Evidence map›Paper›PMID 37810589›Full record

ArticleOphthalmology science2023

BALATON and COMINO: Phase III Randomized Clinical Trials of Faricimab for Retinal Vein Occlusion: Study Design and Rationale.

Lars-Olof Hattenbach, Francis Abreu, Pablo Arrisi, Karen Basu, Carl J Danzig, Robyn Guymer, Zdenka Haskova, Jeffrey S Heier, Aachal Kotecha, Ying Liu and 5 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Ophthalmology science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04740905 phase3completednot on this map

A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Macular Edema Secondary to Branch Retinal Vein Occlusion

TypeinterventionalSponsorHoffmann-La RocheRan2021 to 2023Enrolled553ConditionsMacular Edema, Branch Retinal Vein OcclusionArmsFaricimab, Aflibercept, Sham Procedure
NCT04740931 phase3completednot on this map

A Phase III, Multicenter, Randomized, Double-Masked, Active Comparator-Controlled Study to Evaluate the Efficacy and Safety of Faricimab in Patients With Macular Edema Secondary to Central Retinal or Hemiretinal Vein Occlusion

TypeinterventionalSponsorHoffmann-La RocheRan2021 to 2023Enrolled729ConditionsMacular Edema, Central Retinal Vein Occlusion, Hemiretinal Vein OcclusionArmsFaricimab, Aflibercept, Sham Procedure
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Faricimab: current evidence for the treatment of retinal vein occlusion.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Adoption patterns of anti-vascular endothelial growth factor therapies in retinal disease.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Article
  7. Article
  8. Observational
  9. Efficacy of faricimab for recalcitrant multifactorial cystoid macular edema.American journal of ophthalmology case reports · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Emerging clinical evidence of a dual role for Ang-2 and VEGF-A blockade with faricimab in retinal diseases.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Anti-vascular endothelial growth factor therapies in ophthalmology.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 7 countries.

Lars-Olof HattenbachAugenklinik des Klinikums Ludwigshafen, Ludwigshafen, Germany.
Francis AbreuGenentech, Inc., South San Francisco, California.
Pablo ArrisiRoche Products Ltd., Welwyn Garden City, UK.
Karen BasuRoche Products (Ireland), Dublin, Ireland.
Carl J DanzigRand Eye Institute, Deerfield Beach, Florida.
Robyn GuymerThe Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, University of Melbourne, East Melbourne, Australia.
Zdenka HaskovaGenentech, Inc., South San Francisco, California.
Jeffrey S HeierOphthalmic Consultants of Boston, Boston, Massachusetts.
Aachal KotechaRoche Products Ltd., Welwyn Garden City, UK.
Ying LiuGenentech, Inc., South San Francisco, California.
Anat LoewensteinTel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel.
András SeresBudapest Retina Associates, Budapest, Hungary.
Jeffrey R WillisGenentech, Inc., South San Francisco, California.
Charles C WykoffRetinal Consultants of Texas, Houston, Texas.
Liliana P ParisGenentech, Inc., South San Francisco, California.
Roche (United Kingdom) · GBBudapest University of Economics and Business · HUCentre for Eye Research Australia · AUEast Florida Eye Institute · USKlinikum Ludwigshafen · DEOphthalmic Consultants of Boston · USRetina Consultants of Texas · USRoche (Ireland) · IETel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Dual inhibition of angiopoietin-2 and VEGF-A with faricimab (Vabysmo) offers excellent visual acuity gains with strong durability in patients with diabetic macular edema (ME) and neovascular age-related macular degeneration. The phase III BALATON/COMINO (NCT04740905/NCT04740931) trials will investigate the efficacy, safety, and durability of faricimab in patients with ME due to retinal vein occlusion (RVO). Design: Two identically designed global, randomized, double-masked, active comparator-controlled studies. Participants: Anti-VEGF treatment-naive patients with branch, central, or hemiretinal RVO. Methods: Patients were randomized to 6 monthly injections of faricimab 6.0 mg or aflibercept 2.0 mg. From weeks 24 to 72, all patients received faricimab 6.0 mg administered in up to 16-week intervals using an automated treatment algorithm to generate a treat-and-extend-based personalized treatment interval dosing regimen. Personalized treatment interval adjustments were based on changes in central subfield thickness (CST) and best-corrected visual acuity (BCVA). Main Outcome Measures: Primary end point was noninferiority of faricimab versus aflibercept in mean change from baseline in BCVA (week 24; noninferiority margin: 4 letters). Secondary end points (weeks 0-24) were mean change from baseline in BCVA, CST, and National Eye Institute Visual Function Questionnaire 25 composite score; proportion of patients gaining or avoiding loss of ≥ 15/≥ 10/≥ 5/> 0 letters. Secondary end points (weeks 24-72) were treatment durability (week 68); continuation of weeks 0 to 24 end points. Ocular/nonocular adverse events will be assessed. Results: In total, 1282 patients across 22 countries were enrolled (BALATON, 553 patients, 149 centers; COMINO, 729 patients, 193 centers). Conclusions: Using a novel automated interval algorithm, BALATON/COMINO will evaluate the efficacy and safety of faricimab for ME secondary to RVO and provide key insights into how to personalize treatment. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Angiopoietin-2FaricimabMacular edemaRetinal vein occlusionVascular endothelial growth factor receptor

Identifiers

PMID37810589
PMCPMC10556281
OpenAlexW4360998562

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.