29%
    93.5
    29.9%
    91.6
    29.4%
    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 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 -5.2
    Confidence Interval (2-Sided) 95%
    -14.0 to 3.5
    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 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 1.7
    Confidence Interval (2-Sided) 95%
    -7.0 to 10.3
    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 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 0.0
    Confidence Interval (2-Sided) 95%
    -9.5 to 9.5
    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 2.1
    Confidence Interval (2-Sided) 95%
    -7.1 to 11.3
    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 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 -4.5
    Confidence Interval (2-Sided) 95%
    -11.9 to 2.9
    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 -7.2
    Confidence Interval (2-Sided) 95%
    -14.6 to 0.2
    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 -0.2
    Confidence Interval (2-Sided) 95%
    -5.5 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 2.0
    Confidence Interval (2-Sided) 95%
    -3.0 to 7.0
    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 271 276 276
    Avoiding a Loss of ≥15 Letters
    98.1
    31.1%
    98.6
    31.5%
    98.9
    31.7%
    Avoiding a Loss of ≥10 Letters
    96.3
    30.6%
    98.2
    31.4%
    98.1
    31.4%
    Avoiding a Loss of ≥5 Letters
    95.2
    30.2%
    96.7
    30.9%
    96.3
    30.9%
    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 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 -0.8
    Confidence Interval (2-Sided) 95%
    -2.8 to 1.3
    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 -0.3
    Confidence Interval (2-Sided) 95%
    -2.2 to 1.5
    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 -1.8
    Confidence Interval (2-Sided) 95%
    -4.6 to 0.9
    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 0.0
    Confidence Interval (2-Sided) 95%
    -2.2 to 2.2
    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 -1.1
    Confidence Interval (2-Sided) 95%
    -4.5 to 2.2
    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 0.4
    Confidence Interval (2-Sided) 95%
    -2.6 to 3.4
    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 200 215 212
    Avoiding a Loss of ≥15 Letters
    97.9
    31.1%
    98.1
    31.3%
    99.0
    31.7%
    Avoiding a Loss of ≥10 Letters
    96.5
    30.6%
    97.7
    31.2%
    98.6
    31.6%
    Avoiding a Loss of ≥5 Letters
    95.0
    30.2%
    95.8
    30.6%
    96.2
    30.8%
    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 -1.1
    Confidence Interval (2-Sided) 95%
    -3.5 to 1.3
    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 -0.9
    Confidence Interval (2-Sided) 95%
    -3.1 to 1.3
    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 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 -2.1
    Confidence Interval (2-Sided) 95%
    -5.1 to 0.9
    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 -0.9
    Confidence Interval (2-Sided) 95%
    -3.5 to 1.6
    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 -1.2
    Confidence Interval (2-Sided) 95%
    -5.2 to 2.8
    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 -0.4
    Confidence Interval (2-Sided) 95%
    -4.1 to 3.3
    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 271 276 276
    ITT Population
    32.1
    10.2%
    39.1
    12.5%
    37.0
    11.9%
    Treatment-Naive Population
    31.5
    10%
    39.2
    12.5%
    40.2
    12.9%
    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 -4.9
    Confidence Interval (2-Sided) 95%
    -12.6 to 2.9
    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 2.0
    Confidence Interval (2-Sided) 95%
    -5.9 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 -8.6
    Confidence Interval (2-Sided) 95%
    -17.8 to 0.5
    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 -0.9
    Confidence Interval (2-Sided) 95%
    -9.9 to 8.2
    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 271 276 276
    ITT Population
    71.6
    22.7%
    77.1
    24.6%
    74.8
    24%
    Treatment-Naive Population
    72.7
    23.1%
    75.7
    24.2%
    77.4
    24.8%
    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 -3.2
    Confidence Interval (2-Sided) 95%
    -10.2 to 3.8
    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 2.4
    Confidence Interval (2-Sided) 95%
    -4.3 to 9.2
    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 -4.7
    Confidence Interval (2-Sided) 95%
    -12.6 to 3.1
    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 -1.3
    Confidence Interval (2-Sided) 95%
    -8.9 to 6.4
    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 271 276 276
    ITT Population
    2.3
    0.7%
    1.9
    0.6%
    1.7
    0.5%
    Treatment-Naive Population
    2.6
    0.8%
    1.9
    0.6%
    1.8
    0.6%
    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 0.6
    Confidence Interval (2-Sided) 95%
    -1.8 to 2.9
    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 0.0
    Confidence Interval (2-Sided) 95%
    -2.2 to 2.3
    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 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 0.8
    Confidence Interval (2-Sided) 95%
    -2.0 to 3.6
    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 0.0
    Confidence Interval (2-Sided) 95%
    -2.6 to 2.5
    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 219 224 214
    ITT Population
    0.9
    0.3%
    0.9
    0.3%
    0.5
    0.2%
    Treatment-Naive Population
    0.0
    0%
    1.2
    0.4%
    0.6
    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 0.4
    Confidence Interval (2-Sided) 95%
    -1.1 to 2.0
    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 0.4
    Confidence Interval (2-Sided) 95.04%
    -1.1 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%
    -1.9 to 0.6
    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 0.5
    Confidence Interval (2-Sided) 95%
    -1.5 to 2.5
    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 237 241 227
    ITT Population
    0.4
    0.1%
    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 0.4
    Confidence Interval (2-Sided) 95%
    -0.4 to 1.2
    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 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 286
    Once Every 4 Weeks
    10.8
    3.4%
    Once Every 8 Weeks
    15.4
    4.9%
    Once Every 12 Weeks
    21.0
    6.7%
    Once Every 16 Weeks
    52.8
    16.8%
    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 222
    Once Every 4 Weeks
    9.0
    2.9%
    Once Every 8 Weeks
    14.4
    4.6%
    Once Every 12 Weeks
    22.1
    7%
    Once Every 16 Weeks
    54.5
    17.3%
    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 286
    ITT Population
    67.8
    21.5%
    Treatment-Naive Population
    71.6
    22.7%
    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 315 313 312
    ITT Population
    -206.6
    -196.5
    -170.3
    Treatment-Naive Population
    -204.6
    -197.5
    -173.6
    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 -36.2
    Confidence Interval (2-Sided) 95%
    -47.8 to -24.7
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 5.88
    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 -26.2
    Confidence Interval (2-Sided) 95%
    -37.7 to -14.7
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 5.86
    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 -31.1
    Confidence Interval (2-Sided) 95%
    -43.6 to -18.6
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 6.35
    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 -23.9
    Confidence Interval (2-Sided) 95%
    -36.2 to -11.6
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 6.28
    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 272 276 275
    ITT Population
    81.3
    25.8%
    78.0
    24.9%
    65.4
    21%
    Treatment-Naive Population
    83.5
    26.5%
    80.4
    25.7%
    68.3
    21.9%
    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 16.0
    Confidence Interval (2-Sided) 95%
    8.9 to 23.1
    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 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 12.7
    Confidence Interval (2-Sided) 95%
    5.4 to 20.0
    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 15.2
    Confidence Interval (2-Sided) 95%
    7.3 to 23.2
    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 12.5
    Confidence Interval (2-Sided) 95%
    4.4 to 20.6
    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 8/313 (2.6%) 9/313 (2.9%) 4/311 (1.3%)
    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 82/313 (26.2%) 77/313 (24.6%) 56/311 (18%)
    Blood and lymphatic system disorders
    Anaemia 0/313 (0%) 0 2/313 (0.6%) 5 0/311 (0%) 0
    Thrombocytopenia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cardiac disorders
    Acute left ventricular failure 0/313 (0%) 0 1/313 (0.3%) 1 2/311 (0.6%) 2
    Acute myocardial infarction 2/313 (0.6%) 2 2/313 (0.6%) 2 4/311 (1.3%) 4
    Angina pectoris 1/313 (0.3%) 1 0/313 (0%) 0 1/311 (0.3%) 1
    Arrhythmia 0/313 (0%) 0 2/313 (0.6%) 2 0/311 (0%) 0
    Atrial fibrillation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Atrial flutter 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Atrioventricular block complete 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Cardiac arrest 2/313 (0.6%) 2 0/313 (0%) 0 0/311 (0%) 0
    Cardiac failure 0/313 (0%) 0 2/313 (0.6%) 2 1/311 (0.3%) 1
    Cardiac failure acute 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cardiac failure congestive 4/313 (1.3%) 8 0/313 (0%) 0 4/311 (1.3%) 5
    Cardiovascular disorder 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Chronic left ventricular failure 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Coronary artery disease 2/313 (0.6%) 2 4/313 (1.3%) 4 2/311 (0.6%) 2
    Coronary artery stenosis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Left atrial dilatation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Left ventricular dilatation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Myocardial infarction 1/313 (0.3%) 1 3/313 (1%) 3 4/311 (1.3%) 4
    Myocardial ischaemia 2/313 (0.6%) 2 0/313 (0%) 0 0/311 (0%) 0
    Myocarditis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Pericarditis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Ventricular tachyarrhythmia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Ear and labyrinth disorders
    Sudden hearing loss 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Vestibular disorder 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Eye disorders
    Angle closure glaucoma 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Cataract 0/313 (0%) 0 1/313 (0.3%) 1 1/311 (0.3%) 1
    Diabetic retinal oedema 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Diabetic retinopathy 3/313 (1%) 3 1/313 (0.3%) 1 1/311 (0.3%) 1
    Glaucoma 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Macular fibrosis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Macular oedema 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Narrow anterior chamber angle 1/313 (0.3%) 2 0/313 (0%) 0 0/311 (0%) 0
    Ocular hypertension 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Retinal artery occlusion 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Retinal haemorrhage 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Retinal neovascularisation 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Retinal tear 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Rhegmatogenous retinal detachment 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Uveitic glaucoma 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Uveitis 0/313 (0%) 0 4/313 (1.3%) 4 0/311 (0%) 0
    Visual acuity reduced 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Vitreous haemorrhage 3/313 (1%) 3 1/313 (0.3%) 1 1/311 (0.3%) 1
    Gastrointestinal disorders
    Abdominal hernia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Colitis 1/313 (0.3%) 2 0/313 (0%) 0 0/311 (0%) 0
    Constipation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Diabetic gastroparesis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Gastrointestinal haemorrhage 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Gastrooesophageal reflux disease 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Large intestine polyp 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Nausea 1/313 (0.3%) 1 0/313 (0%) 0 1/311 (0.3%) 1
    Oesophagitis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Pancreatitis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Vomiting 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    General disorders
    Chest pain 2/313 (0.6%) 2 0/313 (0%) 0 3/311 (1%) 3
    Death 1/313 (0.3%) 1 3/313 (1%) 3 0/311 (0%) 0
    Fatigue 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    General physical health deterioration 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Generalised oedema 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Ill-defined disorder 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Oedema peripheral 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Pyrexia 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Hepatobiliary disorders
    Biliary dyskinesia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cholecystitis acute 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Cholecystitis chronic 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cholelithiasis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Chronic hepatitis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Hepatic cirrhosis 1/313 (0.3%) 2 0/313 (0%) 0 1/311 (0.3%) 1
    Non-alcoholic steatohepatitis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Infections and infestations
    Abscess limb 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Anal abscess 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 2
    Bacteraemia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Bronchitis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    COVID-19 0/313 (0%) 0 3/313 (1%) 3 0/311 (0%) 0
    Cellulitis 3/313 (1%) 3 4/313 (1.3%) 4 2/311 (0.6%) 2
    Cellulitis gangrenous 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Cholecystitis infective 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Chorioretinitis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Clostridium difficile colitis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Complicated appendicitis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Diabetic foot infection 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Diabetic gangrene 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Endophthalmitis 0/313 (0%) 0 3/313 (1%) 3 0/311 (0%) 0
    Erysipelas 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Fungal infection 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Gastroenteritis norovirus 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Infected bite 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Keratouveitis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Kidney infection 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Localised infection 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Osteomyelitis 3/313 (1%) 3 1/313 (0.3%) 1 3/311 (1%) 3
    Pneumonia 4/313 (1.3%) 5 3/313 (1%) 3 5/311 (1.6%) 5
    Pneumonia bacterial 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Pneumonia escherichia 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Pseudomonal sepsis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Pyelonephritis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Sepsis 4/313 (1.3%) 4 0/313 (0%) 0 6/311 (1.9%) 6
    Sepsis syndrome 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Sinusitis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Staphylococcal infection 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Urinary tract infection 2/313 (0.6%) 3 0/313 (0%) 0 1/311 (0.3%) 1
    Urosepsis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Viral keratouveitis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Injury, poisoning and procedural complications
    Cataract traumatic 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Corneal abrasion 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Fall 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Femoral neck fracture 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Femur fracture 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Head injury 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Hip fracture 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Ilium fracture 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Limb injury 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Radius fracture 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Rib fracture 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Spinal compression fracture 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Thermal burn 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Tibia fracture 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Upper limb fracture 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Wound dehiscence 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Investigations
    Blood creatinine increased 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Blood potassium increased 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Blood testosterone increased 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Influenza A virus test positive 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Metabolism and nutrition disorders
    Dehydration 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Diabetes mellitus 2/313 (0.6%) 2 0/313 (0%) 0 0/311 (0%) 0
    Diabetic complication 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Diabetic ketoacidosis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Diabetic metabolic decompensation 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Hyperglycaemia 2/313 (0.6%) 3 0/313 (0%) 0 1/311 (0.3%) 1
    Hyperkalaemia 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Hypoglycaemia 0/313 (0%) 0 2/313 (0.6%) 3 0/311 (0%) 0
    Hypokalaemia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Hyponatraemia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Lactic acidosis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Musculoskeletal and connective tissue disorders
    Arthralgia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Back pain 0/313 (0%) 0 1/313 (0.3%) 2 0/311 (0%) 0
    Bursitis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Intervertebral disc protrusion 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Muscle spasms 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Muscular weakness 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Myalgia 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Neck pain 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Neuropathic arthropathy 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Osteoarthritis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Osteochondrosis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Spinal osteoarthritis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon 0/313 (0%) 0 1/313 (0.3%) 1 2/311 (0.6%) 2
    Bile duct cancer 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Bladder cancer 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Breast cancer 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Leukaemia 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Neoplasm 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Pancreatic carcinoma 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Plasma cell myeloma 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Renal neoplasm 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Tumour invasion 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Nervous system disorders
    Cerebral haemorrhage 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cerebral infarction 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Cerebrovascular accident 2/313 (0.6%) 2 3/313 (1%) 3 1/311 (0.3%) 1
    Coma 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Dizziness 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Epilepsy 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Haemorrhagic stroke 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Hypertensive encephalopathy 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Hypoxic-ischaemic encephalopathy 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Ischaemic stroke 3/313 (1%) 3 0/313 (0%) 0 1/311 (0.3%) 2
    Lumbar radiculopathy 0/313 (0%) 0 1/313 (0.3%) 1 1/311 (0.3%) 1
    Presyncope 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Syncope 2/313 (0.6%) 3 1/313 (0.3%) 1 0/311 (0%) 0
    Transient ischaemic attack 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Vertigo CNS origin 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Product Issues
    Device dislocation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Psychiatric disorders
    Completed suicide 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Delusional disorder, unspecified type 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Depression 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Disorientation 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Mental status changes 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Renal and urinary disorders
    Acute kidney injury 4/313 (1.3%) 4 1/313 (0.3%) 1 3/311 (1%) 3
    Chronic kidney disease 1/313 (0.3%) 1 0/313 (0%) 0 3/311 (1%) 3
    End stage renal disease 2/313 (0.6%) 2 0/313 (0%) 0 2/311 (0.6%) 2
    Hydronephrosis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Renal failure 2/313 (0.6%) 3 1/313 (0.3%) 1 1/311 (0.3%) 1
    Renal impairment 1/313 (0.3%) 1 0/313 (0%) 0 1/311 (0.3%) 1
    Urinary retention 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Reproductive system and breast disorders
    Ovarian cyst 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure 2/313 (0.6%) 2 0/313 (0%) 0 2/311 (0.6%) 2
    Apnoea 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Chronic obstructive pulmonary disease 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Dyspnoea exertional 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Hypoxia 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Pleural effusion 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Pneumonia aspiration 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Pulmonary embolism 2/313 (0.6%) 2 0/313 (0%) 0 1/311 (0.3%) 1
    Respiratory failure 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Skin and subcutaneous tissue disorders
    Diabetic foot 0/313 (0%) 0 1/313 (0.3%) 1 3/311 (1%) 3
    Surgical and medical procedures
    Cholecystectomy 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Vascular disorders
    Aneurysm 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Aortic stenosis 1/313 (0.3%) 1 1/313 (0.3%) 1 0/311 (0%) 0
    Arteriosclerosis 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (0%) 0
    Blood pressure inadequately controlled 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Deep vein thrombosis 0/313 (0%) 0 0/313 (0%) 0 1/311 (0.3%) 1
    Embolism 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Hypertension 1/313 (0.3%) 1 1/313 (0.3%) 1 3/311 (1%) 4
    Peripheral artery thrombosis 1/313 (0.3%) 1 0/313 (0%) 0 0/311 (0%) 0
    Varicose vein 0/313 (0%) 0 1/313 (0.3%) 1 0/311 (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 86/313 (27.5%) 100/313 (31.9%) 100/311 (32.2%)
    Eye disorders
    Cataract 21/313 (6.7%) 27 19/313 (6.1%) 22 21/311 (6.8%) 33
    Conjunctival haemorrhage 24/313 (7.7%) 30 28/313 (8.9%) 36 23/311 (7.4%) 30
    Diabetic retinal oedema 12/313 (3.8%) 15 18/313 (5.8%) 19 19/311 (6.1%) 21
    Vitreous detachment 14/313 (4.5%) 18 16/313 (5.1%) 19 12/311 (3.9%) 15
    Infections and infestations
    Nasopharyngitis 21/313 (6.7%) 24 15/313 (4.8%) 17 22/311 (7.1%) 27
    Vascular disorders
    Hypertension 16/313 (5.1%) 20 17/313 (5.4%) 18 23/311 (7.4%) 24

    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:
    NCT03622580
    Other Study ID Numbers:
    • GR40349
    • 2017-005104-10
    First Posted:
    Aug 9, 2018
    Last Update Posted:
    Apr 6, 2022
    Last Verified:
    Mar 1, 2022