Primary End Point (Six Months) Results of the Ranibizumab for Edema of the mAcula in Diabetes (READ-2) Study

To compare ranibizumab with focal/grid laser or a combination of both in diabetic macular edema (DME). Prospective, randomized, interventional, multicenter clinical trial. A total of 126 patients with DME. Subjects were randomized 1:1:1 to receive 0.5 mg of ranibizumab at baseline and months 1, 3, a...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 2009-11, Vol.116 (11), p.2175-2181
Hauptverfasser: QUAN DONG NGUYEN, SHAH, Syed-Mahmood, HEIER, Jeffery S, DO, Diana V, LIM, Jennifer, BOYER, David, ABRAHAM, Prema, CAMPOCHIARO, Peter A
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container_end_page 2181
container_issue 11
container_start_page 2175
container_title Ophthalmology (Rochester, Minn.)
container_volume 116
creator QUAN DONG NGUYEN
SHAH, Syed-Mahmood
HEIER, Jeffery S
DO, Diana V
LIM, Jennifer
BOYER, David
ABRAHAM, Prema
CAMPOCHIARO, Peter A
description To compare ranibizumab with focal/grid laser or a combination of both in diabetic macular edema (DME). Prospective, randomized, interventional, multicenter clinical trial. A total of 126 patients with DME. Subjects were randomized 1:1:1 to receive 0.5 mg of ranibizumab at baseline and months 1, 3, and 5 (group 1, 42 patients), focal/grid laser photocoagulation at baseline and month 3 if needed (group 2, 42 patients), or a combination of 0.5 mg of ranibizumab and focal/grid laser at baseline and month 3 (group 3, 42 patients). The primary end point was the change from baseline in best-corrected visual acuity (BCVA) at month 6. At month 6, the mean gain in BCVA was significantly greater in group 1 (+7.24 letters, P = 0.01, analysis of variance) compared with group 2 (-0.43 letters), and group 3 (+3.80 letters) was not statistically different from groups 1 or 2. For patients with data available at 6 months, improvement of 3 lines or more occurred in 8 of 37 (22%) in group 1 compared with 0 of 38 (0%) in group 2 (P = 0.002, Fisher exact test) and 3 of 40 (8%) in group 3. Excess foveal thickness was reduced by 50%, 33%, and 45% in groups 1, 2, and 3, respectively. During a span of 6 months, ranibizumab injections by the current protocol had a significantly better visual outcome than focal/grid laser treatment in patients with DME.
doi_str_mv 10.1016/j.ophtha.2009.04.023
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subjects Antibodies, Monoclonal - administration & dosage
Antibodies, Monoclonal, Humanized
Biological and medical sciences
Combined Modality Therapy
Diabetes. Impaired glucose tolerance
Diabetic Retinopathy - drug therapy
Diabetic Retinopathy - physiopathology
Diabetic Retinopathy - surgery
Diabetic Retinopathy - therapy
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Endpoint Determination
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Humans
Injections
Laser Coagulation
Macular Edema - drug therapy
Macular Edema - physiopathology
Macular Edema - surgery
Macular Edema - therapy
Male
Medical sciences
Middle Aged
Miscellaneous
Ophthalmology
Prospective Studies
Ranibizumab
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity - physiology
Vitreous Body
title Primary End Point (Six Months) Results of the Ranibizumab for Edema of the mAcula in Diabetes (READ-2) Study
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