BOULEVARD: A Study of Faricimab (RO6867461) in Participants With Center-Involving Diabetic Macular Edema

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT02699450
Collaborator
(none)
229
60
3
19.6
3.8
0.2

Study Details

Study Description

Brief Summary

This is a multiple-center, multiple-dose, randomized, active comparator-controlled, double-masked, three parallel group, 36-week study in participants with center-involving diabetic macular edema (DME). Only one eye will be selected as the study eye. Where both eyes meet all eligibility criteria, the eye with the worse best corrected visual acuity (BCVA) will be defined as the study eye. The study will consist of a treatment period (20 weeks) and an observational period (up to 16 weeks). Treatment naive participants will be randomized in a 1:1:1 ratio to one of the Arms A, B and C, respectively. Participants previously treated with intravitreal (IVT) anti-vascular endothelial growth factor (VEGF) will be randomized in a 1:1 ratio to Arms A and C.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
229 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Multiple-Center, Multiple-Dose, Randomized, Active Comparator-Controlled, Double-Masked, Parallel Group, 36-Week Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Efficacy of RO6867461 Administered Intravitreally in Patients With Diabetic Macular Edema
Actual Study Start Date :
Apr 27, 2016
Actual Primary Completion Date :
Sep 15, 2017
Actual Study Completion Date :
Dec 14, 2017

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Arm A: 0.3 mg Ranibizumab

Participants will receive 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant meets pre-specified criteria the participant will receive a single dose of 0.3 mg ranibizumab and exit the study.

Drug: Ranibizumab
Ranibizumab will be administered by IVT injection in the study eye.
Other Names:
  • Lucentis
  • Experimental: Arm B: 1.5 mg Faricimab

    Participants will receive 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant meets pre-specified criteria the participant will receive a single dose of 0.3 mg ranibizumab and exit the study.

    Drug: Faricimab
    Faricimab will be administered by IVT injection in the study eye.
    Other Names:
  • RO6867461
  • RG7716
  • Experimental: Arm C: 6 mg Faricimab

    Participants will receive 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant meets pre-specified criteria the participant will receive a single dose of 0.3 mg ranibizumab and exit the study.

    Drug: Faricimab
    Faricimab will be administered by IVT injection in the study eye.
    Other Names:
  • RO6867461
  • RG7716
  • Outcome Measures

    Primary Outcome Measures

    1. Mean Change From Baseline in BCVA Letter Score at Week 24, in Treatment-Naive Participants [Baseline, Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.

    Secondary Outcome Measures

    1. Mean Change From Baseline in BCVA Letter Score at Week 24, in Previously Treated Participants [Baseline, Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.

    2. Mean Change From Baseline in BCVA Letter Score at Week 24, in All Participants [Baseline, Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.

    3. Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in Treatment-Naive Participants [Baseline, Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    4. Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in Previously Treated Participants [Baseline up to Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    5. Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in All Participants [Baseline up to Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    6. Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in Treatment-Naive Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    7. Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in Previously Treated Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    8. Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in All Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    9. Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in Treatment-Naive Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    10. Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in Previously Treated Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    11. Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in All Participants [Week 24]

      Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.

    12. Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in Treatment-Naive Participants [Baseline, Week 24]

      Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).

    13. Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in Previously Treated Participants [Baseline, Week 24]

      Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).

    14. Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in All Participants [Baseline, Week 24]

      Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).

    15. Mean Change From Baseline in Central Subfield Thickness at Week 24, in Treatment-Naive Participants [Baseline, Week 24]

      Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.

    16. Mean Change From Baseline in Central Subfield Thickness at Week 24, in Previously Treated Participants [Baseline, Week 24]

      Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.

    17. Mean Change From Baseline in Central Subfield Thickness at Week 24, in All Participants [Baseline, Week 24]

      Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.

    18. Percentage of Participants With Presence of Subretinal Fluid in the Study Eye at Week 24, in Treatment-Naive Participants [Week 24]

      Subretinal fluid is defined as the presence of fluid between the retina and the retinal pigment epithelium. Resolution of subretinal fluid was measured using SD-OCT.

    19. Percentage of Participants With Presence of Subretinal Fluid in the Study Eye at Week 24, in Previously Treated Participants [Week 24]

      Subretinal fluid is defined as the presence of fluid between the retina and the retinal pigment epithelium. Resolution of subretinal fluid was measured using SD-OCT.

    20. Percentage of Participants With Presence of Intraretinal Fluid in the Study Eye at Week 24, in Treatment-Naive Participants [Week 24]

      Intraretinal fluid is described as the presence of fluid within the retina. Resolution of intraretinal fluid was measured by SD-OCT.

    21. Percentage of Participants With Presence of Intraretinal Fluid in the Study Eye at Week 24, in Previously Treated Participants [Week 24]

      Intraretinal fluid is described as the presence of fluid within the retina. Resolution of intraretinal fluid was measured by SD-OCT.

    22. Number of Participants With Presence or Absence of Leakage at the Macula at Week 24, in Treatment-Naive Participants [Week 24]

      Leakage at the macula describes the leakage of fluorescein at the macula region as measured by fundus fluorescein angiography (FFA).

    23. Number of Participants With Presence or Absence of Leakage at the Macula at Week 24, in Previously Treated Participants [Week 24]

      Leakage at the macula describes the leakage of fluorescein at the macula region as measured by fundus fluorescein angiography (FFA).

    24. Mean Change From Baseline in the Size of the Foveal Avascular Zone at Week 24, in All Participants [Baseline, Week 24]

      The size of the foveal avascular zone was to be measured by fundus fluorescein angiography (FFA).

    25. Mean Plasma Concentrations of Ranibizumab (Arm A) or Faricimab (Arms B and C) Over Time, in All Participants [Predose at Baseline and Weeks 1, 4, 12, 20, 24, 26, 28, 32, and 36]

      Plasma concentrations of ranibizumab were measured by an appropriate assay only from samples of participants randomized to Arm A: 0.3 mg Ranibizumab. Plasma concentrations of faricimab were measured by a specific validated enzyme-linked immunoabsorbent assay (ELISA) only from samples of participants randomized to Arm B: 1.5 mg Faricimab and Arm C: 6 mg Faricimab. Baseline was defined as the last non-missing predose assessment. The lower limit of quantification (LLOQ) for the ranibizumab and faricimab assays were 0.015 nanograms per millilitre (ng/mL) and 0.800 ng/mL, respectively. Values below the limit of quantification were imputed as LLOQ divided by 2.

    26. Baseline and Change From Baseline in Free Vascular Endothelial Growth Factor (VEGF) Plasma Levels Over Time, in Treatment-Naive Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      The concentration of free VEGF was determined in plasma samples using an enzyme-linked immunosorbent assay (ELISA) method. The lower limit of quantification (LLOQ) of the assay was 15.6 picograms per millilitre (pg/mL). Plasma free VEGF concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    27. Baseline and Change From Baseline in Free Vascular Endothelial Growth Factor (VEGF) Plasma Levels Over Time, in Previously Treated Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      The concentration of free VEGF was determined in plasma samples using an enzyme-linked immunosorbent assay (ELISA) method. The lower limit of quantification (LLOQ) of the assay was 15.6 picograms per millilitre (pg/mL). Plasma free VEGF concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    28. Baseline and Change From Baseline in Total Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Treatment-Naive Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      Total Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.09 nanograms per millilitre (ng/mL). Plasma total Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    29. Baseline and Change From Baseline in Free Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Treatment-Naive Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      Free Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.9 nanograms per millilitre (ng/mL). Plasma free Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    30. Baseline and Change From Baseline in Total Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Previously Treated Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      Total Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.09 nanograms per millilitre (ng/mL). Plasma total Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    31. Baseline and Change From Baseline in Free Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Previously Treated Participants [Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36]

      Free Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.9 nanograms per millilitre (ng/mL). Plasma free Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.

    32. Safety Summary of the Number of Participants With at Least One Adverse Event During the Treatment Period (up to Week 24), in All Participants [From Baseline up to Week 24]

      This safety summary reports the number and percentage of participants who experienced at least one adverse event (AE) within 28 days of the end of the treatment period (i.e., up to Week 24). AEs are categorized as any AEs, ocular AEs occurring in the study eye or fellow eye, systemic AEs, serious AEs, AEs related to treatment with study drug, AEs leading to discontinuation of treatment with study drug, and AEs with fatal outcome. Multiple occurrences of the same AE in one individual were counted only once.

    33. Safety Summary of the Number of Participants With at Least One Adverse Event During the Post-Treatment Observation Period, in All Participants [From Week 24 up to Week 36]

      This safety summary reports the number and percentage of participants who experienced at least one adverse event (AE) during the post-treatment observation period (i.e., from Week 24 up to Week 36). AEs are categorized as any AEs, ocular AEs occurring in the study eye or fellow eye, systemic AEs, serious AEs, AEs related to treatment with study drug, AEs leading to discontinuation of treatment with study drug, and AEs with fatal outcome. Multiple occurrences of the same AE in one individual were counted only once.

    34. Number of Participants With at Least One Ocular Adverse Event in the Study Eye or the Fellow Eye During the Treatment Period by Highest Intensity, in All Participants [From Baseline up to Week 24]

      The investigator assessed adverse event severity according to the following grading scale: Mild = Discomfort noticed, but no disruption of normal daily activity; Moderate = Discomfort sufficient to reduce or affect normal daily activity; Severe = Incapacitating with inability to work or to perform normal daily activity. Only the most severe intensity was counted for multiple occurrences of the same adverse event per participant at the preferred term level. Severity and seriousness are not synonymous; regardless of severity, some adverse events may have also met seriousness criteria.

    35. Number of Participants With at Least One Systemic Adverse Event During the Treatment Period by Highest Intensity, in All Participants [From Baseline up to Week 24]

      The investigator assessed adverse event severity according to the following grading scale: Mild = Discomfort noticed, but no disruption of normal daily activity; Moderate = Discomfort sufficient to reduce or affect normal daily activity; Severe = Incapacitating with inability to work or to perform normal daily activity. Only the most severe intensity was counted for multiple occurrences of the same adverse event per participant at the preferred term level. Severity and seriousness are not synonymous; regardless of severity, some adverse events may have also met seriousness criteria.

    36. Number of Participants With Abnormal Systolic Blood Pressure Over Time, in All Participants [Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36]

      Abnormal systolic blood pressure (supine) was defined as any value outside of the standard reference range, from <70 (low) to >180 (high) millimetres of mercury (mmHg) or a change from baseline of greater than 30 mmHg (decrease or increase). Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.

    37. Number of Participants With Abnormal Diastolic Blood Pressure Over Time, in All Participants [Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36]

      Abnormal diastolic blood pressure (supine) was defined as any value outside of the standard reference range, from <40 (low) to >110 (high) millimetres of mercury (mmHg) or a change from baseline of greater than 20 mmHg (decrease or increase). Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.

    38. Number of Participants With an Abnormal Heart Rate Over Time, in All Participants [Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36]

      Abnormal heart rate (supine) was defined as any value outside of the standard reference range, from <40 (low) to >100 (high) beats per minute. Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.

    39. Number of Participants With Abnormal Body Temperature Over Time, in All Participants [Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36]

      Abnormal body temperature (supine) was defined as any value outside of the standard reference range, from <36.5 (low) to >37.5 (high) degrees Celsius. Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.

    40. Mean Heart Rate at Baseline and Week 24, as Measured by Electrocardiogram in All Participants [Baseline, Week 24]

      Triplicate 12-lead electrocardiogram (ECG), i.e., three useful ECGs without artifacts, were performed on all evaluable participants. To minimize variability, it was important that participants be in a resting position for at least 10 minutes prior to the ECG evaluation. Body position was to be consistently maintained for each ECG evaluation to prevent changes in heart rate. Environmental distractions (e.g., television, radio, conversation, mobile phones) were to be minimized before and during ECG recording. Triplicate ECGs were to be obtained within a 5-minute interval. The predefined standard reference range for heart rate measured by ECG was 40 (low) to 100 (high) beats per minute.

    41. Mean PR, RR, QT, QRS, QTcB, and QTcF Intervals at Baseline and Week 24, as Measured by Electrocardiogram in All Participants [Baseline, Week 24]

      Triplicate 12-lead electrocardiogram (ECG), i.e., three useful ECGs without artifacts, were performed on all evaluable participants. To minimize variability, it was important that participants be in a resting position for at least 10 minutes prior to the ECG evaluation. Body position was to be consistently maintained for each ECG evaluation to prevent changes in heart rate. Environmental distractions (e.g., television, radio, conversation, mobile phones) were to be minimized before and during ECG recording. Triplicate ECGs were to be obtained within a 5-minute interval. Baseline was defined as the last non-missing predose assessment. The predefined standard reference ranges for the intervals measured by ECG were defined as follows (ranges are from low to high, in milliseconds [msec]): PR: 120-200 msec; RR: 600-1500 msec; QT: 200-500 msec; QRS: 40-120 msec.

    42. Number of Participants With Marked Laboratory Abnormalities in Hematology Tests, in All Participants [Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)]

      Clinical laboratory tests for hematology parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. Abs. = absolute count; Ery. = erythrocyte; Hemo. = hemoglobin

    43. Number of Participants With Marked Laboratory Abnormalities in Blood Chemistry Tests, in All Participants [Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)]

      Clinical laboratory tests for blood chemistry parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. SGOT/AST = serum glutamic oxaloacetic transaminase / aspartate aminotransferase

    44. Number of Participants With Marked Laboratory Abnormalities in Coagulation Tests, in All Participants [Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)]

      Clinical laboratory tests for coagulation parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. aPTT = activated partial thromboplastin time; INR = International Normalized Ratio (prothrombin time)

    45. Number of Participants Who Tested Negative or Positive for Anti-Drug Antibodies Against Faricimab Over Time [Baseline and Weeks 1, 4, 12, 16, 20, 24, 26, 28, 32, and 36]

      The number and percentage of participants who tested negative or positive for plasma anti-drug antibodies (ADA) to faricimab at baseline and at the study visits was tabulated, except for those who were randomized to treatment with ranibizumab in Arm A.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Macular edema associated with diabetic retinopathy

    • Decreased visual acuity attributable primarily to DME

    • Diagnosis of diabetes mellitus

    Exclusion Criteria:
    • High risk proliferative diabetic retinopathy

    • Cataract surgery within 3 months of Baseline, or any other previous intraocular surgery

    • Uncontrolled glaucoma

    • Current or history of ocular disease in the study eye other than DME

    • Major illness or major surgical procedure within 1 month prior to Day 1

    • Uncontrolled blood pressure

    • Glycosylated hemoglobin (HbA1c) greater than (>) 12 percent (%) at screening

    • Untreated diabetes mellitus or initiation of oral anti-diabetic medication or insulin within 4 months prior to Day 1

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Retinal Research Institute, LLC Phoenix Arizona United States 85014
    2 Associated Retina Consultants Phoenix Arizona United States 85020
    3 Arizona Retina and Vitreous Consultants Phoenix Arizona United States 85021
    4 Retina Associates Southwest PC Tucson Arizona United States 85750
    5 Retina Consultants of Orange County Fullerton California United States 92835
    6 United Med Res Inst Inglewood California United States 90301
    7 Northern California Retina Vitreous Associates Mountain View California United States 94040
    8 Ophthalmic Clinical Trials San Diego Oceanside California United States 92056
    9 Southern CA Desert Retina Cons Palm Desert California United States 92211
    10 Retina Consultants, San Diego Poway California United States 92064
    11 Retinal Consultants Med Group Sacramento California United States 95825
    12 California Retina Consultants Santa Barbara California United States 93103
    13 Bay Area Retina Associates Walnut Creek California United States 94598
    14 Retina Consultants of Southern Colorado Springs Colorado United States 80909
    15 Rand Eye Deerfield Beach Florida United States 33064
    16 National Ophthalmic Research Institute Fort Myers Florida United States 33912
    17 Florida Eye Associates Melbourne Florida United States 32901
    18 Retina Specialty Institute Pensacola Florida United States 32503
    19 Retina Vitreous Assoc of FL Saint Petersburg Florida United States 33711
    20 Southern Vitreoretinal Assoc Tallahassee Florida United States 32308
    21 Southeast Retina Center Augusta Georgia United States 30909
    22 Georgia Retina PC Marietta Georgia United States 30060
    23 Univ of Illinois at Chicago Chicago Illinois United States 60612
    24 University Retina and Macula Associates, PC Oak Forest Illinois United States 60452
    25 Illinois Retina Associates SC Oak Park Illinois United States 60304
    26 Midwest Eye Institute Indianapolis Indiana United States 46290
    27 Wolfe Eye Clinic West Des Moines Iowa United States 50266
    28 Retina Associates of Kentucky Lexington Kentucky United States 40509
    29 Paducah Retinal Center Paducah Kentucky United States 42001
    30 Wilmer Eye Institute Baltimore Maryland United States 21287
    31 Vitreo-Retinal Associates Grand Rapids Michigan United States 49546
    32 Vitreoretinal Surgery Edina Minnesota United States 55435
    33 Sierra Eye Associates Reno Nevada United States 89502
    34 Retina Center of New Jersey Bloomfield New Jersey United States 07003
    35 Eye Associates of New Mexico Albuquerque New Mexico United States 87102
    36 University of New Mexico Albuquerque New Mexico United States 87131
    37 Capital Region Retina Albany New York United States 12206
    38 Opthalmic Consultants of LI Lynbrook New York United States 11563
    39 Retina Consultants of Western New York Orchard Park New York United States 14127
    40 Western Carolina Retinal Associate PA Asheville North Carolina United States 28803
    41 Char Eye Ear &Throat Assoc Charlotte North Carolina United States 28210
    42 Cleveland Clinic Foundation; Cole Eye Institute Cleveland Ohio United States 44195
    43 OSU Eye Physicians & Surgeons Columbus Ohio United States 43212
    44 Oregon Retina, LLP Eugene Oregon United States 97401
    45 Retina Northwest Portland Oregon United States 97221
    46 Palmetto Retina Center Florence South Carolina United States 29501
    47 Charleston Neuroscience Inst Ladson South Carolina United States 29456
    48 Charles Retina Institute Germantown Tennessee United States 38138
    49 Tennessee Retina PC. Nashville Tennessee United States 37203
    50 W Texas Retina Consultants PA Abilene Texas United States 79606
    51 Austin Retina Associates Austin Texas United States 78705
    52 Retina Consultants of Austin Austin Texas United States 78705
    53 Retina Specialists DeSoto Texas United States 75115
    54 Retina Consultants of Houston Houston Texas United States 77030
    55 Med Center Ophthalmology Assoc San Antonio Texas United States 78240
    56 Retina Consultants of Houston The Woodlands Texas United States 77384
    57 Retina Associates of Utah Salt Lake City Utah United States 84107
    58 Univ of Virginia Ophthalmology Charlottesville Virginia United States 22903
    59 Spokane Eye Clinical Research Spokane Washington United States 99204
    60 West Virginia University Eye Institute Morgantown West Virginia United States 26506

    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:
    NCT02699450
    Other Study ID Numbers:
    • BP30099
    • RG7716
    First Posted:
    Mar 4, 2016
    Last Update Posted:
    Sep 25, 2020
    Last Verified:
    Aug 1, 2020
    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 A total of 229 patients were randomized, but two participants randomized to Arm C: 6 mg Faricimab were excluded from the analysis populations due to Good Clinical Practice (GCP) non-compliance at a single site.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Period Title: Overall Study
    STARTED 90 55 82
    Received at Least One Dose of Study Drug 89 55 80
    Completed up to Week 24 81 53 73
    COMPLETED 75 50 67
    NOT COMPLETED 15 5 15

    Baseline Characteristics

    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab Total
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Total of all reporting groups
    Overall Participants 90 55 82 227
    Age (Years) [Mean (Standard Deviation) ]
    All Participants
    62.3
    (9.2)
    61.5
    (7.7)
    60.8
    (9.2)
    61.6
    (8.8)
    Treatment-Naive Participants
    61.6
    (9.5)
    61.4
    (7.7)
    60.5
    (9.1)
    61.2
    (8.8)
    Previously Treated Participants
    63.5
    (8.7)
    63.0
    (NA)
    61.5
    (9.5)
    62.6
    (9.0)
    Sex: Female, Male (Count of Participants)
    Female
    36
    40%
    35
    63.6%
    36
    43.9%
    107
    47.1%
    Male
    54
    60%
    20
    36.4%
    46
    56.1%
    120
    52.9%
    Female
    22
    24.4%
    35
    63.6%
    20
    24.4%
    77
    33.9%
    Male
    37
    41.1%
    19
    34.5%
    33
    40.2%
    89
    39.2%
    Female
    14
    15.6%
    0
    0%
    16
    19.5%
    30
    13.2%
    Male
    17
    18.9%
    1
    1.8%
    13
    15.9%
    31
    13.7%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    15
    16.7%
    8
    14.5%
    16
    19.5%
    39
    17.2%
    Not Hispanic or Latino
    74
    82.2%
    47
    85.5%
    66
    80.5%
    187
    82.4%
    Unknown or Not Reported
    1
    1.1%
    0
    0%
    0
    0%
    1
    0.4%
    Hispanic or Latino
    11
    12.2%
    8
    14.5%
    9
    11%
    28
    12.3%
    Not Hispanic or Latino
    48
    53.3%
    46
    83.6%
    44
    53.7%
    138
    60.8%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Hispanic or Latino
    4
    4.4%
    0
    0%
    7
    8.5%
    11
    4.8%
    Not Hispanic or Latino
    26
    28.9%
    1
    1.8%
    22
    26.8%
    49
    21.6%
    Unknown or Not Reported
    1
    1.1%
    0
    0%
    0
    0%
    1
    0.4%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    1.1%
    0
    0%
    2
    2.4%
    3
    1.3%
    Asian
    0
    0%
    0
    0%
    1
    1.2%
    1
    0.4%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    17
    18.9%
    11
    20%
    14
    17.1%
    42
    18.5%
    White
    71
    78.9%
    43
    78.2%
    61
    74.4%
    175
    77.1%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    1
    1.1%
    1
    1.8%
    4
    4.9%
    6
    2.6%
    American Indian or Alaska Native
    0
    0%
    0
    0%
    2
    2.4%
    2
    0.9%
    Asian
    0
    0%
    0
    0%
    1
    1.2%
    1
    0.4%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    9
    10%
    11
    20%
    10
    12.2%
    30
    13.2%
    White
    49
    54.4%
    42
    76.4%
    39
    47.6%
    130
    57.3%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    1
    1.1%
    1
    1.8%
    1
    1.2%
    3
    1.3%
    American Indian or Alaska Native
    1
    1.1%
    0
    0%
    0
    0%
    1
    0.4%
    Asian
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    8
    8.9%
    0
    0%
    4
    4.9%
    12
    5.3%
    White
    22
    24.4%
    1
    1.8%
    22
    26.8%
    45
    19.8%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    3
    3.7%
    3
    1.3%
    Anti-VEGF Treatment Experience Status (Treatment-Naive or Previously Treated) (Count of Participants)
    Treatment-Naive
    59
    65.6%
    54
    98.2%
    53
    64.6%
    166
    73.1%
    Previously Treated
    31
    34.4%
    1
    1.8%
    29
    35.4%
    61
    26.9%
    Best Corrected Visual Acuity (BCVA) ETDRS Letter Score in the Study Eye at Baseline (Score on a scale) [Mean (Standard Deviation) ]
    All Participants
    61.51
    (10.43)
    61.16
    (11.12)
    59.48
    (12.49)
    60.70
    (11.36)
    Treatment-Naive Participants
    61.24
    (9.87)
    60.94
    (11.11)
    60.00
    (10.95)
    60.75
    (10.58)
    Previously Treated Participants
    62.00
    (11.56)
    73.00
    (NA)
    58.55
    (14.98)
    60.54
    (13.31)
    Previous Macular Laser Treatment Status (Count of Participants)
    Previous Macular Laser Treatment
    16
    17.8%
    4
    7.3%
    15
    18.3%
    35
    15.4%
    No Previous Macular Laser Treatment
    74
    82.2%
    51
    92.7%
    67
    81.7%
    192
    84.6%
    Previous Macular Laser Treatment
    6
    6.7%
    4
    7.3%
    3
    3.7%
    13
    5.7%
    No Previous Macular Laser Treatment
    53
    58.9%
    50
    90.9%
    50
    61%
    153
    67.4%
    Previous Macular Laser Treatment
    10
    11.1%
    0
    0%
    12
    14.6%
    22
    9.7%
    No Previous Macular Laser Treatment
    21
    23.3%
    1
    1.8%
    17
    20.7%
    39
    17.2%
    Mean Foveal Center Point Thickness at Baseline (micrometers) [Mean (Standard Deviation) ]
    All Participants
    459.88
    (162.09)
    494.64
    (200.51)
    440.50
    (150.42)
    461.49
    (168.97)
    Treatment-Naive Participants
    464.19
    (166.00)
    497.78
    (201.02)
    456.70
    (156.12)
    472.97
    (175.37)
    Previously Treated Participants
    451.82
    (156.87)
    325.00
    (NA)
    412.02
    (137.83)
    430.82
    (147.49)
    Mean Central Subfield Thickness at Baseline (micrometers) [Mean (Standard Deviation) ]
    All Participants
    489.01
    (136.74)
    532.89
    (162.72)
    485.31
    (130.10)
    498.46
    (142.04)
    Treatment-Naive Participants
    490.88
    (139.01)
    535.44
    (163.13)
    496.47
    (134.96)
    507.39
    (146.71)
    Previously Treated Participants
    485.52
    (134.56)
    395.00
    (NA)
    465.69
    (120.86)
    474.61
    (126.79)
    Number of Participants with Absence/Presence of Subretinal Fluid in the Study Eye at Baseline (Count of Participants)
    Subretinal Fluid Absent
    49
    54.4%
    30
    54.5%
    44
    53.7%
    123
    54.2%
    Subretinal Fluid Present
    40
    44.4%
    25
    45.5%
    36
    43.9%
    101
    44.5%
    Subretinal Fluid Absent
    34
    37.8%
    30
    54.5%
    25
    30.5%
    89
    39.2%
    Subretinal Fluid Present
    24
    26.7%
    24
    43.6%
    26
    31.7%
    74
    32.6%
    Subretinal Fluid Absent
    15
    16.7%
    0
    0%
    19
    23.2%
    34
    15%
    Subretinal Fluid Present
    16
    17.8%
    1
    1.8%
    10
    12.2%
    27
    11.9%
    Number of Participants with Absence/Presence of Intraretinal Fluid at Baseline (Count of Participants)
    Intraretinal Fluid Absent
    1
    1.1%
    0
    0%
    0
    0%
    1
    0.4%
    Intraretinal Fluid Present
    87
    96.7%
    55
    100%
    78
    95.1%
    220
    96.9%
    Intraretinal Fluid Absent
    1
    1.1%
    0
    0%
    0
    0%
    1
    0.4%
    Intraretinal Fluid Present
    57
    63.3%
    54
    98.2%
    49
    59.8%
    160
    70.5%
    Intraretinal Fluid Absent
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Intraretinal Fluid Present
    30
    33.3%
    1
    1.8%
    29
    35.4%
    60
    26.4%

    Outcome Measures

    1. Primary Outcome
    Title Mean Change From Baseline in BCVA Letter Score at Week 24, in Treatment-Naive Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [BCVA letters]
    10.3
    11.7
    13.9
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.37
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline BCVA.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 1.4
    Confidence Interval (2-Sided) 80%
    -0.6 to 3.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.03
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline BCVA.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 3.6
    Confidence Interval (2-Sided) 80%
    1.5 to 5.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    2. Secondary Outcome
    Title Mean Change From Baseline in BCVA Letter Score at Week 24, in Previously Treated Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [BCVA letters]
    8.9
    9.6
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.63
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline BCVA.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 1.3
    Confidence Interval (2-Sided) 80%
    -2.3 to 5.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    3. Secondary Outcome
    Title Mean Change From Baseline in BCVA Letter Score at Week 24, in All Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 primary analysis used a Linear Mixed Effects Model for Repeated Measurements. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [BCVA letters]
    9.4
    11.7
    12.3
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.15
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline BCVA.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 2.3
    Confidence Interval (2-Sided) 80%
    0.2 to 4.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.04
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline BCVA.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 2.9
    Confidence Interval (2-Sided) 80%
    1.1 to 4.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    4. Secondary Outcome
    Title Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in Treatment-Naive Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    35.3
    39.2%
    36.0
    65.5%
    42.5
    51.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.94
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 0.8
    Confidence Interval (2-Sided) 80%
    -11.3 to 12.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.46
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 7.3
    Confidence Interval (2-Sided) 80%
    -5.4 to 19.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    5. Secondary Outcome
    Title Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in Previously Treated Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    16.8
    18.7%
    23.2
    42.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.56
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value 6.4
    Confidence Interval (2-Sided) 80%
    -7.7 to 20.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    6. Secondary Outcome
    Title Mean Percentage of Participants Who Gained ≥15 ETDRS Letters From Baseline BCVA Score at Week 24, in All Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    28.7
    31.9%
    35.3
    64.2%
    35.9
    43.8%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.43
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 6.6
    Confidence Interval (2-Sided) 80%
    -4.0 to 17.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.34
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 7.2
    Confidence Interval (2-Sided) 80%
    -2.6 to 17.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    7. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in Treatment-Naive Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    69.0
    76.7%
    78.5
    142.7%
    75.8
    92.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.27
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 9.5
    Confidence Interval (2-Sided) 80%
    -1.6 to 20.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.45
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 6.8
    Confidence Interval (2-Sided) 80%
    -4.9 to 18.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    8. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in Previously Treated Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    69.0
    76.7%
    68.4
    124.4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.96
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -0.6
    Confidence Interval (2-Sided) 80%
    -16.8 to 15.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    9. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥69 Letters (20/40 or Better) at Week 24, in All Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    69.0
    76.7%
    78.9
    143.5%
    73.2
    89.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.19
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 9.9
    Confidence Interval (2-Sided) 80%
    0.1 to 19.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.57
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value 4.2
    Confidence Interval (2-Sided) 80%
    -5.3 to 13.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    10. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in Treatment-Naive Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    11.5
    12.8%
    8.7
    15.8%
    9.8
    12%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.64
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -2.8
    Confidence Interval (2-Sided) 80%
    -10.5 to 4.9
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.78
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -1.8
    Confidence Interval (2-Sided) 80%
    -9.8 to 6.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    11. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in Previously Treated Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    10.5
    11.7%
    8.2
    14.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.78
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -2.3
    Confidence Interval (2-Sided) 80%
    -12.7 to 8.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    12. Secondary Outcome
    Title Mean Percentage of Participants With BCVA ≥84 Letters (20/20 or Better) at Week 24, in All Participants
    Description Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R) prior to dilating eyes by a trained and certified visual acuity examiner masked to study drug arm assignment. The BCVA examiner was masked to study eye and treatment assignment and only performed the refraction and BCVA assessment, but was not allowed to perform any other tasks involving direct care. The BCVA examiner was also masked to the BCVA letter scores of a participant's previous visits and could only know the participant's refraction data from previous visits. 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 outcome measure was analyzed using a Generalized Estimating Equations Model. Missing values were not imputed; it was assumed that the data were missing at random.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [Percentage of participants]
    11.1
    12.3%
    10.6
    19.3%
    9.1
    11.1%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.93
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -0.5
    Confidence Interval (2-Sided) 80%
    -7.7 to 6.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.69
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Generalized Estimating Equations Model
    Comments Categorical covariates: treatment group, visit, and visit by treatment group interaction term.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -2.0
    Confidence Interval (2-Sided) 80%
    -8.3 to 4.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    13. Secondary Outcome
    Title Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in Treatment-Naive Participants
    Description Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -243.4
    -249.9
    -266.2
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.69
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline FCPT.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -6.5
    Confidence Interval (2-Sided) 80%
    -27.8 to 14.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.18
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline FCPT.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -22.8
    Confidence Interval (2-Sided) 80%
    -44.5 to -1.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    14. Secondary Outcome
    Title Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in Previously Treated Participants
    Description Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -162.1
    -211.3
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.07
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline FCPT.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -49.2
    Confidence Interval (2-Sided) 80%
    -84.2 to -14.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    15. Secondary Outcome
    Title Mean Change From Baseline in Foveal Center Point Thickness at Week 24, in All Participants
    Description Foveal center point thickness (FCPT) is defined as the thickness from the inner limiting membrane to the retinal pigment epithelial at the horizontal slice closest to the center of the fovea. Foveal center point thickness was measured using spectral domain optical coherence tomography (SD-OCT).
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -210.7
    -228.0
    -239.9
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.28
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline FCPT.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -17.3
    Confidence Interval (2-Sided) 80%
    -38.0 to 3.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.05
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline FCPT.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -29.2
    Confidence Interval (2-Sided) 80%
    -47.8 to -10.6
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    16. Secondary Outcome
    Title Mean Change From Baseline in Central Subfield Thickness at Week 24, in Treatment-Naive Participants
    Description Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -204.7
    -217.1
    -225.8
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.36
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline CST.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -12.4
    Confidence Interval (2-Sided) 80%
    -29.7 to 5.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.13
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline CST.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -21.1
    Confidence Interval (2-Sided) 80%
    -38.7 to -3.5
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    17. Secondary Outcome
    Title Mean Change From Baseline in Central Subfield Thickness at Week 24, in Previously Treated Participants
    Description Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -148.0
    -186.6
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.07
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline CST.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -38.6
    Confidence Interval (2-Sided) 80%
    -65.9 to -11.3
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    18. Secondary Outcome
    Title Mean Change From Baseline in Central Subfield Thickness at Week 24, in All Participants
    Description Central subfield thickness (CST) is defined as the mean thickness from the inner limiting membrane to the retinal pigment epithelial over the 1 millimetre (mm) central subfield. Central subfield thickness was measured using SD-OCT.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 77 50 67
    Least Squares Mean (80% Confidence Interval) [micrometers]
    -180.2
    -200.3
    -206.9
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.12
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline CST.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -20.1
    Confidence Interval (2-Sided) 80%
    -36.4 to -3.8
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.02
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Mixed Effects Model of Repeated Measures
    Comments Categorical covariates: treatment group, categorical visit, and visit by treatment group, stratification factors; continuous covariate: baseline CST.
    Method of Estimation Estimation Parameter Difference in Least Squares Means
    Estimated Value -26.7
    Confidence Interval (2-Sided) 80%
    -41.3 to -12.0
    Parameter Dispersion Type:
    Value:
    Estimation Comments The mean difference between arms was calculated as Arm C minus Arm A.
    19. Secondary Outcome
    Title Percentage of Participants With Presence of Subretinal Fluid in the Study Eye at Week 24, in Treatment-Naive Participants
    Description Subretinal fluid is defined as the presence of fluid between the retina and the retinal pigment epithelium. Resolution of subretinal fluid was measured using SD-OCT.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Number (80% Confidence Interval) [Percentage of participants]
    4.08
    4.5%
    0.00
    0%
    0.00
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4948
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value -4.08
    Confidence Interval (2-Sided) 80%
    -7.70 to -0.46
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.4960
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value -4.08
    Confidence Interval (2-Sided) 80%
    -7.70 to -0.46
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm C minus Arm A.
    20. Secondary Outcome
    Title Percentage of Participants With Presence of Subretinal Fluid in the Study Eye at Week 24, in Previously Treated Participants
    Description Subretinal fluid is defined as the presence of fluid between the retina and the retinal pigment epithelium. Resolution of subretinal fluid was measured using SD-OCT.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Number (80% Confidence Interval) [Percentage of participants]
    7.14
    7.9%
    4.35
    7.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.0000
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value -2.80
    Confidence Interval (2-Sided) 80%
    -11.08 to 5.49
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm C minus Arm A.
    21. Secondary Outcome
    Title Percentage of Participants With Presence of Intraretinal Fluid in the Study Eye at Week 24, in Treatment-Naive Participants
    Description Intraretinal fluid is described as the presence of fluid within the retina. Resolution of intraretinal fluid was measured by SD-OCT.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 49 49 44
    Number (80% Confidence Interval) [percentage of participants]
    87.76
    97.5%
    81.63
    148.4%
    90.91
    110.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5759
    Comments There was no formal correction for multiple comparisons. Test for Arm B vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value -6.12
    Confidence Interval (2-Sided) 80%
    -15.41 to 3.17
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm B minus Arm A.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm C: 6 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arms (Arms B and C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): Either of the faricimab treatment arms (Arm B or C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7437
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value 3.15
    Confidence Interval (2-Sided) 80%
    -5.02 to 11.33
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm C minus Arm A.
    22. Secondary Outcome
    Title Percentage of Participants With Presence of Intraretinal Fluid in the Study Eye at Week 24, in Previously Treated Participants
    Description Intraretinal fluid is described as the presence of fluid within the retina. Resolution of intraretinal fluid was measured by SD-OCT.
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 28 23
    Number (80% Confidence Interval) [percentage of participants]
    89.29
    99.2%
    91.30
    166%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm A: 0.3 mg Ranibizumab, Arm B: 1.5 mg Faricimab
    Comments Null hypothesis (H0): There is no difference between either of the faricimab treatment arm (Arm C) and the active comparator ranibizumab treatment arm (Arm A). The alternative hypothesis (Ha): The faricimab treatment arms (Arm C) is different from the ranibizumab treatment arm (Arm A).
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.0000
    Comments There was no formal correction for multiple comparisons. Test for Arm C vs. Arm A was carried out at one-sided 10% alpha.
    Method Fisher Exact
    Comments
    Method of Estimation Estimation Parameter Difference in Percentage of Participants
    Estimated Value 2.02
    Confidence Interval (2-Sided) 80%
    -8.60 to 12.64
    Parameter Dispersion Type:
    Value:
    Estimation Comments The difference between arms was calculated as Arm C minus Arm A.
    23. Secondary Outcome
    Title Number of Participants With Presence or Absence of Leakage at the Macula at Week 24, in Treatment-Naive Participants
    Description Leakage at the macula describes the leakage of fluorescein at the macula region as measured by fundus fluorescein angiography (FFA).
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all treatment-naive participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 45 46 36
    Leakage Present
    41
    45.6%
    41
    74.5%
    25
    30.5%
    Leakage Absent
    4
    4.4%
    5
    9.1%
    11
    13.4%
    24. Secondary Outcome
    Title Number of Participants With Presence or Absence of Leakage at the Macula at Week 24, in Previously Treated Participants
    Description Leakage at the macula describes the leakage of fluorescein at the macula region as measured by fundus fluorescein angiography (FFA).
    Time Frame Week 24

    Outcome Measure Data

    Analysis Population Description
    Efficacy Population: all previously treated participants who had received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study). This analysis only included participants with non-missing assessments at Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 25 1 16
    Leakage Present
    24
    26.7%
    1
    1.8%
    14
    17.1%
    Leakage Absent
    1
    1.1%
    0
    0%
    2
    2.4%
    25. Secondary Outcome
    Title Mean Change From Baseline in the Size of the Foveal Avascular Zone at Week 24, in All Participants
    Description The size of the foveal avascular zone was to be measured by fundus fluorescein angiography (FFA).
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Due to the poor image quality available, size of the foveal avascular zone could not be assessed in any of the participant populations.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 0 0 0
    26. Secondary Outcome
    Title Mean Plasma Concentrations of Ranibizumab (Arm A) or Faricimab (Arms B and C) Over Time, in All Participants
    Description Plasma concentrations of ranibizumab were measured by an appropriate assay only from samples of participants randomized to Arm A: 0.3 mg Ranibizumab. Plasma concentrations of faricimab were measured by a specific validated enzyme-linked immunoabsorbent assay (ELISA) only from samples of participants randomized to Arm B: 1.5 mg Faricimab and Arm C: 6 mg Faricimab. Baseline was defined as the last non-missing predose assessment. The lower limit of quantification (LLOQ) for the ranibizumab and faricimab assays were 0.015 nanograms per millilitre (ng/mL) and 0.800 ng/mL, respectively. Values below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Predose at Baseline and Weeks 1, 4, 12, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacokinetics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 90 55 82
    Baseline
    2.20
    (7.84)
    0.40
    (0.00)
    0.40
    (0.00)
    Week 1
    2.52
    (7.57)
    48.36
    (22.46)
    172.24
    (80.59)
    Week 4
    0.86
    (2.27)
    6.97
    (4.96)
    20.60
    (13.46)
    Week 12
    0.26
    (0.48)
    9.32
    (5.93)
    22.38
    (13.63)
    Week 20
    0.21
    (0.35)
    7.11
    (4.64)
    22.59
    (18.10)
    Week 24
    0.20
    (0.44)
    8.69
    (5.06)
    20.18
    (16.37)
    Week 26
    0.19
    (0.47)
    3.80
    (3.28)
    8.18
    (6.98)
    Week 28
    0.10
    (0.16)
    1.44
    (2.42)
    2.94
    (3.07)
    Week 32
    0.05
    (0.09)
    0.46
    (0.23)
    0.82
    (0.97)
    Week 36
    0.03
    (0.05)
    0.40
    (0.00)
    0.40
    (0.00)
    27. Secondary Outcome
    Title Baseline and Change From Baseline in Free Vascular Endothelial Growth Factor (VEGF) Plasma Levels Over Time, in Treatment-Naive Participants
    Description The concentration of free VEGF was determined in plasma samples using an enzyme-linked immunosorbent assay (ELISA) method. The lower limit of quantification (LLOQ) of the assay was 15.6 picograms per millilitre (pg/mL). Plasma free VEGF concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 59 54 53
    Baseline (BL) - Value at Visit
    23.93
    (52.75)
    14.93
    (19.70)
    12.45
    (7.62)
    Change from BL at Week 1
    -9.44
    (49.77)
    -3.85
    (20.99)
    -3.61
    (6.96)
    Change from BL at Week 4
    -1.68
    (21.20)
    -0.37
    (21.76)
    -0.49
    (9.31)
    Change from BL at Week 12
    -3.54
    (22.50)
    -1.61
    (20.82)
    1.67
    (16.69)
    Change from BL at Week 16
    0.00
    (NA)
    Change from BL at Week 24
    -7.31
    (23.97)
    2.92
    (18.23)
    2.83
    (13.74)
    Change from BL at Week 26
    -4.37
    (13.09)
    -2.98
    (6.27)
    -2.43
    (7.08)
    Change from BL at Week 28
    0.30
    (5.87)
    0.73
    (12.17)
    7.15
    (7.73)
    Change from BL at Week 32
    -3.30
    (8.13)
    -35.85
    (65.08)
    4.50
    (5.97)
    Change from BL at Week 36
    -1.75
    (14.00)
    0.69
    (7.71)
    2.07
    (10.38)
    28. Secondary Outcome
    Title Baseline and Change From Baseline in Free Vascular Endothelial Growth Factor (VEGF) Plasma Levels Over Time, in Previously Treated Participants
    Description The concentration of free VEGF was determined in plasma samples using an enzyme-linked immunosorbent assay (ELISA) method. The lower limit of quantification (LLOQ) of the assay was 15.6 picograms per millilitre (pg/mL). Plasma free VEGF concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 31 1 29
    Baseline (BL) - Value at Visit
    12.94
    (10.00)
    7.80
    (NA)
    16.21
    (10.22)
    Change from BL at Week 1
    0.50
    (14.24)
    8.20
    (NA)
    -7.40
    (12.08)
    Change from BL at Week 4
    0.93
    (15.07)
    14.50
    (NA)
    -0.80
    (11.11)
    Change from BL at Week 12
    13.83
    (51.87)
    39.20
    (NA)
    0.78
    (16.55)
    Change from BL at Week 16
    19.10
    (NA)
    Change from BL at Week 24
    6.60
    (31.50)
    12.40
    (NA)
    4.13
    (27.51)
    Change from BL at Week 26
    -0.25
    (13.97)
    16.65
    (42.34)
    Change from BL at Week 28
    7.32
    (20.30)
    0.00
    (0.00)
    Change from BL at Week 32
    -1.13
    (11.24)
    57.00
    (NA)
    Change from BL at Week 36
    3.05
    (11.44)
    21.50
    (NA)
    3.53
    (21.58)
    29. Secondary Outcome
    Title Baseline and Change From Baseline in Total Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Treatment-Naive Participants
    Description Total Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.09 nanograms per millilitre (ng/mL). Plasma total Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 59 54 53
    Baseline (BL) - Value at Visit
    2.77
    (2.01)
    2.07
    (0.91)
    2.30
    (1.88)
    Change from BL at Week 1
    0.07
    (0.60)
    0.04
    (0.80)
    0.75
    (0.79)
    Change from BL at Week 4
    0.14
    (0.72)
    0.05
    (0.63)
    0.24
    (0.79)
    Change from BL at Week 12
    0.06
    (0.66)
    0.14
    (0.51)
    0.18
    (1.02)
    Change from BL at Week 16
    -0.08
    (NA)
    Change from BL at Week 24
    0.30
    (0.80)
    0.40
    (0.90)
    0.00
    (0.61)
    Change from BL at Week 26
    0.25
    (1.37)
    0.21
    (0.33)
    0.58
    (0.78)
    Change from BL at Week 28
    0.11
    (0.35)
    0.34
    (0.35)
    -0.20
    (0.49)
    Change from BL at Week 32
    -0.35
    (0.50)
    1.58
    (1.91)
    0.42
    (0.21)
    Change from BL at Week 36
    0.05
    (0.83)
    0.39
    (1.45)
    -0.02
    (0.83)
    30. Secondary Outcome
    Title Baseline and Change From Baseline in Free Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Treatment-Naive Participants
    Description Free Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.9 nanograms per millilitre (ng/mL). Plasma free Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 59 54 53
    Baseline (BL) - Value at Visit
    3.05
    (1.72)
    2.38
    (1.04)
    2.46
    (1.37)
    Change from BL at Week 1
    -0.49
    (0.46)
    -0.59
    (0.79)
    0.06
    (1.01)
    Change from BL at Week 4
    -0.36
    (0.66)
    -0.45
    (0.72)
    -0.22
    (0.88)
    Change from BL at Week 12
    -0.07
    (0.87)
    0.10
    (0.68)
    0.25
    (1.11)
    Change from BL at Week 16
    -0.74
    (NA)
    Change from BL at Week 24
    -0.08
    (0.95)
    0.19
    (1.14)
    -0.11
    (0.86)
    Change from BL at Week 26
    -0.23
    (1.27)
    -0.26
    (0.39)
    0.08
    (0.76)
    Change from BL at Week 28
    -0.56
    (0.69)
    -0.37
    (0.44)
    -0.54
    (0.60)
    Change from BL at Week 32
    -0.61
    (0.58)
    0.92
    (1.83)
    -0.12
    (0.28)
    Change from BL at Week 36
    -0.61
    (0.87)
    -0.15
    (1.03)
    -0.26
    (0.89)
    31. Secondary Outcome
    Title Baseline and Change From Baseline in Total Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Previously Treated Participants
    Description Total Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.09 nanograms per millilitre (ng/mL). Plasma total Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 31 1 29
    Baseline (BL) - Value at Visit
    2.40
    (2.34)
    1.84
    (NA)
    2.31
    (1.78)
    Change from BL at Week 1
    0.15
    (14.24)
    0.11
    (NA)
    0.94
    (1.12)
    Change from BL at Week 4
    0.03
    (0.52)
    -0.27
    (NA)
    0.14
    (0.87)
    Change from BL at Week 12
    0.33
    (1.66)
    -0.28
    (NA)
    -0.09
    (0.46)
    Change from BL at Week 16
    -0.21
    (NA)
    Change from BL at Week 24
    0.19
    (1.22)
    -0.19
    (NA)
    -0.16
    (0.46)
    Change from BL at Week 26
    -0.07
    (0.64)
    -0.20
    (0.42)
    Change from BL at Week 28
    0.74
    (2.78)
    -0.91
    (0.35)
    Change from BL at Week 32
    -0.04
    (0.79)
    0.49
    (NA)
    Change from BL at Week 36
    0.01
    (0.72)
    -0.47
    (NA)
    -0.13
    (0.42)
    32. Secondary Outcome
    Title Baseline and Change From Baseline in Free Angiopoietin-2 (Ang-2) Plasma Levels Over Time, in Previously Treated Participants
    Description Free Ang-2 concentrations were determined in plasma samples using an appropriate assay method. The lower limit of quantification (LLOQ) of the assay was 0.9 nanograms per millilitre (ng/mL). Plasma free Ang-2 concentrations below the limit of quantification were imputed as LLOQ divided by 2.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Pharmacodynamics Population: The analysis included participants who received at least one dose of study drug grouped by treatment assigned at randomization (did not differ from actual treatment during the study) and had plasma samples available at a given study visit timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 31 1 29
    Baseline (BL) - Value at Visit
    2.67
    (2.60)
    2.08
    (NA)
    2.35
    (1.76)
    Change from BL at Week 1
    -0.07
    (0.88)
    -0.04
    (NA)
    0.30
    (0.87)
    Change from BL at Week 4
    -0.33
    (0.58)
    -0.28
    (NA)
    -0.17
    (0.66)
    Change from BL at Week 12
    -0.05
    (1.12)
    -0.65
    (NA)
    -0.13
    (0.61)
    Change from BL at Week 16
    -0.49
    (NA)
    Change from BL at Week 24
    -0.28
    (0.58)
    -0.49
    (NA)
    -0.29
    (0.64)
    Change from BL at Week 26
    -0.21
    (0.79)
    -0.16
    (0.54)
    Change from BL at Week 28
    -0.17
    (1.59)
    -1.36
    (0.83)
    Change from BL at Week 32
    -0.59
    (0.68)
    0.07
    (NA)
    Change from BL at Week 36
    -0.29
    (0.72)
    -0.72
    (NA)
    -0.19
    (0.45)
    33. Secondary Outcome
    Title Safety Summary of the Number of Participants With at Least One Adverse Event During the Treatment Period (up to Week 24), in All Participants
    Description This safety summary reports the number and percentage of participants who experienced at least one adverse event (AE) within 28 days of the end of the treatment period (i.e., up to Week 24). AEs are categorized as any AEs, ocular AEs occurring in the study eye or fellow eye, systemic AEs, serious AEs, AEs related to treatment with study drug, AEs leading to discontinuation of treatment with study drug, and AEs with fatal outcome. Multiple occurrences of the same AE in one individual were counted only once.
    Time Frame From Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Any AE
    61
    67.8%
    38
    69.1%
    54
    65.9%
    Ocular AE
    30
    33.3%
    21
    38.2%
    32
    39%
    Ocular AE in the Study Eye
    22
    24.4%
    16
    29.1%
    22
    26.8%
    Related Ocular AE in the Study Eye
    1
    1.1%
    0
    0%
    2
    2.4%
    Ocular AE in Study Eye Leading to Discontinuation
    1
    1.1%
    0
    0%
    0
    0%
    Serious Ocular AE in the Study Eye
    1
    1.1%
    0
    0%
    1
    1.2%
    Ocular AE in the Fellow Eye
    19
    21.1%
    14
    25.5%
    18
    22%
    Systemic AE
    51
    56.7%
    30
    54.5%
    46
    56.1%
    Related Systemic AE
    0
    0%
    0
    0%
    2
    2.4%
    Serious Systemic AE
    8
    8.9%
    6
    10.9%
    7
    8.5%
    Systemic AE Leading to Discontinuation
    0
    0%
    1
    1.8%
    0
    0%
    Any Related AE
    1
    1.1%
    0
    0%
    4
    4.9%
    Any Serious AE
    9
    10%
    7
    12.7%
    8
    9.8%
    Any Related Serious AE
    0
    0%
    0
    0%
    0
    0%
    AE with Fatal Outcome
    2
    2.2%
    1
    1.8%
    2
    2.4%
    34. Secondary Outcome
    Title Safety Summary of the Number of Participants With at Least One Adverse Event During the Post-Treatment Observation Period, in All Participants
    Description This safety summary reports the number and percentage of participants who experienced at least one adverse event (AE) during the post-treatment observation period (i.e., from Week 24 up to Week 36). AEs are categorized as any AEs, ocular AEs occurring in the study eye or fellow eye, systemic AEs, serious AEs, AEs related to treatment with study drug, AEs leading to discontinuation of treatment with study drug, and AEs with fatal outcome. Multiple occurrences of the same AE in one individual were counted only once.
    Time Frame From Week 24 up to Week 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Any AE
    31
    34.4%
    21
    38.2%
    34
    41.5%
    Ocular AE
    11
    12.2%
    7
    12.7%
    12
    14.6%
    Ocular AE in the Study Eye
    9
    10%
    4
    7.3%
    8
    9.8%
    Related Ocular AE in the Study Eye
    1
    1.1%
    0
    0%
    0
    0%
    Ocular AE in Study Eye Leading to Discontinuation
    0
    0%
    0
    0%
    0
    0%
    Serious Ocular AE in the Study Eye
    0
    0%
    0
    0%
    1
    1.2%
    Ocular AE in the Fellow Eye
    6
    6.7%
    5
    9.1%
    8
    9.8%
    Systemic AE
    22
    24.4%
    15
    27.3%
    25
    30.5%
    Related Systemic AE
    0
    0%
    0
    0%
    0
    0%
    Serious Systemic AE
    2
    2.2%
    3
    5.5%
    4
    4.9%
    Systemic AE Leading to Discontinuation
    0
    0%
    0
    0%
    0
    0%
    Any Related AE
    1
    1.1%
    0
    0%
    0
    0%
    Any Serious AE
    2
    2.2%
    3
    5.5%
    5
    6.1%
    Any Related Serious AE
    0
    0%
    0
    0%
    0
    0%
    AE with Fatal Outcome
    0
    0%
    0
    0%
    0
    0%
    35. Secondary Outcome
    Title Number of Participants With at Least One Ocular Adverse Event in the Study Eye or the Fellow Eye During the Treatment Period by Highest Intensity, in All Participants
    Description The investigator assessed adverse event severity according to the following grading scale: Mild = Discomfort noticed, but no disruption of normal daily activity; Moderate = Discomfort sufficient to reduce or affect normal daily activity; Severe = Incapacitating with inability to work or to perform normal daily activity. Only the most severe intensity was counted for multiple occurrences of the same adverse event per participant at the preferred term level. Severity and seriousness are not synonymous; regardless of severity, some adverse events may have also met seriousness criteria.
    Time Frame From Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Study Eye - Ocular AE of Any Intensity
    22
    24.4%
    16
    29.1%
    22
    26.8%
    Study Eye - Mild Ocluar AE
    20
    22.2%
    15
    27.3%
    21
    25.6%
    Study Eye - Moderate Ocular AE
    2
    2.2%
    3
    5.5%
    3
    3.7%
    Study Eye - Severe Ocular AE
    1
    1.1%
    0
    0%
    0
    0%
    Fellow Eye - Ocular AE of Any Intensity
    19
    21.1%
    14
    25.5%
    18
    22%
    Fellow Eye - Mild Ocular AE
    13
    14.4%
    13
    23.6%
    14
    17.1%
    Fellow Eye - Moderate Ocular AE
    7
    7.8%
    1
    1.8%
    5
    6.1%
    Fellow Eye - Severe Ocular AE
    0
    0%
    1
    1.8%
    0
    0%
    36. Secondary Outcome
    Title Number of Participants With at Least One Systemic Adverse Event During the Treatment Period by Highest Intensity, in All Participants
    Description The investigator assessed adverse event severity according to the following grading scale: Mild = Discomfort noticed, but no disruption of normal daily activity; Moderate = Discomfort sufficient to reduce or affect normal daily activity; Severe = Incapacitating with inability to work or to perform normal daily activity. Only the most severe intensity was counted for multiple occurrences of the same adverse event per participant at the preferred term level. Severity and seriousness are not synonymous; regardless of severity, some adverse events may have also met seriousness criteria.
    Time Frame From Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Systemic AE of Any Intensity
    51
    56.7%
    30
    54.5%
    46
    56.1%
    Mild Systemic AE
    34
    37.8%
    19
    34.5%
    34
    41.5%
    Moderate Systemic AE
    26
    28.9%
    18
    32.7%
    22
    26.8%
    Severe Systemic AE
    9
    10%
    4
    7.3%
    5
    6.1%
    37. Secondary Outcome
    Title Number of Participants With Abnormal Systolic Blood Pressure Over Time, in All Participants
    Description Abnormal systolic blood pressure (supine) was defined as any value outside of the standard reference range, from <70 (low) to >180 (high) millimetres of mercury (mmHg) or a change from baseline of greater than 30 mmHg (decrease or increase). Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.
    Time Frame Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population; the number of participants with an abnormal vital sign (numerator) is reported among the number analyzed (denominator), which represents the number of participants without the abnormal vital sign at baseline and who were evaluable at a given assessment timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Week 1 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 1 - High
    1
    1.1%
    3
    5.5%
    0
    0%
    Week 4 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 4 - High
    0
    0%
    0
    0%
    1
    1.2%
    Week 8 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 8 - High
    1
    1.1%
    0
    0%
    2
    2.4%
    Week 12 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 12 - High
    1
    1.1%
    0
    0%
    2
    2.4%
    Week 16 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 16 - High
    0
    0%
    1
    1.8%
    1
    1.2%
    Week 20 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 20 - High
    3
    3.3%
    2
    3.6%
    3
    3.7%
    Week 24 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 24 - High
    2
    2.2%
    2
    3.6%
    2
    2.4%
    Week 26 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 26 - High
    0
    0%
    0
    0%
    0
    0%
    Week 28 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 28 - High
    1
    1.1%
    1
    1.8%
    1
    1.2%
    Week 32 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 32 - High
    4
    4.4%
    1
    1.8%
    2
    2.4%
    Week 36 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 36 - High
    1
    1.1%
    0
    0%
    2
    2.4%
    38. Secondary Outcome
    Title Number of Participants With Abnormal Diastolic Blood Pressure Over Time, in All Participants
    Description Abnormal diastolic blood pressure (supine) was defined as any value outside of the standard reference range, from <40 (low) to >110 (high) millimetres of mercury (mmHg) or a change from baseline of greater than 20 mmHg (decrease or increase). Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.
    Time Frame Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population; the number of participants with an abnormal vital sign (numerator) is reported among the number analyzed (denominator), which represents the number of participants without the abnormal vital sign at baseline and who were evaluable at a given assessment timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Week 1 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 1 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 4 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 4 - High
    0
    0%
    0
    0%
    0
    0%
    Week 8 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 8 - High
    0
    0%
    0
    0%
    0
    0%
    Week 12 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 12 - High
    0
    0%
    0
    0%
    2
    2.4%
    Week 16 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 16 - High
    0
    0%
    0
    0%
    0
    0%
    Week 20 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 20 - High
    1
    1.1%
    0
    0%
    1
    1.2%
    Week 24 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 24 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 26 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 26 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 28 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 28 - High
    0
    0%
    0
    0%
    0
    0%
    Week 32 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 32 - High
    1
    1.1%
    1
    1.8%
    0
    0%
    Week 36 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 36 - High
    0
    0%
    0
    0%
    1
    1.2%
    39. Secondary Outcome
    Title Number of Participants With an Abnormal Heart Rate Over Time, in All Participants
    Description Abnormal heart rate (supine) was defined as any value outside of the standard reference range, from <40 (low) to >100 (high) beats per minute. Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.
    Time Frame Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population; the number of participants with an abnormal vital sign (numerator) is reported among the number analyzed (denominator), which represents the number of participants without the abnormal vital sign at baseline and who were evaluable at a given assessment timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Week 1 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 1 - High
    0
    0%
    0
    0%
    1
    1.2%
    Week 4 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 4 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 8 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 8 - High
    0
    0%
    0
    0%
    0
    0%
    Week 12 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 12 - High
    1
    1.1%
    0
    0%
    1
    1.2%
    Week 16 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 16 - High
    2
    2.2%
    0
    0%
    3
    3.7%
    Week 20 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 20 - High
    1
    1.1%
    0
    0%
    1
    1.2%
    Week 24 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 24 - High
    1
    1.1%
    0
    0%
    2
    2.4%
    Week 26 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 26 - High
    2
    2.2%
    0
    0%
    1
    1.2%
    Week 28 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 28 - High
    0
    0%
    0
    0%
    2
    2.4%
    Week 32 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 32 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 36 - Low
    0
    0%
    0
    0%
    0
    0%
    Week 36 - High
    0
    0%
    0
    0%
    0
    0%
    40. Secondary Outcome
    Title Number of Participants With Abnormal Body Temperature Over Time, in All Participants
    Description Abnormal body temperature (supine) was defined as any value outside of the standard reference range, from <36.5 (low) to >37.5 (high) degrees Celsius. Baseline was defined as the last non-missing predose assessment. Not every abnormal vital sign qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy.
    Time Frame Baseline and Weeks 1, 4, 8, 12, 16, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population; the number of participants with an abnormal vital sign (numerator) is reported among the number analyzed (denominator), which represents the number of participants without the abnormal vital sign at baseline and who were evaluable at a given assessment timepoint.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Week 1 - Low
    8
    8.9%
    4
    7.3%
    7
    8.5%
    Week 1 - High
    0
    0%
    0
    0%
    1
    1.2%
    Week 4 - Low
    13
    14.4%
    2
    3.6%
    8
    9.8%
    Week 4 - High
    0
    0%
    1
    1.8%
    0
    0%
    Week 8 - Low
    14
    15.6%
    4
    7.3%
    9
    11%
    Week 8 - High
    1
    1.1%
    1
    1.8%
    1
    1.2%
    Week 12 - Low
    9
    10%
    4
    7.3%
    14
    17.1%
    Week 12 - High
    1
    1.1%
    1
    1.8%
    0
    0%
    Week 16 - Low
    5
    5.6%
    3
    5.5%
    13
    15.9%
    Week 16 - High
    1
    1.1%
    1
    1.8%
    0
    0%
    Week 20 - Low
    8
    8.9%
    6
    10.9%
    7
    8.5%
    Week 20 - High
    0
    0%
    0
    0%
    0
    0%
    Week 24 - Low
    13
    14.4%
    6
    10.9%
    10
    12.2%
    Week 24 - High
    0
    0%
    0
    0%
    1
    1.2%
    Week 26 - Low
    3
    3.3%
    1
    1.8%
    5
    6.1%
    Week 26 - High
    1
    1.1%
    0
    0%
    1
    1.2%
    Week 28 - Low
    11
    12.2%
    4
    7.3%
    10
    12.2%
    Week 28 - High
    0
    0%
    0
    0%
    1
    1.2%
    Week 32 - Low
    7
    7.8%
    7
    12.7%
    9
    11%
    Week 32 - High
    1
    1.1%
    0
    0%
    0
    0%
    Week 36 - Low
    5
    5.6%
    7
    12.7%
    8
    9.8%
    Week 36 - High
    0
    0%
    0
    0%
    0
    0%
    41. Secondary Outcome
    Title Mean Heart Rate at Baseline and Week 24, as Measured by Electrocardiogram in All Participants
    Description Triplicate 12-lead electrocardiogram (ECG), i.e., three useful ECGs without artifacts, were performed on all evaluable participants. To minimize variability, it was important that participants be in a resting position for at least 10 minutes prior to the ECG evaluation. Body position was to be consistently maintained for each ECG evaluation to prevent changes in heart rate. Environmental distractions (e.g., television, radio, conversation, mobile phones) were to be minimized before and during ECG recording. Triplicate ECGs were to be obtained within a 5-minute interval. The predefined standard reference range for heart rate measured by ECG was 40 (low) to 100 (high) beats per minute.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. This analysis included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Baseline
    71.52
    (14.47)
    73.65
    (10.43)
    74.12
    (12.89)
    Week 24
    71.12
    (12.53)
    73.96
    (11.32)
    75.61
    (11.46)
    42. Secondary Outcome
    Title Mean PR, RR, QT, QRS, QTcB, and QTcF Intervals at Baseline and Week 24, as Measured by Electrocardiogram in All Participants
    Description Triplicate 12-lead electrocardiogram (ECG), i.e., three useful ECGs without artifacts, were performed on all evaluable participants. To minimize variability, it was important that participants be in a resting position for at least 10 minutes prior to the ECG evaluation. Body position was to be consistently maintained for each ECG evaluation to prevent changes in heart rate. Environmental distractions (e.g., television, radio, conversation, mobile phones) were to be minimized before and during ECG recording. Triplicate ECGs were to be obtained within a 5-minute interval. Baseline was defined as the last non-missing predose assessment. The predefined standard reference ranges for the intervals measured by ECG were defined as follows (ranges are from low to high, in milliseconds [msec]): PR: 120-200 msec; RR: 600-1500 msec; QT: 200-500 msec; QRS: 40-120 msec.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. This analysis included participants with non-missing assessments at Baseline and Week 24.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    PR Interval at Baseline
    172.57
    (28.62)
    168.50
    (31.82)
    170.91
    (29.06)
    PR Interval at Week 24
    171.95
    (30.21)
    167.49
    (26.20)
    172.02
    (28.81)
    RR Interval at Baseline
    864.44
    (160.30)
    826.04
    (119.67)
    828.64
    (146.42)
    RR Interval at Week 24
    864.34
    (154.93)
    824.13
    (126.72)
    806.45
    (124.82)
    QT Interval at Baseline
    395.40
    (40.47)
    387.87
    (30.52)
    386.97
    (32.65)
    QT Interval at Week 24
    393.96
    (36.74)
    384.30
    (28.03)
    381.50
    (28.10)
    QRS Interval at Baseline
    98.84
    (19.80)
    96.06
    (16.76)
    95.26
    (15.54)
    QRS Interval at Week 24
    98.82
    (19.90)
    96.66
    (11.24)
    95.40
    (17.83)
    QTcB Interval at Baseline
    426.98
    (24.47)
    427.85
    (24.33)
    426.91
    (22.84)
    QTcB Interval at Week 24
    425.60
    (25.55)
    424.79
    (22.93)
    426.31
    (23.36)
    QTcF Interval at Baseline
    415.60
    (25.63)
    413.61
    (23.15)
    412.67
    (21.17)
    QTcF Interval at Week 24
    414.21
    (24.75)
    410.45
    (20.35)
    410.42
    (20.61)
    43. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormalities in Hematology Tests, in All Participants
    Description Clinical laboratory tests for hematology parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. Abs. = absolute count; Ery. = erythrocyte; Hemo. = hemoglobin
    Time Frame Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. This analysis included participants with non-missing assessments.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Eosinophils, Abs., High - Any Abnormality
    2
    2.2%
    1
    1.8%
    3
    3.7%
    Eosinophils, Abs., High - Single, Not Last
    1
    1.1%
    1
    1.8%
    3
    3.7%
    Eosinophils, Abs., High - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    Hematocrit, Low - Any Abnormality
    4
    4.4%
    1
    1.8%
    1
    1.2%
    Hematocrit, Low - Single, Not Last
    1
    1.1%
    0
    0%
    1
    1.2%
    Hematocrit, Low - Last or Replicated
    3
    3.3%
    1
    1.8%
    0
    0%
    Hemoglobin, Low - Any Abnormality
    4
    4.4%
    1
    1.8%
    2
    2.4%
    Hemoglobin, Low - Single, Not Last
    1
    1.1%
    0
    0%
    2
    2.4%
    Hemoglobin, Low - Last or Replicated
    3
    3.3%
    1
    1.8%
    0
    0%
    Lymphocytes, Abs., Low - Any Abnormality
    1
    1.1%
    0
    0%
    1
    1.2%
    Lymphocytes, Abs., Low - Single, Not Last
    1
    1.1%
    0
    0%
    1
    1.2%
    Lymphocytes, Abs., Low - Last or Replicated
    0
    0%
    0
    0%
    0
    0%
    Ery. Mean Corpuscular Hemo., Low - Any Abnormality
    0
    0%
    0
    0%
    1
    1.2%
    Ery. Mean Corpuscular Hemo., Low -Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Ery. Mean Corpuscular Hemo.,Low-Last or Replicated
    0
    0%
    0
    0%
    1
    1.2%
    Neutrophils, Total, Abs., Low - Any Abnormality
    1
    1.1%
    1
    1.8%
    0
    0%
    Neutrophils, Total, Abs., Low - Single, Not Last
    1
    1.1%
    0
    0%
    0
    0%
    Neutrophils, Total, Abs., Low -Last or Replicated
    0
    0%
    1
    1.8%
    0
    0%
    Neutrophils, Total, Abs., High - Any Abnormality
    2
    2.2%
    0
    0%
    2
    2.4%
    Neutrophils, Total, Abs., High - Single, Not Last
    1
    1.1%
    0
    0%
    0
    0%
    Neutrophils, Total, Abs., High -Last or Replicated
    1
    1.1%
    0
    0%
    2
    2.4%
    Platelets, Low - Any Abnormality
    1
    1.1%
    1
    1.8%
    0
    0%
    Platelets, Low - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Platelets, Low - Last or Replicated
    1
    1.1%
    1
    1.8%
    0
    0%
    Platelets, High - Any Abnormality
    1
    1.1%
    0
    0%
    0
    0%
    Platelets, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Platelets, High - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    Red Blood Cell Count, Low - Any Abnormality
    3
    3.3%
    1
    1.8%
    1
    1.2%
    Red Blood Cell Count, Low - Single, Not Last
    2
    2.2%
    0
    0%
    1
    1.2%
    Red Blood Cell Count, Low - Last or Replicated
    1
    1.1%
    1
    1.8%
    0
    0%
    White Blood Cell Count, Low - Any Abnormality
    1
    1.1%
    2
    3.6%
    1
    1.2%
    White Blood Cell Count, Low - Single, Not Last
    1
    1.1%
    1
    1.8%
    1
    1.2%
    White Blood Cell Count, Low - Last or Replicated
    0
    0%
    1
    1.8%
    0
    0%
    44. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormalities in Blood Chemistry Tests, in All Participants
    Description Clinical laboratory tests for blood chemistry parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. SGOT/AST = serum glutamic oxaloacetic transaminase / aspartate aminotransferase
    Time Frame Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. This analysis included participants with non-missing assessments.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    Alkaline Phosphatase, High - Any Abnormality
    0
    0%
    0
    0%
    1
    1.2%
    Alkaline Phosphatase, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Alkaline Phosphatase, High - Last or Replicated
    0
    0%
    0
    0%
    1
    1.2%
    SGOT/AST, High - Any Abnormality
    0
    0%
    1
    1.8%
    0
    0%
    SGOT/AST, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    SGOT/AST, High - Last or Replicated
    0
    0%
    1
    1.8%
    0
    0%
    Bicarbonate, Low - Any Abnormality
    4
    4.4%
    1
    1.8%
    2
    2.4%
    Bicarbonate, Low - Single, Not Last
    0
    0%
    0
    0%
    1
    1.2%
    Bicarbonate, Low - Last or Replicated
    4
    4.4%
    1
    1.8%
    1
    1.2%
    Bicarbonate, High - Any Abnormality
    1
    1.1%
    0
    0%
    1
    1.2%
    Bicarbonate, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Bicarbonate, High - Last or Replicated
    1
    1.1%
    0
    0%
    1
    1.2%
    Blood Urea Nitrogen, High - Any Abnormality
    2
    2.2%
    3
    5.5%
    3
    3.7%
    Blood Urea Nitrogen, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Blood Urea Nitrogen, High - Last or Replicated
    2
    2.2%
    3
    5.5%
    3
    3.7%
    Calcium, Low - Any Abnormality
    2
    2.2%
    0
    0%
    2
    2.4%
    Calcium, Low - Single, Not Last
    1
    1.1%
    0
    0%
    1
    1.2%
    Calcium, Low - Last or Replicated
    1
    1.1%
    0
    0%
    1
    1.2%
    Chloride, Low - Any Abnormality
    3
    3.3%
    1
    1.8%
    0
    0%
    Chloride, Low - Single, Not Last
    2
    2.2%
    1
    1.8%
    0
    0%
    Chloride, Low - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    Cholesterol, High - Any Abnormality
    0
    0%
    1
    1.8%
    0
    0%
    Cholesterol, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Cholesterol, High - Last or Replicated
    0
    0%
    1
    1.8%
    0
    0%
    Creatine Kinase, High - Any Abnormality
    3
    3.3%
    0
    0%
    1
    1.2%
    Creatine Kinase, High - Single, Not Last
    1
    1.1%
    0
    0%
    1
    1.2%
    Creatine Kinase, High - Last or Replicated
    2
    2.2%
    0
    0%
    0
    0%
    Creatinine, High - Any Abnormality
    1
    1.1%
    0
    0%
    2
    2.4%
    Creatinine, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Creatinine, High - Last or Replicated
    1
    1.1%
    0
    0%
    2
    2.4%
    Gamma Glutamyl Transferase, High-Any Abnormality
    3
    3.3%
    0
    0%
    2
    2.4%
    Gamma Glutamyl Transferase, High-Single, Not Last
    1
    1.1%
    0
    0%
    0
    0%
    Gamma Glutamyl Transferase,High-Last or Replicated
    2
    2.2%
    0
    0%
    2
    2.4%
    Phosphorus, Low - Any Abnormality
    0
    0%
    1
    1.8%
    1
    1.2%
    Phosphorus, Low - Single, Not Last
    0
    0%
    1
    1.8%
    0
    0%
    Phosphorus, Low - Last or Replicated
    0
    0%
    0
    0%
    1
    1.2%
    Phosphorus, High - Any Abnormality
    3
    3.3%
    0
    0%
    1
    1.2%
    Phosphorus, High - Single, Not Last
    2
    2.2%
    0
    0%
    0
    0%
    Phosphorus, High - Last or Replicated
    1
    1.1%
    0
    0%
    1
    1.2%
    Potassium, High - Any Abnormality
    1
    1.1%
    0
    0%
    1
    1.2%
    Potassium, High - Single, Not Last
    0
    0%
    0
    0%
    1
    1.2%
    Potassium, High - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    Sodium, Low - Any Abnormality
    1
    1.1%
    0
    0%
    0
    0%
    Sodium, Low - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Sodium, Low - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    Bilirubin, High - Any Abnormality
    0
    0%
    0
    0%
    1
    1.2%
    Bilirubin, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Bilirubin, High - Last or Replicated
    0
    0%
    0
    0%
    1
    1.2%
    Protein, Total, Low - Any Abnormality
    0
    0%
    0
    0%
    1
    1.2%
    Protein, Total, Low - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    Protein, Total, Low - Last or Replicated
    0
    0%
    0
    0%
    1
    1.2%
    45. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormalities in Coagulation Tests, in All Participants
    Description Clinical laboratory tests for coagulation parameters were performed and any marked abnormal values (High or Low) were based on Roche's predefined standard reference ranges. Marked laboratory abnormalities are presented according to COG3007 abnormality criteria: Single, Not Last = abnormality detected at a single assessment, but not at the last assessment; Last or Replicated = abnormality detected at the last assessment or replicated at one or more assessments. Not every laboratory abnormality qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. aPTT = activated partial thromboplastin time; INR = International Normalized Ratio (prothrombin time)
    Time Frame Predose at Baseline, Weeks 12 and 24, and at Early Termination and Unscheduled Visits (up to 36 weeks)

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. This analysis included participants with non-missing assessments.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 89 55 80
    INR, High - Any Abnormality
    1
    1.1%
    0
    0%
    0
    0%
    INR, High - Single, Not Last
    0
    0%
    0
    0%
    0
    0%
    INR, High - Last or Replicated
    1
    1.1%
    0
    0%
    0
    0%
    aPTT, High - Any Abnormality
    5
    5.6%
    1
    1.8%
    1
    1.2%
    aPTT, High - Single, Not Last
    2
    2.2%
    0
    0%
    0
    0%
    aPTT, High - Last or Replicated
    3
    3.3%
    1
    1.8%
    1
    1.2%
    46. Secondary Outcome
    Title Number of Participants Who Tested Negative or Positive for Anti-Drug Antibodies Against Faricimab Over Time
    Description The number and percentage of participants who tested negative or positive for plasma anti-drug antibodies (ADA) to faricimab at baseline and at the study visits was tabulated, except for those who were randomized to treatment with ranibizumab in Arm A.
    Time Frame Baseline and Weeks 1, 4, 12, 16, 20, 24, 26, 28, 32, and 36

    Outcome Measure Data

    Analysis Population Description
    Safety Population: all participants who had received at least one dose of the study drug, whether prematurely withdrawn from the study or not, grouped according to the actual treatment received. Analysis only included participants who were randomized to treatment with faricimab in Arms B and C.
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    Measure Participants 0 55 80
    Baseline - ADA Negative
    53
    58.9%
    75
    136.4%
    Baseline - ADA Positive
    1
    1.1%
    2
    3.6%
    Week 1 - ADA Negative
    50
    55.6%
    67
    121.8%
    Week 1 - ADA Positive
    2
    2.2%
    1
    1.8%
    Week 4 - ADA Negative
    52
    57.8%
    74
    134.5%
    Week 4 - ADA Positive
    1
    1.1%
    2
    3.6%
    Week 12 - ADA Negative
    49
    54.4%
    68
    123.6%
    Week 12 - ADA Positive
    2
    2.2%
    3
    5.5%
    Week 16 - ADA Negative
    1
    1.1%
    1
    1.8%
    Week 16 - ADA Positive
    0
    0%
    0
    0%
    Week 20 - ADA Negative
    50
    55.6%
    65
    118.2%
    Week 20 - ADA Positive
    2
    2.2%
    5
    9.1%
    Week 24 - ADA Negative
    46
    51.1%
    58
    105.5%
    Week 24 - ADA Positive
    3
    3.3%
    6
    10.9%
    Week 26 - ADA Negative
    2
    2.2%
    5
    9.1%
    Week 26 - ADA Positive
    0
    0%
    0
    0%
    Week 28 - ADA Negative
    6
    6.7%
    7
    12.7%
    Week 28 - ADA Positive
    0
    0%
    0
    0%
    Week 32 - ADA Negative
    5
    5.6%
    5
    9.1%
    Week 32 - ADA Positive
    0
    0%
    0
    0%
    Week 36 - ADA Negative
    32
    35.6%
    47
    85.5%
    Week 36 - ADA Positive
    4
    4.4%
    6
    10.9%

    Adverse Events

    Time Frame From Baseline until the final study visit (up to 36 weeks)
    Adverse Event Reporting Description
    Arm/Group Title Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Arm/Group Description Participants received 0.3 milligrams (mg) ranibizumab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 1.5 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study. Participants received 6 mg faricimab every fourth week up to Week 20, for a total of 6 administrations, followed by an observational period up to Week 36. If a participant met pre-specified criteria they received a single dose of 0.3 mg ranibizumab and exited the study.
    All Cause Mortality
    Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 2/89 (2.2%) 1/55 (1.8%) 2/80 (2.5%)
    Serious Adverse Events
    Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/89 (10.1%) 7/55 (12.7%) 8/80 (10%)
    Blood and lymphatic system disorders
    Anaemia 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Cardiac disorders
    Acute left ventricular failure 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Angina pectoris 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Cardiac arrest 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Coronary artery disease 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Cardiac failure congestive 2/89 (2.2%) 1/55 (1.8%) 0/80 (0%)
    Eye disorders
    Diabetic retinopathy 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Retinal vein occlusion 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Visual acuity reduced 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Vitreous haemorrhage 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Gastrointestinal disorders
    Ascites 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Gastrointestinal haemorrhage 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Vomiting 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    General disorders
    Asthenia 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Death 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Hepatobiliary disorders
    Hepatic cirrhosis 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Infections and infestations
    Bronchitis 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Cellulitis 2/89 (2.2%) 0/55 (0%) 0/80 (0%)
    Gangrene 1/89 (1.1%) 1/55 (1.8%) 0/80 (0%)
    Osteomyelitis 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Pneumonia 0/89 (0%) 2/55 (3.6%) 0/80 (0%)
    Localised infection 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Injury, poisoning and procedural complications
    Fracture displacement 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Multiple injuries 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Procedural complication 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Road traffic accident 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Metabolism and nutrition disorders
    Diabetes mellitus 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Hyperkalaemia 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Hypoglycaemia 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Musculoskeletal and connective tissue disorders
    Neuropathic arthropathy 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Osteoarthritis 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Hepatocellular carcinoma 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Metastases to lung 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Nervous system disorders
    Central nervous system lesion 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Hemiplegic migraine 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Syncope 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Psychiatric disorders
    Mental status changes 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Chronic kidney disease 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Nephropathy 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Respiratory, thoracic and mediastinal disorders
    Acute respiratory failure 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Dyspnoea 1/89 (1.1%) 0/55 (0%) 0/80 (0%)
    Pleural effusion 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Vascular disorders
    Hypertension 0/89 (0%) 1/55 (1.8%) 0/80 (0%)
    Hypertensive crisis 0/89 (0%) 0/55 (0%) 1/80 (1.3%)
    Other (Not Including Serious) Adverse Events
    Arm A: 0.3 mg Ranibizumab Arm B: 1.5 mg Faricimab Arm C: 6 mg Faricimab
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 48/89 (53.9%) 31/55 (56.4%) 45/80 (56.3%)
    Blood and lymphatic system disorders
    Anaemia 9/89 (10.1%) 1/55 (1.8%) 5/80 (6.3%)
    Eye disorders
    Conjunctival haemorrhage 7/89 (7.9%) 2/55 (3.6%) 8/80 (10%)
    Diabetic retinal oedema 4/89 (4.5%) 4/55 (7.3%) 5/80 (6.3%)
    Dry eye 2/89 (2.2%) 0/55 (0%) 4/80 (5%)
    Eye pain 3/89 (3.4%) 3/55 (5.5%) 2/80 (2.5%)
    Retinal exudates 1/89 (1.1%) 4/55 (7.3%) 3/80 (3.8%)
    Vision blurred 2/89 (2.2%) 3/55 (5.5%) 2/80 (2.5%)
    Vitreous detachment 3/89 (3.4%) 3/55 (5.5%) 2/80 (2.5%)
    Cataract 2/89 (2.2%) 0/55 (0%) 3/80 (3.8%)
    Eye pruritus 3/89 (3.4%) 1/55 (1.8%) 1/80 (1.3%)
    Eyelid oedema 0/89 (0%) 2/55 (3.6%) 0/80 (0%)
    Lacrimation increased 3/89 (3.4%) 0/55 (0%) 1/80 (1.3%)
    Cataract subcapsular 0/89 (0%) 2/55 (3.6%) 0/80 (0%)
    Vitreous haemorrhage 3/89 (3.4%) 0/55 (0%) 0/80 (0%)
    Vitreous floaters 2/89 (2.2%) 2/55 (3.6%) 2/80 (2.5%)
    Gastrointestinal disorders
    Diarrhoea 1/89 (1.1%) 2/55 (3.6%) 4/80 (5%)
    Dyspepsia 1/89 (1.1%) 2/55 (3.6%) 1/80 (1.3%)
    Nausea 2/89 (2.2%) 2/55 (3.6%) 3/80 (3.8%)
    Vomiting 3/89 (3.4%) 0/55 (0%) 2/80 (2.5%)
    General disorders
    Oedema peripheral 3/89 (3.4%) 2/55 (3.6%) 4/80 (5%)
    Infections and infestations
    Bronchitis 3/89 (3.4%) 3/55 (5.5%) 1/80 (1.3%)
    Gastroenteritis viral 0/89 (0%) 3/55 (5.5%) 2/80 (2.5%)
    Nasopharyngitis 3/89 (3.4%) 3/55 (5.5%) 5/80 (6.3%)
    Upper respiratory tract infection 1/89 (1.1%) 0/55 (0%) 6/80 (7.5%)
    Urinary tract infection 6/89 (6.7%) 4/55 (7.3%) 1/80 (1.3%)
    Injury, poisoning and procedural complications
    Fall 2/89 (2.2%) 3/55 (5.5%) 2/80 (2.5%)
    Investigations
    Blood creatine phosphokinase increased 3/89 (3.4%) 0/55 (0%) 0/80 (0%)
    Blood pressure increased 3/89 (3.4%) 0/55 (0%) 0/80 (0%)
    Blood triglycerides increased 1/89 (1.1%) 0/55 (0%) 3/80 (3.8%)
    Red blood cell sedimentation rate increased 2/89 (2.2%) 1/55 (1.8%) 3/80 (3.8%)
    Metabolism and nutrition disorders
    Hypercholesterolaemia 2/89 (2.2%) 2/55 (3.6%) 0/80 (0%)
    Hyperlipidaemia 3/89 (3.4%) 0/55 (0%) 1/80 (1.3%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 3/89 (3.4%) 3/55 (5.5%) 2/80 (2.5%)
    Back pain 1/89 (1.1%) 2/55 (3.6%) 2/80 (2.5%)
    Pain in extremity 0/89 (0%) 1/55 (1.8%) 3/80 (3.8%)
    Nervous system disorders
    Headache 2/89 (2.2%) 2/55 (3.6%) 2/80 (2.5%)
    Respiratory, thoracic and mediastinal disorders
    Cough 1/89 (1.1%) 2/55 (3.6%) 1/80 (1.3%)
    Vascular disorders
    Hypertension 7/89 (7.9%) 5/55 (9.1%) 6/80 (7.5%)

    Limitations/Caveats

    [Not Specified]

    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:
    NCT02699450
    Other Study ID Numbers:
    • BP30099
    • RG7716
    First Posted:
    Mar 4, 2016
    Last Update Posted:
    Sep 25, 2020
    Last Verified:
    Aug 1, 2020