Table 5.
Adverse events up to two years: ranibizumab vs. control
Ocular adverse event* | 0.3 mg ranibizumab n = 434 |
0.5 mg ranibizumab n = 440 |
All doses ranibizumab n = 874 |
Control n = 441 |
RR [95% CI] All doses vs. control |
---|---|---|---|---|---|
Endophthalmitis | 2 (< 1%) | 6 (1%) | 8 (< 1%) | 0 | 8.59 [0.50, 148.44] |
Retinal detachment | 2 (< 1%) | 0 | 2 (< 1%) | 2 (< 1%) | 0.50 [0.07, 3.57] |
Traumatic cataract | 65 (15%) | 76 (17%) | 141 (16%) | 57 (13%) | 1.25 [0.94, 1.66] |
Retinal hemorrhage | 1 (< 1%) | 0 | 1 (< 1%) | 1 (< 1%) | 0.50 [0.03, 8.05] |
Vitreous hemorrhage | 3 (< 1%) | 1 (< 1%) | 4 (< 1%) | 2 (< 1%) | 1.01 [0.19, 5.49] |
Uveitis | 3 (< 1%) | 4 (< 1%) | 7 (<1%) | 0 | 7.58 [0.43, 132.36] |
Elevated intraocular pressure (30 mmHg or more increase)** | 45 (15%) | 61 (20%) | 106 (18%) | 11 (4%) | 4.81 [2.63, 8.81] |
Ocular inflammation (1+ to 4+) | 32 (7%) | 30 (7%) | 62 (7%) | 8 (2%) | 3.91 [1.89, 8.09] |
Non-ocular adverse event* | 0.3 mg ranibizumab n = 434 |
0.5 mg ranibizumab n = 440 |
All doses ranibizumab n = 874 |
Control n = 441 |
RR [95% CI] All doses vs. control |
---|---|---|---|---|---|
Death | 12 (3%) | 9 (2%) | 21 (2%) | 13 (3%) | 0.82 [0.41, 1.61] |
Myocardial infarction | 7 (2%) | 8 (2%) | 15 (2%) | 7 (2%) | 1.08 [0.44, 2.63] |
Stroke or cerebral infarction | 6 (1%) | 6 (1%) | 12 (1%) | 5 (1%) | 1.21 [0.43, 3.42] |
Ischemic cardiomyopathy | 0 | 0 | 0 | 1 (< 1%) | 0.17 [0.01, 4.12] |
Treatment-emergent hypertension | 60 (14%) | 69 (16%) | 129 (15%) | 68 (15%) | 0.96 [0.73, 1.25] |
Nonocular hemorrhage | 38 (9%) | 40 (9%) | 78 (9%) | 24 (5%) | 1.64 [1.05, 2.55] |
CI: confidence interval
RR: risk ratio
Adverse events experienced by 420 participants in the ANCHOR 2006 study; 713 participants in the MARINA 2006 study; and 182 participants in the PIER 2008 study.
Adverse events for elevated intraocular pressure not reported in the ANCHOR 2006 study at two-year follow up (n = 297 in 0.3 mg ranibizumab group, n = 300 in 0.5 mg ranibizumab group, and n = 298 in 0.3 mg control group).