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A Study to Evaluate the Efficacy and Safety of Faricimab in Participants With Neovascular Age-Related Macular Degeneration (LUCERNE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03823300
Recruitment Status : Completed
First Posted : January 30, 2019
Results First Posted : May 4, 2022
Last Update Posted : January 13, 2023
Sponsor:
Information provided by (Responsible Party):
Hoffmann-La Roche

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Triple (Participant, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition Wet Macular Degeneration
Interventions Drug: Faricimab
Drug: Aflibercept
Procedure: Sham Procedure
Enrollment 658
Recruitment Details  
Pre-assignment Details A total of 1012 patients were screened, 354 of whom failed screening, most commonly due to not meeting inclusion criteria. A total of 658 treatment-naive patients with nAMD were randomized 1:1 into the study: 331 to the faricimab arm and 327 to the aflibercept arm.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W). Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Period Title: Overall Study
Started [1] 331 327
Received at Least One Dose of Study Drug [2] 331 326
Completed up to Week 48 [3] 321 309
Completed 297 273
Not Completed 34 54
Reason Not Completed
Withdrawal by Subject             16             22
Death             10             14
Adverse Event             3             5
Physician Decision             1             7
Lost to Follow-up             1             3
Protocol Violation             1             1
Lack of Efficacy             1             1
Not Eligible             0             1
Other             1             0
[1]
Intent-to-Treat (ITT) Population
[2]
Safety Population
[3]
Primary Completion Date Cutoff
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept Total
Hide Arm/Group Description Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W). Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104). Total of all reporting groups
Overall Number of Baseline Participants 331 327 658
Hide Baseline Analysis Population Description
Intent-to-Treat (ITT) Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 331 participants 327 participants 658 participants
74.8  (8.4) 76.1  (8.6) 75.5  (8.5)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
Female
203
  61.3%
188
  57.5%
391
  59.4%
Male
128
  38.7%
139
  42.5%
267
  40.6%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
Hispanic or Latino
35
  10.6%
46
  14.1%
81
  12.3%
Not Hispanic or Latino
287
  86.7%
274
  83.8%
561
  85.3%
Unknown or Not Reported
9
   2.7%
7
   2.1%
16
   2.4%
Race/Ethnicity, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
White
278
  84.0%
270
  82.6%
548
  83.3%
Asian
38
  11.5%
34
  10.4%
72
  10.9%
Unknown
12
   3.6%
17
   5.2%
29
   4.4%
Black or African American
2
   0.6%
5
   1.5%
7
   1.1%
American Indian or Alaska Native
1
   0.3%
0
   0.0%
1
   0.2%
Multiple
0
   0.0%
1
   0.3%
1
   0.2%
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
United States and Canada
135
  40.8%
132
  40.4%
267
  40.6%
Asia
35
  10.6%
33
  10.1%
68
  10.3%
Rest of the World
161
  48.6%
162
  49.5%
323
  49.1%
Number of Participants by the Eye (Right or Left) Chosen as the Study Eye  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
Right Eye
168
  50.8%
170
  52.0%
338
  51.4%
Left Eye
163
  49.2%
157
  48.0%
320
  48.6%
Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye   [1] 
Mean (Standard Deviation)
Unit of measure:  ETDRS Letters
Number Analyzed 331 participants 327 participants 658 participants
58.7  (14.0) 58.9  (13.3) 58.8  (13.6)
[1]
Measure Description: Best corrected visual acuity (BCVA) at a starting test distance of 4 meters was measured using a set of three Precision VisionTM or Lighthouse distance acuity charts (modified ETDRS Charts 1, 2, and R). The BCVA letter score ranges from 0 to 100 (best score attainable), with a higher score indicating better visual acuity.
Number of Participants by the BCVA Letter Score Categories in the Study Eye  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
≥74 Letters
45
  13.6%
39
  11.9%
84
  12.8%
73 to 55 Letters
181
  54.7%
183
  56.0%
364
  55.3%
≤54 Letters
105
  31.7%
105
  32.1%
210
  31.9%
Number of Participants by the Low Luminance Deficit (LLD) Letter Score Categories in the Study Eye  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
<33 Letters
238
  71.9%
234
  71.6%
472
  71.7%
≥33 Letters
89
  26.9%
93
  28.4%
182
  27.7%
Missing/Invalid
4
   1.2%
0
   0.0%
4
   0.6%
Choroidal Neovascularization (CNV) Lesion Type in the Study Eye by Fundus Fluorescein Angiography  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 331 participants 327 participants 658 participants
Occult
171
  51.7%
140
  42.8%
311
  47.3%
Classic
98
  29.6%
109
  33.3%
207
  31.5%
Minimally Classic
30
   9.1%
31
   9.5%
61
   9.3%
Retinal Angiomatous Proliferation (RAP)
14
   4.2%
15
   4.6%
29
   4.4%
Predominantly Classic
6
   1.8%
16
   4.9%
22
   3.3%
Polypoidal Choroidal Vasculopathy (PCV)
5
   1.5%
8
   2.4%
13
   2.0%
Missing
7
   2.1%
8
   2.4%
15
   2.3%
1.Primary Outcome
Title Change From Baseline in BCVA in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. The Mixed Model of Repeated Measures (MMRM) analysis adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (≥74, 73-55, and ≤54 letters), baseline LLD (<33 and ≥33 letters), and region (U.S. and Canada, Asia, and rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded from analysis. 95% CI is a rounding of 95.03% CI.
Time Frame From Baseline through Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: ETDRS Letters
6.6
(5.3 to 7.8)
6.6
(5.3 to 7.8)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments The null hypothesis, H0: μ(faricimab) - μ(aflibercept) ≤-4 letters; the alternative hypothesis, Ha: μ(faricimab) - μ(aflibercept) >-4 letters. A sample size of approximately 320 participants in each arm provided greater than 90% power to show non-inferiority of faricimab to aflibercept in the change from baseline BCVA averaged over Weeks 40, 44, and 48 in the ITT population, using a non-inferiority margin of 4 letters at the one-sided 0.02485 significance level.
Type of Statistical Test Non-Inferiority
Comments If the lower bound of a two-sided 95.03% confidence interval (CI) for the difference in adjusted means of the two treatments (faricimab minus aflibercept) is greater than -4 letters (the non-inferiority margin), then faricimab is considered non-inferior to aflibercept.
Method of Estimation Estimation Parameter Adjusted mean difference
Estimated Value 0.0
Confidence Interval (2-Sided) 95%
-1.7 to 1.8
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.91
Estimation Comments The treatment difference in adjusted means of change from baseline BCVA is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept. MMRM adjustments are listed in the outcome measure description.
2.Secondary Outcome
Title Change From Baseline in BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. The Mixed Model of Repeated Measures (MMRM) analysis adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (≥74, 73-55, and ≤54 letters), baseline LLD (<33 and ≥33 letters), and region (U.S. and Canada, Asia, and rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded from analysis. 95% CI is a rounding of 95.03% CI.
Time Frame From Baseline through Week 60
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: ETDRS Letters
6.6
(5.3 to 7.9)
7.1
(5.8 to 8.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in Adjusted Means at Weeks 52-60
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Adjusted mean difference
Estimated Value -0.6
Confidence Interval (2-Sided) 95%
-2.4 to 1.3
Parameter Dispersion
Type: Standard Error of the Mean
Value: 0.93
Estimation Comments The treatment difference in adjusted means of change from baseline BCVA is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept. MMRM adjustments are listed in the outcome measure description.
3.Secondary Outcome
Title Change From Baseline in BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. The Mixed Model of Repeated Measures (MMRM) analysis adjusted for treatment arm, visit, visit-by-treatment arm interaction, baseline BCVA (continuous), baseline BCVA (≥74, 73-55, and ≤54 letters), baseline LLD (<33 and ≥33 letters), and region (U.S. and Canada, Asia, and rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. Invalid BCVA values were excluded from analysis. 95% CI is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: ETDRS Letters
Week 4
5.1
(4.2 to 5.9)
4.3
(3.5 to 5.2)
Week 8
6.0
(5.1 to 6.9)
5.8
(4.9 to 6.8)
Week 12
7.0
(6.1 to 8.0)
6.4
(5.4 to 7.4)
Week 16
6.7
(5.6 to 7.7)
6.4
(5.4 to 7.4)
Week 20
7.0
(5.9 to 8.1)
6.8
(5.7 to 7.9)
Week 24
7.0
(5.8 to 8.1)
6.5
(5.4 to 7.6)
Week 28
7.1
(5.9 to 8.2)
6.8
(5.6 to 7.9)
Week 32
7.2
(6.0 to 8.3)
6.9
(5.7 to 8.0)
Week 36
6.7
(5.5 to 7.9)
6.8
(5.6 to 8.0)
Week 40
6.8
(5.5 to 8.1)
6.7
(5.4 to 8.0)
Week 44
6.5
(5.3 to 7.8)
6.4
(5.2 to 7.7)
Week 48
6.5
(5.1 to 7.8)
6.4
(5.0 to 7.7)
Week 52
6.4
(5.1 to 7.7)
6.9
(5.5 to 8.3)
Week 56
7.1
(5.7 to 8.4)
7.4
(6.0 to 8.7)
Week 60
6.3
(4.9 to 7.7)
6.9
(5.5 to 8.3)
Week 64
6.5
(5.1 to 8.0)
6.1
(4.7 to 7.6)
Week 68
6.2
(4.8 to 7.6)
6.7
(5.3 to 8.1)
Week 72
6.4
(4.9 to 7.8)
6.2
(4.8 to 7.7)
Week 76
6.4
(4.9 to 7.9)
6.0
(4.6 to 7.5)
Week 80
5.9
(4.4 to 7.4)
5.6
(4.1 to 7.2)
Week 84
5.9
(4.3 to 7.5)
5.8
(4.2 to 7.3)
Week 88
5.6
(4.1 to 7.1)
5.4
(3.9 to 7.0)
Week 92
5.7
(4.2 to 7.2)
5.4
(3.9 to 7.0)
Week 96
5.4
(3.9 to 7.0)
5.5
(3.9 to 7.0)
Week 100
5.2
(3.6 to 6.8)
4.9
(3.3 to 6.5)
Week 104
5.0
(3.4 to 6.6)
5.3
(3.7 to 6.9)
Week 108
5.2
(3.5 to 6.8)
5.4
(3.7 to 7.0)
Week 112
4.8
(3.2 to 6.5)
4.8
(3.1 to 6.5)
4.Secondary Outcome
Title Percentage of Participants Gaining Greater Than or Equal to (≥)15, ≥10, ≥5, or ≥0 Letters From the Baseline BCVA in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description BCVA was measured on the ETDRS chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 40, 44, and 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 302 291
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Gaining ≥15 Letters
20.2
(15.9 to 24.6)
22.2
(17.7 to 26.8)
Gaining ≥10 Letters
39.2
(34.1 to 44.4)
35.8
(30.6 to 40.9)
Gaining ≥5 Letters
60.5
(55.2 to 65.7)
59.4
(53.9 to 64.9)
Gaining ≥0 Letters
82.2
(77.9 to 86.4)
79.1
(74.5 to 83.6)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Gaining ≥15 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value -2.0
Confidence Interval (2-Sided) 95%
-8.3 to 4.3
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Gaining ≥10 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 3.4
Confidence Interval (2-Sided) 95%
-3.9 to 10.7
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥10 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Gaining ≥5 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 1.0
Confidence Interval (2-Sided) 95%
-6.6 to 8.6
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥5 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Gaining ≥0 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 3.1
Confidence Interval (2-Sided) 95%
-3.1 to 9.3
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥0 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
5.Secondary Outcome
Title Percentage of Participants Gaining ≥15 Letters From the Baseline BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60
Hide Description BCVA was measured on the ETDRS chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 52, 56, and 60
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 289 276
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
22.6
(18.1 to 27.1)
23.7
(19.1 to 28.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in CMH Weighted Percentages at Weeks 52-60
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value -1.2
Confidence Interval (2-Sided) 95%
-7.7 to 5.3
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
6.Secondary Outcome
Title Percentage of Participants Gaining ≥15 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
10.5
(7.2 to 13.7)
9.5
(6.4 to 12.6)
Week 8 Number Analyzed 327 participants 322 participants
13.9
(10.3 to 17.5)
13.5
(10.0 to 17.1)
Week 12 Number Analyzed 326 participants 317 participants
17.7
(13.7 to 21.6)
17.2
(13.3 to 21.1)
Week 16 Number Analyzed 321 participants 315 participants
17.3
(13.3 to 21.3)
17.7
(13.6 to 21.8)
Week 20 Number Analyzed 320 participants 309 participants
20.2
(15.9 to 24.4)
20.2
(15.9 to 24.4)
Week 24 Number Analyzed 295 participants 288 participants
19.3
(14.9 to 23.6)
18.9
(14.6 to 23.3)
Week 28 Number Analyzed 292 participants 271 participants
23.7
(19.1 to 28.3)
20.8
(16.1 to 25.4)
Week 32 Number Analyzed 287 participants 288 participants
22.6
(18.0 to 27.2)
19.5
(15.1 to 23.9)
Week 36 Number Analyzed 293 participants 283 participants
22.2
(17.7 to 26.6)
20.6
(16.1 to 25.0)
Week 40 Number Analyzed 286 participants 288 participants
23.7
(19.0 to 28.3)
25.4
(20.6 to 30.1)
Week 44 Number Analyzed 285 participants 273 participants
21.5
(17.1 to 26.0)
22.4
(17.7 to 27.1)
Week 48 Number Analyzed 282 participants 277 participants
22.3
(17.7 to 26.9)
23.1
(18.3 to 27.8)
Week 52 Number Analyzed 283 participants 273 participants
22.7
(18.1 to 27.2)
23.4
(18.7 to 28.1)
Week 56 Number Analyzed 283 participants 273 participants
25.9
(21.1 to 30.7)
27.0
(22.0 to 32.0)
Week 60 Number Analyzed 278 participants 273 participants
22.6
(18.1 to 27.1)
25.8
(20.9 to 30.7)
Week 64 Number Analyzed 276 participants 266 participants
25.4
(20.6 to 30.2)
21.2
(16.5 to 25.9)
Week 68 Number Analyzed 276 participants 266 participants
24.5
(19.7 to 29.3)
24.9
(20.0 to 29.8)
Week 72 Number Analyzed 276 participants 261 participants
22.6
(17.9 to 27.2)
27.1
(22.0 to 32.1)
Week 76 Number Analyzed 268 participants 267 participants
22.1
(17.4 to 26.8)
24.9
(20.1 to 29.8)
Week 80 Number Analyzed 275 participants 264 participants
22.9
(18.1 to 27.7)
25.8
(20.8 to 30.7)
Week 84 Number Analyzed 279 participants 254 participants
23.7
(18.9 to 28.5)
25.6
(20.6 to 30.6)
Week 88 Number Analyzed 276 participants 253 participants
24.1
(19.3 to 29.0)
24.4
(19.5 to 29.3)
Week 92 Number Analyzed 273 participants 253 participants
22.5
(17.8 to 27.2)
24.8
(19.9 to 29.8)
Week 96 Number Analyzed 266 participants 247 participants
25.7
(20.8 to 30.6)
25.5
(20.5 to 30.6)
Week 100 Number Analyzed 272 participants 254 participants
24.8
(19.9 to 29.8)
23.1
(18.3 to 28.0)
Week 104 Number Analyzed 263 participants 249 participants
22.5
(17.7 to 27.3)
24.6
(19.6 to 29.5)
Week 108 Number Analyzed 267 participants 247 participants
21.6
(16.8 to 26.3)
22.3
(17.5 to 27.1)
Week 112 Number Analyzed 267 participants 254 participants
25.2
(20.3 to 30.1)
22.5
(17.8 to 27.1)
7.Secondary Outcome
Title Percentage of Participants Gaining ≥10 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
24.2
(19.8 to 28.7)
22.1
(17.7 to 26.5)
Week 8 Number Analyzed 327 participants 322 participants
32.4
(27.5 to 37.2)
28.7
(24.1 to 33.4)
Week 12 Number Analyzed 326 participants 317 participants
34.2
(29.3 to 39.1)
34.6
(29.5 to 39.7)
Week 16 Number Analyzed 321 participants 315 participants
35.3
(30.3 to 40.4)
34.2
(29.2 to 39.3)
Week 20 Number Analyzed 320 participants 309 participants
37.8
(32.7 to 42.9)
34.3
(29.2 to 39.4)
Week 24 Number Analyzed 295 participants 288 participants
39.2
(33.8 to 44.5)
35.2
(29.9 to 40.5)
Week 28 Number Analyzed 292 participants 271 participants
40.5
(35.1 to 45.8)
36.0
(30.5 to 41.4)
Week 32 Number Analyzed 287 participants 288 participants
40.5
(35.1 to 46.0)
35.0
(29.7 to 40.3)
Week 36 Number Analyzed 293 participants 283 participants
38.9
(33.6 to 44.2)
38.9
(33.5 to 44.3)
Week 40 Number Analyzed 286 participants 288 participants
40.9
(35.5 to 46.3)
39.3
(34.0 to 44.7)
Week 44 Number Analyzed 285 participants 273 participants
42.3
(36.8 to 47.8)
39.5
(34.1 to 45.0)
Week 48 Number Analyzed 282 participants 277 participants
41.0
(35.5 to 46.5)
38.6
(33.2 to 43.9)
Week 52 Number Analyzed 283 participants 273 participants
44.2
(38.8 to 49.7)
42.1
(36.6 to 47.6)
Week 56 Number Analyzed 283 participants 273 participants
44.2
(38.8 to 49.7)
43.6
(38.1 to 49.2)
Week 60 Number Analyzed 278 participants 273 participants
43.1
(37.6 to 48.6)
42.4
(36.8 to 47.9)
Week 64 Number Analyzed 276 participants 266 participants
44.0
(38.5 to 49.5)
41.1
(35.4 to 46.8)
Week 68 Number Analyzed 276 participants 266 participants
40.1
(34.7 to 45.5)
40.7
(35.3 to 46.2)
Week 72 Number Analyzed 276 participants 261 participants
42.0
(36.5 to 47.4)
38.9
(33.4 to 44.3)
Week 76 Number Analyzed 268 participants 267 participants
42.2
(36.7 to 47.8)
40.7
(35.1 to 46.2)
Week 80 Number Analyzed 275 participants 264 participants
44.2
(38.6 to 49.9)
41.9
(36.2 to 47.6)
Week 84 Number Analyzed 279 participants 254 participants
42.7
(37.2 to 48.3)
41.4
(35.6 to 47.2)
Week 88 Number Analyzed 276 participants 253 participants
40.3
(34.8 to 45.9)
39.4
(33.7 to 45.1)
Week 92 Number Analyzed 273 participants 253 participants
42.1
(36.5 to 47.8)
41.0
(35.3 to 46.7)
Week 96 Number Analyzed 266 participants 247 participants
41.1
(35.5 to 46.7)
39.1
(33.3 to 45.0)
Week 100 Number Analyzed 272 participants 254 participants
40.2
(34.6 to 45.7)
34.6
(29.0 to 40.1)
Week 104 Number Analyzed 263 participants 249 participants
44.0
(38.3 to 49.7)
36.2
(30.5 to 41.9)
Week 108 Number Analyzed 267 participants 247 participants
41.7
(36.0 to 47.4)
38.0
(32.2 to 43.8)
Week 112 Number Analyzed 267 participants 254 participants
41.3
(35.7 to 47.0)
35.0
(29.6 to 40.5)
8.Secondary Outcome
Title Percentage of Participants Gaining ≥5 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
47.8
(42.6 to 53.0)
47.5
(42.2 to 52.8)
Week 8 Number Analyzed 327 participants 322 participants
56.8
(51.6 to 62.0)
54.6
(49.3 to 59.8)
Week 12 Number Analyzed 326 participants 317 participants
63.9
(58.9 to 68.9)
57.6
(52.3 to 62.9)
Week 16 Number Analyzed 321 participants 315 participants
61.7
(56.5 to 66.8)
59.6
(54.3 to 64.9)
Week 20 Number Analyzed 320 participants 309 participants
64.1
(59.0 to 69.2)
60.9
(55.6 to 66.3)
Week 24 Number Analyzed 295 participants 288 participants
62.2
(56.8 to 67.6)
60.2
(54.7 to 65.7)
Week 28 Number Analyzed 292 participants 271 participants
63.6
(58.2 to 68.9)
60.5
(54.8 to 66.2)
Week 32 Number Analyzed 287 participants 288 participants
63.3
(58.0 to 68.7)
60.1
(54.6 to 65.6)
Week 36 Number Analyzed 293 participants 283 participants
61.4
(56.0 to 66.9)
60.4
(54.9 to 65.9)
Week 40 Number Analyzed 286 participants 288 participants
63.5
(58.1 to 68.9)
60.9
(55.5 to 66.4)
Week 44 Number Analyzed 285 participants 273 participants
60.1
(54.6 to 65.6)
62.3
(56.7 to 67.8)
Week 48 Number Analyzed 282 participants 277 participants
60.0
(54.5 to 65.6)
63.5
(57.9 to 69.1)
Week 52 Number Analyzed 283 participants 273 participants
63.5
(58.1 to 69.0)
67.2
(61.7 to 72.6)
Week 56 Number Analyzed 283 participants 273 participants
64.1
(58.7 to 69.5)
66.5
(61.0 to 72.0)
Week 60 Number Analyzed 278 participants 273 participants
61.6
(56.1 to 67.2)
65.5
(59.9 to 71.0)
Week 64 Number Analyzed 276 participants 266 participants
65.2
(59.8 to 70.6)
63.1
(57.5 to 68.8)
Week 68 Number Analyzed 276 participants 266 participants
63.0
(57.4 to 68.5)
64.0
(58.5 to 69.6)
Week 72 Number Analyzed 276 participants 261 participants
64.1
(58.6 to 69.6)
66.6
(60.9 to 72.2)
Week 76 Number Analyzed 268 participants 267 participants
63.9
(58.2 to 69.6)
58.7
(53.0 to 64.4)
Week 80 Number Analyzed 275 participants 264 participants
63.3
(57.7 to 68.9)
62.3
(56.6 to 67.9)
Week 84 Number Analyzed 279 participants 254 participants
61.6
(56.1 to 67.2)
64.3
(58.6 to 70.1)
Week 88 Number Analyzed 276 participants 253 participants
62.6
(57.1 to 68.1)
60.7
(54.9 to 66.5)
Week 92 Number Analyzed 273 participants 253 participants
62.7
(57.1 to 68.3)
58.3
(52.6 to 64.0)
Week 96 Number Analyzed 266 participants 247 participants
61.3
(55.6 to 67.0)
61.0
(55.1 to 67.0)
Week 100 Number Analyzed 272 participants 254 participants
61.7
(56.1 to 67.3)
56.9
(50.9 to 62.9)
Week 104 Number Analyzed 263 participants 249 participants
60.3
(54.6 to 66.0)
59.3
(53.3 to 65.3)
Week 108 Number Analyzed 267 participants 247 participants
62.4
(56.8 to 68.0)
58.0
(51.8 to 64.1)
Week 112 Number Analyzed 267 participants 254 participants
59.9
(54.2 to 65.6)
59.4
(53.4 to 65.3)
9.Secondary Outcome
Title Percentage of Participants Gaining ≥0 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
80.5
(76.3 to 84.7)
74.2
(69.5 to 78.9)
Week 8 Number Analyzed 327 participants 322 participants
82.3
(78.3 to 86.3)
80.3
(76.0 to 84.5)
Week 12 Number Analyzed 326 participants 317 participants
84.1
(80.3 to 88.0)
81.0
(76.8 to 85.1)
Week 16 Number Analyzed 321 participants 315 participants
82.6
(78.5 to 86.6)
83.0
(78.9 to 87.0)
Week 20 Number Analyzed 320 participants 309 participants
84.8
(80.9 to 88.6)
83.1
(79.1 to 87.2)
Week 24 Number Analyzed 295 participants 288 participants
82.8
(78.6 to 86.9)
82.0
(77.6 to 86.4)
Week 28 Number Analyzed 292 participants 271 participants
82.7
(78.5 to 86.8)
83.0
(78.7 to 87.4)
Week 32 Number Analyzed 287 participants 288 participants
80.3
(75.9 to 84.7)
82.2
(77.8 to 86.5)
Week 36 Number Analyzed 293 participants 283 participants
81.2
(76.8 to 85.6)
76.5
(71.7 to 81.3)
Week 40 Number Analyzed 286 participants 288 participants
82.0
(77.6 to 86.3)
77.6
(72.9 to 82.3)
Week 44 Number Analyzed 285 participants 273 participants
84.0
(79.8 to 88.2)
78.6
(73.9 to 83.2)
Week 48 Number Analyzed 282 participants 277 participants
82.7
(78.3 to 87.1)
78.9
(74.1 to 83.6)
Week 52 Number Analyzed 283 participants 273 participants
79.4
(74.8 to 84.0)
84.7
(80.5 to 88.9)
Week 56 Number Analyzed 283 participants 273 participants
80.7
(76.1 to 85.2)
82.6
(78.2 to 87.0)
Week 60 Number Analyzed 278 participants 273 participants
78.9
(74.2 to 83.6)
81.5
(77.0 to 86.0)
Week 64 Number Analyzed 276 participants 266 participants
81.3
(76.8 to 85.8)
81.1
(76.5 to 85.7)
Week 68 Number Analyzed 276 participants 266 participants
80.5
(76.0 to 85.1)
80.4
(75.8 to 85.0)
Week 72 Number Analyzed 276 participants 261 participants
79.5
(74.8 to 84.1)
78.8
(74.0 to 83.6)
Week 76 Number Analyzed 268 participants 267 participants
81.0
(76.4 to 85.6)
79.8
(75.2 to 84.5)
Week 80 Number Analyzed 275 participants 264 participants
80.0
(75.3 to 84.7)
76.0
(71.0 to 81.1)
Week 84 Number Analyzed 279 participants 254 participants
78.7
(73.9 to 83.5)
81.0
(76.3 to 85.7)
Week 88 Number Analyzed 276 participants 253 participants
78.7
(73.9 to 83.5)
80.6
(75.9 to 85.4)
Week 92 Number Analyzed 273 participants 253 participants
81.3
(76.7 to 85.8)
76.3
(71.2 to 81.4)
Week 96 Number Analyzed 266 participants 247 participants
76.3
(71.3 to 81.3)
77.5
(72.5 to 82.6)
Week 100 Number Analyzed 272 participants 254 participants
75.7
(70.8 to 80.7)
74.8
(69.6 to 80.0)
Week 104 Number Analyzed 263 participants 249 participants
76.6
(71.6 to 81.6)
79.0
(74.0 to 84.0)
Week 108 Number Analyzed 267 participants 247 participants
78.8
(74.0 to 83.6)
76.9
(71.7 to 82.1)
Week 112 Number Analyzed 267 participants 254 participants
74.6
(69.5 to 79.8)
77.4
(72.3 to 82.5)
10.Secondary Outcome
Title Percentage of Participants Avoiding a Loss of ≥15, ≥10, or ≥5 Letters From the Baseline BCVA in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 40, 44, and 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 302 291
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Avoiding a Loss of ≥15 Letters
95.8
(93.6 to 98.0)
97.3
(95.5 to 99.1)
Avoiding a Loss of ≥10 Letters
93.8
(91.1 to 96.4)
94.6
(92.2 to 97.1)
Avoiding a Loss of ≥5 Letters
91.2
(88.0 to 94.3)
88.5
(85.0 to 92.0)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Avoiding a Loss of ≥15 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value -1.5
Confidence Interval (2-Sided) 95%
-4.4 to 1.3
Estimation Comments The treatment difference in CMH weighted percentage of participants avoiding a loss of ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Avoiding a Loss of ≥10 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value -0.9
Confidence Interval (2-Sided) 95%
-4.5 to 2.8
Estimation Comments The treatment difference in CMH weighted percentage of participants avoiding a loss of ≥10 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Avoiding a Loss of ≥5 Letters: Treatment Difference at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 2.6
Confidence Interval (2-Sided) 95%
-2.1 to 7.3
Estimation Comments The treatment difference in CMH weighted percentage of participants avoiding a loss of ≥5 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
11.Secondary Outcome
Title Percentage of Participants Avoiding a Loss of ≥15 Letters From the Baseline BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was then used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 52, 56, and 60
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 289 276
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
96.5
(94.4 to 98.6)
96.1
(94.0 to 98.3)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in CMH Weighted Percentages at Weeks 52-60
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-2.6 to 3.3
Estimation Comments The treatment difference in CMH weighted percentage of participants avoiding a loss of ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
12.Secondary Outcome
Title Percentage of Participants Avoiding a Loss of ≥15 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted percentage of participants avoiding a loss of letters in BCVA from baseline was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
99.4
(98.6 to 100.0)
98.1
(96.7 to 99.6)
Week 8 Number Analyzed 327 participants 322 participants
98.5
(97.3 to 99.8)
97.8
(96.3 to 99.4)
Week 12 Number Analyzed 326 participants 317 participants
98.5
(97.3 to 99.8)
98.1
(96.7 to 99.6)
Week 16 Number Analyzed 321 participants 315 participants
97.6
(96.0 to 99.2)
98.4
(97.0 to 99.8)
Week 20 Number Analyzed 320 participants 309 participants
97.3
(95.5 to 99.0)
98.4
(97.0 to 99.7)
Week 24 Number Analyzed 295 participants 288 participants
96.6
(94.6 to 98.6)
97.2
(95.4 to 99.1)
Week 28 Number Analyzed 292 participants 271 participants
97.0
(95.1 to 98.9)
97.8
(96.2 to 99.5)
Week 32 Number Analyzed 287 participants 288 participants
97.0
(95.1 to 98.9)
96.9
(95.0 to 98.9)
Week 36 Number Analyzed 293 participants 283 participants
97.0
(95.2 to 98.9)
96.5
(94.5 to 98.6)
Week 40 Number Analyzed 286 participants 288 participants
96.2
(94.1 to 98.4)
97.6
(95.9 to 99.3)
Week 44 Number Analyzed 285 participants 273 participants
95.9
(93.6 to 98.1)
96.4
(94.3 to 98.5)
Week 48 Number Analyzed 282 participants 277 participants
95.8
(93.5 to 98.0)
96.9
(95.0 to 98.8)
Week 52 Number Analyzed 283 participants 273 participants
94.9
(92.5 to 97.4)
96.8
(94.8 to 98.8)
Week 56 Number Analyzed 283 participants 273 participants
96.1
(93.9 to 98.3)
96.8
(94.8 to 98.8)
Week 60 Number Analyzed 278 participants 273 participants
95.0
(92.5 to 97.5)
96.1
(94.0 to 98.3)
Week 64 Number Analyzed 276 participants 266 participants
96.4
(94.3 to 98.5)
94.9
(92.3 to 97.4)
Week 68 Number Analyzed 276 participants 266 participants
94.7
(92.1 to 97.2)
96.0
(93.7 to 98.3)
Week 72 Number Analyzed 276 participants 261 participants
94.5
(91.9 to 97.2)
95.4
(92.9 to 97.9)
Week 76 Number Analyzed 268 participants 267 participants
94.9
(92.3 to 97.4)
93.7
(90.9 to 96.6)
Week 80 Number Analyzed 275 participants 264 participants
93.9
(91.1 to 96.6)
93.3
(90.4 to 96.3)
Week 84 Number Analyzed 279 participants 254 participants
92.5
(89.5 to 95.5)
93.8
(90.9 to 96.7)
Week 88 Number Analyzed 276 participants 253 participants
94.1
(91.4 to 96.7)
94.3
(91.5 to 97.0)
Week 92 Number Analyzed 273 participants 253 participants
93.0
(90.2 to 95.9)
94.6
(92.0 to 97.2)
Week 96 Number Analyzed 266 participants 247 participants
92.6
(89.6 to 95.6)
95.0
(92.5 to 97.6)
Week 100 Number Analyzed 272 participants 254 participants
92.5
(89.5 to 95.5)
93.9
(91.1 to 96.7)
Week 104 Number Analyzed 263 participants 249 participants
92.9
(90.0 to 95.9)
94.0
(91.0 to 96.9)
Week 108 Number Analyzed 267 participants 247 participants
92.3
(89.2 to 95.3)
93.3
(90.3 to 96.3)
Week 112 Number Analyzed 267 participants 254 participants
91.8
(88.7 to 95.0)
93.0
(89.9 to 96.1)
13.Secondary Outcome
Title Percentage of Participants Avoiding a Loss of ≥10 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted percentage of participants avoiding a loss of letters in BCVA from baseline was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
98.5
(97.2 to 99.8)
96.2
(94.1 to 98.3)
Week 8 Number Analyzed 327 participants 322 participants
97.0
(95.3 to 98.7)
96.9
(95.0 to 98.7)
Week 12 Number Analyzed 326 participants 317 participants
97.0
(95.2 to 98.8)
96.8
(94.9 to 98.7)
Week 16 Number Analyzed 321 participants 315 participants
96.6
(94.7 to 98.5)
96.8
(94.9 to 98.7)
Week 20 Number Analyzed 320 participants 309 participants
95.2
(92.9 to 97.4)
96.1
(94.0 to 98.2)
Week 24 Number Analyzed 295 participants 288 participants
95.2
(92.9 to 97.6)
95.5
(93.2 to 97.8)
Week 28 Number Analyzed 292 participants 271 participants
95.0
(92.6 to 97.4)
95.2
(92.7 to 97.7)
Week 32 Number Analyzed 287 participants 288 participants
94.6
(92.1 to 97.1)
95.9
(93.7 to 98.1)
Week 36 Number Analyzed 293 participants 283 participants
95.3
(93.0 to 97.7)
94.4
(91.8 to 97.0)
Week 40 Number Analyzed 286 participants 288 participants
93.8
(91.1 to 96.5)
94.6
(92.2 to 97.1)
Week 44 Number Analyzed 285 participants 273 participants
94.1
(91.4 to 96.8)
92.1
(89.1 to 95.1)
Week 48 Number Analyzed 282 participants 277 participants
92.2
(89.2 to 95.3)
94.8
(92.3 to 97.3)
Week 52 Number Analyzed 283 participants 273 participants
91.4
(88.2 to 94.6)
93.8
(91.1 to 96.6)
Week 56 Number Analyzed 283 participants 273 participants
93.3
(90.5 to 96.2)
95.0
(92.5 to 97.5)
Week 60 Number Analyzed 278 participants 273 participants
91.4
(88.2 to 94.6)
93.2
(90.4 to 96.1)
Week 64 Number Analyzed 276 participants 266 participants
93.5
(90.7 to 96.4)
92.3
(89.3 to 95.4)
Week 68 Number Analyzed 276 participants 266 participants
91.9
(88.8 to 95.0)
92.9
(89.9 to 96.0)
Week 72 Number Analyzed 276 participants 261 participants
92.4
(89.3 to 95.5)
91.6
(88.3 to 94.9)
Week 76 Number Analyzed 268 participants 267 participants
93.1
(90.2 to 96.0)
90.1
(86.5 to 93.6)
Week 80 Number Analyzed 275 participants 264 participants
92.1
(89.0 to 95.2)
89.9
(86.3 to 93.5)
Week 84 Number Analyzed 279 participants 254 participants
90.3
(86.9 to 93.7)
91.8
(88.4 to 95.1)
Week 88 Number Analyzed 276 participants 253 participants
90.8
(87.5 to 94.1)
92.3
(89.1 to 95.4)
Week 92 Number Analyzed 273 participants 253 participants
90.7
(87.4 to 94.1)
91.0
(87.6 to 94.5)
Week 96 Number Analyzed 266 participants 247 participants
90.4
(87.0 to 93.8)
92.6
(89.4 to 95.8)
Week 100 Number Analyzed 272 participants 254 participants
90.7
(87.4 to 94.0)
91.6
(88.3 to 94.9)
Week 104 Number Analyzed 263 participants 249 participants
89.0
(85.4 to 92.7)
92.2
(88.9 to 95.4)
Week 108 Number Analyzed 267 participants 247 participants
88.5
(84.8 to 92.3)
91.2
(87.7 to 94.7)
Week 112 Number Analyzed 267 participants 254 participants
88.5
(84.7 to 92.2)
89.5
(85.8 to 93.2)
14.Secondary Outcome
Title Percentage of Participants Avoiding a Loss of ≥5 Letters From the Baseline BCVA in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The weighted percentage of participants avoiding a loss of letters in BCVA from baseline was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
93.0
(90.4 to 95.6)
91.8
(88.9 to 94.7)
Week 8 Number Analyzed 327 participants 322 participants
93.1
(90.4 to 95.7)
94.1
(91.5 to 96.6)
Week 12 Number Analyzed 326 participants 317 participants
93.3
(90.7 to 95.9)
91.8
(88.8 to 94.7)
Week 16 Number Analyzed 321 participants 315 participants
91.7
(88.7 to 94.6)
90.8
(87.7 to 94.0)
Week 20 Number Analyzed 320 participants 309 participants
92.0
(89.1 to 94.9)
92.9
(90.0 to 95.7)
Week 24 Number Analyzed 295 participants 288 participants
90.6
(87.4 to 93.9)
91.7
(88.6 to 94.8)
Week 28 Number Analyzed 292 participants 271 participants
91.0
(87.9 to 94.1)
90.2
(86.7 to 93.7)
Week 32 Number Analyzed 287 participants 288 participants
89.9
(86.5 to 93.2)
91.0
(87.7 to 94.3)
Week 36 Number Analyzed 293 participants 283 participants
90.7
(87.5 to 94.0)
87.4
(83.6 to 91.2)
Week 40 Number Analyzed 286 participants 288 participants
91.7
(88.6 to 94.9)
88.1
(84.5 to 91.7)
Week 44 Number Analyzed 285 participants 273 participants
90.9
(87.7 to 94.2)
88.8
(85.3 to 92.3)
Week 48 Number Analyzed 282 participants 277 participants
89.4
(85.9 to 93.0)
88.6
(85.0 to 92.2)
Week 52 Number Analyzed 283 participants 273 participants
88.9
(85.3 to 92.5)
91.7
(88.6 to 94.8)
Week 56 Number Analyzed 283 participants 273 participants
89.5
(86.0 to 93.0)
88.8
(85.2 to 92.5)
Week 60 Number Analyzed 278 participants 273 participants
86.7
(82.9 to 90.6)
88.8
(85.2 to 92.4)
Week 64 Number Analyzed 276 participants 266 participants
87.8
(84.1 to 91.6)
86.0
(82.0 to 90.1)
Week 68 Number Analyzed 276 participants 266 participants
88.2
(84.5 to 91.9)
87.1
(83.2 to 91.0)
Week 72 Number Analyzed 276 participants 261 participants
87.0
(83.1 to 90.9)
87.3
(83.4 to 91.2)
Week 76 Number Analyzed 268 participants 267 participants
87.1
(83.2 to 91.1)
85.4
(81.2 to 89.5)
Week 80 Number Analyzed 275 participants 264 participants
87.3
(83.5 to 91.2)
82.8
(78.3 to 87.3)
Week 84 Number Analyzed 279 participants 254 participants
84.1
(79.9 to 88.4)
87.1
(83.1 to 91.2)
Week 88 Number Analyzed 276 participants 253 participants
87.5
(83.7 to 91.3)
86.6
(82.5 to 90.6)
Week 92 Number Analyzed 273 participants 253 participants
87.0
(83.1 to 90.9)
87.2
(83.2 to 91.2)
Week 96 Number Analyzed 266 participants 247 participants
82.7
(78.4 to 87.1)
86.2
(82.1 to 90.4)
Week 100 Number Analyzed 272 participants 254 participants
85.9
(81.9 to 89.8)
84.2
(79.9 to 88.5)
Week 104 Number Analyzed 263 participants 249 participants
83.5
(79.1 to 87.8)
85.4
(81.1 to 89.7)
Week 108 Number Analyzed 267 participants 247 participants
84.1
(79.9 to 88.4)
83.9
(79.4 to 88.5)
Week 112 Number Analyzed 267 participants 254 participants
82.2
(77.7 to 86.7)
84.4
(80.0 to 88.8)
15.Secondary Outcome
Title Percentage of Participants Gaining ≥15 Letters From the Baseline BCVA or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description BCVA was measured on the ETDRS chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 40, 44, and 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 302 291
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
24.5
(19.8 to 29.2)
26.2
(21.2 to 31.1)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in CMH Weighted Percentages at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value -1.7
Confidence Interval (2-Sided) 95%
-8.5 to 5.1
Estimation Comments The treatment difference in CMH weighted percentage of participants gaining ≥15 letters or achieving BCVA ≥84 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
16.Secondary Outcome
Title Percentage of Participants Gaining ≥15 Letters From the Baseline BCVA or Achieving BCVA Snellen Equivalent of 20/20 or Better (BCVA ≥84 Letters) in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
11.3
(7.9 to 14.6)
12.4
(8.9 to 15.9)
Week 8 Number Analyzed 327 participants 322 participants
16.5
(12.5 to 20.4)
16.1
(12.2 to 20.0)
Week 12 Number Analyzed 326 participants 317 participants
22.0
(17.7 to 26.4)
21.1
(16.7 to 25.4)
Week 16 Number Analyzed 321 participants 315 participants
21.7
(17.4 to 26.1)
20.7
(16.2 to 25.1)
Week 20 Number Analyzed 320 participants 309 participants
24.9
(20.2 to 29.5)
24.9
(20.2 to 29.6)
Week 24 Number Analyzed 295 participants 288 participants
23.6
(18.9 to 28.3)
23.7
(18.9 to 28.6)
Week 28 Number Analyzed 292 participants 271 participants
27.7
(22.7 to 32.7)
26.9
(21.8 to 32.1)
Week 32 Number Analyzed 287 participants 288 participants
28.7
(23.6 to 33.8)
23.2
(18.4 to 27.9)
Week 36 Number Analyzed 293 participants 283 participants
25.9
(21.1 to 30.7)
24.6
(19.7 to 29.5)
Week 40 Number Analyzed 286 participants 288 participants
27.9
(22.9 to 32.9)
31.1
(25.9 to 36.4)
Week 44 Number Analyzed 285 participants 273 participants
27.2
(22.2 to 32.1)
28.1
(22.8 to 33.3)
Week 48 Number Analyzed 282 participants 277 participants
27.3
(22.3 to 32.4)
28.3
(23.1 to 33.6)
Week 52 Number Analyzed 283 participants 273 participants
29.2
(24.1 to 34.3)
28.3
(23.1 to 33.5)
Week 56 Number Analyzed 283 participants 273 participants
32.0
(26.7 to 37.2)
31.5
(26.1 to 36.9)
Week 60 Number Analyzed 278 participants 273 participants
27.5
(22.5 to 32.5)
31.4
(26.0 to 36.8)
Week 64 Number Analyzed 276 participants 266 participants
30.1
(25.0 to 35.3)
27.1
(21.9 to 32.3)
Week 68 Number Analyzed 276 participants 266 participants
28.3
(23.1 to 33.4)
30.0
(24.6 to 35.3)
Week 72 Number Analyzed 276 participants 261 participants
26.4
(21.4 to 31.4)
31.5
(26.0 to 36.9)
Week 76 Number Analyzed 268 participants 267 participants
27.4
(22.2 to 32.5)
29.2
(23.9 to 34.4)
Week 80 Number Analyzed 275 participants 264 participants
28.7
(23.4 to 34.0)
31.2
(25.7 to 36.6)
Week 84 Number Analyzed 279 participants 254 participants
28.0
(22.8 to 33.1)
30.1
(24.6 to 35.5)
Week 88 Number Analyzed 276 participants 253 participants
29.1
(23.8 to 34.4)
28.4
(23.2 to 33.6)
Week 92 Number Analyzed 273 participants 253 participants
27.0
(21.8 to 32.1)
29.0
(23.6 to 34.3)
Week 96 Number Analyzed 266 participants 247 participants
30.7
(25.3 to 36.0)
31.1
(25.5 to 36.6)
Week 100 Number Analyzed 272 participants 254 participants
28.6
(23.3 to 33.9)
27.2
(22.0 to 32.5)
Week 104 Number Analyzed 263 participants 249 participants
27.2
(22.0 to 32.4)
30.2
(24.8 to 35.6)
Week 108 Number Analyzed 267 participants 247 participants
26.3
(21.1 to 31.4)
27.0
(21.7 to 32.4)
Week 112 Number Analyzed 267 participants 254 participants
29.4
(24.1 to 34.7)
26.5
(21.4 to 31.6)
17.Secondary Outcome
Title Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description BCVA was measured on the ETDRS chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted estimates of the percentage of participants were based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (<69 letters vs. ≥69 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 40, 44, and 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 302 291
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
55.2
(50.1 to 60.2)
49.4
(44.4 to 54.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in CMH Weighted Percentages at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 5.7
Confidence Interval (2-Sided) 95%
-1.4 to 12.9
Estimation Comments The treatment difference in CMH weighted percentage of participants achieving BCVA ≥69 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
18.Secondary Outcome
Title Percentage of Participants With BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (<69 letters vs. ≥69 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
45.7
(41.1 to 50.2)
40.1
(35.8 to 44.5)
Week 8 Number Analyzed 327 participants 322 participants
50.5
(45.8 to 55.1)
45.2
(40.7 to 49.7)
Week 12 Number Analyzed 326 participants 317 participants
53.5
(48.8 to 58.3)
48.5
(43.8 to 53.3)
Week 16 Number Analyzed 321 participants 315 participants
56.1
(51.2 to 60.9)
47.4
(42.8 to 52.1)
Week 20 Number Analyzed 320 participants 309 participants
57.5
(52.6 to 62.4)
51.1
(46.3 to 55.9)
Week 24 Number Analyzed 295 participants 288 participants
57.4
(52.4 to 62.4)
47.8
(42.9 to 52.8)
Week 28 Number Analyzed 292 participants 271 participants
55.2
(50.0 to 60.4)
48.2
(43.2 to 53.2)
Week 32 Number Analyzed 287 participants 288 participants
55.9
(50.8 to 61.1)
49.8
(45.0 to 54.6)
Week 36 Number Analyzed 293 participants 283 participants
56.0
(50.9 to 61.0)
47.4
(42.2 to 52.6)
Week 40 Number Analyzed 286 participants 288 participants
54.7
(49.5 to 59.9)
52.7
(47.5 to 57.9)
Week 44 Number Analyzed 285 participants 273 participants
56.3
(51.4 to 61.3)
52.5
(47.3 to 57.7)
Week 48 Number Analyzed 282 participants 277 participants
55.0
(49.8 to 60.2)
52.3
(47.1 to 57.5)
Week 52 Number Analyzed 283 participants 273 participants
55.9
(50.6 to 61.1)
55.6
(50.4 to 60.9)
Week 56 Number Analyzed 283 participants 273 participants
57.1
(51.8 to 62.3)
52.9
(47.7 to 58.2)
Week 60 Number Analyzed 278 participants 273 participants
53.0
(47.6 to 58.3)
53.6
(48.3 to 58.9)
Week 64 Number Analyzed 276 participants 266 participants
58.8
(53.5 to 64.2)
52.9
(47.5 to 58.3)
Week 68 Number Analyzed 276 participants 266 participants
57.0
(51.7 to 62.4)
55.5
(50.0 to 60.9)
Week 72 Number Analyzed 276 participants 261 participants
58.1
(52.7 to 63.4)
53.3
(48.0 to 58.6)
Week 76 Number Analyzed 268 participants 267 participants
58.0
(52.6 to 63.4)
54.0
(48.6 to 59.3)
Week 80 Number Analyzed 275 participants 264 participants
57.3
(52.0 to 62.6)
51.9
(46.5 to 57.4)
Week 84 Number Analyzed 279 participants 254 participants
58.4
(53.1 to 63.7)
56.9
(51.5 to 62.4)
Week 88 Number Analyzed 276 participants 253 participants
57.2
(51.9 to 62.6)
51.1
(45.6 to 56.5)
Week 92 Number Analyzed 273 participants 253 participants
56.1
(50.8 to 61.4)
54.9
(49.5 to 60.3)
Week 96 Number Analyzed 266 participants 247 participants
55.5
(49.9 to 61.0)
53.9
(48.4 to 59.4)
Week 100 Number Analyzed 272 participants 254 participants
55.1
(49.5 to 60.7)
51.7
(46.2 to 57.2)
Week 104 Number Analyzed 263 participants 249 participants
55.1
(49.4 to 60.7)
52.8
(47.3 to 58.2)
Week 108 Number Analyzed 267 participants 247 participants
54.8
(49.1 to 60.4)
51.0
(45.5 to 56.5)
Week 112 Number Analyzed 267 participants 254 participants
55.7
(50.2 to 61.1)
51.0
(45.6 to 56.4)
19.Secondary Outcome
Title Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description BCVA was measured on the ETDRS chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA from baseline indicates an improvement in visual acuity. For each participant, an average BCVA value was calculated across the three visits, and this averaged value was used to determine if the endpoint was met. The results were summarized as the percentage of participants per treatment arm who met the endpoint. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Treatment policy strategy and hypothetical strategy were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, average of Weeks 40, 44, and 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 302 291
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
7.9
(5.0 to 10.8)
7.5
(4.7 to 10.3)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in CMH Weighted Percentages at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in CMH Weighted Percentage
Estimated Value 0.4
Confidence Interval (2-Sided) 95%
-3.6 to 4.4
Estimation Comments The treatment difference in CMH weighted percentage of participants with BCVA ≤38 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
20.Secondary Outcome
Title Percentage of Participants With BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time
Hide Description Best Corrected Visual Acuity (BCVA) was measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score), and a gain in BCVA letter score from baseline indicates an improvement in visual acuity. The weighted percentage of participants was based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world; Asia and rest of the world were combined). Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. Invalid BCVA values were excluded from analysis. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 328 participants 323 participants
6.8
(4.3 to 9.4)
6.1
(3.7 to 8.5)
Week 8 Number Analyzed 327 participants 322 participants
7.4
(4.8 to 10.1)
6.2
(3.7 to 8.6)
Week 12 Number Analyzed 326 participants 317 participants
7.6
(5.0 to 10.2)
5.9
(3.5 to 8.3)
Week 16 Number Analyzed 321 participants 315 participants
9.5
(6.6 to 12.5)
5.3
(3.0 to 7.6)
Week 20 Number Analyzed 320 participants 309 participants
9.3
(6.4 to 12.3)
5.7
(3.3 to 8.1)
Week 24 Number Analyzed 295 participants 288 participants
8.1
(5.2 to 11.1)
6.3
(3.7 to 8.9)
Week 28 Number Analyzed 292 participants 271 participants
7.4
(4.6 to 10.3)
6.4
(3.7 to 9.1)
Week 32 Number Analyzed 287 participants 288 participants
8.1
(5.1 to 11.0)
6.6
(4.0 to 9.2)
Week 36 Number Analyzed 293 participants 283 participants
7.8
(4.9 to 10.6)
6.8
(4.1 to 9.5)
Week 40 Number Analyzed 286 participants 288 participants
8.3
(5.3 to 11.3)
7.6
(4.8 to 10.3)
Week 44 Number Analyzed 285 participants 273 participants
7.9
(4.9 to 10.9)
6.8
(4.0 to 9.5)
Week 48 Number Analyzed 282 participants 277 participants
9.7
(6.5 to 12.9)
6.3
(3.6 to 9.0)
Week 52 Number Analyzed 283 participants 273 participants
9.1
(6.0 to 12.2)
6.5
(3.7 to 9.2)
Week 56 Number Analyzed 283 participants 273 participants
8.1
(5.1 to 11.1)
6.3
(3.6 to 9.0)
Week 60 Number Analyzed 278 participants 273 participants
8.2
(5.2 to 11.3)
7.3
(4.5 to 10.2)
Week 64 Number Analyzed 276 participants 266 participants
7.1
(4.2 to 10.1)
7.2
(4.3 to 10.1)
Week 68 Number Analyzed 276 participants 266 participants
8.8
(5.6 to 12.0)
6.8
(4.0 to 9.6)
Week 72 Number Analyzed 276 participants 261 participants
8.4
(5.2 to 11.6)
6.2
(3.4 to 8.9)
Week 76 Number Analyzed 268 participants 267 participants
9.5
(6.2 to 12.9)
7.4
(4.5 to 10.3)
Week 80 Number Analyzed 275 participants 264 participants
9.8
(6.5 to 13.1)
8.4
(5.3 to 11.5)
Week 84 Number Analyzed 279 participants 254 participants
9.3
(6.0 to 12.6)
7.2
(4.2 to 10.1)
Week 88 Number Analyzed 276 participants 253 participants
8.4
(5.2 to 11.6)
7.5
(4.5 to 10.4)
Week 92 Number Analyzed 273 participants 253 participants
8.9
(5.6 to 12.2)
9.0
(5.8 to 12.2)
Week 96 Number Analyzed 266 participants 247 participants
10.4
(6.8 to 13.9)
9.7
(6.5 to 13.0)
Week 100 Number Analyzed 272 participants 254 participants
10.3
(6.8 to 13.8)
10.9
(7.5 to 14.4)
Week 104 Number Analyzed 263 participants 249 participants
9.2
(5.8 to 12.6)
9.8
(6.4 to 13.1)
Week 108 Number Analyzed 267 participants 247 participants
9.5
(6.0 to 12.9)
10.0
(6.5 to 13.4)
Week 112 Number Analyzed 267 participants 254 participants
9.0
(5.7 to 12.4)
10.6
(7.1 to 14.0)
21.Secondary Outcome
Title Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 48
Hide Description Percentages are based on the number of participants randomized to the faricimab arm who have not discontinued the study at Week 48. The treatment interval at a given visit is defined as the treatment interval decision followed at that visit. The 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis included all participants randomized to the faricimab arm who completed their Week 48 visit.
Arm/Group Title Arm A: Faricimab
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Overall Number of Participants Analyzed 316
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Once Every 8 Weeks
22.2
(17.6 to 26.7)
Once Every 12 Weeks
32.9
(27.7 to 38.1)
Once Every 16 Weeks
44.9
(39.4 to 50.4)
22.Secondary Outcome
Title Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 60
Hide Description Percentages are based on the number of participants randomized to the faricimab arm who have not discontinued the study at Week 60. The treatment interval at a given visit is defined as the treatment interval decision followed at that visit. The 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Week 60
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis included all participants randomized to the faricimab arm who completed their Week 60 visit.
Arm/Group Title Arm A: Faricimab
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Overall Number of Participants Analyzed 305
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Once Every 8 Weeks
21.6
(17.0 to 26.3)
Once Every 12 Weeks
32.8
(27.5 to 38.1)
Once Every 16 Weeks
45.6
(40.0 to 51.2)
23.Secondary Outcome
Title Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 112
Hide Description Percentages are based on the number of participants randomized to the faricimab arm who have not discontinued the study at Week 112. Treatment interval at a given visit is defined as the treatment interval decision followed at that visit. Treatment interval at Week 112 is calculated using data recorded at Week 108. The 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Weeks 108 and 112
Hide Outcome Measure Data
Hide Analysis Population Description
The analysis included all participants randomized to the faricimab arm who completed their Week 112 visit.
Arm/Group Title Arm A: Faricimab
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Overall Number of Participants Analyzed 287
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Once Every 8 Weeks
18.8
(14.3 to 23.3)
Once Every 12 Weeks
14.3
(10.2 to 18.3)
Once Every 16 Weeks
66.9
(61.4 to 72.4)
24.Secondary Outcome
Title Number of Study Drug Injections Received in the Study Eye Through Week 48
Hide Description [Not Specified]
Time Frame From Baseline through Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Median (Full Range)
Unit of Measure: Injections
6.0
(1 to 8)
8.0
(1 to 8)
25.Secondary Outcome
Title Number of Study Drug Injections Received in the Study Eye Through Week 60
Hide Description [Not Specified]
Time Frame From Baseline through Week 60
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Median (Full Range)
Unit of Measure: Injections
7.0
(1 to 10)
9.0
(1 to 9)
26.Secondary Outcome
Title Number of Study Drug Injections Received in the Study Eye Through Week 108
Hide Description [Not Specified]
Time Frame From Baseline through Week 108
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Median (Full Range)
Unit of Measure: Injections
10.0
(1 to 16)
15.0
(1 to 15)
27.Secondary Outcome
Title Change From Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 40, 44, and 48
Hide Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and the retinal pigment epithelium (RPE) using optical coherence tomography (OCT), as assessed by the central reading center. For the Mixed Model of Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group iteraction, baseline CST (continuous), baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (<33 letters and ≥33 letters), and region (U.S. and Canada, Asia, and the rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame From Baseline through Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: microns
-137.1
(-143.1 to -131.2)
-130.8
(-136.8 to -124.8)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in Adjusted Means at Weeks 40-48
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Adjusted mean difference
Estimated Value -6.4
Confidence Interval (2-Sided) 95%
-14.8 to 2.1
Parameter Dispersion
Type: Standard Error of the Mean
Value: 4.30
Estimation Comments The treatment difference in adjusted means of change from baseline CST is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept. MMRM adjustments are listed in the outcome measure description.
28.Secondary Outcome
Title Change From Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 52, 56, and 60
Hide Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and the retinal pigment epithelium (RPE) using optical coherence tomography (OCT), as assessed by the central reading center. For the Mixed Model of Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (<33 letters and ≥33 letters), and region (U.S. and Canada, Asia, and the rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame From Baseline through Week 60
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: microns
-135.7
(-141.2 to -130.1)
-137.0
(-142.7 to -131.3)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Arm A: Faricimab, Arm B: Aflibercept
Comments Treatment Difference in Adjusted Means at Weeks 52-60
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Adjusted mean difference
Estimated Value 1.4
Confidence Interval (2-Sided) 95%
-6.6 to 9.3
Parameter Dispersion
Type: Standard Error of the Mean
Value: 4.05
Estimation Comments The treatment difference in adjusted means of change from baseline CST is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept. MMRM adjustments are listed in the outcome measure description.
29.Secondary Outcome
Title Change From Baseline in Central Subfield Thickness in the Study Eye Over Time
Hide Description Central subfield thickness (CST) was defined as the distance between the internal limiting membrane (ILM) and the retinal pigment epithelium (RPE) using optical coherence tomography (OCT), as assessed by the central reading center. For the Mixed Model of Repeated Measures (MMRM) analysis, the model adjusted for treatment group, visit, visit-by-treatment group interaction, baseline CST (continuous), baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (<33 letters and ≥33 letters), and region (U.S. and Canada, Asia, and the rest of the world). An unstructured covariance structure was used. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were implicitly imputed by MMRM. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 64, 68, 72, 76, 80, 84, 88, 92, 96, 100, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Mean (95% Confidence Interval)
Unit of Measure: microns
Week 4
-126.5
(-132.3 to -120.6)
-113.9
(-119.8 to -108.0)
Week 8
-138.0
(-143.7 to -132.3)
-123.8
(-129.6 to -118.0)
Week 12
-141.7
(-147.1 to -136.3)
-129.6
(-135.0 to -124.1)
Week 16
-143.7
(-150.3 to -137.1)
-112.9
(-119.6 to -106.2)
Week 20
-130.9
(-136.8 to -125.0)
-132.9
(-138.8 to -126.9)
Week 24
-130.1
(-137.1 to -123.1)
-112.2
(-119.3 to -105.2)
Week 28
-127.3
(-134.0 to -120.6)
-130.1
(-136.9 to -123.3)
Week 32
-138.6
(-145.8 to -131.5)
-115.3
(-122.5 to -108.1)
Week 36
-124.6
(-131.3 to -118.0)
-135.2
(-141.9 to -128.5)
Week 40
-142.5
(-149.3 to -135.6)
-122.5
(-129.4 to -115.6)
Week 44
-130.9
(-136.7 to -125.1)
-141.6
(-147.6 to -135.7)
Week 48
-135.5
(-142.3 to -128.6)
-123.9
(-130.8 to -117.0)
Week 52
-140.9
(-146.4 to -135.3)
-139.6
(-145.3 to -134.0)
Week 56
-138.9
(-145.7 to -132.1)
-125.6
(-132.5 to -118.6)
Week 60
-125.9
(-132.0 to -119.7)
-142.3
(-148.6 to -136.1)
Week 64
-143.8
(-150.3 to -137.2)
-126.0
(-132.7 to -119.3)
Week 68
-138.0
(-143.9 to -132.2)
-138.8
(-144.8 to -132.8)
Week 72
-140.7
(-147.3 to -134.1)
-128.8
(-135.5 to -122.0)
Week 76
-136.1
(-142.4 to -129.7)
-139.0
(-145.4 to -132.6)
Week 80
-144.4
(-151.1 to -137.8)
-128.7
(-135.5 to -121.9)
Week 84
-143.5
(-149.2 to -137.8)
-143.2
(-149.1 to -137.4)
Week 88
-145.5
(-151.6 to -139.5)
-133.3
(-139.5 to -127.1)
Week 92
-142.1
(-148.0 to -136.1)
-143.2
(-149.3 to -137.1)
Week 96
-146.8
(-153.1 to -140.4)
-134.7
(-141.2 to -128.2)
Week 100
-145.0
(-151.7 to -138.3)
-146.2
(-153.1 to -139.3)
Week 104
-149.6
(-156.3 to -142.8)
-137.4
(-144.3 to -130.5)
Week 108
-148.5
(-154.4 to -142.6)
-148.3
(-154.4 to -142.2)
Week 112
-152.9
(-159.2 to -146.7)
-139.1
(-145.5 to -132.7)
30.Secondary Outcome
Title Percentage of Participants With Absence of Intraretinal Fluid in the Study Eye Over Time
Hide Description Intraretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 millimetre [mm]). The weighted estimates of the percentage of participants with absence of intraretinal fluid were based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 324 participants 320 participants
86.9
(83.5 to 90.4)
82.9
(78.9 to 87.0)
Week 8 Number Analyzed 324 participants 316 participants
88.5
(85.2 to 91.9)
84.6
(80.7 to 88.5)
Week 12 Number Analyzed 323 participants 315 participants
87.5
(84.0 to 91.0)
84.5
(80.6 to 88.5)
Week 16 Number Analyzed 320 participants 314 participants
90.6
(87.5 to 93.7)
76.5
(71.9 to 81.0)
Week 20 Number Analyzed 320 participants 305 participants
78.8
(74.5 to 83.0)
86.1
(82.3 to 89.8)
Week 24 Number Analyzed 294 participants 284 participants
78.7
(74.2 to 83.1)
78.0
(73.4 to 82.7)
Week 28 Number Analyzed 291 participants 273 participants
77.1
(72.4 to 81.8)
85.9
(81.8 to 89.9)
Week 32 Number Analyzed 286 participants 291 participants
86.3
(82.5 to 90.2)
78.3
(73.6 to 82.9)
Week 36 Number Analyzed 293 participants 278 participants
79.6
(75.0 to 84.1)
86.1
(82.1 to 90.1)
Week 40 Number Analyzed 277 participants 278 participants
84.5
(80.3 to 88.7)
77.5
(72.7 to 82.3)
Week 44 Number Analyzed 275 participants 258 participants
78.5
(73.7 to 83.2)
84.2
(79.9 to 88.5)
Week 48 Number Analyzed 274 participants 269 participants
84.1
(79.8 to 88.4)
77.7
(72.8 to 82.5)
Week 52 Number Analyzed 281 participants 270 participants
85.9
(81.9 to 89.8)
85.3
(81.1 to 89.4)
Week 56 Number Analyzed 281 participants 272 participants
85.2
(81.1 to 89.2)
81.1
(76.6 to 85.6)
Week 60 Number Analyzed 273 participants 266 participants
77.8
(73.0 to 82.6)
85.4
(81.2 to 89.5)
Week 104 Number Analyzed 259 participants 247 participants
86.0
(81.9 to 90.1)
80.0
(75.1 to 84.9)
Week 108 Number Analyzed 264 participants 243 participants
82.2
(77.7 to 86.6)
83.5
(79.0 to 88.1)
Week 112 Number Analyzed 266 participants 251 participants
85.9
(81.8 to 90.0)
80.5
(75.7 to 85.4)
31.Secondary Outcome
Title Percentage of Participants With Absence of Subretinal Fluid in the Study Eye Over Time
Hide Description Subretinal fluid was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants with absence of subretinal fluid were based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 327 participants 319 participants
70.9
(66.1 to 75.7)
61.7
(56.4 to 66.9)
Week 8 Number Analyzed 323 participants 319 participants
79.8
(75.6 to 84.1)
73.6
(68.9 to 78.4)
Week 12 Number Analyzed 324 participants 315 participants
88.6
(85.1 to 92.0)
79.6
(75.3 to 84.0)
Week 16 Number Analyzed 320 participants 315 participants
90.6
(87.4 to 93.8)
63.8
(58.6 to 68.9)
Week 20 Number Analyzed 320 participants 308 participants
76.1
(71.6 to 80.7)
80.4
(76.1 to 84.8)
Week 24 Number Analyzed 295 participants 287 participants
73.7
(68.8 to 78.5)
59.1
(53.5 to 64.6)
Week 28 Number Analyzed 292 participants 272 participants
71.5
(66.6 to 76.4)
78.7
(73.9 to 83.5)
Week 32 Number Analyzed 287 participants 291 participants
82.6
(78.3 to 87.0)
62.2
(56.7 to 67.7)
Week 36 Number Analyzed 293 participants 282 participants
70.6
(65.5 to 75.7)
80.7
(76.1 to 85.2)
Week 40 Number Analyzed 283 participants 285 participants
77.6
(72.9 to 82.3)
63.9
(58.4 to 69.5)
Week 44 Number Analyzed 280 participants 269 participants
65.7
(60.3 to 71.0)
76.2
(71.1 to 81.2)
Week 48 Number Analyzed 278 participants 274 participants
72.5
(67.5 to 77.5)
62.1
(56.5 to 67.7)
Week 52 Number Analyzed 281 participants 271 participants
83.0
(78.8 to 87.3)
80.6
(76.0 to 85.3)
Week 56 Number Analyzed 282 participants 271 participants
80.7
(76.3 to 85.2)
71.6
(66.4 to 76.8)
Week 60 Number Analyzed 278 participants 271 participants
63.6
(58.1 to 69.0)
80.0
(75.3 to 84.8)
Week 104 Number Analyzed 262 participants 248 participants
80.0
(75.3 to 84.7)
73.9
(68.5 to 79.3)
Week 108 Number Analyzed 266 participants 244 participants
76.1
(71.2 to 81.0)
80.7
(75.8 to 85.5)
Week 112 Number Analyzed 267 participants 252 participants
80.9
(76.4 to 85.4)
77.5
(72.4 to 82.6)
32.Secondary Outcome
Title Percentage of Participants With Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time
Hide Description Intraretinal fluid and subretinal fluid were measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants with absence of intraretinal and subretinal fluid were based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 324 participants 319 participants
59.5
(54.2 to 64.8)
49.8
(44.4 to 55.2)
Week 8 Number Analyzed 323 participants 315 participants
70.2
(65.2 to 75.1)
61.6
(56.3 to 66.9)
Week 12 Number Analyzed 323 participants 315 participants
77.0
(72.4 to 81.5)
66.6
(61.5 to 71.7)
Week 16 Number Analyzed 319 participants 315 participants
82.4
(78.3 to 86.5)
47.6
(42.2 to 53.0)
Week 20 Number Analyzed 320 participants 305 participants
62.3
(57.3 to 67.4)
68.6
(63.6 to 73.7)
Week 24 Number Analyzed 295 participants 284 participants
56.5
(50.8 to 62.1)
45.4
(39.7 to 51.1)
Week 28 Number Analyzed 291 participants 273 participants
55.5
(49.9 to 61.1)
66.5
(61.0 to 72.0)
Week 32 Number Analyzed 286 participants 291 participants
73.1
(68.0 to 78.1)
48.6
(42.9 to 54.3)
Week 36 Number Analyzed 293 participants 278 participants
56.3
(50.8 to 61.9)
68.3
(62.9 to 73.7)
Week 40 Number Analyzed 278 participants 281 participants
65.8
(60.3 to 71.2)
49.0
(43.2 to 54.8)
Week 44 Number Analyzed 277 participants 262 participants
49.5
(43.7 to 55.3)
64.3
(58.5 to 70.0)
Week 48 Number Analyzed 277 participants 270 participants
62.2
(56.6 to 67.8)
46.1
(40.3 to 52.0)
Week 52 Number Analyzed 281 participants 270 participants
70.3
(65.2 to 75.5)
68.8
(63.4 to 74.3)
Week 56 Number Analyzed 281 participants 272 participants
66.9
(61.5 to 72.3)
57.5
(51.8 to 63.3)
Week 60 Number Analyzed 275 participants 266 participants
49.3
(43.5 to 55.0)
69.1
(63.6 to 74.6)
Week 104 Number Analyzed 259 participants 247 participants
68.1
(62.5 to 73.7)
58.6
(52.7 to 64.6)
Week 108 Number Analyzed 264 participants 243 participants
61.6
(55.9 to 67.3)
67.1
(61.3 to 72.9)
Week 112 Number Analyzed 266 participants 251 participants
68.7
(63.3 to 74.1)
61.1
(55.1 to 67.1)
33.Secondary Outcome
Title Percentage of Participants With Absence of Pigment Epithelial Detachment in the Study Eye Over Time
Hide Description Pigment epithelial detachment was measured using optical coherence tomography (OCT) in the central subfield (center 1 mm). The weighted estimates of the percentage of participants with absence of pigment epithelial detachment were based on the Cochran-Mantel Haenszel (CMH) weights stratified by baseline BCVA (≥74 letters, 73-55 letters, and ≤54 letters), baseline LLD (≥33 letters and <33 letters), and region (U.S. and Canada vs. rest of the world). Asia and rest of the world regions were combined due to a small number of enrolled participants. Treatment policy strategy (i.e., all observed values used) and hypothetical strategy (i.e., all values censored after the occurrence of the intercurrent event) were applied to non-COVID-19 related and COVID-19 related intercurrent events, respectively. Missing data were not imputed. 95% confidence interval (CI) is a rounding of 95.03% CI.
Time Frame Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. At a given timepoint, the number analyzed includes participants with a non-missing, valid assessment at that timepoint.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 327
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Percentage of participants
Week 4 Number Analyzed 323 participants 320 participants
3.7
(1.7 to 5.8)
5.6
(3.1 to 8.1)
Week 8 Number Analyzed 321 participants 318 participants
3.1
(1.3 to 5.0)
4.1
(1.9 to 6.2)
Week 12 Number Analyzed 321 participants 314 participants
4.7
(2.4 to 7.0)
5.5
(3.0 to 8.0)
Week 16 Number Analyzed 316 participants 313 participants
2.5
(0.8 to 4.1)
5.8
(3.2 to 8.4)
Week 20 Number Analyzed 316 participants 306 participants
3.8
(1.7 to 5.9)
6.0
(3.4 to 8.6)
Week 24 Number Analyzed 293 participants 284 participants
4.1
(1.8 to 6.3)
4.9
(2.5 to 7.4)
Week 28 Number Analyzed 292 participants 273 participants
2.6
(0.9 to 4.4)
1.9
(0.3 to 3.5)
Week 32 Number Analyzed 287 participants 291 participants
4.3
(2.0 to 6.6)
1.8
(0.3 to 3.3)
Week 36 Number Analyzed 293 participants 283 participants
4.8
(2.4 to 7.1)
3.9
(1.7 to 6.1)
Week 40 Number Analyzed 284 participants 286 participants
6.3
(3.5 to 9.0)
7.3
(4.4 to 10.3)
Week 44 Number Analyzed 282 participants 270 participants
3.9
(1.7 to 6.2)
9.1
(5.9 to 12.4)
Week 48 Number Analyzed 280 participants 275 participants
3.3
(1.2 to 5.3)
6.5
(3.7 to 9.3)
Week 52 Number Analyzed 273 participants 267 participants
5.8
(3.1 to 8.5)
8.1
(5.0 to 11.3)
Week 56 Number Analyzed 272 participants 266 participants
4.7
(2.3 to 7.2)
5.2
(2.7 to 7.7)
Week 60 Number Analyzed 278 participants 271 participants
3.5
(1.4 to 5.6)
6.3
(3.4 to 9.1)
Week 104 Number Analyzed 260 participants 246 participants
8.0
(4.8 to 11.2)
8.3
(5.0 to 11.7)
Week 108 Number Analyzed 264 participants 244 participants
6.9
(3.9 to 10.0)
8.0
(4.7 to 11.2)
Week 112 Number Analyzed 264 participants 248 participants
8.1
(4.9 to 11.3)
12.5
(8.4 to 16.5)
34.Secondary Outcome
Title Percentage of Participants With Absence of Intraretinal Cysts in the Study Eye Over Time
Hide Description [Not Specified]
Time Frame Up to 112 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
The percentage of participants with absence of intraretinal cysts over time was planned but it was not evaluated (i.e., 0 participants analyzed) because the absence of intraretinal fluid and the absence of intraretinal cysts are described by the same variable during reading center grading.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 0 0
No data displayed because Outcome Measure has zero total analyzed.
35.Secondary Outcome
Title Change From Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 48
Hide Description The total area of the choroidal neovascularization lesion in the study eye was evaluated by a central reading center using fundus fluorescein angiography (FFA). Assessments were censored following COVID-19 related intercurrent events. Baseline was defined as the last available measurement obtained on or prior to randomization.
Time Frame Baseline and Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with non-missing, valid assessments at Baseline and Week 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 240 236
Mean (Standard Deviation)
Unit of Measure: millimetres squared (mm^2)
0.3  (4.6) 1.1  (4.4)
36.Secondary Outcome
Title Change From Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 112
Hide Description The total area of the choroidal neovascularization lesion in the study eye was evaluated by a central reading center using fundus fluorescein angiography (FFA). Assessments were censored following COVID-19 related intercurrent events. Baseline was defined as the last available measurement obtained on or prior to randomization.
Time Frame Baseline and Week 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with non-missing, valid assessments at Baseline and Week 112 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 240 224
Mean (Standard Deviation)
Unit of Measure: millimetres squared (mm^2)
1.7  (7.5) 1.7  (4.2)
37.Secondary Outcome
Title Change From Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 48
Hide Description The total area of choroidal neovascularization leakage in the study eye was evaluated by a central reading center using fundus fluorescein angiography (FFA). Assessments were censored following COVID-19 related intercurrent events. Baseline was defined as the last available measurement obtained on or prior to randomization.
Time Frame Baseline and Week 48
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with non-missing, valid assessments at Baseline and Week 48 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 241 238
Mean (Standard Deviation)
Unit of Measure: millimetres squared (mm^2)
-3.3  (6.6) -2.1  (6.3)
38.Secondary Outcome
Title Change From Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 112
Hide Description The total area of choroidal neovascularization leakage in the study eye was evaluated by a central reading center using fundus fluorescein angiography (FFA). Assessments were censored following COVID-19 related intercurrent events. Baseline was defined as the last available measurement obtained on or prior to randomization.
Time Frame Baseline and Week 112
Hide Outcome Measure Data
Hide Analysis Population Description
ITT Population: all participants who were randomized in the study, grouped according to the treatment assigned at randomization. Only participants with non-missing, valid assessments at Baseline and Week 112 were included in this analysis.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 239 220
Mean (Standard Deviation)
Unit of Measure: millimetres squared (mm^2)
-5.3  (7.2) -4.2  (5.9)
39.Secondary Outcome
Title Percentage of Participants With at Least One Adverse Event
Hide Description This analysis of adverse events (AEs) includes both ocular and non-ocular (systemic) AEs. Multiple occurrences of the same AE in one individual are counted only once. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE. AEs of special interest included the following: Cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law; Suspected transmission of an infectious agent by the study drug; Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, require surgical or medical intervention to prevent permanent loss of sight, or are associated with severe intraocular inflammation (IOI).
Time Frame From first dose of study drug through end of study (up to 112 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Measure Type: Number
Unit of Measure: Percentage of participants
Adverse Event (AE) 84.9 88.0
Serious AE (SAE) 27.5 31.0
AE Leading to Withdrawal from Study Treatment 4.8 2.8
AE of Special Interest (AESI) 7.3 6.1
40.Secondary Outcome
Title Percentage of Participants With at Least One Ocular Adverse Event in the Study Eye or the Fellow Eye
Hide Description This analysis of adverse events (AEs) only includes ocular AEs, which are categorized as having occurred either in the study eye or the fellow eye. Multiple occurrences of the same AE in one individual are counted only once. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE. Ocular AEs of special interest included the following: Suspected transmission of an infectious agent by the study drug; Sight-threatening AEs that cause a drop in visual acuity (VA) score ≥30 letters lasting more than 1 hour, require surgical or medical intervention to prevent permanent loss of sight, or are associated with severe intraocular inflammation (IOI).
Time Frame From first dose of study drug through end of study (up to 112 weeks)
Hide Outcome Measure Data
Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Measure Type: Number
Unit of Measure: Percentage of participants
Study Eye: Adverse Event (AE) 52.9 47.5
Study Eye: Serious AE (SAE) 4.5 4.9
Study Eye: AE Leading to Withdrawal from Treatment 3.3 1.8
Study Eye: Treatment-related AE 3.6 3.1
Study Eye: Treatment-related SAE 1.8 0.6
Study Eye: AE of Special Interest (AESI) 3.9 4.3
Study Eye: AESI, Drop in VA Score ≥30 Letters 2.7 3.1
Study Eye: AESI, Associated with Severe IOI 0.6 0.3
Study Eye: AESI, Intervention Req. to Prevent Permanent Vision Loss 0.6 0.9
Study Eye: Suspected Transmission of Infectious Agent by Study Drug 0.0 0.3
Fellow Eye: AE 46.2 41.7
Fellow Eye: SAE 3.6 2.5
Fellow Eye: AESI 3.0 2.1
Fellow Eye: AESI, Drop in VA Score ≥30 Letters 2.1 1.8
Fellow Eye: AESI, Intervention Req. to Prevent Permanent Vision Loss 0.9 0.3
41.Secondary Outcome
Title Percentage of Participants With at Least One Non-Ocular Adverse Event
Hide Description This analysis of adverse events (AEs) only includes non-ocular (systemic) AEs. Multiple occurrences of the same AE in one individual are counted only once. Investigators sought information on AEs at each contact with the participants. All AEs were recorded and the investigator made an assessment of seriousness, severity, and causality of each AE. The non-ocular AE of special interest was: Cases of potential drug-induced liver injury that include an elevated ALT or AST in combination with either an elevated bilirubin or clinical jaundice, as defined by Hy's Law.
Time Frame From first dose of study drug through end of study (up to 112 weeks)
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Hide Analysis Population Description
Safety Evaluable Population: all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
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Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
Overall Number of Participants Analyzed 331 326
Measure Type: Number
Unit of Measure: Percentage of participants
Adverse Event (AE) 71.0 75.8
Serious AE (SAE) 21.8 26.4
AE Leading to Withdrawal from Study Treatment 1.5 0.9
AE of Special Interest (AESI) 0.3 0.0
42.Secondary Outcome
Title Plasma Concentration of Faricimab Over Time
Hide Description Faricimab concentration in plasma was determined using a validated immunoassay method.
Time Frame Pre-dose at Baseline, Weeks 4, 16, 20, 48, 76, and 112
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Hide Analysis Population Description
This analysis only includes Arm A participants who received treatment with faricimab in the pharmacokinetic-evaluable population, which includes safety-evaluable participants with at least one plasma sample, provided sufficient dosing information (dose and dosing time) was available. The number of participants analyzed at a given timepoint includes those with an available plasma sample and dosing information at that timepoint.
Arm/Group Title Arm A: Faricimab
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Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Overall Number of Participants Analyzed 331
Mean (Standard Deviation)
Unit of Measure: micrograms per millilitre (μg/mL)
Baseline Number Analyzed 321 participants
0.0000  (0.0001)
Week 4 Number Analyzed 319 participants
0.0287  (0.0209)
Week 16 Number Analyzed 300 participants
0.0333  (0.0250)
Week 20 Number Analyzed 305 participants
0.0046  (0.0051)
Week 48 Number Analyzed 273 participants
0.0149  (0.0185)
Week 76 Number Analyzed 269 participants
0.0053  (0.0117)
Week 112 Number Analyzed 278 participants
0.0119  (0.0149)
43.Secondary Outcome
Title Percentage of Participants Who Tested Positive for Treatment-Emergent Anti-Drug Antibodies Against Faricimab During the Study
Hide Description Anti-drug antibodies (ADAs) against fariciamb were detected in plasma using a validated bridging enzyme-linked immunosorbent assay (ELISA). The percentage of participants with treatment-emergent ADA-positive samples includes post-baseline evaluable participants with at least one treatment-induced (defined as having an ADA-negative sample or missing sample at baseline and any positive post-baseline sample) or treatment-boosted (defined as having an ADA-positive sample at baseline and any positive post-baseline sample with a titer that is equal to or greater than 4-fold baseline titer) ADA-positive sample during the study treatment period.
Time Frame Pre-dose at Baseline, Weeks 4, 20, 48, 76, and 112
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Hide Analysis Population Description
The immunogenicity-analysis population includes all participants randomized to the faricimab arm with at least one determinant ADA assessment. Only those with at least one post-baseline ADA assessment were included in this analysis.
Arm/Group Title Arm A: Faricimab
Hide Arm/Group Description:
Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
Overall Number of Participants Analyzed 330
Measure Type: Number
Unit of Measure: Percentage of participants
Total Treatment-Emergent ADA-Positive 16.1
Treatment-Induced ADA-Positive 16.1
Treatment-Boosted ADA-Positive 0.0
Time Frame From first dose of study drug through end of study (up to 112 weeks)
Adverse Event Reporting Description Adverse events (AEs) are reported for the safety population, which includes all participants who received at least one injection of active study drug (faricimab or aflibercept) in the study eye. For ocular AEs, the number of participants and events reported per term are combined totals of AEs that occurred in the study eye or the fellow eye.
 
Arm/Group Title Arm A: Faricimab Arm B: Aflibercept
Hide Arm/Group Description Participants randomized to Arm A received 6 mg of faricimab intravitreally (IVT) once every 4 weeks (Q4W) up to Week 12 (4 injections). At Week 20, protocol-defined assessment of disease activity required Arm A participants with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 20, 28, 36, 44, 52, and 60). A second protocol-defined assessment of disease activity at Week 24 required Arm A participants with active disease (excluding those with active disease at Week 20) to be treated with a once every 12 weeks (Q12W) dosing regimen of 6 mg of faricimab IVT (i.e., injections at Weeks 24, 36, 48, and 60). Participants receiving faricimab who did not have active disease according to the protocol-defined criteria at Week 20 and Week 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W) (i.e., injections at Weeks 28, 44, and 60). From Week 60 (when all Arm A participants were scheduled to receive study drug) to Week 108, Arm A participants were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W). Participants randomized to the active comparator (Arm B) received a 2-mg dose of aflibercept that was administered intravitreally (IVT) Q8W, after 3 consecutive monthly doses during the 108-week treatment period. Participants were to receive 15 IVT injections of aflibercept during the 108-week treatment period comprising three initiating injections (2 mg of aflibercept Q4W to Week 8), followed by 12 maintenance injections (2 mg of aflibercept Q8W at Weeks 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, and 104).
All-Cause Mortality
Arm A: Faricimab