ClinicalTrials.gg
CompletedNCT03481634KESTRELUpdated Jan 30, 2023Results posted

Study of Efficacy and Safety of Brolucizumab vs. Aflibercept in Patients With Visual Impairment Due to Diabetic Macular Edema

A Phase 3 interventional study of Brolucizumab and Aflibercept in Diabetic Macular Edema, sponsored by Novartis Pharmaceuticals. Completed at 116 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-01-30.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
566
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 39 studies in Macular Edema by Novartis — none open to participants now, none under way, none of them phase 3. Macular Edema · Novartis.

Enrollment
Largest of 36
566 · median 178
Started
2018
with 1 other
Phase 3
22 of 39
none open now
Registered
28th of 39
by date

Among the 39 studies in Macular Edema by Novartis, this one has the largest enrollment of the 36 interventional ones that give a count, is one of 2 that started in 2018, is one of 22 in phase 3, and was the 28th registered.

Macular Edema

758 studies on the registry are indexed under Macular Edema; 66 are open to participants now.

Browse Macular Edema studies →

Open to participants now

None of the 39 studies in Macular Edema by Novartis is open now. The open studies under Macular Edema, anywhere →

Who these studies take

Of the 44 Macular Edema studies recruiting now, 31 (70%) set no upper age limit and 7 (16%) stop at 75 or younger; 1 takes children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Download CSVNarrow it in search →With an account: the 39 studies in Macular Edema by Novartis as a file.
02

Study summary

The purpose of this study was to evaluate the efficacy and safety of brolucizumab in treatment of patients with visual impairment due to diabetic macular edema (DME).

Read the detailed description

This was a Phase III, randomized, double-masked, multi-center, active-controlled, three-arm study designed to evaluate the efficacy and safety of brolucizumab 6 mg and 3 mg compared to the active control, aflibercept 2 mg used per authorized label, in subjects with diabetic macular edema (DME). The study included a screening period of up to 2 weeks to assess eligibility, followed by a doublemasked treatment period (Day 1 to Week 96). The baseline visit was defined as Day 1/Visit 1, and end of treatment visit as Visit 27 (Week 96). After the last treatment visit, a post-treatment follow-up period was planned from Week 96 to Week 100.

Subjects were assigned to one of three treatment arms in a 1:1:1 ratio: brolucizumab 6 mg/0.05 mL administered 5 x every 6 weeks (q6w) during loading phase then q12w/every 8 weeks (q8w) during maintenance phase, brolucizumab 3 mg/0.05 mL administered 5 x every 6 weeks (q6w) during loading phase then q12w/q8w during maintenance phase or aflibercept 2 mg/0.05 mL administered 5 x every 4 weeks (q4w) during loading phase then q8w during maintenance phase.

Disease Activity Assessments (DAAs) were conducted by the masked investigator for each treatment arm at Week 32 and Week 36, i.e. 8 and 12 weeks after the end of the loading phase for subjects receiving brolucizumab. Assessments were also performed at Week 48, and will then continue to be performed from Week 60 up to Week 96, every 12 weeks. Subjects in the brolucizumab arms who qualified for q12w during the initial q12w interval continued on a q12w treatment frequency unless disease activity was identified at any of the subsequent DAA visits, in which case subjects were switched to a q8w treatment interval until the end of the study.

To fulfil the double-masking requirement, each investigational site had masked and unmasked staff. The investigator who performed the injection was unmasked to the treatments as were any other site personnel who had been delegated responsibility for working with the Investigational Product (IP). The unmasked site personnel and unmasked injecting investigator did not perform Best-corrected visual acuity (BCVA), complete ophthalmic examination (with the exception of post-injection safety assessment), DAAs or administer the Visual Functioning Questionnaire-25 (VFQ-25). Also, the unmasked site personnel and unmasked injecting physician did not perform assessment of any ocular or non-ocular safety parameters, or assess causality of Adverse event (AEs) for subjects during the course of the study except an event reported immediately following Intravitreal treatment (IVT). Once the designated roles were determined, the unmasked investigator/site personnel roles were not switched at any time after randomization to masked role. Every effort was made to limit the number of unmasked study personnel to ensure the integrity of this masked study.

03

Conditions studied

  • Diabetic Macular Edema

Keywords

  • Diabetic Macular Edema
  • intravitreal injection
  • brolucizumab
  • aflibercept
  • double-masked
  • Diabetic Macular Edema (DME)
  • macular edema
  • diabetic retinopathy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Written before any assessment
  • Patients with type 1 or type 2 diabetes mellitus and of ≤10% at screening
  • Medication for the management of diabetes stable within 3 months prior to randomization and is expected to remain stable during the course of the study

Exclusion criteria

Exclusion Criteria:

  • Active proliferative diabetic retinopathy in the study eye
  • Active intraocular or periocular infection or active intraocular inflammation in study eye
  • Uncontrolled glaucoma in the study eye defined as intraocular pressure (IOP) > 25 millimeters mercury (mmHg)
  • Previous treatment with anti-VEGF drugs or drugs in the study eye
  • Stroke or myocardial infarction during the 6-month period prior to baseline
  • Uncontrolled blood pressure defined as a systolic value ≥160 mmHg or diastolic value ≥100 mmHg

Other protocol-specified inclusion/exclusion criteria may apply

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
566 participants (actual)

Study arms

  • Experimental
    Brolucizumab 3 mg

    Brolucizumab 3 mg/0.05 mL, 5 loading doses, with subsequent doses per protocol-specified maintenance schedule. To fulfil the double-masking requirement, each investigational site had masked and unmasked staff. The investigator who performed the injection was unmasked to the treatments as were any other site personnel who had been delegated responsibility for working with the Investigational Product (IP).

    Drug: Brolucizumab

  • Experimental
    Brolucizumab 6 mg

    Brolucizumab 6 mg/0.05 mL, 5 loading doses, with subsequent doses per protocol-specified maintenance schedule. To fulfil the double-masking requirement, each investigational site had masked and unmasked staff. The investigator who performed the injection was unmasked to the treatments as were any other site personnel who had been delegated responsibility for working with the Investigational Product (IP).

    Drug: Brolucizumab

  • Active comparator
    Aflibercept 2 mg

    Aflibercept 2 mg/0.05 mL, as labeled, 5 loading doses, with subsequent doses every 8 weeks. To fulfil the double-masking requirement, each investigational site had masked and unmasked staff. The investigator who performed the injection was unmasked to the treatments as were any other site personnel who had been delegated responsibility for working with the Investigational Product (IP).

    Drug: Aflibercept

Interventions

  • Intravitreal injection

    Also known as: RTH258, ESBA1008

  • Intravitreal injection

    Also known as: Eylea

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Best-corrected Visual Acuity (BCVA) at Week 52

    BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual Function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning. This endpoint was analyzed via the pairwise ANOVA method where the 2 dose groups of Brolucizumab are compared to Aflibercept.

    Time frame: Baseline, Week 52

Secondary outcomes

  1. Average Change From Baseline in BCVA Over the Period Week 40 Through Week 52

    BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (per the inclusion criteria) (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning. This endpoint was analyzed via the pairwise ANOVA method where the 2 dose groups of Brolucizumab are compared to Aflibercept.

    Time frame: Baseline and Week 40 through Week 52 (average)

  2. Patients Maintained at q12w - Probability of Maintaining on q12w

    Positive treatment status is defined as intravitreal (IVT) injections per planned dosing regimen \[every 12 weeks (q12w)\]. This outcome measure is pre-specified for brolucizumab treatment arms only.

    Time frame: Baseline (Week 0), Weeks 32, 36 and 48

  3. Patients Maintained at q12w (for Those Patients Who Qualified for q12w at Week 36) - Probability of Maintaining on q12w

    Positive treatment status is defined as intravitreal (IVT) injections per planned dosing regimen \[every 8 weeks (q8w)\]. This outcome measure is pre-specified for brolucizumab treatment arms only.

    Time frame: Weeks 36 and 48

  4. Change From Baseline in BCVA at Each Visit up to Week 52

    BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning.

    Time frame: Baseline (Week 0), Weeks 4, 6, 8, 12, 16, 18, 20, 24, 28, 32, 36, 40, 44, 48, and 52

  5. BCVA (Letters Read): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (FAS - LOCF)

    Visual acuity was assessed at every study visit using best correction determined from protocol refraction (BCVA). BCVA measurements were taken in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

    Time frame: Baseline, and Week 88 through Week 100 (average)

  6. Patients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100 - Probability of Maintaining on q12w

    This outcome measure is pre-specified for brolucizumab treatment arms only

    Time frame: Baseline (Week 0), Weeks 32, 36, 48, 60, 72, 84, and 96

  7. Secondary: Patients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100, Within Those Patients That Qualified for q12w at Week 36 - Probability of Maintaining on q12w

    This outcome measure is pre-specified for brolucizumab treatment arms only

    Time frame: Baseline (Week 0), Weeks 32, 36, 48, 60, 72, 84, and 96

  8. Change From Baseline in Central Subfield Thickness (CSFT) at Each Visit up to Week 52 - Pairwise ANOVA Results

    Central Subfield Thickness Assessed by Spectral domain optical coherence tomography (SD-OCT) from the central reading center. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

    Time frame: Baseline up to week 52

  9. Central Subfield Thickness (CSFT) (Micrometers): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (Full Analysis Set - LOCF)

    Central subfield thickness (average thickness of circular 1mm area centered around fovea measured from RPE to ILM, inclusively). Assessed with Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

    Time frame: Baseline, and Week 88 through Week 100 (average)

  10. Number of Patients With Presence of Subretinal Fluid (SRF) at Each Assessment Visit

    Subretinal Fluid (SRF) status in the central subfield: proportion of subjects with presence of SRF in the study eye by visit

    Time frame: Baseline up to Week 52 and Week 100

  11. Number of Patients With Presence of Intraretinal Fluid (IRF) at Each Assessment Visit

    Intraretinal Fluid (IRF) status in the central subfield: proportion of subjects with presence of IRF in the study eye by visit

    Time frame: Baseline, up to Week 52 and Week 100

  12. Number of Patients With Presence of SRF and/or IRF in the Study Eye by Visit

    Subretinal Fluid (SRF) and Intraretinal Fluid (IRF) status in the central subfield: proportion of subjects with presence of SRF and/or IRF in the study eye by visit

    Time frame: Baseline, up to Week 52 and Week 100

  13. Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 52

    Assessed by angiography.

    Time frame: Week 52

  14. Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 100

    Assessed by angiography.

    Time frame: Week 100

  15. Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects

    Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  16. Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates

    Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning. * estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept. * estimates represent the % of participants who were estimated to have a "\>=2-step Improvement From Baseline in the DRSS Score" from pairwise logistic regression models adjusting for baseline DRSS score categories (\<=4, ≥5), age categories (\<65, ≥65 years) and treatment as fixed effect factors. Abbreviation: Proportion Estimates = P.E.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  17. Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects

    Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  18. Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates

    Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning. * estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept. * estimates represent the % of participants who were estimated to have a "\>=3-step Improvement From Baseline in the DRSS Score" from pairwise logistic regression models adjusting for baseline DRSS score categories (\<=4, ≥5), age categories (\<65, ≥65 years) and treatment as fixed effect factors. Abbreviation: Proportion Estimates = P.E.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  19. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Composite Score

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  20. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Vision

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  21. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Ocular Pain

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  22. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Near Activities

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  23. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Distance Activities

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  24. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Social Functioning

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  25. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Mental Health

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  26. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Role Difficulties

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  27. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Dependency

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  28. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Driving

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  29. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Color Vision

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  30. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Peripheral Vision

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  31. Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Health Rating

    The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

    Time frame: Baseline, Weeks 28, 52, 76, 100

  32. Ocular Adverse Events (AEs) (>=2% in Any Treatment Arm) by Preferred Term for the Study Eye

    Time frame: Adverse events were reported from first dose of study treatment until Week 96, plus 30 days post treatment, up to a maximum duration of 100 weeks.

  33. Number of Subjects With Non-ocular Adverse Events (AEs) (>=2% in Any Treatment Arm)

    Time frame: Adverse events were reported from first dose of study treatment until Week 96, plus 30 days post treatment, up to a maximum duration of 100 weeks.

07

Results

Posted Oct 28, 2022

Participant flow

Participant flow — Overall Study
MilestoneBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Started190189187
Completed157154153
Not completed333534
Withdrew: Withdrawal by subject161914
Withdrew: Protocol violation101
Withdrew: Progressive disease010
Withdrew: Physician decision301
Withdrew: Lost to follow-up344
Withdrew: Death487
Withdrew: Adverse event637

Outcome measures

PrimaryChange From Baseline in Best-corrected Visual Acuity (BCVA) at Week 52

BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual Function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning. This endpoint was analyzed via the pairwise ANOVA method where the 2 dose groups of Brolucizumab are compared to Aflibercept.

Time frame:
Baseline, Week 52
Reported as:
Least squares mean · Scores on a scale
Change From Baseline in Best-corrected Visual Acuity (BCVA) at Week 52
Scores on a scaleBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
LS mean estimate (Brolucizumab 3 mg vs. Aflibercept 2 mg)7.3 ± 0.66—10.6 ± 0.67
LS mean estimate (Brolucizumab 6 mg vs. Aflibercept 2 mg)—9.2 ± 0.5710.5 ± 0.57
Statistical analysis
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · p = <0.001 (1-sided p-value) · Ls mean difference: -1.3 · 95% CI -2.9 to 0.3
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · p = 0.227 (1-sided p-value) · Ls mean difference: -3.3 · 95% CI -5.1 to -1.4
SecondaryAverage Change From Baseline in BCVA Over the Period Week 40 Through Week 52

BCVA will be assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (per the inclusion criteria) (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning. This endpoint was analyzed via the pairwise ANOVA method where the 2 dose groups of Brolucizumab are compared to Aflibercept.

Time frame:
Baseline and Week 40 through Week 52 (average)
Reported as:
Least squares mean · Scores on a scale
Average Change From Baseline in BCVA Over the Period Week 40 Through Week 52
Scores on a scaleBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
LS mean estimate (Brolucizumab 3 mg vs. Aflibercept 2 mg)7.0 ± 0.63—10.5 ± 0.64
LS mean estimate (Brolucizumab 6 mg vs. Aflibercept 2 mg)—9.0 ± 0.5310.5 ± 0.53
Statistical analysis
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · p = <0.001 ((1-sided)) · Mean difference (net): -1.5 · 95% CI -3.0 to -0.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Mean difference (net): -3.5 · 95% CI -5.2 to -1.7
SecondaryPatients Maintained at q12w - Probability of Maintaining on q12w

Positive treatment status is defined as intravitreal (IVT) injections per planned dosing regimen \[every 12 weeks (q12w)\]. This outcome measure is pre-specified for brolucizumab treatment arms only.

Time frame:
Baseline (Week 0), Weeks 32, 36 and 48
Reported as:
Number · Probability
Patients Maintained at q12w - Probability of Maintaining on q12w
ProbabilityBrolucizumab 3 mgBrolucizumab 6 mg
Prob. of maintaining on q12w - Week 01 (NA to NA)1 (NA to NA)
Prob. of maintaining on q12w - Week 320.758 (0.685 to 0.816)0.807 (0.739 to 0.860)
Prob. of maintaining on q12w - Week 360.545 (0.463 to 0.619)0.628 (0.548 to 0.698)
Prob. of maintaining on q12w - Week 480.474 (0.393 to 0.551)0.550 (0.468 to 0.625)
SecondaryPatients Maintained at q12w (for Those Patients Who Qualified for q12w at Week 36) - Probability of Maintaining on q12w

Positive treatment status is defined as intravitreal (IVT) injections per planned dosing regimen \[every 8 weeks (q8w)\]. This outcome measure is pre-specified for brolucizumab treatment arms only.

Time frame:
Weeks 36 and 48
Reported as:
Number · Probability
Patients Maintained at q12w (for Those Patients Who Qualified for q12w at Week 36) - Probability of Maintaining on q12w
ProbabilityBrolucizumab 3 mgBrolucizumab 6 mg
Prob. of maintaining on q12w - Week 361 (NA to NA)1 (NA to NA)
Prob. of maintaining on q12w - Week 480.870 (0.772 to 0.928)0.876 (0.788 to 0.930)
SecondaryChange From Baseline in BCVA at Each Visit up to Week 52

BCVA was assessed using Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. Visual function of the study eye was assessed using the ETDRS protocol. Participants with a BCVA ETDRS letter score of 78 to 23 (approximate Snellen equivalent of 20/32 to 20/320) in the study eye were included. Min and max possible scores are 0-100 respectively. A higher score represents better visual functioning.

Time frame:
Baseline (Week 0), Weeks 4, 6, 8, 12, 16, 18, 20, 24, 28, 32, 36, 40, 44, 48, and 52
Reported as:
Mean · Scores on a scale
Change From Baseline in BCVA at Each Visit up to Week 52
Scores on a scaleBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 4 (n=187, 186, 185)4.0 ± 5.024.5 ± 5.225.1 ± 6.74
Week 6 (n=185,186,180)5.1 ± 5.866.0 ± 6.226.8 ± 6.80
Week 8 (n=183,184,181)5.6 ± 5.906.6 ± 6.547.1 ± 7.57
Week 12 (n=183,186,182)6.7 ± 5.937.3 ± 6.578.1 ± 7.63
Week 16 (n=173,179,179)7.0 ± 7.007.5 ± 6.838.5 ± 7.36
Week 18 (n=175,181,172)7.6 ± 6.358.0 ± 6.848.8 ± 7.27
Week 20 (n=176,177,176)7.8 ± 7.598.3 ± 7.519.8 ± 7.47
Week 24 (n=174,178,177)8.1 ± 6.429.3 ± 7.089.2 ± 7.84
Week 28 (n=170,175,170)8.2 ± 6.589.6 ± 7.4010.3 ± 7.26
Week 32 (n=155,161,162)8.2 ± 7.769.2 ± 7.209.9 ± 7.89
Week 36 (n=154,166,165)6.9 ± 8.108.6 ± 8.1510.2 ± 7.84
Week 40 (n=160,163,163)7.3 ± 10.479.5 ± 7.9910.0 ± 8.28
Week 44 (n=156,157,163)7.5 ± 10.929.6 ± 7.6610.7 ± 8.25
Week 48 (n=155,154,159)7.2 ± 11.5310.0 ± 7.6311.1 ± 8.75
Week 52 (n=156,153,160)7.8 ± 10.7210.2 ± 7.6610.7 ± 8.87
SecondaryBCVA (Letters Read): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (FAS - LOCF)

Visual acuity was assessed at every study visit using best correction determined from protocol refraction (BCVA). BCVA measurements were taken in a sitting position using Early Treatment Diabetic Retinopathy Study (ETDRS)-like visual acuity testing charts. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

Time frame:
Baseline, and Week 88 through Week 100 (average)
Reported as:
Least squares mean · BCVA letters read
BCVA (Letters Read): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (FAS - LOCF)
BCVA letters readBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
LS mean estimate (Brolucizumab 3 mg vs Aflibercept 2 mg) (n=190, 0, 187)6.7 ± 0.77—10.6 ± 0.78
LS mean estimate (Brolucizumab 6 mg vs Aflibercept 2 mg) (n=0, 189,187)—8.6 ± 0.7210.6 ± 0.73
Statistical analysis
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.8 · 95% CI -6.0 to -1.7
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -2.0 · 95% CI -4.0 to 0.1
SecondaryPatients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100 - Probability of Maintaining on q12w

This outcome measure is pre-specified for brolucizumab treatment arms only

Time frame:
Baseline (Week 0), Weeks 32, 36, 48, 60, 72, 84, and 96
Reported as:
Number · Probability
Patients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100 - Probability of Maintaining on q12w
ProbabilityBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Prob. of maintaining on q12w - Week 01 (NA to NA)1 (NA to NA)—
Prob. of maintaining on q12w - Week 320.758 (0.685 to 0.816)0.807 (0.739 to 0.860)—
Prob. of maintaining on q12w - Week 360.545 (0.463 to 0.619)0.628 (0.548 to 0.698)—
Prob. of maintaining on q12w - Week 480.474 (0.393 to 0.551)0.550 (0.468 to 0.625)—
Prob. of maintaining on q12w - Week 600.403 (0.323 to 0.482)0.520 (0.437 to 0.596)—
Prob. of maintaining on q12w - Week 720.394 (0.314 to 0.473)0.487 (0.404 to 0.565)—
Prob. of maintaining on q12w - Week 840.365 (0.285 to 0.445)0.460 (0.376 to 0.539)—
Prob. of maintaining on q12w - Week 960.334 (0.254 to 0.415)0.441 (0.357 to 0.521)—
SecondarySecondary: Patients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100, Within Those Patients That Qualified for q12w at Week 36 - Probability of Maintaining on q12w

This outcome measure is pre-specified for brolucizumab treatment arms only

Time frame:
Baseline (Week 0), Weeks 32, 36, 48, 60, 72, 84, and 96
Reported as:
Number · Probability
Secondary: Patients Maintained at q12w up to Week 64 (After Three q12w- Treatment Intervals) and Week 100, Within Those Patients That Qualified for q12w at Week 36 - Probability of Maintaining on q12w
ProbabilityBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Prob. of maintaining on q12w - Week 01 (NA to NA)1 (NA to NA)—
Prob. of maintaining on q12w - Week 321 (NA to NA)1 (NA to NA)—
Prob. of maintaining on q12w - Week 361 (NA to NA)1 (NA to NA)—
Prob. of maintaining on q12w - Week 480.870 (0.772 to 0.928)0.876 (0.788 to 0.930)—
Prob. of maintaining on q12w - Week 600.740 (0.622 to 0.826)0.828 (0.730 to 0.892)—
Prob. of maintaining on q12w - Week 720.723 (0.603 to 0.812)0.775 (0.670 to 0.851)—
Prob. of maintaining on q12w - Week 840.670 (0.544 to 0.769)0.732 (0.621 to 0.816)—
Prob. of maintaining on q12w - Week 960.613 (0.482 to 0.720)0.702 (0.587 to 0.791)—
SecondaryChange From Baseline in Central Subfield Thickness (CSFT) at Each Visit up to Week 52 - Pairwise ANOVA Results

Central Subfield Thickness Assessed by Spectral domain optical coherence tomography (SD-OCT) from the central reading center. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

Time frame:
Baseline up to week 52
Reported as:
Least squares mean · μm
Change From Baseline in Central Subfield Thickness (CSFT) at Each Visit up to Week 52 - Pairwise ANOVA Results
μmBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 4 (n=190, 0, 187)-104.7 ± 6.11—-104.1 ± 6.15
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 4 (n=0, 189, 187)—-105.6 ± 5.92-103.4 ± 5.95
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 6 (n=190, 0, 187)-107.1 ± 6.24—-119.3 ± 6.29
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 6 (n=0, 189, 187)—-116.1 ± 5.89-118.6 ± 5.92
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 8 (n=190, 0, 187)-125.1 ± 6.06—-126.1 ± 6.11
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg)- Week 8 (n=0, 189, 187)—-128.9 ± 5.82-125.6 ± 5.86
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 12 (n=190, 0, 187)-131.0 ± 6.14—-137.4 ± 6.19
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 12 (n=0, 189, 187)—-134.5 ± 6.22-137.3 ± 6.26
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 16 (n=190, 0, 187)-142.3 ± 5.98—-143.3 ± 6.02
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 16 (n=0, 189, 187)—-146.5 ± 5.83-143.1 ± 5.86
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 18 (n=190, 0, 187)-138.1 ± 6.27—-147.0 ± 6.32
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 18 (n=0, 189, 187)—-144.2 ± 5.96-146.8 ± 5.99
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 20 (n=190, 0, 187)-151.8 ± 6.01—-148.3 ± 6.06
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 20 (n=0, 189, 187)—-153.8 ± 5.71-148.0 ± 5.74
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 24 (n=190, 0, 187)-152.6 ± 6.37—-138.7 ± 6.42
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 24 (n=0, 189, 187)—-156.2 ± 6.30-138.4 ± 6.33
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 28 (n=190, 0, 187)-163.4 ± 5.81—-154.6 ± 5.85
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 28 (n=0, 189, 187)—-163.3 ± 5.97-154.6 ± 6.00
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 32 (n=190, 0, 187)-147.4 ± 6.68—-144.3 ± 6.73
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 32 (n=0, 189, 187)—-156.0 ± 6.35-144.2 ± 6.38
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 36 (n=190, 0, 187)-119.8 ± 7.74—-156.0 ± 7.81
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 36 (n=0, 189, 187)—-135.1 ± 7.01-155.5 ± 7.05
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 40 (n=190, 0, 187)-155.8 ± 6.46—-149.7 ± 6.51
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 40 (n=0, 189, 187)—-156.9 ± 6.68-150.4 ± 6.72
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 44 (n=190, 0, 187)-155.4 ± 6.56—-163.4 ± 6.62
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 44 (n=0, 189, 187)—-162.2 ± 6.17-163.3 ± 6.21
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 48 (n=190, 0, 187)-144.2 ± 6.92—-157.8 ± 6.98
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 48 (n=0, 189, 187)—-153.5 ± 6.52-158.2 ± 6.55
LS mean estimate (Brolucizumab 3mg vs Aflibercept 2mg) - Week 52 (n=190, 0, 187)-156.4 ± 6.70—-160.7 ± 6.75
LS mean estimate (Brolucizumab 6mg vs Aflibercept 2mg) - Week 52 (n=0, 189, 187)—-165.5 ± 6.17-160.4 ± 6.21
Statistical analysis
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -0.7 · 95% CI -17.7 to 16.4
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -2.1 · 95% CI -18.7 to 14.4
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 12.2 · 95% CI -5.2 to 29.7
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 2.4 · 95% CI -14.0 to 18.9
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 1.0 · 95% CI -16.0 to 17.9
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.4 · 95% CI -19.6 to 12.9
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 6.4 · 95% CI -10.7 to 23.6
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 2.8 · 95% CI -14.6 to 20.2
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 1.0 · 95% CI -15.7 to 17.8
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.4 · 95% CI -19.7 to 12.9
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 8.9 · 95% CI -8.6 to 26.5
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 2.6 · 95% CI -14.1 to 19.2
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.4 · 95% CI -20.2 to 13.4
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -5.8 · 95% CI -21.7 to 10.2
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -13.9 · 95% CI -31.7 to 3.9
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -17.8 · 95% CI -35.4 to -0.2
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -8.7 · 95% CI -25.0 to 7.5
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -8.7 · 95% CI -25.4 to 8.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.2 · 95% CI -21.8 to 15.5
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -11.7 · 95% CI -29.5 to 6.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 36.3 · 95% CI 14.6 to 57.9
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 20.4 · 95% CI 0.7 to 40.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -6.1 · 95% CI -24.2 to 11.9
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -6.5 · 95% CI -25.2 to 12.2
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 7.9 · 95% CI -10.4 to 26.3
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 1.1 · 95% CI -16.2 to 18.3
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 13.6 · 95% CI -5.8 to 32.9
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 4.7 · 95% CI -13.5 to 23.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 4.3 · 95% CI -14.5 to 23.0
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -5.1 · 95% CI -22.3 to 12.2
SecondaryCentral Subfield Thickness (CSFT) (Micrometers): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (Full Analysis Set - LOCF)

Central subfield thickness (average thickness of circular 1mm area centered around fovea measured from RPE to ILM, inclusively). Assessed with Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing charts. LS Mean estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept.

Time frame:
Baseline, and Week 88 through Week 100 (average)
Reported as:
Least squares mean · micrometers
Central Subfield Thickness (CSFT) (Micrometers): ANOVA Results for Average Change From Baseline Over the Period Week 88 Through Week 100 for the Study Eye (Full Analysis Set - LOCF)
micrometersBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
LS mean estimate (Brolucizumab 3 mg vs Aflibercept 2 mg) (n=190, 0, 187)-167.1 ± 6.54—-168.8 ± 6.59
LS mean estimate (Brolucizumab 6 mg vs Aflibercept 2 mg) (n=0, 189,187)—-171.9 ± 6.18-168.5 ± 6.22
Statistical analysis
  • Brolucizumab 3 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: 1.7 · 95% CI -16.6 to 20.0
  • Brolucizumab 6 mg vs Aflibercept 2 mg · ANOVA · Ls mean difference: -3.5 · 95% CI -20.7 to 13.8
SecondaryNumber of Patients With Presence of Subretinal Fluid (SRF) at Each Assessment Visit

Subretinal Fluid (SRF) status in the central subfield: proportion of subjects with presence of SRF in the study eye by visit

Time frame:
Baseline up to Week 52 and Week 100
Reported as:
Count of participants · Participants
Number of Patients With Presence of Subretinal Fluid (SRF) at Each Assessment Visit
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 4262327
Week 6201717
Week 810912
Week 121188
Week16667
Week18746
Week 20546
Week 24736
Week 28523
Week 321116
Week 3616144
Week 40856
Week 44444
Week 48783
Week 52444
Week 56935
Week 60955
Week 64645
Week 68643
Week 72544
Week 76444
Week 80545
Week 84633
Week 88724
Week 92424
Week 96535
Week 100322
SecondaryNumber of Patients With Presence of Intraretinal Fluid (IRF) at Each Assessment Visit

Intraretinal Fluid (IRF) status in the central subfield: proportion of subjects with presence of IRF in the study eye by visit

Time frame:
Baseline, up to Week 52 and Week 100
Reported as:
Count of participants · Participants
Number of Patients With Presence of Intraretinal Fluid (IRF) at Each Assessment Visit
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 4176169169
Week 6177169169
Week 8166161164
Week 12167162165
Week 16155150156
Week 18152149154
Week 20142147145
Week 24142140153
Week 28139130144
Week 32143131156
Week 36153141144
Week 40129114150
Week 44127118135
Week 48132123147
Week 52113114137
Week 56111103138
Week 60119115126
Week 64102105131
Week 6810998118
Week 72107103126
Week 769896118
Week 809685120
Week 8410292108
Week 888985114
Week 929186105
Week 969290107
Week 1008779101
SecondaryNumber of Patients With Presence of SRF and/or IRF in the Study Eye by Visit

Subretinal Fluid (SRF) and Intraretinal Fluid (IRF) status in the central subfield: proportion of subjects with presence of SRF and/or IRF in the study eye by visit

Time frame:
Baseline, up to Week 52 and Week 100
Reported as:
Count of participants · Participants
Number of Patients With Presence of SRF and/or IRF in the Study Eye by Visit
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 4177172171
Week 6177173169
Week 8166162164
Week 12168162165
Week 16156150156
Week 18153149154
Week 20142147145
Week 24142140153
Week 28139130144
Week 32143131156
Week 36153141144
Week 40129114150
Week 44127118135
Week 48132123147
Week 52113114137
Week 56111103138
Week 60120115126
Week 64102105131
Week 6810998118
Week 72107103126
Week 769896118
Week 809685120
Week 8410292108
Week 888985114
Week 929186105
Week 969290107
Week 1008779101
SecondaryNumber of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 52

Assessed by angiography.

Time frame:
Week 52
Reported as:
Count of participants · Participants
Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 52
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 52114108140
SecondaryNumber of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 100

Assessed by angiography.

Time frame:
Week 100
Reported as:
Count of participants · Participants
Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 100
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Number of Patients With Presence of Leakage on Fluorescein Angiography (FA) at Week 1009480104
SecondaryEarly Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects

Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Count of participants · Participants
Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 28444939
Week 52535540
Week 76595551
Week 100606154
SecondaryEarly Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates

Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning. * estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept. * estimates represent the % of participants who were estimated to have a "\>=2-step Improvement From Baseline in the DRSS Score" from pairwise logistic regression models adjusting for baseline DRSS score categories (\<=4, ≥5), age categories (\<65, ≥65 years) and treatment as fixed effect factors. Abbreviation: Proportion Estimates = P.E.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Number · Percentage estimates
Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=2-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates
Percentage estimatesBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 28 (n = 185,0, 184)23.3—21.7
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E.(%) at Week 28 (n = 0, 186, 184)—25.821.7
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 52 (n = 185,0, 184)28.0—22.3
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E. (%) at Week 52 (n = 0, 186, 184)—29.022.2
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 76 (n = 185,0, 184)31.2—28.4
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E.(%) at Week 76 (n = 0, 186, 184)—29.028.3
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 100 (n = 185,0, 184)31.7—30.1
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E.(%) at Week 100 (n = 0, 186, 184)—32.130.0
Statistical analysis
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 1.6 · 95% CI -5.3 to 8.4
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 4.1 · 95% CI -2.1 to 10.3
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 5.8 · 95% CI -1.2 to 12.4
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 6.7 · 95% CI 0.6 to 12.9
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 2.8 · 95% CI -3.9 to 9.4
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 0.7 · 95% CI -5.7 to 7.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 1.7 · 95% CI -5.0 to 8.1
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 2.2 · 95% CI -4.0 to 8.4
SecondaryEarly Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects

Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Count of participants · Participants
Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Number of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Number of Subjects
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 28233222
Week 52243930
Week 76274042
Week 100294441
SecondaryEarly Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates

Severity of Diabetic Retinopathy (DR) was evaluated using the ETDRS DRSS score assessed by the Central Reading Center (CRC) based on color fundus photography images in the study eye. When the ETDRS-DR severities were evaluable, they were categorized on a 12-level scale, from 1 (DR absent) to 12 (very advanced PDR). A lower score represents better visual functioning. * estimates are reported, comparing the 2 Brolucizumab arms to Aflibercept. Results do not apply to the Brolucizumab 6 mg arm when Brolucizumab 3mg is compared to Aflibercept. Likewise, results do not apply to the Brolucizumab 3 mg arm when Brolucizumab 6 mg is compared to Aflibercept. * estimates represent the % of participants who were estimated to have a "\>=3-step Improvement From Baseline in the DRSS Score" from pairwise logistic regression models adjusting for baseline DRSS score categories (\<=4, ≥5), age categories (\<65, ≥65 years) and treatment as fixed effect factors. Abbreviation: Proportion Estimates = P.E.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Number · Percentage estimates
Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS): Proportion of Subjects With >=3-step Improvement From Baseline in the DRSS Score at Each Assessment Visit for the Study Eye - Percentage Estimates
Percentage estimatesBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 28 (n = 185, 0, 184)12.1—12.3
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E. (%) at Week 28 (n = 0, 186, 184)—16.812.2
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E.(%) at Week 52 (n = 185, 0, 184)12.6—16.8
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E. (%) at Week 52 (n = 0, 186, 184)—20.516.7
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 76 (n = 185, 0, 184)14.2—23.4
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E. (%) at Week 76 (n = 0, 186, 184)—21.123.3
Comparison of Brolucizumab 3 mg vs. Aflibercept 2 mg - P.E. (%) at Week 100 (n = 185, 0, 184)15.2—22.9
Comparison of Brolucizumab 6 mg vs. Aflibercept 2 mg - P.E. (%) at Week 100 (n = 0, 186, 184)—23.222.8
Statistical analysis
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: -0.3 · 95% CI -6.4 to 5.8
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 4.6 · 95% CI -1.3 to 11.0
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: -4.2 · 95% CI -10.2 to 2.2
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 3.9 · 95% CI -2.2 to 10.5
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: -9.2 · 95% CI -15.5 to -2.8
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: -2.3 · 95% CI -8.4 to 4.4
  • Brolucizumab 3 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: -7.7 · 95% CI -14.0 to -1.6
  • Brolucizumab 6 mg vs Aflibercept 2 mg · Bootstrap method · Difference - %: 0.4 · 95% CI -5.7 to 6.8
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Composite Score

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Composite Score
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 285.5 ± 11.896.0 ± 14.277.8 ± 12.68
Week 52 (n = 151,148,157)4.6 ± 12.896.7 ± 13.248.5 ± 12.99
Week 76 (n = 133,138,143)6.7 ± 13.215.8 ± 14.507.1 ± 12.49
Week 100 (n=140,141,142)6.6 ± 15.166.5 ± 14.416.2 ± 13.16
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Vision

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Vision
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 287.8 ± 14.7510.8 ± 18.1111.3 ± 15.88
Week 52 (n = 151,148,157)6.6 ± 14.7411.2 ± 17.1810.7 ± 17.62
Week 76 (n = 133,138,143)7.5 ± 14.8910.0 ± 17.8011.7 ± 17.97
Week 100 (n=140,141,142)10.4 ± 17.8713.5 ± 17.9711.5 ± 16.21
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Ocular Pain

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Ocular Pain
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 282.2 ± 21.022.4 ± 21.924.3 ± 23.61
Week 52 (n = 151,148,157)1.0 ± 19.554.9 ± 19.545.3 ± 22.16
Week 76 (n = 133,138,143)4.1 ± 19.752.1 ± 22.783.9 ± 21.72
Week 100 (n=140,141,142)3.1 ± 19.903.1 ± 18.372.0 ± 19.73
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Near Activities

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Near Activities
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 288.4 ± 19.8313.2 ± 24.9313.7 ± 20.51
Week 52 (n = 151,148,157)8.1 ± 21.4114.1 ± 24.1713.4 ± 23.64
Week 76 (n = 133,138,143)11.7 ± 20.0014.9 ± 23.3512.4 ± 20.92
Week 100 (n=140,141,142)11.6 ± 22.2315.7 ± 22.0110.4 ± 23.50
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Distance Activities

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Distance Activities
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 286.0 ± 18.397.9 ± 21.589.0 ± 19.35
Week 52 (n = 151,148,157)4.2 ± 22.209.0 ± 19.429.9 ± 20.05
Week 76 (n = 133,138,143)8.3 ± 20.458.1 ± 19.207.0 ± 18.39
Week 100 (n=140,141,142)6.4 ± 20.687.0 ± 19.246.7 ± 19.15
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Social Functioning

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Social Functioning
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 282.7 ± 17.792.2 ± 18.003.9 ± 14.15
Week 52 (n = 151,148,157)3.1 ± 18.822.7 ± 17.533.8 ± 15.98
Week 76 (n = 133,138,143)3.6 ± 17.240.5 ± 18.951.7 ± 16.49
Week 100 (n=140,141,142)2.5 ± 19.682.0 ± 21.821.4 ± 16.38
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Mental Health

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Mental Health
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 287.8 ± 20.638.2 ± 22.218.7 ± 19.71
Week 52 (n = 151,148,157)7.9 ± 22.939.6 ± 21.4211.3 ± 21.34
Week 76 (n = 133,138,143)10.3 ± 21.0711.5 ± 21.1011.2 ± 20.93
Week 100 (n=140,141,142)11.7 ± 25.289.4 ± 23.6210.9 ± 22.22
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Role Difficulties

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Role Difficulties
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 288.0 ± 24.936.5 ± 26.819.4 ± 27.34
Week 52 (n = 151,148,157)6.9 ± 23.886.1 ± 29.1111.3 ± 25.47
Week 76 (n = 133,138,143)9.9 ± 25.106.8 ± 29.487.4 ± 27.76
Week 100 (n=140,141,142)9.3 ± 28.279.6 ± 28.886.9 ± 26.19
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Dependency

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Dependency
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 286.3 ± 21.806.1 ± 25.167.1 ± 22.06
Week 52 (n = 151,148,157)3.8 ± 23.054.1 ± 25.369.0 ± 22.68
Week 76 (n = 133,138,143)5.2 ± 22.934.2 ± 25.566.8 ± 22.59
Week 100 (n=140,141,142)5.5 ± 24.893.2 ± 25.795.6 ± 25.35
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Driving

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Driving
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 284.7 ± 16.401.9 ± 17.746.7 ± 15.06
Week 52 (n = 97,98,91)5.2 ± 16.513.6 ± 18.736.4 ± 17.64
Week 76 (n = 86,86,83)5.5 ± 16.092.9 ± 18.346.5 ± 19.13
Week 100 (n=86,86,81)6.2 ± 16.584.3 ± 20.242.3 ± 18.84
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Color Vision

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Color Vision
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 282.6 ± 14.372.6 ± 18.201.8 ± 14.49
Week 52 (n = 148,147,152)2.0 ± 16.112.0 ± 12.591.6 ± 15.13
Week 76 (n = 131,137,140)1.7 ± 13.580.2 ± 17.010.2 ± 13.90
Week 100 (n=139,138,138)2.0 ± 14.141.3 ± 15.790.5 ± 16.94
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Peripheral Vision

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - Peripheral Vision
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 283.6 ± 20.891.6 ± 22.059.2 ± 22.82
Week 52 (n = 151,148,156)1.3 ± 22.514.1 ± 22.978.5 ± 22.98
Week 76 (n = 133, 138, 143)5.6 ± 21.011.1 ± 24.337.3 ± 20.94
Week 100 (n=140, 140, 142)3.4 ± 21.87-0.4 ± 24.366.3 ± 24.81
SecondaryChange From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Health Rating

The National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25) measures the influence of visual disability and visual symptoms on general health domains. The NEI VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better visual functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A composite score is derived based on the average of the 11 subscales.

Time frame:
Baseline, Weeks 28, 52, 76, 100
Reported as:
Mean · overall scores
Change From Baseline in Patient Reported Outcomes Visual Functioning Questionnaire-25 (VFQ-25) Total Scores up to Week 52 and Week 100 - General Health Rating
overall scoresBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Week 280.9 ± 19.503.0 ± 22.106.1 ± 19.25
Week 52 (n = 151,148,157)4.3 ± 22.506.8 ± 22.326.8 ± 24.94
Week 76 (n = 133, 138, 143)2.3 ± 23.536.3 ± 24.188.2 ± 20.93
Week 100 (n=140, 141, 142)2.3 ± 23.976.9 ± 23.558.8 ± 21.72
SecondaryOcular Adverse Events (AEs) (>=2% in Any Treatment Arm) by Preferred Term for the Study Eye
Time frame:
Adverse events were reported from first dose of study treatment until Week 96, plus 30 days post treatment, up to a maximum duration of 100 weeks.
Reported as:
Count of participants · Participants
Ocular Adverse Events (AEs) (>=2% in Any Treatment Arm) by Preferred Term for the Study Eye
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Number of subjects with at least one AE1039294
Cataract171613
Conjunctival haemorrhage191619
Intraocular pressure increased14113
Vitreous detachment9103
Vitreous floaters7106
Diabetic retinal oedema1294
Conjunctivitis461
Dry eye1065
Eye pain365
Posterior capsule opacification363
Eye irritation354
Blepharitis344
Keratitis043
Vitreous haemorrhage243
Punctate keratitis831
Vision blurred631
Visual acuity reduced739
Iridocyclitis420
Ocular hypertension422
Uveitis420
Corneal abrasion314
Retinal exudates713
Cataract subcapsular104
Conjunctival hyperaemia401
Vitreoretinal traction syndrome105
SecondaryNumber of Subjects With Non-ocular Adverse Events (AEs) (>=2% in Any Treatment Arm)
Time frame:
Adverse events were reported from first dose of study treatment until Week 96, plus 30 days post treatment, up to a maximum duration of 100 weeks.
Reported as:
Count of participants · Participants
Number of Subjects With Non-ocular Adverse Events (AEs) (>=2% in Any Treatment Arm)
ParticipantsBrolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mg
Number of Subjects With Non-ocular Adverse Events (AEs) (>=2% in Any Treatment Arm)146146143

Adverse events

Collected over Adverse events were reported from first dose of study treatment until Week 96, plus 30 days post treatment, up to a maximum duration of 100 weeks.. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Brolucizumab 3mg4/190 (2.1%)58/190 (30.5%)146/190 (76.8%)
Brolucizumab 6mg8/189 (4.2%)59/189 (31.2%)148/189 (78.3%)
Aflibercept 2mg7/187 (3.7%)63/187 (33.7%)137/187 (73.3%)
Overall19/566 (3.4%)180/566 (31.8%)431/566 (76.1%)
Most frequent serious events
Showing 10 of 198
Most frequent serious events
EventBrolucizumab 3mgBrolucizumab 6mgAflibercept 2mgOverall
Cardiac failure congestiveCardiac disorders5/1902/1895/18712/566
Cataract - Study eyeEye disorders1/1905/1893/1879/566
Cataract - Fellow eyeEye disorders0/1903/1894/1877/566
Cerebrovascular accidentNervous system disorders3/1904/1894/18711/566
Renal failureRenal and urinary disorders1/1901/1894/1876/566
Coronary artery diseaseCardiac disorders1/1902/1893/1876/566
Myocardial infarctionCardiac disorders2/1903/1893/1878/566
OsteomyelitisInfections and infestations1/1902/1893/1876/566
COVID-19Infections and infestations2/1903/1892/1877/566
Diabetes mellitusMetabolism and nutrition disorders0/1903/1890/1873/566
Most frequent other events
Showing 10 of 94
Most frequent other events
EventBrolucizumab 3mgBrolucizumab 6mgAflibercept 2mgOverall
HypertensionVascular disorders22/19021/18924/18767/566
Urinary tract infectionInfections and infestations17/19020/1898/18745/566
NasopharyngitisInfections and infestations20/19018/18916/18754/566
Conjunctival haemorrhage - Study eyeEye disorders19/19016/18919/18754/566
Cataract - Study eyeEye disorders17/19012/18910/18739/566
Diabetic retinal oedema - Fellow eyeEye disorders17/19012/18912/18741/566
Intraocular pressure increased - Study eyeInvestigations14/19011/1893/18728/566
Cataract - Fellow eyeEye disorders11/19012/1895/18728/566
Diabetic retinal oedema - Study eyeEye disorders12/1909/1894/18725/566
ArthralgiaMusculoskeletal and connective tissue disorders12/1906/1895/18723/566

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Brolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mgTotal
<=18 years0000
Between 18 and 65 years9710493294
>=65 years938594272
Age, Continuous
Age, Continuous(years)Brolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mgTotal
Mean64.4 ± 9.7662.4 ± 10.1463.9 ± 10.0963.6 ± 10.01
Sex: Female, Male
Sex: Female, Male(Participants)Brolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mgTotal
Female717961211
Male119110126355
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Brolucizumab 3 mgBrolucizumab 6 mgAflibercept 2 mgTotal
American Indian or Alaska Native1012
Asian25252676
Native Hawaiian or Other Pacific Islander0202
Black or African American134724
White151158152461
More than one race0011
Unknown or Not Reported0000
08

Study locations

116 sites
  • Novartis Investigative Site
    Phoenix, Arizona 85053, United States
  • Novartis Investigative Site
    Beverly Hills, California 90211, United States
  • Novartis Investigative Site
    La Jolla, California 92093, United States
  • Novartis Investigative Site
    Mountain View, California 94040, United States
  • Novartis Investigative Site
    Santa Barbara, California 93103, United States
  • Novartis Investigative Site
    Colorado Springs, Colorado 80909, United States
  • Novartis Investigative Site
    Danbury, Connecticut 06810, United States
  • Novartis Investigative Site
    Miami, Florida 33136, United States
  • Novartis Investigative Site
    Pensacola, Florida 32503, United States
  • Novartis Investigative Site
    Stuart, Florida 34994, United States
  • Novartis Investigative Site
    'Aiea, Hawaii 96701, United States
  • Novartis Investigative Site
    Urbana, Illinois 61801, United States
  • Novartis Investigative Site
    Wheaton, Illinois 60187, United States
  • Novartis Investigative Site
    Indianapolis, Indiana 46280, United States
  • Novartis Investigative Site
    New Albany, Indiana 47150, United States
  • Novartis Investigative Site
    Leawood, Kansas 66211, United States
  • Novartis Investigative Site
    Lenexa, Kansas 66215, United States
  • Novartis Investigative Site
    Paducah, Kentucky 42001, United States
  • Novartis Investigative Site
    Springfield, Massachusetts 01107, United States
  • Novartis Investigative Site
    Stoneham, Massachusetts 02180, United States
  • Novartis Investigative Site
    Reno, Nevada 89502, United States
  • Novartis Investigative Site
    Cincinnati, Ohio 45242, United States
  • Novartis Investigative Site
    Cleveland, Ohio 44122, United States
  • Novartis Investigative Site
    Cleveland, Ohio 44195, United States
  • Novartis Investigative Site
    Kingston, Pennsylvania 95403, United States
  • Novartis Investigative Site
    Philadelphia, Pennsylvania 19107, United States
  • Novartis Investigative Site
    Memphis, Tennessee 38119, United States
  • Novartis Investigative Site
    Nashville, Tennessee 37232, United States
  • Novartis Investigative Site
    Austin, Texas 78705, United States
  • Novartis Investigative Site
    Austin, Texas 78731, United States
  • Novartis Investigative Site
    Austin, Texas 78750, United States
  • Novartis Investigative Site
    Bellaire, Texas 77401, United States
  • Novartis Investigative Site
    Harlingen, Texas 78550, United States
  • Novartis Investigative Site
    Houston, Texas 77030, United States
  • Novartis Investigative Site
    San Antonio, Texas 78240, United States
  • Novartis Investigative Site
    Tyler, Texas 75701, United States
  • Novartis Investigative Site
    Silverdale, Washington 98383, United States
  • Novartis Investigative Site
    Spokane, Washington 99204, United States
  • Novartis Investigative Site
    Madison, Wisconsin 53705-3611, United States
  • Novartis Investigative Site
    Ciudad Autonoma de Bs As, Buenos Aires C1015ABO, Argentina
  • Novartis Investigative Site
    Rosario, Provincia De Santa Fe, Argentina
  • Novartis Investigative Site
    Caba, 1425, Argentina
  • Novartis Investigative Site
    Caba, Argentina
  • Novartis Investigative Site
    Cordoba, X5000AAJ, Argentina
  • Novartis Investigative Site
    Liverpool, New South Wales 2170, Australia
  • Novartis Investigative Site
    Parramatta, New South Wales 2150, Australia
  • Novartis Investigative Site
    Sydney, New South Wales 2000, Australia
  • Novartis Investigative Site
    Westmead, New South Wales 2145, Australia
  • Novartis Investigative Site
    Adelaide, South Australia 5000, Australia
  • Novartis Investigative Site
    Clayton, Victoria 3168, Australia
  • Novartis Investigative Site
    Melbourne, Victoria 3002, Australia
  • Novartis Investigative Site
    Nedlands, Western Australia 6009, Australia
  • Novartis Investigative Site
    Graz, A-8036, Austria
  • Novartis Investigative Site
    Innsbruck, 6020, Austria
  • Novartis Investigative Site
    Vienna, 1090, Austria
  • Novartis Investigative Site
    Ottawa, Ontario K1Z 8R2, Canada
  • Novartis Investigative Site
    Toronto, Ontario M4N 3M5, Canada
  • Novartis Investigative Site
    Toronto, Ontario M5C 2T2, Canada
  • Novartis Investigative Site
    Quebec, G1S 4L8, Canada
  • Novartis Investigative Site
    Medellin, Antioquia 001, Colombia
  • Novartis Investigative Site
    Medellin, Antioquia, Colombia
  • Novartis Investigative Site
    Bogota, 110221, Colombia
  • Novartis Investigative Site
    Haifa, 3109601, Israel
  • Novartis Investigative Site
    Haifa, 3339419, Israel
  • Novartis Investigative Site
    Haifa, 3436212, Israel
  • Novartis Investigative Site
    Jerusalem, 9112001, Israel
  • Novartis Investigative Site
    Kfar Saba, 4428164, Israel
  • Novartis Investigative Site
    Petach Tikva, 4941492, Israel
  • Novartis Investigative Site
    Rehovot, 7610001, Israel
  • Novartis Investigative Site
    Tel Aviv, 6423906, Israel
  • Novartis Investigative Site
    Chieti, CH 66100, Italy
  • Novartis Investigative Site
    Catania, CT 95124, Italy
  • Novartis Investigative Site
    Milano, MI 20100, Italy
  • Novartis Investigative Site
    Milano, MI 20132, Italy
  • Novartis Investigative Site
    Padova, PD 35128, Italy
  • Novartis Investigative Site
    Roma, RM 00144, Italy
  • Novartis Investigative Site
    Nagoya-city, Aichi 462-0825, Japan
  • Novartis Investigative Site
    Nagoya, Aichi 455-8530, Japan
  • Novartis Investigative Site
    Nagoya, Aichi 457-8511, Japan
  • Novartis Investigative Site
    Nagoya, Aichi 466 8560, Japan
  • Novartis Investigative Site
    Kurume-city, Fukuoka 830-8543, Japan
  • Novartis Investigative Site
    Amagasaki city, Hyogo 660 8550, Japan
  • Novartis Investigative Site
    Tsuchiura, Ibaragi 300-0817, Japan
  • Novartis Investigative Site
    Ishioka, Ibaraki 315-0037, Japan
  • Novartis Investigative Site
    Kagoshima city, Kagoshima 890 8520, Japan
  • Novartis Investigative Site
    Matsumoto-city, Nagano 390-8621, Japan
  • Novartis Investigative Site
    Saitama-shi, Saitama 336-0963, Japan
  • Novartis Investigative Site
    Shimotsuke, Tochigi 329-0498, Japan
  • Novartis Investigative Site
    Chiyoda-ku, Tokyo 101-8309, Japan
  • Novartis Investigative Site
    Hachioji-city, Tokyo 193-0944, Japan
  • Novartis Investigative Site
    Shinjuku ku, Tokyo 162 8666, Japan
  • Novartis Investigative Site
    Taito-ku, Tokyo 111-0051, Japan
  • Novartis Investigative Site
    Kumamoto, Japan
  • Novartis Investigative Site
    Osaka, 543-0027, Japan
  • Novartis Investigative Site
    Amsterdam, 1105 AZ, Netherlands
  • Novartis Investigative Site
    Rotterdam, 3011 BH, Netherlands
  • Novartis Investigative Site
    Tilburg, 5022 GC, Netherlands
  • Novartis Investigative Site
    Coimbra, 3000-548, Portugal
  • Novartis Investigative Site
    Coimbra, 3030-363, Portugal
  • Novartis Investigative Site
    Leiria, 2410-187, Portugal

Showing the first 100 of 116 sites across 14 countries. Choose a country and city above to see the rest.

09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2018 to primary completion in Nov 2020, 27 months.

Results were first posted in Oct 2022, 1 year 11 months after primary completion. A results delay was requested in Jan 2021.

Of 52 industry-sponsored phase 3 interventional studies under Macular Edema, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 33. This study's 27 months is above that.

Counting every sponsor, half of 65 studies reached it within 25 months; a quarter within 18 and three quarters within 38.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 13, 2018
First posted
Mar 29, 2018
StartActual
Jul 23, 2018
Primary completionActual
Nov 11, 2020
CompletionActual
Oct 18, 2021
Results delay requested
Jan 6, 2021
Results first posted
Oct 28, 2022
Last update
Jan 30, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03481634
Responsible party
Sponsor
First posted
Mar 29, 2018
Start date
Jul 23, 2018
Primary completion
Nov 11, 2020
Completion
Oct 18, 2021
Results posted
Oct 28, 2022
Last update
Jan 30, 2023

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Brolucizumab

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