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    Clinical Trial Results:
    A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab in Patients with Neovascular Age-Related Macular Degeneration (TENAYA)

    Summary
    EudraCT number
    2018-002152-32
    Trial protocol
    DE   HU   GB   PL   ES   NL   IT  
    Global end of trial date
    18 Jan 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Feb 2023
    First version publication date
    01 Feb 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    GR40306
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03823287
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    F. Hoffmann-La Roche, Ltd.
    Sponsor organisation address
    Grenzacherstrasse 124, Basel, Switzerland, CH-4070
    Public contact
    F. Hoffmann-La Roche, Ltd., F. Hoffmann-La Roche, Ltd., +41 616878333, global.trial_information@roche.com
    Scientific contact
    F. Hoffmann-La Roche, Ltd., F. Hoffmann-La Roche, Ltd., +41 616878333, global.trial_information@roche.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Jan 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    26 Oct 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    18 Jan 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of the trial was to evaluate the efficacy and safety of faricimab compared with aflibercept in patients with neovascular age-related macular degeneration.
    Protection of trial subjects
    This study was conducted in full conformance with the ICH E6 guideline for Good Clinical Practice and the principles of the Declaration of Helsinki, or the laws and regulations of the country in which the research was conducted, whichever afforded the greater protection to the individual. All participants were required to read and sign an informed consent form prior to participation in the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    19 Feb 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Canada: 34
    Country: Number of subjects enrolled
    Germany: 6
    Country: Number of subjects enrolled
    Hungary: 19
    Country: Number of subjects enrolled
    Israel: 30
    Country: Number of subjects enrolled
    Italy: 11
    Country: Number of subjects enrolled
    Japan: 52
    Country: Number of subjects enrolled
    Mexico: 3
    Country: Number of subjects enrolled
    Netherlands: 5
    Country: Number of subjects enrolled
    Poland: 48
    Country: Number of subjects enrolled
    Russian Federation: 19
    Country: Number of subjects enrolled
    Spain: 40
    Country: Number of subjects enrolled
    Switzerland: 3
    Country: Number of subjects enrolled
    Turkey: 10
    Country: Number of subjects enrolled
    United Kingdom: 59
    Country: Number of subjects enrolled
    United States: 332
    Worldwide total number of subjects
    671
    EEA total number of subjects
    129
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    64
    From 65 to 84 years
    491
    85 years and over
    116

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total of 989 patients were screened, 318 of whom failed screening most commonly due to not meeting inclusion criteria. A total of 671 treatment-naive patients with nAMD were randomized 1:1 into the study: 334 to the faricimab arm and 337 to the aflibercept arm.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arm A: Faricimab
    Arm description
    Subjects 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 subjects with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab (i.e., at Weeks 20, 28, 36, 44, 52, and 60). A second assessment of disease activity at Week 24 required Arm A subjects 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., at Weeks 24, 36, 48, and 60). Subjects who did not have active disease at Weeks 20 and 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W; i.e., at Weeks 28, 44, and 60). From Week 60 (when all of Arm A was scheduled to receive study drug) to Week 108, Arm A subjects were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).
    Arm type
    Experimental

    Investigational medicinal product name
    Faricimab
    Investigational medicinal product code
    RO6867461
    Other name
    Vabysmo™, VA2, Humanized anti-VEGF-A anti-Ang-2 bispecific Antibody
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    Subjects 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 subjects with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab (i.e., at Weeks 20, 28, 36, 44, 52, and 60). A second assessment of disease activity at Week 24 required Arm A subjects 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., at Weeks 24, 36, 48, and 60). Subjects who did not have active disease at Weeks 20 and 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W; i.e., at Weeks 28, 44, and 60). From Week 60 (when all of Arm A was scheduled to receive study drug) to Week 108, Arm A subjects were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).

    Arm title
    Arm B: Aflibercept
    Arm description
    Subjects 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. Subjects 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).
    Arm type
    Active comparator

    Investigational medicinal product name
    Aflibercept
    Investigational medicinal product code
    Other name
    Eylea
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravitreal use
    Dosage and administration details
    Subjects 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. Subjects 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).

    Number of subjects in period 1
    Arm A: Faricimab Arm B: Aflibercept
    Started
    334
    337
    Received at Least One Dose of Study Drug
    333
    336
    Completed up to Week 48
    319
    323
    Completed
    274
    291
    Not completed
    60
    46
         Consent withdrawn by subject
    25
    17
         Physician decision
    5
    2
         Adverse event, non-fatal
    6
    8
         Death
    13
    7
         Not Specified
    2
    4
         Lost to follow-up
    7
    8
         Lack of efficacy
    2
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Arm A: Faricimab
    Reporting group description
    Subjects 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 subjects with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab (i.e., at Weeks 20, 28, 36, 44, 52, and 60). A second assessment of disease activity at Week 24 required Arm A subjects 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., at Weeks 24, 36, 48, and 60). Subjects who did not have active disease at Weeks 20 and 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W; i.e., at Weeks 28, 44, and 60). From Week 60 (when all of Arm A was scheduled to receive study drug) to Week 108, Arm A subjects were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).

    Reporting group title
    Arm B: Aflibercept
    Reporting group description
    Subjects 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. Subjects 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).

    Reporting group values
    Arm A: Faricimab Arm B: Aflibercept Total
    Number of subjects
    334 337 671
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    34 30 64
        From 65-84 years
    253 238 491
        85 years and over
    47 69 116
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    75.9 ± 8.6 76.7 ± 8.8 -
    Sex: Female, Male
    Units: Participants
        Female
    191 211 402
        Male
    143 126 269
    Race/Ethnicity, Customized
    Units: Subjects
        White
    303 302 605
        Asian
    26 28 54
        Black or African American
    0 3 3
        American Indian or Alaska Native
    1 2 3
        Multiple
    1 0 1
        Unknown
    3 2 5
    Ethnicity (NIH/OMB)
    Units: Subjects
        Hispanic or Latino
    26 26 52
        Not Hispanic or Latino
    303 308 611
        Unknown or Not Reported
    5 3 8
    Region of Enrollment
    Units: Subjects
        United States and Canada
    182 184 366
        Asia
    26 26 52
        Rest of the World
    126 127 253
    Number of Participants by the Eye (Right or Left) Chosen as the Study Eye
    Units: Subjects
        Right Eye
    166 178 344
        Left Eye
    168 159 327
    Number of Participants by the BCVA Letter Score Categories in the Study Eye
    Units: Subjects
        ≥74 Letters
    47 52 99
        73 to 55 Letters
    200 201 401
        ≤54 Letters
    87 84 171
    Number of Participants by the Low Luminance Deficit (LLD) Letter Score Categories in the Study Eye
    Units: Subjects
        <33 Letters
    236 235 471
        ≥33 Letters
    95 98 193
        Missing/Invalid
    3 4 7
    Choroidal Neovascularization (CNV) Lesion Type in the Study Eye by Fundus Fluorescein Angiography
    Units: Subjects
        Occult
    177 174 351
        Classic
    84 73 157
        Minimally Classic
    32 30 62
        Retinal Angiomatous Proliferation (RAP)
    14 27 41
        Predominantly Classic
    17 19 36
        Polypoidal Choroidal Vasculopathy (PCV)
    6 6 12
        Missing
    4 8 12
    Best Corrected Visual Acuity (BCVA) Letter Score in the Study Eye
    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.
    Units: ETDRS Letters
        arithmetic mean (standard deviation)
    61.3 ± 12.5 61.5 ± 12.9 -

    End points

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    End points reporting groups
    Reporting group title
    Arm A: Faricimab
    Reporting group description
    Subjects 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 subjects with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab (i.e., at Weeks 20, 28, 36, 44, 52, and 60). A second assessment of disease activity at Week 24 required Arm A subjects 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., at Weeks 24, 36, 48, and 60). Subjects who did not have active disease at Weeks 20 and 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W; i.e., at Weeks 28, 44, and 60). From Week 60 (when all of Arm A was scheduled to receive study drug) to Week 108, Arm A subjects were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).

    Reporting group title
    Arm B: Aflibercept
    Reporting group description
    Subjects 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. Subjects 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).

    Primary: Change from Baseline in BCVA in the Study Eye Averaged Over Weeks 40, 44, and 48

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    End point title
    Change from Baseline in BCVA in the Study Eye Averaged Over Weeks 40, 44, and 48
    End point 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
    End point type
    Primary
    End point timeframe
    From Baseline through Week 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: ETDRS Letters
        arithmetic mean (confidence interval 95%)
    5.8 (4.6 to 7.1)
    5.1 (3.9 to 6.4)
    Statistical analysis title
    Treatment Difference at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    671
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority [1]
    Method
    Parameter type
    Adjusted mean difference
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.1
         upper limit
    2.5
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.91
    Notes
    [1] - 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.

    Secondary: Change from Baseline in BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60

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    End point title
    Change from Baseline in BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60
    End point 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
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 60
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: ETDRS Letters
        arithmetic mean (confidence interval 95%)
    5.4 (4.0 to 6.8)
    4.6 (3.3 to 6.0)
    Statistical analysis title
    Treatment Difference at Weeks 52-60
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    671
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Adjusted mean difference
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.2
         upper limit
    2.7
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.99

    Secondary: Change from Baseline in BCVA in the Study Eye Over Time

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    End point title
    Change from Baseline in BCVA in the Study Eye Over Time
    End point 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
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: ETDRS Letters
    arithmetic mean (confidence interval 95%)
        Week 4
    4.0 (3.2 to 4.8)
    3.6 (2.8 to 4.4)
        Week 8
    5.5 (4.6 to 6.4)
    4.5 (3.6 to 5.4)
        Week 12
    6.4 (5.5 to 7.4)
    5.3 (4.4 to 6.2)
        Week 16
    6.8 (5.8 to 7.8)
    5.2 (4.2 to 6.2)
        Week 20
    6.6 (5.5 to 7.6)
    4.9 (3.9 to 6.0)
        Week 24
    6.4 (5.2 to 7.5)
    5.1 (4.0 to 6.3)
        Week 28
    6.2 (5.1 to 7.3)
    5.6 (4.5 to 6.7)
        Week 32
    6.2 (4.9 to 7.4)
    5.1 (3.8 to 6.3)
        Week 36
    6.5 (5.3 to 7.7)
    5.5 (4.3 to 6.7)
        Week 40
    6.1 (4.9 to 7.4)
    5.1 (3.9 to 6.4)
        Week 44
    5.8 (4.5 to 7.1)
    5.1 (3.8 to 6.4)
        Week 48
    5.5 (4.1 to 6.9)
    5.2 (3.8 to 6.5)
        Week 52
    5.6 (4.2 to 7.1)
    4.5 (3.1 to 5.9)
        Week 56
    5.5 (4.1 to 6.9)
    4.7 (3.3 to 6.1)
        Week 60
    4.9 (3.5 to 6.3)
    4.7 (3.2 to 6.1)
        Week 64
    5.5 (4.1 to 6.9)
    4.8 (3.5 to 6.2)
        Week 68
    5.3 (3.9 to 6.8)
    4.6 (3.2 to 6.1)
        Week 72
    4.8 (3.3 to 6.3)
    4.0 (2.5 to 5.4)
        Week 76
    4.7 (3.1 to 6.2)
    4.4 (2.9 to 5.9)
        Week 80
    4.6 (3.1 to 6.1)
    3.5 (2.0 to 5.1)
        Week 84
    4.5 (3.0 to 6.1)
    3.5 (2.0 to 5.1)
        Week 88
    4.3 (2.7 to 5.9)
    3.7 (2.1 to 5.2)
        Week 92
    4.2 (2.6 to 5.9)
    3.7 (2.1 to 5.3)
        Week 96
    4.2 (2.5 to 5.8)
    3.7 (2.0 to 5.3)
        Week 100
    4.3 (2.7 to 5.9)
    3.6 (2.0 to 5.2)
        Week 104
    4.1 (2.5 to 5.8)
    3.6 (2.0 to 5.2)
        Week 108
    3.6 (1.8 to 5.3)
    3.2 (1.5 to 4.9)
        Week 112
    3.5 (1.8 to 5.2)
    3.1 (1.4 to 4.8)
    No statistical analyses for this end point

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 40, 44, and 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    292 [2]
    300 [3]
    Units: Percentage of participants
    number (confidence interval 95%)
        Gaining ≥15 Letters
    20.0 (15.6 to 24.4)
    15.7 (11.9 to 19.6)
        Gaining ≥10 Letters
    37.1 (31.7 to 42.4)
    31.7 (26.7 to 36.8)
        Gaining ≥5 Letters
    59.2 (53.7 to 64.7)
    58.0 (52.6 to 63.5)
        Gaining ≥0 Letters
    75.6 (70.8 to 80.3)
    76.8 (72.1 to 81.4)
    Notes
    [2] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    [3] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    Statistical analysis title
    Gaining ≥15 Letters at Weeks 40-48
    Statistical analysis description
    The treatment difference in CMH weighted percentage of participants gaining ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    4.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.6
         upper limit
    10.1
    Statistical analysis title
    Gaining ≥10 Letters at Weeks 40-48
    Statistical analysis description
    The treatment difference in CMH weighted percentage of participants gaining ≥10 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    5.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2
         upper limit
    12.7
    Statistical analysis title
    Gaining ≥5 Letters at Weeks 40-48
    Statistical analysis description
    The treatment difference in CMH weighted percentage of participants gaining ≥5 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    1.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -6.6
         upper limit
    8.9
    Statistical analysis title
    Gaining ≥0 Letters at Weeks 40-48
    Statistical analysis description
    The treatment difference in CMH weighted percentage of participants gaining ≥0 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    -1.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.9
         upper limit
    5.4

    Secondary: Percentage of Participants Gaining ≥15 Letters from the Baseline BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60

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    End point title
    Percentage of Participants Gaining ≥15 Letters from the Baseline BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 52, 56, and 60
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    277 [4]
    283 [5]
    Units: Percentage of participants
        number (confidence interval 95%)
    19.2 (15.0 to 23.5)
    16.6 (12.5 to 20.6)
    Notes
    [4] - Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60.
    [5] - Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60.
    Statistical analysis title
    Treatment Difference at Weeks 52-60
    Statistical analysis description
    The treatment difference in CMH weighted percentage of participants gaining ≥15 letters is the calculated difference of Arm A: Faricimab and Arm B: Aflibercept.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    560
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    2.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.2
         upper limit
    8.5

    Secondary: Percentage of Participants Gaining ≥15 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Gaining ≥15 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [6]
    337 [7]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    10.1 (6.9 to 13.2)
    6.3 (3.8 to 8.8)
        Week 8 (n = 325, 325)
    13.7 (10.1 to 17.3)
    8.1 (5.3 to 10.9)
        Week 12 (n = 322, 326)
    16.7 (12.8 to 20.5)
    10.1 (7.0 to 13.1)
        Week 16 (n = 322, 320)
    17.7 (13.7 to 21.6)
    13.4 (10.0 to 16.9)
        Week 20 (n = 308, 308)
    19.1 (14.9 to 23.2)
    12.7 (9.1 to 16.2)
        Week 24 (n = 278, 285)
    22.1 (17.4 to 26.7)
    13.3 (9.6 to 17.0)
        Week 28 (n = 284, 276)
    20.8 (16.4 to 25.2)
    16.2 (12.1 to 20.3)
        Week 32 (n = 293, 285)
    21.6 (17.0 to 26.1)
    15.1 (11.3 to 18.9)
        Week 36 (n = 286, 297)
    21.4 (16.8 to 26.0)
    15.7 (11.8 to 19.6)
        Week 40 (n = 287, 291)
    22.1 (17.5 to 26.7)
    15.6 (11.7 to 19.5)
        Week 44 (n = 278, 274)
    22.2 (17.5 to 26.8)
    17.4 (13.2 to 21.6)
        Week 48 (n = 273, 279)
    21.2 (16.7 to 25.8)
    19.7 (15.3 to 24.0)
        Week 52 (n = 272, 278)
    22.5 (17.8 to 27.2)
    18.3 (14.0 to 22.7)
        Week 56 (n = 273, 279)
    23.1 (18.4 to 27.8)
    18.8 (14.6 to 23.0)
        Week 60 (n = 268, 276)
    21.3 (16.7 to 25.9)
    17.4 (13.3 to 21.5)
        Week 64 (n = 253, 276)
    20.3 (15.6 to 25.0)
    20.1 (15.7 to 24.6)
        Week 68 (n = 260, 269)
    23.2 (18.3 to 28.1)
    18.5 (14.1 to 22.8)
        Week 72 (n = 262, 274)
    21.1 (16.5 to 25.8)
    17.4 (13.1 to 21.6)
        Week 76 (n = 255, 260)
    22.9 (18.0 to 27.8)
    18.0 (13.7 to 22.3)
        Week 80 (n = 254, 268)
    19.7 (14.9 to 24.5)
    18.8 (14.4 to 23.2)
        Week 84 (n = 257, 270)
    21.1 (16.4 to 25.9)
    18.3 (14.0 to 22.5)
        Week 88 (n = 256, 267)
    24.6 (19.7 to 29.6)
    18.6 (14.3 to 23.0)
        Week 92 (n = 247, 266)
    21.4 (16.5 to 26.3)
    19.5 (14.9 to 24.0)
        Week 96 (n = 249, 258)
    23.0 (18.1 to 27.9)
    20.2 (15.7 to 24.6)
        Week 100 (n = 248, 258)
    21.5 (16.7 to 26.3)
    18.2 (13.9 to 22.5)
        Week 104 (n = 250, 263)
    22.9 (17.9 to 27.8)
    18.6 (14.2 to 22.9)
        Week 108 (n = 246, 256)
    21.9 (17.0 to 26.7)
    19.0 (14.6 to 23.4)
        Week 112 (n = 247, 259)
    24.0 (19.1 to 29.0)
    19.2 (14.6 to 23.7)
    Notes
    [6] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [7] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Gaining ≥10 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Gaining ≥10 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [8]
    337 [9]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    20.1 (16.0 to 24.2)
    16.0 (12.3 to 19.7)
        Week 8 (n = 325, 325)
    28.6 (23.9 to 33.3)
    25.3 (20.9 to 29.8)
        Week 12 (n = 322, 326)
    31.4 (26.5 to 36.3)
    30.3 (25.5 to 35.1)
        Week 16 (n = 322, 320)
    36.9 (31.8 to 41.9)
    31.9 (27.0 to 36.7)
        Week 20 (n = 308, 308)
    39.1 (34.0 to 44.2)
    30.3 (25.4 to 35.2)
        Week 24 (n = 278, 285)
    41.4 (36.0 to 46.9)
    34.0 (28.7 to 39.3)
        Week 28 (n = 284, 276)
    38.9 (33.5 to 44.3)
    34.8 (29.5 to 40.1)
        Week 32 (n = 293, 285)
    38.6 (33.2 to 44.0)
    32.4 (27.2 to 37.7)
        Week 36 (n = 286, 297)
    37.1 (31.6 to 42.6)
    34.0 (28.8 to 39.2)
        Week 40 (n = 287, 291)
    36.9 (31.5 to 42.3)
    33.9 (28.6 to 39.2)
        Week 44 (n = 278, 274)
    39.5 (33.9 to 45.0)
    34.3 (29.0 to 39.7)
        Week 48 (n = 273, 279)
    36.8 (31.3 to 42.3)
    36.8 (31.4 to 42.2)
        Week 52 (n = 272, 278)
    38.7 (33.2 to 44.2)
    37.7 (32.2 to 43.2)
        Week 56 (n = 273, 279)
    40.3 (34.8 to 45.8)
    36.2 (30.8 to 41.6)
        Week 60 (n = 268, 276)
    40.1 (34.7 to 45.5)
    34.8 (29.4 to 40.3)
        Week 64 (n = 253, 276)
    37.2 (31.4 to 43.0)
    36.6 (31.1 to 42.0)
        Week 68 (n = 260, 269)
    40.0 (34.3 to 45.7)
    33.3 (27.8 to 38.7)
        Week 72 (n = 262, 274)
    40.1 (34.4 to 45.8)
    34.3 (28.8 to 39.8)
        Week 76 (n = 255, 260)
    39.4 (33.7 to 45.2)
    33.5 (28.0 to 39.0)
        Week 80 (n = 254, 268)
    35.5 (29.8 to 41.2)
    33.0 (27.7 to 38.4)
        Week 84 (n = 257, 270)
    38.2 (32.5 to 43.9)
    34.3 (28.9 to 39.7)
        Week 88 (n = 256, 267)
    38.9 (33.2 to 44.7)
    33.6 (28.3 to 39.0)
        Week 92 (n = 247, 266)
    37.8 (31.9 to 43.7)
    35.3 (29.7 to 40.8)
        Week 96 (n = 249, 258)
    39.6 (33.7 to 45.4)
    35.8 (30.3 to 41.4)
        Week 100 (n = 248, 258)
    38.5 (32.7 to 44.4)
    36.4 (30.8 to 42.0)
        Week 104 (n = 250, 263)
    38.7 (32.9 to 44.6)
    38.9 (33.3 to 44.5)
        Week 108 (n = 246, 256)
    35.1 (29.3 to 40.9)
    36.6 (30.9 to 42.2)
        Week 112 (n = 247, 259)
    39.5 (33.8 to 45.3)
    34.9 (29.3 to 40.5)
    Notes
    [8] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [9] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Gaining ≥5 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Gaining ≥5 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [10]
    337 [11]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    47.6 (42.3 to 52.8)
    45.6 (40.4 to 50.9)
        Week 8 (n = 325, 325)
    57.8 (52.5 to 63.0)
    52.3 (47.2 to 57.5)
        Week 12 (n = 322, 326)
    61.5 (56.3 to 66.8)
    55.0 (49.7 to 60.2)
        Week 16 (n = 322, 320)
    61.8 (56.5 to 67.0)
    54.0 (48.7 to 59.3)
        Week 20 (n = 308, 308)
    60.2 (54.8 to 65.6)
    55.5 (50.0 to 60.9)
        Week 24 (n = 278, 285)
    63.4 (57.9 to 68.9)
    53.6 (48.0 to 59.3)
        Week 28 (n = 284, 276)
    60.8 (55.3 to 66.3)
    61.4 (55.8 to 67.0)
        Week 32 (n = 293, 285)
    60.5 (55.1 to 65.9)
    56.4 (50.8 to 62.0)
        Week 36 (n = 286, 297)
    60.5 (55.0 to 66.0)
    58.5 (53.0 to 64.0)
        Week 40 (n = 287, 291)
    59.1 (53.6 to 64.6)
    54.5 (48.9 to 60.2)
        Week 44 (n = 278, 274)
    60.3 (54.7 to 65.9)
    59.0 (53.3 to 64.6)
        Week 48 (n = 273, 279)
    59.3 (53.7 to 65.0)
    58.8 (53.2 to 64.4)
        Week 52 (n = 272, 278)
    62.6 (57.0 to 68.1)
    58.5 (52.8 to 64.1)
        Week 56 (n = 273, 279)
    58.6 (53.0 to 64.2)
    54.4 (48.7 to 60.2)
        Week 60 (n = 268, 276)
    60.4 (54.8 to 66.0)
    57.4 (51.6 to 63.1)
        Week 64 (n = 253, 276)
    59.3 (53.5 to 65.2)
    55.1 (49.3 to 60.9)
        Week 68 (n = 260, 269)
    60.4 (54.7 to 66.1)
    57.0 (51.2 to 62.7)
        Week 72 (n = 262, 274)
    59.8 (54.0 to 65.5)
    52.3 (46.5 to 58.1)
        Week 76 (n = 255, 260)
    59.3 (53.5 to 65.1)
    55.0 (49.1 to 60.9)
        Week 80 (n = 254, 268)
    55.2 (49.3 to 61.2)
    55.5 (49.6 to 61.3)
        Week 84 (n = 257, 270)
    58.4 (52.6 to 64.2)
    55.6 (49.8 to 61.4)
        Week 88 (n = 256, 267)
    59.3 (53.5 to 65.1)
    53.8 (48.0 to 59.6)
        Week 92 (n = 247, 266)
    56.8 (50.8 to 62.9)
    56.0 (50.3 to 61.8)
        Week 96 (n = 249, 258)
    58.2 (52.2 to 64.1)
    57.5 (51.7 to 63.4)
        Week 100 (n = 248, 258)
    59.1 (53.2 to 65.1)
    57.1 (51.2 to 63.0)
        Week 104 (n = 250, 263)
    59.8 (54.0 to 65.7)
    54.8 (48.9 to 60.7)
        Week 108 (n = 246, 256)
    53.6 (47.7 to 59.6)
    54.1 (48.2 to 60.1)
        Week 112 (n = 247, 259)
    57.3 (51.4 to 63.2)
    53.5 (47.6 to 59.5)
    Notes
    [10] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [11] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Gaining ≥0 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Gaining ≥0 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [12]
    337 [13]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    78.9 (74.5 to 83.2)
    77.6 (73.3 to 81.9)
        Week 8 (n = 325, 325)
    80.7 (76.4 to 84.9)
    78.3 (73.9 to 82.7)
        Week 12 (n = 322, 326)
    84.2 (80.3 to 88.1)
    81.4 (77.3 to 85.6)
        Week 16 (n = 322, 320)
    84.8 (80.9 to 88.7)
    78.8 (74.6 to 83.1)
        Week 20 (n = 308, 308)
    80.8 (76.5 to 85.2)
    79.6 (75.2 to 83.9)
        Week 24 (n = 278, 285)
    81.9 (77.5 to 86.3)
    79.6 (75.1 to 84.1)
        Week 28 (n = 284, 276)
    77.8 (73.1 to 82.6)
    82.3 (77.9 to 86.7)
        Week 32 (n = 293, 285)
    78.7 (74.2 to 83.1)
    76.3 (71.5 to 81.0)
        Week 36 (n = 286, 297)
    78.9 (74.3 to 83.5)
    81.0 (76.6 to 85.4)
        Week 40 (n = 287, 291)
    77.1 (72.5 to 81.7)
    80.7 (76.3 to 85.2)
        Week 44 (n = 278, 274)
    77.0 (72.3 to 81.7)
    78.3 (73.6 to 83.0)
        Week 48 (n = 273, 279)
    77.0 (72.2 to 81.8)
    76.4 (71.5 to 81.3)
        Week 52 (n = 272, 278)
    77.4 (72.6 to 82.2)
    75.7 (70.7 to 80.6)
        Week 56 (n = 273, 279)
    76.3 (71.4 to 81.1)
    78.7 (73.9 to 83.5)
        Week 60 (n = 268, 276)
    74.4 (69.3 to 79.5)
    77.5 (72.6 to 82.3)
        Week 64 (n = 253, 276)
    77.7 (72.8 to 82.6)
    73.7 (68.6 to 78.8)
        Week 68 (n = 260, 269)
    74.9 (69.8 to 80.0)
    77.7 (72.8 to 82.6)
        Week 72 (n = 262, 274)
    74.9 (69.9 to 79.8)
    74.8 (69.8 to 79.8)
        Week 76 (n = 255, 260)
    75.7 (70.8 to 80.7)
    72.0 (66.6 to 77.4)
        Week 80 (n = 254, 268)
    75.5 (70.4 to 80.5)
    74.4 (69.3 to 79.5)
        Week 84 (n = 257, 270)
    75.5 (70.5 to 80.5)
    72.5 (67.3 to 77.7)
        Week 88 (n = 256, 267)
    74.8 (69.6 to 80.0)
    71.7 (66.4 to 76.9)
        Week 92 (n = 247, 266)
    75.0 (69.9 to 80.2)
    70.6 (65.3 to 75.9)
        Week 96 (n = 249, 258)
    74.7 (69.6 to 79.9)
    71.1 (65.7 to 76.5)
        Week 100 (n = 248, 258)
    74.6 (69.4 to 79.8)
    69.7 (64.2 to 75.2)
        Week 104 (n = 250, 263)
    73.8 (68.6 to 79.1)
    71.2 (66.0 to 76.5)
        Week 108 (n = 246, 256)
    73.4 (68.2 to 78.7)
    73.7 (68.4 to 79.0)
        Week 112 (n = 247, 259)
    72.8 (67.5 to 78.1)
    70.9 (65.5 to 76.3)
    Notes
    [12] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [13] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 40, 44, and 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    292 [14]
    300 [15]
    Units: Percentage of participants
    number (confidence interval 95%)
        Avoiding a Loss of ≥15 Letters
    95.4 (93.0 to 97.7)
    94.1 (91.5 to 96.7)
        Avoiding a Loss of ≥10 Letters
    91.6 (88.6 to 94.7)
    92.0 (89.1 to 95.0)
        Avoiding a Loss of ≥5 Letters
    88.0 (84.3 to 91.6)
    86.8 (83.0 to 90.5)
    Notes
    [14] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    [15] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    Statistical analysis title
    Avoiding a Loss of ≥15 Letters at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    1.3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.2
         upper limit
    4.8
    Statistical analysis title
    Avoiding a Loss of ≥5 Letters at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    1.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4
         upper limit
    6.4
    Statistical analysis title
    Avoiding a Loss of ≥10 Letters at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    -0.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.6
         upper limit
    3.9

    Secondary: Percentage of Participants Avoiding a Loss of ≥15 Letters from the Baseline BCVA in the Study Eye Averaged Over Weeks 52, 56, and 60

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 52, 56, and 60
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    277 [16]
    283 [17]
    Units: Percentage of participants
        number (confidence interval 95%)
    93.9 (91.3 to 96.5)
    94.1 (91.4 to 96.8)
    Notes
    [16] - Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60.
    [17] - Participants with at least one non-missing, valid assessment at Weeks 52, 56, or 60.
    Statistical analysis title
    Treatment Difference at Weeks 52-60
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    560
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    -0.2
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.9
         upper limit
    3.6

    Secondary: Percentage of Participants Avoiding a Loss of ≥15 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Avoiding a Loss of ≥15 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [18]
    337 [19]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    97.6 (95.9 to 99.2)
    99.0 (98.0 to 100.0)
        Week 8 (n = 325, 325)
    97.6 (96.0 to 99.2)
    98.7 (97.6 to 99.9)
        Week 12 (n = 322, 326)
    98.2 (96.7 to 99.6)
    97.5 (95.8 to 99.1)
        Week 16 (n = 322, 320)
    98.1 (96.7 to 99.6)
    97.0 (95.3 to 98.8)
        Week 20 (n = 308, 308)
    97.4 (95.7 to 99.1)
    94.9 (92.5 to 97.3)
        Week 24 (n = 278, 285)
    97.2 (95.3 to 99.1)
    97.5 (95.8 to 99.3)
        Week 28 (n = 284, 276)
    95.9 (93.8 to 98.1)
    96.7 (94.6 to 98.8)
        Week 32 (n = 293, 285)
    95.4 (93.1 to 97.7)
    95.7 (93.5 to 98.0)
        Week 36 (n = 286, 297)
    95.2 (92.8 to 97.6)
    95.4 (93.1 to 97.7)
        Week 40 (n = 287, 291)
    96.6 (94.5 to 98.6)
    94.2 (91.6 to 96.8)
        Week 44 (n = 278, 274)
    95.7 (93.5 to 98.0)
    93.9 (91.2 to 96.6)
        Week 48 (n = 273, 279)
    94.0 (91.3 to 96.7)
    93.3 (90.4 to 96.1)
        Week 52 (n = 272, 278)
    93.5 (90.8 to 96.2)
    93.5 (90.7 to 96.3)
        Week 56 (n = 273, 279)
    94.7 (92.2 to 97.2)
    95.0 (92.5 to 97.5)
        Week 60 (n = 268, 276)
    93.6 (90.8 to 96.4)
    92.6 (89.7 to 95.6)
        Week 64 (n = 253, 276)
    94.1 (91.3 to 96.9)
    92.9 (89.9 to 95.9)
        Week 68 (n = 260, 269)
    92.6 (89.6 to 95.6)
    92.9 (89.9 to 95.8)
        Week 72 (n = 262, 274)
    93.5 (90.7 to 96.3)
    91.3 (88.2 to 94.4)
        Week 76 (n = 255, 260)
    94.2 (91.6 to 96.8)
    92.7 (89.8 to 95.7)
        Week 80 (n = 254, 268)
    93.6 (90.9 to 96.4)
    90.7 (87.4 to 93.9)
        Week 84 (n = 257, 270)
    92.8 (89.9 to 95.7)
    91.5 (88.4 to 94.5)
        Week 88 (n = 256, 267)
    93.1 (90.3 to 96.0)
    90.4 (87.2 to 93.7)
        Week 92 (n = 247, 266)
    92.1 (89.1 to 95.2)
    93.2 (90.5 to 95.9)
        Week 96 (n = 249, 258)
    91.6 (88.4 to 94.8)
    88.9 (85.3 to 92.5)
        Week 100 (n = 248, 258)
    92.7 (89.8 to 95.6)
    89.5 (86.0 to 93.0)
        Week 104 (n = 250, 263)
    93.2 (90.3 to 96.1)
    90.7 (87.4 to 93.9)
        Week 108 (n = 246, 256)
    92.0 (88.9 to 95.1)
    89.6 (86.0 to 93.2)
        Week 112 (n = 247, 259)
    90.6 (87.3 to 93.9)
    88.8 (85.1 to 92.4)
    Notes
    [18] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [19] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Avoiding a Loss of ≥10 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Avoiding a Loss of ≥10 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [20]
    337 [21]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    95.1 (92.9 to 97.4)
    96.2 (94.3 to 98.2)
        Week 8 (n = 325, 325)
    96.0 (94.0 to 98.0)
    96.9 (95.1 to 98.7)
        Week 12 (n = 322, 326)
    96.3 (94.4 to 98.3)
    95.5 (93.3 to 97.7)
        Week 16 (n = 322, 320)
    95.1 (92.8 to 97.4)
    92.6 (89.9 to 95.4)
        Week 20 (n = 308, 308)
    93.9 (91.3 to 96.5)
    92.7 (89.9 to 95.4)
        Week 24 (n = 278, 285)
    94.3 (91.7 to 96.9)
    94.4 (91.9 to 96.9)
        Week 28 (n = 284, 276)
    93.5 (90.8 to 96.2)
    94.9 (92.3 to 97.4)
        Week 32 (n = 293, 285)
    92.5 (89.6 to 95.3)
    92.9 (89.9 to 95.8)
        Week 36 (n = 286, 297)
    93.2 (90.3 to 96.0)
    91.7 (88.6 to 94.7)
        Week 40 (n = 287, 291)
    92.2 (89.2 to 95.2)
    91.8 (88.8 to 94.8)
        Week 44 (n = 278, 274)
    92.3 (89.4 to 95.3)
    90.9 (87.7 to 94.2)
        Week 48 (n = 273, 279)
    91.5 (88.3 to 94.6)
    91.5 (88.3 to 94.7)
        Week 52 (n = 272, 278)
    91.7 (88.6 to 94.7)
    91.1 (87.8 to 94.4)
        Week 56 (n = 273, 279)
    92.3 (89.3 to 95.3)
    90.4 (87.0 to 93.8)
        Week 60 (n = 268, 276)
    90.7 (87.5 to 94.0)
    88.5 (85.0 to 92.1)
        Week 64 (n = 253, 276)
    91.3 (88.0 to 94.6)
    90.3 (87.0 to 93.7)
        Week 68 (n = 260, 269)
    92.2 (89.2 to 95.3)
    90.3 (86.9 to 93.7)
        Week 72 (n = 262, 274)
    89.6 (86.2 to 93.1)
    88.1 (84.6 to 91.7)
        Week 76 (n = 255, 260)
    89.2 (85.6 to 92.7)
    88.0 (84.3 to 91.8)
        Week 80 (n = 254, 268)
    89.3 (85.7 to 92.9)
    86.4 (82.6 to 90.2)
        Week 84 (n = 257, 270)
    89.0 (85.5 to 92.5)
    86.9 (83.2 to 90.7)
        Week 88 (n = 256, 267)
    89.2 (85.7 to 92.7)
    85.2 (81.2 to 89.3)
        Week 92 (n = 247, 266)
    87.7 (83.8 to 91.6)
    86.3 (82.4 to 90.1)
        Week 96 (n = 249, 258)
    87.8 (84.0 to 91.5)
    85.7 (81.6 to 89.8)
        Week 100 (n = 248, 258)
    88.6 (84.9 to 92.3)
    86.1 (82.1 to 90.1)
        Week 104 (n = 250, 263)
    87.6 (83.7 to 91.5)
    85.3 (81.3 to 89.4)
        Week 108 (n = 246, 256)
    85.2 (81.1 to 89.4)
    87.3 (83.4 to 91.2)
        Week 112 (n = 247, 259)
    84.7 (80.5 to 88.9)
    84.2 (79.9 to 88.5)
    Notes
    [20] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [21] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants Avoiding a Loss of ≥5 Letters from the Baseline BCVA in the Study Eye Over Time

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    End point title
    Percentage of Participants Avoiding a Loss of ≥5 Letters from the Baseline BCVA in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [22]
    337 [23]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    90.5 (87.4 to 93.6)
    90.6 (87.5 to 93.6)
        Week 8 (n = 325, 325)
    92.3 (89.6 to 95.1)
    90.6 (87.5 to 93.7)
        Week 12 (n = 322, 326)
    92.2 (89.4 to 95.1)
    88.8 (85.4 to 92.1)
        Week 16 (n = 322, 320)
    90.4 (87.3 to 93.6)
    87.4 (83.8 to 90.9)
        Week 20 (n = 308, 308)
    89.3 (85.9 to 92.7)
    87.1 (83.5 to 90.7)
        Week 24 (n = 278, 285)
    89.1 (85.6 to 92.6)
    88.8 (85.3 to 92.3)
        Week 28 (n = 284, 276)
    88.2 (84.6 to 91.9)
    90.2 (86.7 to 93.6)
        Week 32 (n = 293, 285)
    87.0 (83.3 to 90.7)
    85.8 (81.9 to 89.6)
        Week 36 (n = 286, 297)
    88.3 (84.7 to 91.9)
    86.7 (82.9 to 90.4)
        Week 40 (n = 287, 291)
    86.8 (83.1 to 90.6)
    87.4 (83.7 to 91.1)
        Week 44 (n = 278, 274)
    85.2 (81.3 to 89.2)
    85.3 (81.2 to 89.4)
        Week 48 (n = 273, 279)
    85.6 (81.6 to 89.6)
    83.5 (79.3 to 87.7)
        Week 52 (n = 272, 278)
    84.8 (80.7 to 88.9)
    85.5 (81.4 to 89.6)
        Week 56 (n = 273, 279)
    84.4 (80.4 to 88.5)
    83.7 (79.4 to 88.0)
        Week 60 (n = 268, 276)
    81.5 (77.0 to 85.9)
    84.5 (80.4 to 88.6)
        Week 64 (n = 253, 276)
    87.8 (84.0 to 91.7)
    85.3 (81.3 to 89.4)
        Week 68 (n = 260, 269)
    85.0 (80.9 to 89.1)
    87.0 (83.1 to 90.9)
        Week 72 (n = 262, 274)
    84.2 (80.0 to 88.3)
    81.1 (76.6 to 85.6)
        Week 76 (n = 255, 260)
    83.5 (79.1 to 87.8)
    83.3 (78.9 to 87.7)
        Week 80 (n = 254, 268)
    81.0 (76.3 to 85.6)
    81.9 (77.5 to 86.4)
        Week 84 (n = 257, 270)
    82.6 (78.2 to 86.9)
    81.8 (77.4 to 86.3)
        Week 88 (n = 256, 267)
    80.8 (76.2 to 85.4)
    78.8 (74.1 to 83.6)
        Week 92 (n = 247, 266)
    81.7 (77.1 to 86.3)
    79.2 (74.5 to 83.9)
        Week 96 (n = 249, 258)
    82.1 (77.6 to 86.6)
    78.1 (73.2 to 83.0)
        Week 100 (n = 248, 258)
    81.7 (77.1 to 86.3)
    80.1 (75.4 to 84.8)
        Week 104 (n = 250, 263)
    79.6 (74.7 to 84.4)
    80.5 (75.8 to 85.1)
        Week 108 (n = 246, 256)
    79.7 (74.9 to 84.4)
    80.7 (75.9 to 85.4)
        Week 112 (n = 247, 259)
    78.6 (73.7 to 83.4)
    78.9 (74.1 to 83.7)
    Notes
    [22] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [23] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 40, 44, and 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    292 [24]
    300 [25]
    Units: Percentage of participants
        number (confidence interval 95%)
    24.3 (19.5 to 29.1)
    21.3 (16.8 to 25.7)
    Notes
    [24] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    [25] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    Statistical analysis title
    Treatment Difference at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    3
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -3.6
         upper limit
    9.5

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [26]
    337 [27]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    11.0 (7.7 to 14.3)
    8.1 (5.3 to 10.9)
        Week 8 (n = 325, 325)
    16.3 (12.3 to 20.2)
    11.1 (7.8 to 14.4)
        Week 12 (n = 322, 326)
    20.4 (16.2 to 24.7)
    14.9 (11.2 to 18.6)
        Week 16 (n = 322, 320)
    20.5 (16.3 to 24.8)
    17.3 (13.4 to 21.3)
        Week 20 (n = 308, 308)
    22.4 (17.9 to 26.9)
    17.7 (13.5 to 21.8)
        Week 24 (n = 278, 285)
    25.5 (20.5 to 30.5)
    19.1 (14.7 to 23.4)
        Week 28 (n = 284, 276)
    25.7 (20.8 to 30.5)
    20.0 (15.5 to 24.5)
        Week 32 (n = 293, 285)
    27.3 (22.4 to 32.3)
    21.9 (17.3 to 26.5)
        Week 36 (n = 286, 297)
    27.2 (22.1 to 32.2)
    23.7 (19.0 to 28.4)
        Week 40 (n = 287, 291)
    26.0 (21.0 to 30.9)
    21.4 (16.8 to 25.9)
        Week 44 (n = 278, 274)
    26.5 (21.5 to 31.6)
    22.8 (18.1 to 27.5)
        Week 48 (n = 273, 279)
    24.9 (20.0 to 29.8)
    27.6 (22.5 to 32.6)
        Week 52 (n = 272, 278)
    25.0 (20.1 to 30.0)
    23.8 (19.0 to 28.7)
        Week 56 (n = 273, 279)
    26.4 (21.4 to 31.5)
    24.4 (19.7 to 29.1)
        Week 60 (n = 268, 276)
    25.2 (20.2 to 30.2)
    22.7 (18.1 to 27.4)
        Week 64 (n = 253, 276)
    24.2 (19.1 to 29.3)
    25.6 (20.6 to 30.5)
        Week 68 (n = 260, 269)
    27.5 (22.2 to 32.8)
    24.3 (19.4 to 29.2)
        Week 72 (n = 262, 274)
    26.1 (21.0 to 31.2)
    24.2 (19.4 to 29.0)
        Week 76 (n = 255, 260)
    27.6 (22.2 to 32.9)
    23.6 (18.8 to 28.5)
        Week 80 (n = 254, 268)
    24.1 (18.9 to 29.3)
    25.9 (20.9 to 31.0)
        Week 84 (n = 257, 270)
    26.2 (21.0 to 31.4)
    23.8 (19.0 to 28.7)
        Week 88 (n = 256, 267)
    29.4 (24.0 to 34.7)
    25.0 (19.9 to 30.0)
        Week 92 (n = 247, 266)
    27.7 (22.2 to 33.1)
    27.3 (22.1 to 32.6)
        Week 96 (n = 249, 258)
    28.0 (22.6 to 33.3)
    26.7 (21.7 to 31.8)
        Week 100 (n = 248, 258)
    27.3 (22.0 to 32.7)
    24.4 (19.5 to 29.3)
        Week 104 (n = 250, 263)
    27.9 (22.5 to 33.3)
    23.9 (18.9 to 28.8)
        Week 108 (n = 246, 256)
    27.3 (21.9 to 32.6)
    24.2 (19.3 to 29.1)
        Week 112 (n = 247, 259)
    26.9 (21.6 to 32.1)
    25.5 (20.4 to 30.6)
    Notes
    [26] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [27] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 40, 44, and 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    292 [28]
    300 [29]
    Units: Percentage of participants
        number (confidence interval 95%)
    56.4 (51.5 to 61.4)
    57.0 (51.9 to 62.1)
    Notes
    [28] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    [29] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    Statistical analysis title
    Treatment Difference at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    -0.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.7
         upper limit
    6.6

    Secondary: Percentage of Participants with BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time

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    End point title
    Percentage of Participants with BCVA Snellen Equivalent of 20/40 or Better (BCVA ≥69 Letters) in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [30]
    337 [31]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    52.8 (48.4 to 57.2)
    50.5 (46.4 to 54.7)
        Week 8 (n = 325, 325)
    54.5 (49.9 to 59.1)
    50.7 (46.3 to 55.1)
        Week 12 (n = 322, 326)
    58.3 (53.7 to 62.9)
    53.4 (48.8 to 58.0)
        Week 16 (n = 322, 320)
    60.4 (55.6 to 65.2)
    53.7 (49.1 to 58.3)
        Week 20 (n = 308, 308)
    59.5 (54.6 to 64.5)
    54.4 (49.6 to 59.1)
        Week 24 (n = 278, 285)
    59.4 (54.3 to 64.5)
    54.4 (49.4 to 59.4)
        Week 28 (n = 284, 276)
    57.5 (52.4 to 62.6)
    59.0 (53.8 to 64.1)
        Week 32 (n = 293, 285)
    57.7 (52.7 to 62.8)
    58.0 (52.8 to 63.1)
        Week 36 (n = 286, 297)
    59.7 (54.8 to 64.7)
    59.6 (54.5 to 64.7)
        Week 40 (n = 287, 291)
    57.5 (52.4 to 62.7)
    58.0 (52.8 to 63.1)
        Week 44 (n = 278, 274)
    59.9 (54.8 to 65.0)
    59.4 (54.1 to 64.7)
        Week 48 (n = 273, 279)
    58.9 (53.7 to 64.1)
    58.1 (52.7 to 63.6)
        Week 52 (n = 272, 278)
    61.0 (55.8 to 66.1)
    57.4 (52.0 to 62.9)
        Week 56 (n = 273, 279)
    59.0 (53.8 to 64.2)
    55.9 (50.5 to 61.3)
        Week 60 (n = 268, 276)
    57.9 (52.4 to 63.4)
    56.8 (51.4 to 62.2)
        Week 64 (n = 253, 276)
    62.5 (57.1 to 67.9)
    57.7 (52.3 to 63.0)
        Week 68 (n = 260, 269)
    61.0 (55.6 to 66.4)
    59.3 (54.0 to 64.6)
        Week 72 (n = 262, 274)
    59.5 (54.0 to 65.0)
    57.3 (52.0 to 62.6)
        Week 76 (n = 255, 260)
    58.4 (52.9 to 63.9)
    55.3 (49.9 to 60.6)
        Week 80 (n = 254, 268)
    56.8 (51.2 to 62.4)
    55.5 (50.1 to 60.9)
        Week 84 (n = 257, 270)
    57.6 (52.1 to 63.1)
    58.0 (52.6 to 63.3)
        Week 88 (n = 256, 267)
    59.1 (53.5 to 64.8)
    54.1 (48.5 to 59.7)
        Week 92 (n = 247, 266)
    58.6 (52.9 to 64.2)
    57.8 (52.3 to 63.2)
        Week 96 (n = 249, 258)
    59.3 (53.7 to 64.9)
    58.3 (52.6 to 64.0)
        Week 100 (n = 248, 258)
    58.1 (52.5 to 63.8)
    57.4 (51.9 to 63.0)
        Week 104 (n = 250, 263)
    59.8 (54.2 to 65.5)
    58.0 (52.4 to 63.6)
        Week 108 (n = 246, 256)
    56.4 (50.7 to 62.1)
    56.4 (50.9 to 62.0)
        Week 112 (n = 247, 259)
    56.3 (50.4 to 62.2)
    54.3 (48.6 to 59.9)
    Notes
    [30] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [31] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: 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

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    End point 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
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, average of Weeks 40, 44, and 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    292 [32]
    300 [33]
    Units: Percentage of participants
        number (confidence interval 95%)
    6.4 (3.7 to 9.1)
    6.9 (4.2 to 9.5)
    Notes
    [32] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    [33] - Participants with at least one non-missing, valid assessment at Weeks 40, 44, or 48.
    Statistical analysis title
    Treatment Difference at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    592
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Difference in CMH Weighted Percentage
    Point estimate
    -0.5
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -4.2
         upper limit
    3.3

    Secondary: Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time

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    End point title
    Percentage of Participants with BCVA Snellen Equivalent of 20/200 or Worse (BCVA ≤38 Letters) in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [34]
    337 [35]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 327, 331)
    5.5 (3.2 to 7.9)
    5.5 (3.2 to 7.7)
        Week 8 (n = 325, 325)
    5.8 (3.4 to 8.3)
    5.9 (3.6 to 8.2)
        Week 12 (n = 322, 326)
    4.6 (2.5 to 6.8)
    5.6 (3.3 to 7.9)
        Week 16 (n = 322, 320)
    5.8 (3.5 to 8.2)
    6.3 (3.9 to 8.8)
        Week 20 (n = 308, 308)
    5.9 (3.5 to 8.4)
    6.9 (4.3 to 9.5)
        Week 24 (n = 278, 285)
    4.3 (2.0 to 6.6)
    5.9 (3.4 to 8.5)
        Week 28 (n = 284, 276)
    5.4 (3.0 to 7.9)
    5.2 (2.8 to 7.7)
        Week 32 (n = 293, 285)
    6.1 (3.5 to 8.7)
    6.8 (4.2 to 9.4)
        Week 36 (n = 286, 297)
    6.4 (3.7 to 9.1)
    6.7 (4.1 to 9.3)
        Week 40 (n = 287, 291)
    7.1 (4.3 to 9.9)
    8.1 (5.3 to 11.0)
        Week 44 (n = 278, 274)
    7.0 (4.1 to 9.9)
    6.7 (4.0 to 9.3)
        Week 48 (n = 273, 279)
    7.4 (4.4 to 10.4)
    7.8 (4.9 to 10.7)
        Week 52 (n = 272, 278)
    8.1 (5.0 to 11.1)
    9.4 (6.3 to 12.6)
        Week 56 (n = 273, 279)
    6.3 (3.6 to 9.0)
    7.6 (4.7 to 10.5)
        Week 60 (n = 268, 276)
    6.9 (4.0 to 9.8)
    8.7 (5.6 to 11.7)
        Week 64 (n = 253, 276)
    7.8 (4.6 to 11.0)
    9.1 (6.0 to 12.3)
        Week 68 (n = 260, 269)
    7.6 (4.5 to 10.7)
    9.3 (6.2 to 12.5)
        Week 72 (n = 262, 274)
    8.6 (5.4 to 11.8)
    10.7 (7.5 to 13.9)
        Week 76 (n = 255, 260)
    7.9 (4.7 to 11.1)
    10.8 (7.5 to 14.2)
        Week 80 (n = 254, 268)
    8.8 (5.5 to 12.0)
    10.6 (7.2 to 13.9)
        Week 84 (n = 257, 270)
    7.7 (4.6 to 10.8)
    11.0 (7.8 to 14.2)
        Week 88 (n = 256, 267)
    9.5 (6.1 to 12.9)
    11.7 (8.3 to 15.0)
        Week 92 (n = 247, 266)
    9.0 (5.6 to 12.5)
    12.4 (9.0 to 15.7)
        Week 96 (n = 249, 258)
    8.6 (5.3 to 12.0)
    11.7 (8.2 to 15.1)
        Week 100 (n = 248, 258)
    8.3 (5.0 to 11.5)
    11.9 (8.4 to 15.4)
        Week 104 (n = 250, 263)
    9.4 (6.0 to 12.9)
    11.7 (8.3 to 15.1)
        Week 108 (n = 246, 256)
    7.7 (4.5 to 10.9)
    10.4 (7.1 to 13.7)
        Week 112 (n = 247, 259)
    8.2 (4.9 to 11.5)
    11.8 (8.3 to 15.2)
    Notes
    [34] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [35] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 48

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    End point 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 [36]
    End point 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.
    End point type
    Secondary
    End point timeframe
    Week 48
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable to participants who were randomized to Arm A: Faricimab.
    End point values
    Arm A: Faricimab
    Number of subjects analysed
    315
    Units: Percentage of participants
    number (confidence interval 95%)
        Once Every 8 Weeks
    20.3 (15.9 to 24.8)
        Once Every 12 Weeks
    34.0 (28.7 to 39.2)
        Once Every 16 Weeks
    45.7 (40.2 to 51.2)
    No statistical analyses for this end point

    Secondary: Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 60

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    End point 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 [37]
    End point 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.
    End point type
    Secondary
    End point timeframe
    Week 60
    Notes
    [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable to participants who were randomized to Arm A: Faricimab.
    End point values
    Arm A: Faricimab
    Number of subjects analysed
    302
    Units: Percentage of participants
    number (confidence interval 95%)
        Once Every 8 Weeks
    20.2 (15.7 to 24.7)
        Once Every 12 Weeks
    33.4 (28.1 to 38.8)
        Once Every 16 Weeks
    46.4 (40.7 to 52.0)
    No statistical analyses for this end point

    Secondary: Percentage of Participants in the Faricimab Arm on Once Every 8-Weeks, 12-Weeks, or 16-Weeks Treatment Intervals Among Those Completing Week 112

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    End point 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 [38]
    End point 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.
    End point type
    Secondary
    End point timeframe
    Weeks 108 and 112
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable to participants who were randomized to Arm A: Faricimab.
    End point values
    Arm A: Faricimab
    Number of subjects analysed
    271
    Units: Percentage of participants
    number (confidence interval 95%)
        Once Every 8 Weeks
    25.8 (20.6 to 31.0)
        Once Every 12 Weeks
    15.1 (10.9 to 19.4)
        Once Every 16 Weeks
    59.0 (53.2 to 64.9)
    No statistical analyses for this end point

    Secondary: Number of Study Drug Injections Received in the Study Eye Through Week 48

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    End point title
    Number of Study Drug Injections Received in the Study Eye Through Week 48
    End point description
    This analysis was performed on the safety-evaluable population, which included all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Injections
        median (full range (min-max))
    6.0 (1 to 8)
    8.0 (1 to 8)
    No statistical analyses for this end point

    Secondary: Number of Study Drug Injections Received in the Study Eye Through Week 60

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    End point title
    Number of Study Drug Injections Received in the Study Eye Through Week 60
    End point description
    This analysis was performed on the safety-evaluable population, which included all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 60
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Injections
        median (full range (min-max))
    7.0 (1 to 10)
    9.0 (1 to 9)
    No statistical analyses for this end point

    Secondary: Number of Study Drug Injections Received in the Study Eye Through Week 108

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    End point title
    Number of Study Drug Injections Received in the Study Eye Through Week 108
    End point description
    This analysis was performed on the safety-evaluable population, which included all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye.
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 108
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Injections
        median (full range (min-max))
    10.0 (1 to 16)
    15.0 (1 to 15)
    No statistical analyses for this end point

    Secondary: Change from Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 40, 44, and 48

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    End point title
    Change from Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 40, 44, and 48
    End point 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.
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: microns
        arithmetic mean (confidence interval 95%)
    -136.8 (-142.6 to -131.0)
    -129.4 (-135.2 to -123.5)
    Statistical analysis title
    Treatment Difference at Weeks 40-48
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    671
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Adjusted mean difference
    Point estimate
    -7.4
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -15.7
         upper limit
    0.8
    Variability estimate
    Standard error of the mean
    Dispersion value
    4.19

    Secondary: Change from Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 52, 56, and 60

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    End point title
    Change from Baseline in Central Subfield Thickness in the Study Eye Averaged Over Weeks 52, 56, and 60
    End point 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.
    End point type
    Secondary
    End point timeframe
    From Baseline through Week 60
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: microns
        arithmetic mean (confidence interval 95%)
    -134.5 (-140.5 to -128.6)
    -135.5 (-141.5 to -129.6)
    Statistical analysis title
    Treatment Difference at Weeks 52-60
    Statistical analysis description
    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.
    Comparison groups
    Arm A: Faricimab v Arm B: Aflibercept
    Number of subjects included in analysis
    671
    Analysis specification
    Pre-specified
    Analysis type
    other
    Method
    Parameter type
    Adjusted mean difference
    Point estimate
    1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -7.4
         upper limit
    9.4
    Variability estimate
    Standard error of the mean
    Dispersion value
    4.26

    Secondary: Change from Baseline in Central Subfield Thickness in the Study Eye Over Time

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    End point title
    Change from Baseline in Central Subfield Thickness in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    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
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334
    337
    Units: microns
    arithmetic mean (confidence interval 95%)
        Week 4
    -131.7 (-137.9 to -125.4)
    -116.3 (-122.5 to -110.1)
        Week 8
    -142.6 (-148.1 to -137.2)
    -131.8 (-137.2 to -126.3)
        Week 12
    -149.0 (-154.1 to -143.9)
    -136.1 (-141.2 to -131.1)
        Week 16
    -148.7 (-155.1 to -142.3)
    -110.4 (-116.8 to -104.0)
        Week 20
    -132.9 (-139.2 to -126.6)
    -136.1 (-142.4 to -129.8)
        Week 24
    -128.8 (-135.9 to -121.8)
    -115.5 (-122.6 to -108.5)
        Week 28
    -129.1 (-135.5 to -122.8)
    -132.5 (-139.0 to -126.1)
        Week 32
    -142.7 (-150.2 to -135.2)
    -114.5 (-122.0 to -107.0)
        Week 36
    -132.8 (-138.9 to -126.7)
    -139.1 (-145.2 to -133.1)
        Week 40
    -140.8 (-148.0 to -133.7)
    -123.9 (-131.0 to -116.7)
        Week 44
    -133.9 (-139.9 to -128.0)
    -142.4 (-148.3 to -136.4)
        Week 48
    -138.1 (-145.1 to -131.2)
    -126.0 (-132.9 to -119.1)
        Week 52
    -139.9 (-146.2 to -133.6)
    -139.6 (-145.9 to -133.3)
        Week 56
    -140.4 (-147.4 to -133.3)
    -125.9 (-133.0 to -118.9)
        Week 60
    -124.1 (-131.1 to -117.1)
    -143.5 (-150.4 to -136.5)
        Week 64
    -145.4 (-152.4 to -138.4)
    -127.8 (-134.7 to -120.9)
        Week 68
    -137.5 (-144.0 to -130.9)
    -142.8 (-149.4 to -136.3)
        Week 72
    -139.7 (-147.2 to -132.3)
    -132.0 (-139.4 to -124.7)
        Week 76
    -135.3 (-142.2 to -128.3)
    -142.8 (-149.8 to -135.9)
        Week 80
    -146.7 (-154.3 to -139.0)
    -132.1 (-139.7 to -124.5)
        Week 84
    -141.7 (-148.4 to -135.0)
    -143.2 (-149.9 to -136.6)
        Week 88
    -143.9 (-150.7 to -137.2)
    -139.3 (-146.0 to -132.6)
        Week 92
    -144.8 (-151.1 to -138.4)
    -148.5 (-154.7 to -142.2)
        Week 96
    -147.6 (-154.6 to -140.5)
    -139.7 (-146.7 to -132.8)
        Week 100
    -145.7 (-152.7 to -138.7)
    -147.1 (-153.9 to -140.2)
        Week 104
    -147.7 (-154.6 to -140.8)
    -143.4 (-150.2 to -136.6)
        Week 108
    -141.7 (-148.5 to -134.8)
    -151.0 (-157.7 to -144.2)
        Week 112
    -150.1 (-157.1 to -143.1)
    -144.3 (-151.3 to -137.4)
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Absence of Intraretinal Fluid in the Study Eye Over Time

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    End point title
    Percentage of Participants with Absence of Intraretinal Fluid in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [39]
    337 [40]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 324, 332)
    89.2 (86.0 to 92.4)
    85.2 (81.6 to 88.8)
        Week 8 (n = 321, 325)
    87.5 (84.1 to 90.9)
    84.3 (80.6 to 88.1)
        Week 12 (n = 320, 323)
    89.3 (86.1 to 92.5)
    85.4 (81.8 to 89.0)
        Week 16 (n = 318, 315)
    89.2 (86.0 to 92.5)
    76.3 (71.8 to 80.8)
        Week 20 (n = 307, 306)
    82.4 (78.3 to 86.5)
    83.4 (79.5 to 87.3)
        Week 24 (n = 279, 284)
    80.5 (75.9 to 85.0)
    77.7 (73.0 to 82.4)
        Week 28 (n = 285, 276)
    76.9 (72.3 to 81.4)
    85.3 (81.3 to 89.2)
        Week 32 (n = 291, 285)
    86.8 (83.1 to 90.6)
    79.1 (74.6 to 83.7)
        Week 36 (n = 284, 295)
    79.9 (75.5 to 84.3)
    83.5 (79.4 to 87.6)
        Week 40 (n = 276, 285)
    82.1 (77.7 to 86.5)
    77.2 (72.5 to 81.9)
        Week 44 (n = 273, 264)
    75.5 (70.6 to 80.3)
    84.9 (80.7 to 89.1)
        Week 48 (n = 263, 267)
    82.1 (77.7 to 86.5)
    74.4 (69.4 to 79.5)
        Week 52 (n = 273, 277)
    83.1 (78.8 to 87.4)
    85.0 (80.9 to 89.1)
        Week 56 (n = 271, 276)
    84.9 (80.8 to 89.1)
    80.3 (75.8 to 84.9)
        Week 60 (n = 265, 264)
    72.9 (67.9 to 77.9)
    82.3 (77.9 to 86.7)
        Week 104 (n = 249, 263)
    80.0 (75.2 to 84.8)
    80.7 (76.1 to 85.4)
        Week 108 (n = 243, 253)
    77.8 (72.9 to 82.7)
    84.7 (80.5 to 88.9)
        Week 112 (n = 245, 256)
    82.3 (77.7 to 86.9)
    76.2 (71.0 to 81.3)
    Notes
    [39] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [40] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Absence of Subretinal Fluid in the Study Eye Over Time

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    End point title
    Percentage of Participants with Absence of Subretinal Fluid in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [41]
    337 [42]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 324, 332)
    67.8 (62.9 to 72.7)
    58.8 (53.7 to 64.0)
        Week 8 (n = 321, 324)
    84.5 (80.6 to 88.4)
    76.4 (71.9 to 81.0)
        Week 12 (n = 321, 324)
    87.2 (83.6 to 90.8)
    78.5 (74.1 to 82.9)
        Week 16 (n = 318, 316)
    89.6 (86.3 to 92.9)
    59.9 (54.6 to 65.2)
        Week 20 (n = 307, 307)
    75.1 (70.3 to 79.9)
    76.3 (71.6 to 81.0)
        Week 24 (n = 279, 284)
    70.8 (65.6 to 75.9)
    63.9 (58.4 to 69.4)
        Week 28 (n = 285, 276)
    71.1 (65.9 to 76.2)
    78.8 (74.0 to 83.5)
        Week 32 (n = 292, 285)
    82.2 (77.9 to 86.5)
    65.1 (59.6 to 70.6)
        Week 36 (n = 285, 295)
    74.1 (69.2 to 79.1)
    79.9 (75.4 to 84.4)
        Week 40 (n = 284, 288)
    78.5 (73.9 to 83.1)
    67.3 (61.9 to 72.7)
        Week 44 (n = 277, 274)
    69.6 (64.3 to 74.9)
    78.0 (73.1 to 82.8)
        Week 48 (n = 268, 279)
    75.7 (70.7 to 80.8)
    65.8 (60.4 to 71.1)
        Week 52 (n = 273, 278)
    80.6 (76.0 to 85.2)
    79.9 (75.3 to 84.5)
        Week 56 (n = 271, 276)
    79.0 (74.3 to 83.7)
    70.1 (64.7 to 75.4)
        Week 60 (n = 267, 274)
    67.7 (62.2 to 73.2)
    77.5 (72.6 to 82.3)
        Week 104 (n = 249, 261)
    79.3 (74.5 to 84.2)
    74.9 (69.7 to 80.1)
        Week 108 (n = 245, 253)
    79.6 (74.6 to 84.6)
    77.4 (72.4 to 82.5)
        Week 112 (n = 245, 256)
    80.9 (76.1 to 85.7)
    73.1 (67.7 to 78.4)
    Notes
    [41] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [42] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time

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    End point title
    Percentage of Participants with Absence of Intraretinal Fluid and Subretinal Fluid in the Study Eye Over Time
    End point description
    Intraretinal fluid and subretinal fluid were 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 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.
    End point type
    Secondary
    End point timeframe
    Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [43]
    337 [44]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 323, 332)
    60.8 (55.7 to 66.0)
    49.0 (43.8 to 54.2)
        Week 8 (n = 321, 324)
    74.5 (69.9 to 79.2)
    63.1 (58.0 to 68.2)
        Week 12 (n = 319, 323)
    77.4 (72.9 to 81.9)
    66.3 (61.4 to 71.3)
        Week 16 (n = 318, 315)
    78.8 (74.4 to 83.2)
    44.0 (38.6 to 49.4)
        Week 20 (n = 307, 306)
    64.7 (59.4 to 70.0)
    62.2 (56.9 to 67.4)
        Week 24 (n = 279, 284)
    57.2 (51.6 to 62.9)
    48.9 (43.2 to 54.6)
        Week 28 (n = 285, 276)
    54.8 (49.2 to 60.5)
    66.9 (61.5 to 72.3)
        Week 32 (n = 292, 285)
    71.9 (66.8 to 77.0)
    51.2 (45.5 to 56.9)
        Week 36 (n = 285, 295)
    59.4 (53.7 to 65.1)
    66.6 (61.3 to 71.9)
        Week 40 (n = 278, 286)
    64.8 (59.3 to 70.3)
    52.1 (46.3 to 57.9)
        Week 44 (n = 275, 266)
    51.4 (45.6 to 57.2)
    65.5 (59.8 to 71.1)
        Week 48 (n = 264, 268)
    63.3 (57.6 to 68.9)
    47.1 (41.3 to 52.9)
        Week 52 (n = 273, 277)
    68.4 (63.0 to 73.8)
    68.4 (63.1 to 73.8)
        Week 56 (n = 271, 276)
    67.8 (62.3 to 73.3)
    55.3 (49.4 to 61.1)
        Week 60 (n = 266, 267)
    48.6 (42.7 to 54.4)
    62.4 (56.7 to 68.2)
        Week 104 (n = 249, 261)
    63.0 (57.0 to 68.9)
    59.0 (53.1 to 65.0)
        Week 108 (n = 243, 253)
    60.7 (54.7 to 66.8)
    63.6 (57.8 to 69.4)
        Week 112 (n = 244, 256)
    65.9 (60.0 to 71.8)
    54.5 (48.4 to 60.6)
    Notes
    [43] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [44] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Absence of Pigment Epithelial Detachment in the Study Eye Over Time

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    End point title
    Percentage of Participants with Absence of Pigment Epithelial Detachment in the Study Eye Over Time
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline, Weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 104, 108, and 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    334 [45]
    337 [46]
    Units: Percentage of participants
    number (confidence interval 95%)
        Week 4 (n = 325, 332)
    5.3 (2.9 to 7.6)
    4.9 (2.6 to 7.2)
        Week 8 (n = 320, 325)
    3.5 (1.5 to 5.5)
    4.3 (2.1 to 6.5)
        Week 12 (n = 322, 325)
    2.9 (1.0 to 4.7)
    2.1 (0.6 to 3.7)
        Week 16 (n = 318, 316)
    1.6 (0.2 to 3.0)
    4.4 (2.2 to 6.6)
        Week 20 (n = 306, 309)
    2.4 (0.7 to 4.1)
    3.9 (1.8 to 6.1)
        Week 24 (n = 279, 285)
    3.3 (1.2 to 5.4)
    4.2 (1.9 to 6.6)
        Week 28 (n = 285, 276)
    2.9 (1.0 to 4.8)
    5.8 (3.1 to 8.5)
        Week 32 (n = 292, 285)
    3.4 (1.4 to 5.5)
    3.6 (1.4 to 5.7)
        Week 36 (n = 285, 295)
    4.3 (1.9 to 6.6)
    6.4 (3.7 to 9.2)
        Week 40 (n = 284, 291)
    7.8 (4.7 to 10.9)
    9.9 (6.5 to 13.3)
        Week 44 (n = 277, 273)
    3.6 (1.5 to 5.8)
    8.8 (5.5 to 12.2)
        Week 48 (n = 270, 279)
    3.4 (1.3 to 5.5)
    7.7 (4.6 to 10.7)
        Week 52 (n = 273, 278)
    2.3 (0.5 to 4.1)
    3.5 (1.4 to 5.7)
        Week 56 (n = 271, 276)
    2.6 (0.7 to 4.5)
    5.8 (3.0 to 8.5)
        Week 60 (n = 267, 274)
    4.2 (1.8 to 6.5)
    6.4 (3.6 to 9.2)
        Week 104 (n = 249, 263)
    3.7 (1.4 to 6.0)
    4.9 (2.3 to 7.6)
        Week 108 (n = 243, 252)
    3.1 (0.9 to 5.4)
    7.5 (4.2 to 10.7)
        Week 112 (n = 246, 256)
    4.0 (1.6 to 6.4)
    8.0 (4.7 to 11.2)
    Notes
    [45] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    [46] - The 'n' analyzed indicates subjects with a non-missing, valid assessment at a given timepoint.
    No statistical analyses for this end point

    Secondary: Percentage of Participants with Absence of Intraretinal Cysts in the Study Eye Over Time

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    End point title
    Percentage of Participants with Absence of Intraretinal Cysts in the Study Eye Over Time
    End point description
    End point type
    Secondary
    End point timeframe
    Up to 112 weeks
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    0 [47]
    0 [48]
    Units: Percentage of participants
        number (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [47] - Not evaluated; absence of intraretinal (IR) fluid and IR cysts are described by the same variable.
    [48] - Not evaluated; absence of intraretinal (IR) fluid and IR cysts are described by the same variable.
    No statistical analyses for this end point

    Secondary: Change from Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 48

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    End point title
    Change from Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 48
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    237
    248
    Units: millimetres squared (mm^2)
        arithmetic mean (standard deviation)
    0.0 ± 4.5
    0.4 ± 4.8
    No statistical analyses for this end point

    Secondary: Change from Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 48

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    End point title
    Change from Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 48
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 48
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    243
    246
    Units: millimetres squared (mm^2)
        arithmetic mean (standard deviation)
    -3.8 ± 6.9
    -3.0 ± 6.9
    No statistical analyses for this end point

    Secondary: Change from Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 112

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    End point title
    Change from Baseline in Total Area of Choroidal Neovascularization Lesion in the Study Eye at Week 112
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    225
    236
    Units: millimetres squared (mm^2)
        arithmetic mean (standard deviation)
    1.2 ± 4.6
    1.6 ± 5.0
    No statistical analyses for this end point

    Secondary: Change from Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 112

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    End point title
    Change from Baseline in Total Area of Choroidal Neovascularization Leakage in the Study Eye at Week 112
    End point 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.
    End point type
    Secondary
    End point timeframe
    Baseline and Week 112
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    222
    233
    Units: millimetres squared (mm^2)
        arithmetic mean (standard deviation)
    -5.4 ± 5.7
    -5.0 ± 6.4
    No statistical analyses for this end point

    Secondary: Percentage of Participants with at Least One Adverse Event

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    End point title
    Percentage of Participants with at Least One Adverse Event
    End point description
    This analysis of adverse events (AEs) includes both ocular and non-ocular (systemic) AEs and is conducted on the safety-evaluable population. 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).
    End point type
    Secondary
    End point timeframe
    From first dose of study drug through end of study (up to 112 weeks)
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Percentage of participants
    number (not applicable)
        Adverse Event (AE)
    88.3
    89.3
        Serious AE (SAE)
    24.0
    27.7
        AE Leading to Withdrawal from Study Treatment
    3.6
    2.7
        AE of Special Interest (AESI)
    4.8
    6.8
    No statistical analyses for this end point

    Secondary: Percentage of Participants with at Least One Ocular Adverse Event in the Study Eye or the Fellow Eye

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    End point title
    Percentage of Participants with at Least One Ocular Adverse Event in the Study Eye or the Fellow Eye
    End point description
    This analysis of adverse events (AEs) is conducted on the safety-evaluable population, which includes all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye. It 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).
    End point type
    Secondary
    End point timeframe
    From first dose of study drug through end of study (up to 112 weeks)
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Percentage of participants
    number (not applicable)
        Study Eye: Adverse Event (AE)
    55.0
    56.5
        Study Eye: Serious AE (SAE)
    4.2
    3.9
        Study Eye: AE Leading to Withdrawal from Treatment
    1.8
    0.6
        Study Eye: Treatment-related AE
    4.2
    2.7
        Study Eye: Treatment-related SAE
    1.2
    0.0
        Study Eye: AE of Special Interest (AESI)
    3.6
    3.9
        Study Eye: AESI, Drop in VA Score ≥30 Letters
    2.7
    3.0
        Study Eye: AESI, Associated with Severe IOI
    0.3
    0.3
        StudyEye:AESI,Interv Req to Avoid Perm Vision Loss
    0.6
    0.6
        Fellow Eye: AE
    39.3
    44.3
        Fellow Eye: SAE
    1.2
    3.3
        Fellow Eye: AESI
    1.2
    3.0
        Fellow Eye: AESI, Drop in VA Score ≥30 Letters
    0.9
    2.1
        FellowEye:AESI,Inter Req to Avoid Perm Vision Loss
    0.3
    0.9
    No statistical analyses for this end point

    Secondary: Percentage of Participants with at Least One Non-Ocular Adverse Event

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    End point title
    Percentage of Participants with at Least One Non-Ocular Adverse Event
    End point description
    This analysis of adverse events (AEs) is conducted on the safety-evaluable population, which includes all participants who received at least one dose of active study drug (faricimab or aflibercept) in the study eye. It 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.
    End point type
    Secondary
    End point timeframe
    From first dose of study drug through end of study (up to 112 weeks)
    End point values
    Arm A: Faricimab Arm B: Aflibercept
    Number of subjects analysed
    333
    336
    Units: Percentage of participants
    number (not applicable)
        Adverse Event (AE)
    75.7
    72.9
        Serious AE (SAE)
    19.8
    22.6
        AE Leading to Withdrawal from Study Treatment
    1.8
    2.1
        AE of Special Interest (AESI)
    0.0
    0.3
    No statistical analyses for this end point

    Secondary: Plasma Concentration of Faricimab Over Time

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    End point title
    Plasma Concentration of Faricimab Over Time [49]
    End point description
    Faricimab concentration in plasma was determined using a validated immunoassay method. This analysis only includes Arm A participants who received treatment with faricimab in the pharmacokinetic-evaluable population, which includes all 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.
    End point type
    Secondary
    End point timeframe
    Pre-dose at Baseline, Weeks 4, 16, 20, 48, 76, and 112
    Notes
    [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable to participants who were randomized to Arm A: Faricimab.
    End point values
    Arm A: Faricimab
    Number of subjects analysed
    333
    Units: micrograms per millilitre (μg/mL)
    arithmetic mean (standard deviation)
        Baseline (n = 323)
    0.0000 ± 0.0005
        Week 4 (n = 321)
    0.0288 ± 0.0194
        Week 16 (n = 304)
    0.0337 ± 0.0266
        Week 20 (n = 296)
    0.0044 ± 0.0062
        Week 48 (n = 279)
    0.0139 ± 0.0175
        Week 76 (n = 258)
    0.0057 ± 0.0109
        Week 112 (n = 248)
    0.0099 ± 0.0140
    No statistical analyses for this end point

    Secondary: Percentage of Participants Who Tested Positive for Treatment-Emergent Anti-Drug Antibodies Against Faricimab During the Study

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    End point title
    Percentage of Participants Who Tested Positive for Treatment-Emergent Anti-Drug Antibodies Against Faricimab During the Study [50]
    End point 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. 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.
    End point type
    Secondary
    End point timeframe
    Pre-dose at Baseline, Weeks 4, 20, 48, 76, and 112
    Notes
    [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: This endpoint is only applicable to participants who were randomized to Arm A: Faricimab.
    End point values
    Arm A: Faricimab
    Number of subjects analysed
    330
    Units: Percentage of participants
    number (not applicable)
        Total Treatment-Emergent ADA-Positive
    11.5
        Treatment-Induced ADA-Positive
    11.2
        Treatment-Boosted ADA-Positive
    0.3
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dose of study drug through end of study (up to 112 weeks)
    Adverse event reporting additional 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.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Arm A: Faricimab
    Reporting group description
    Subjects 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 subjects with active disease to be treated with a once every 8 weeks (Q8W) dosing regimen of 6 mg of faricimab (i.e., at Weeks 20, 28, 36, 44, 52, and 60). A second assessment of disease activity at Week 24 required Arm A subjects 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., at Weeks 24, 36, 48, and 60). Subjects who did not have active disease at Weeks 20 and 24 were treated with 6 mg of faricimab IVT once every 16 weeks (Q16W; i.e., at Weeks 28, 44, and 60). From Week 60 (when all of Arm A was scheduled to receive study drug) to Week 108, Arm A subjects were to be treated according to a personalized treatment interval (PTI) dosing regimen (Q8W, Q12W, or Q16W).

    Reporting group title
    Arm B: Aflibercept
    Reporting group description
    Subjects 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. Subjects 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).

    Serious adverse events
    Arm A: Faricimab Arm B: Aflibercept
    Total subjects affected by serious adverse events
         subjects affected / exposed
    80 / 333 (24.02%)
    93 / 336 (27.68%)
         number of deaths (all causes)
    13
    7
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Gastric cancer
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hair follicle tumour benign
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Meningioma
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung neoplasm malignant
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neuroendocrine carcinoma metastatic
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rectal cancer
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tongue neoplasm malignant stage unspecified
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bile duct cancer
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Plasma cell myeloma
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Gastric cancer recurrent
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Hepatic cancer
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colorectal cancer
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pancreatic carcinoma
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oesophageal adenocarcinoma
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Breast cancer
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Colon cancer metastatic
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Tracheal cancer
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung neoplasm
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Colon neoplasm
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Prostate cancer
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholangiocarcinoma
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Deep vein thrombosis
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypertension
         subjects affected / exposed
    1 / 333 (0.30%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aortic stenosis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aortic aneurysm rupture
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypertensive urgency
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aortic aneurysm
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Orthostatic hypotension
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Internal haemorrhage
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Multiple organ dysfunction syndrome
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Gait disturbance
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Asthenia
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chest pain
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chest discomfort
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hernia
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Death
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Immune system disorders
    Drug hypersensitivity
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pulmonary embolism
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bronchiectasis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory distress
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Pulmonary oedema
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Chronic obstructive pulmonary disease
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pharyngeal cyst
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Major depression
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Alcoholism
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Depression
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Intraocular pressure increased
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Staphylococcus test positive
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Anaemia postoperative
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Corneal abrasion
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arthropod bite
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fall
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Femur fracture
         subjects affected / exposed
    1 / 333 (0.30%)
    3 / 336 (0.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ligament sprain
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Toxicity to various agents
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Spinal compression fracture
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ankle fracture
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal stoma complication
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Fibula fracture
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subdural haemorrhage
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Hip fracture
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rib fracture
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Foot fracture
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tibia fracture
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Acute left ventricular failure
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Acute myocardial infarction
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Angina pectoris
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    5 / 333 (1.50%)
    4 / 336 (1.19%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac failure congestive
         subjects affected / exposed
    3 / 333 (0.90%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 1
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    Mitral valve prolapse
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pericarditis constrictive
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Arrhythmia
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mitral valve incompetence
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac arrest
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ventricular tachycardia
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Supraventricular tachycardia
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Atrial flutter
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Coronary artery disease
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    0 / 333 (0.00%)
    3 / 336 (0.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebrovascular accident
         subjects affected / exposed
    2 / 333 (0.60%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 3
    1 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Somnolence
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Encephalopathy
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 333 (0.30%)
    3 / 336 (0.89%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Transient ischaemic attack
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cerebral infarction
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intensive care unit acquired weakness
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Guillain-Barre syndrome
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Balance disorder
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Carotid artery stenosis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Age-related macular degeneration
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Neovascular age-related macular degeneration
         subjects affected / exposed
    1 / 333 (0.30%)
    9 / 336 (2.68%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 11
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cataract
         subjects affected / exposed
    2 / 333 (0.60%)
    5 / 336 (1.49%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal pigment epithelial tear
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Rhegmatogenous retinal detachment
         subjects affected / exposed
    1 / 333 (0.30%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subretinal fibrosis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Uveitis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal depigmentation
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal tear
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Visual acuity reduced
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Macular degeneration
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Tractional retinal detachment
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Retinal degeneration
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dry age-related macular degeneration
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lens dislocation
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Abdominal pain
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hiatus hernia
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal haemorrhage
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ileus
         subjects affected / exposed
    0 / 333 (0.00%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intestinal obstruction
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Incarcerated inguinal hernia
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Melaena
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Irritable bowel syndrome
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mouth cyst
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cholelithiasis
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis allergic
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Chronic kidney disease
         subjects affected / exposed
    2 / 333 (0.60%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Acute kidney injury
         subjects affected / exposed
    2 / 333 (0.60%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Haematuria
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary retention
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Osteoarthritis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Scoliosis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intervertebral disc protrusion
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal chest pain
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteonecrosis of jaw
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Biliary sepsis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Arthritis bacterial
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    5 / 333 (1.50%)
    4 / 336 (1.19%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lung abscess
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    6 / 333 (1.80%)
    5 / 336 (1.49%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 5
         deaths causally related to treatment / all
    0 / 1
    0 / 2
    Pneumonia bacterial
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 333 (0.30%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Septic shock
         subjects affected / exposed
    2 / 333 (0.60%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sinusitis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Systemic bacterial infection
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Viral uveitis
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    2 / 333 (0.60%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia aspiration
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Post procedural cellulitis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    1 / 333 (0.30%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endophthalmitis
         subjects affected / exposed
    3 / 333 (0.90%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    1 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infection
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diverticulitis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Osteomyelitis
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    COVID-19 pneumonia
         subjects affected / exposed
    2 / 333 (0.60%)
    2 / 336 (0.60%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Skin infection
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 333 (0.00%)
    3 / 336 (0.89%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    0 / 333 (0.00%)
    1 / 336 (0.30%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Magnesium deficiency
         subjects affected / exposed
    1 / 333 (0.30%)
    0 / 336 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Arm A: Faricimab Arm B: Aflibercept
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    211 / 333 (63.36%)
    200 / 336 (59.52%)
    Investigations
    Intraocular pressure increased
         subjects affected / exposed
    17 / 333 (5.11%)
    14 / 336 (4.17%)
         occurrences all number
    23
    22
    Injury, poisoning and procedural complications
    Fall
         subjects affected / exposed
    20 / 333 (6.01%)
    20 / 336 (5.95%)
         occurrences all number
    29
    24
    Vascular disorders
    Hypertension
         subjects affected / exposed
    24 / 333 (7.21%)
    13 / 336 (3.87%)
         occurrences all number
    25
    13
    Eye disorders
    Conjunctival haemorrhage
         subjects affected / exposed
    36 / 333 (10.81%)
    33 / 336 (9.82%)
         occurrences all number
    44
    40
    Cataract
         subjects affected / exposed
    27 / 333 (8.11%)
    36 / 336 (10.71%)
         occurrences all number
    41
    47
    Neovascular age-related macular degeneration
         subjects affected / exposed
    65 / 333 (19.52%)
    63 / 336 (18.75%)
         occurrences all number
    85
    77
    Dry eye
         subjects affected / exposed
    18 / 333 (5.41%)
    24 / 336 (7.14%)
         occurrences all number
    27
    42
    Eye pain
         subjects affected / exposed
    14 / 333 (4.20%)
    18 / 336 (5.36%)
         occurrences all number
    17
    25
    Vitreous detachment
         subjects affected / exposed
    19 / 333 (5.71%)
    21 / 336 (6.25%)
         occurrences all number
    23
    33
    Vitreous floaters
         subjects affected / exposed
    23 / 333 (6.91%)
    12 / 336 (3.57%)
         occurrences all number
    30
    17
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    22 / 333 (6.61%)
    19 / 336 (5.65%)
         occurrences all number
    25
    20
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    23 / 333 (6.91%)
    35 / 336 (10.42%)
         occurrences all number
    27
    42
    Urinary tract infection
         subjects affected / exposed
    26 / 333 (7.81%)
    23 / 336 (6.85%)
         occurrences all number
    37
    27

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    28 Feb 2019
    Protocol Version 2: Amended to address feedback from the Voluntary Harmonisation Procedure. To enhance patient safety and to comply with health authority requests, patients with a known hypersensitivity to fluorescein were excluded. Also, the criterion for interruption and resuming study treatment after IOI was amended for clarity.
    06 Aug 2019
    Protocol Version 3: -The criteria for the extension of the drug-dosing interval during the PTI phase was changed from a qualitative assessment of the presence of fluid to a quantitative assessment of CST stability.; -The study-eye inclusion criteria were amended to include patients with extrafoveal CNV membranes with a subfoveal component, secondary to nAMD.; -To ensure appropriate patient representation, the Sponsor could elect to cap the recruitment of patients in certain baseline BCVA strata.; -Reporting of medication errors and associated AE was updated. Medication errors were no longer to be reported expeditiously (within 24 hours), unless they caused a SAE or AESI.; -Since patient recruitment was expected to take longer in Japan, a specific Japan enrollment plan was established. After the global enrollment phase of the study had been completed, additional patients could be enrolled in a Japan extension to ensure a total enrollment sufficient to support registration in Japan.; -As applicable throughout the protocol, the term "free" was added before VEGF-A and Ang-2 to more accurately describe what the assays were measuring and to be consistent with the other sections of the protocol.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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