Table 1 Key characteristics of phase 3 clinical trial design.

From: Approved biosimilar ranibizumab—a global update

Biosimilar name

Approval authority (date)

Sample size

Primary outcome

Equivalence margin

Total study duration

Safety assessment criteria

Byooviz/Ranibizumab-nuna

(SB11)

US-FDA

and EMA

705

(SB11-351) (RBZ-354)

BCVA improvement (8 weeks)

CST (4 weeks)

BCVA (−3 to +3 ETDRS letters)

CST (−36 to +36 μm)

12 months

TEAEs

ADA

Ongavia

(FYB 201)

CIMERLI/Ranibizumab-eqrn

(FYB 201)

Ranivisio

(FYB 201)

UKMHRA

US-FDA

EMA

477

(FYB 201-238) (RBZ-239)

BCVA improvement (8 weeks)

BCVA (−3.5 to +3.5 ETDRS letters)

12 months

TEAEs

ADA

Ranibizumab Biosimilar 1

(Ranibizumab-BS1)

Japan Ministry of Health, Labour and Welfare (Japan)

351

(Ranibizumab BS 1-176) (RBZ-175)

BCVA improvement (12 weeks)

BCVA (−4 to +4 ETDRS letters)

12 months

TEAEs

ADA

Razumab

DCGI India

104

(Razumab-78) (RBZ-26)

Loss of <15 letters on ETDRS at 12 weeks

NA

3 months

TEAEs

ADA

Ranizurel

DCGI India

160

(Ranizurel-107) (RBZ-53)

Loss of <15 letters on ETDRS at 16 weeks

NA

6 months

TEAEs

ADA

Ranieyes

DCGI India

202

(Ranieyes-101) (RBZ-101)

Loss of <15 letters on ETDRS at 12 weeks

±8.5%

3 months

TEAEs

ADA

  1. US-FDA Unites States Food and Drug Administration, EMA European Medical Agency, UKMHRA United Kingdom The Medicines and Healthcare products Regulatory Agency, DCGI Drug Controller General of India, BCVA best corrected visual acuity, ETDRS Early Treatment Diabetic Retinopathy Study Letters, TEAEs treatment emergent adverse events, ADA anti drug antibodies, RBZ reference ranibizumab, CST central subfoveal thickness, NA not available.