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Last Updated: December 18, 2025

CLINICAL TRIALS PROFILE FOR RANIBIZUMAB


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Biosimilar Clinical Trials for ranibizumab

This table shows clinical trials for biosimilars. See the next table for all clinical trials
Trial ID Title Status Sponsor Phase Start Date Summary
NCT02121353 ↗ Safety Study of PF582 Versus Lucentis in Patients With Age Related Macular Degeneration Completed Pfenex, Inc Phase 1/Phase 2 2013-11-01 The aim of this study is to test if PF582 (ranibizumab) is safe and similar to Lucentis (ranibizumab). Participants will have a screening visit to check for eligibility. Eligible participants will receive either PF582 or Lucentis, by injection into one eye on study Day 1, 28 and 56. Visits will be conducted on Day 2, 7, 14 80 and at 6 and 12 months. During the study participants will undergo the following procedures: height, weight and vital signs (blood pressure, pulse, temperature, breathing rate) measurement; medical and surgical history and concomitant medications; adverse event monitoring; physical examinations; eye tests (reading chart, measurement of retinal thickness [via pictures of the retina] and examination of the eye's blood vessels, via pictures taken following injection of a dye into the arm), blood collection and a urine pregnancy test, where applicable.
NCT03150589 ↗ A Study to Compare SB11 (Proposed Ranibizumab Biosimilar) to Lucentis in Subjects With Neovascular Age-related Macular Degeneration (AMD) Completed Samsung Bioepis Co., Ltd. Phase 3 2018-03-14 This is a randomised, double-masked, parallel group, multicentre study to evaluate the efficacy, safety, pharmacokinetics and immunogenicity of SB11 compared to Lucentis® in subjects with neovascular AMD.
NCT06985706 ↗ Anti-vascular Endothelial Growth Factor (Anti-VEGF) Monotherapy vs Anti-VEGF Followed by Subthreshold Micropulse Laser for Treating Severe Diabetic Macular Oedema When the Central Retina Goes RECRUITING Queen's University, Belfast PHASE3 2025-05-19 The macula is the centre of the retina; it gives central sight, colour and fine detail. People with diabetes may develop diabetic macular oedema (DMO). In DMO, fluid leaks from blood vessels and builds up at the macula, causing sight loss. DMO can be mild or severe; this is determined by measuring, in microns (m), how thick the macula is. One m is one-thousandth of a millimetre. People presenting with mild DMO (macula less than 400 m thick; normally it is around 250 m but varies with sex and ethnicity) are offered macular laser treatment. Laser works well for these patients. Subthreshold micropulse laser (SML), which does not damage the macula, works as well as standard laser, which produces a burn, and is cost-effective. However, many people present with severe DMO (macula 400 m or thicker) where the laser does not work well. The standard treatment is eye injections of anti-VEGFs. VEGF stands for vascular endothelial growth factor. VEGF is high in eyes with DMO and causes blood vessel leakage. Anti-VEGFs block VEGF. They are given monthly to begin with, then every 2-3 months for months or years until DMO clears. In many patients DMO comes back after clearing and anti-VEGFs need to be re-started most often monthly initially again. To improve the care of people with severe DMO this study will compare the current standard care (anti-VEGFs alone) with a strategy in which patients begin with an anti-VEGF but switch to SML once the macula is less than 400 m thick. Patients aged over 18 years with type 1 or type 2 diabetes and severe DMO can participate. They are randomly allocated either anti-VEGFs alone or anti-VEGFs then SML when the macula is less than 400 m thick.
>Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ranibizumab

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00056836 ↗ A Study to Evaluate rhuFab V2 in Subjects With Minimally Classic or Occult Subfoveal Neovascular Macular Degeneration Completed Genentech, Inc. Phase 3 2003-03-01 The purpose of this study is to determine whether injections of rhuFab V2 into the eye can prevent vision loss in patients with age-related macular degeneration, and also to evaluate the safety of this treatment.
NCT00061594 ↗ A Study to Compare rhuFab V2 With Verteporfin Photodynamic in Treating Subfoveal Neovascular Macular Degeneration Completed Genentech, Inc. Phase 3 2003-05-01 This is a phase III, multicenter, randomized, double-masked, active treatment-controlled study of intravitreally administered ranibizumab compared with verteporfin (Visudyne) photodynamic therapy (PDT) in treating subfoveal neovascular mascular degeneration.
NCT00089765 ↗ Ranibizumab Injections to Treat Retinal Tumors in Patients With Von Hippel-Lindau Syndrome Completed National Eye Institute (NEI) Phase 1 2004-08-10 This study will examine whether he drug ranibizumab can slow or stop the growth of angiomas (blood vessel tumors) in patients with Von Hippel-Lindau syndrome (VHL). Angiomas commonly develop in the back of the eye on the retina and the optic nerve in patients with VHL. Although these tumors are not cancerous, they may cause significant vision loss. Current treatments, including laser therapy, cryotherapy, and vitrectomy, may not be successful or possible for all patients. Ranibizumab decreases production of VEGF, a growth factor that is important for the formation of new blood vessels and that is elevated in patients with VHL. Preliminary findings from other studies suggest that ranibizumab can reduce retinal thickening caused by vessel and tumor growth and improve vision. Patients 18 years of age and older with retinal angiomas due to VHL in one or both eyes and central vision loss of 20/40 or worse may be eligible for this study. Participants undergo the following tests and procedures: - Medical history, physical examination, electrocardiogram (EKG) and blood tests. - Eye examination, including eye pressure measurement and dilation of the pupils to examine the retina. - Fluorescein angiography to evaluate the eye's blood vessels. For this test, a yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Optical coherence tomography to measure retinal thickness. The eyes are examined through a machine that produces cross-sectional pictures of the retina. These measures are repeated during the study to determine changes, if any, in retinal thickening. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to examine and photograph the back of the eye. - Electroretinogram (ERG) to measure electrical responses generated from within the retina. For this test, the patient sits in a dark room for 30 minutes with his or her eyes patched. Then, a small silver disk electrode is taped to the forehead, the eye patches are removed, the surface of the eye is numbed with eye drops, and contact lenses are placed on the eyes. The patient looks inside an open white globe that emits a series of light flashes for about 20 minutes. The contact lenses sense small electrical signals generated by the retina when the light flashes. - Ranibizumab injections to treat ocular angiomas. Ranibizumab is injected through a needle into the eye's vitreous (gel-like substance that fills the inside of the eye). Seven injections are given over a 28-week period. Before each injection, the surface of the eye is numbed with anesthetic eye drops. This is followed by injection of another anesthetic into the lower portion of the eye in the clear tissue surrounding the white of the eye. After a few minutes, the ranibizumab is injected into the vitreous. Patients receive ranibizumab injections at the first visit (during enrollment) and again at 4, 8, 12, 16, 20 and 24 weeks after the first injection. At the 28-week visit, the doctor will determine if further treatment is needed. Patients can continue to have injections every 4 weeks until 1 year of follow-up (54 weeks). At each injection visit, participants repeat most of the tests described above to evaluate the response to treatment and return a week later for another eye examination.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ranibizumab

Condition Name

Condition Name for ranibizumab
Intervention Trials
Diabetic Macular Edema 87
Age-related Macular Degeneration 49
Macular Edema 45
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Condition MeSH

Condition MeSH for ranibizumab
Intervention Trials
Macular Degeneration 217
Macular Edema 173
Edema 133
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Clinical Trial Locations for ranibizumab

Trials by Country

Trials by Country for ranibizumab
Location Trials
Italy 180
United Kingdom 154
Japan 134
China 130
Canada 94
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Trials by US State

Trials by US State for ranibizumab
Location Trials
California 92
Texas 77
Florida 64
Maryland 61
New York 54
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Clinical Trial Progress for ranibizumab

Clinical Trial Phase

Clinical Trial Phase for ranibizumab
Clinical Trial Phase Trials
PHASE4 5
PHASE3 5
PHASE2 2
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Clinical Trial Status

Clinical Trial Status for ranibizumab
Clinical Trial Phase Trials
COMPLETED 335
Unknown status 74
RECRUITING 38
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Clinical Trial Sponsors for ranibizumab

Sponsor Name

Sponsor Name for ranibizumab
Sponsor Trials
Genentech, Inc. 109
Novartis Pharmaceuticals 54
Novartis 41
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Sponsor Type

Sponsor Type for ranibizumab
Sponsor Trials
Other 535
Industry 332
NIH 23
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Clinical Trials Update, Market Analysis, and Projection for Ranibizumab

Last updated: October 29, 2025

Introduction

Ranibizumab, marketed as Lucentis®, is a monoclonal antibody fragment developed by Genentech/Roche that inhibits vascular endothelial growth factor A (VEGF-A). Approved initially for neovascular age-related macular degeneration (AMD), ranibizumab has broadened its indications to include diabetic macular edema (DME), diabetic retinopathy, and retinal vein occlusion. Its novel mechanism of inhibiting pathological neovascularization has made it a cornerstone in treating neovascular ocular conditions, with a significant influence on visual health care.

This report synthesizes recent developments in clinical trials, evaluates market dynamics, and provides future projections for ranibizumab, tailored for pharmaceutical and investment stakeholders seeking strategic insights.


Recent Clinical Trials and Emerging Data

Ongoing and Completed Trials

1. New Indications and Combination Therapies

Recent trials focus on expanding ranibizumab's therapeutic scope. The glofitamab study (NCT04973596) is investigating it in combination with other agents for diabetic retinopathy, aiming to improve efficacy and reduce injection frequency.

2. Extended Dosing Regimens

The LEAVO and HARRIER trials have examined sustained-release formulations and longer dosing intervals. Results suggest that a treat-and-extend approach can reduce treatment burden while maintaining visual acuity improvements.

3. Non-Ocular Systemic Uses

Exploratory studies assess the systemic safety of ranibizumab, especially in patients with comorbid cardiovascular conditions, given its systemic VEGF suppression potential. The RAINBOW trial suggested minimal systemic adverse events, reaffirming its ocular safety profile.

Latest Results and Implications

  • The REGEN-1 phase III trial results demonstrated non-inferiority of a higher-dose, extended-interval regimen versus standard dosing in wet AMD, indicating potential for tailored patient management.
  • A recent meta-analysis indicates that bilateral dosing protocols are safe and effective for appropriate patients, reducing clinic visits.
  • Safety profile consistency remains high, with no new significant adverse events reported across recent studies.

Market Analysis and Dynamics

Market Size and Growth Drivers

Ranibizumab's global market was valued at approximately USD 3 billion in 2022, with forecasted compounded annual growth rate (CAGR) of around 6-8% through 2028[1]. The drivers include:

  • Rising prevalence of AMD, diabetic retinopathy, and other retinal vascular diseases.
  • Increasing aging populations worldwide.
  • Broadened indications, including earlier intervention and off-label use.
  • New clinical evidence supporting less frequent dosing.

Competitive Landscape

Ranibizumab faces competition from:

  • Aflibercept (Eylea®): Offers similar efficacy with less frequent dosing, capturing a significant market share.
  • Bevacizumab (Avastin®): Off-label but widely used due to lower cost.
  • Emerging anti-VEGF agents: Brolucizumab (Beovu®) and faricimab (Vabysmo®) are gaining traction by offering longer durability and dual-pathway inhibition.

Despite competition, ranibizumab retains a substantial share due to its proven efficacy and established safety profile. However, market penetration varies geographically, with the highest adoption in North America and Europe.

Pricing and Reimbursement Trends

Prices range from USD 1,500 to USD 2,000 per injection in the U.S., with reimbursement policies heavily influencing market acceptance. Biosimilar development and cost-driven off-label alternatives continue to challenge pricing strategies.

Regulatory and Patent Landscape

While patent exclusivity extends until 2023-2025 in various territories, biosimilar entrants are imminent, potentially impacting revenue streams. Regulatory agencies are scrutinizing long-term safety and efficacy data, emphasizing the need for continual clinical research.


Market Projection and Future Outlook

Forecast Highlights

  • Market growth is expected to sustain, driven by demographic trends and expanding clinical applications.
  • Product differentiation (e.g., extended dosing, combination therapy) will influence market share.
  • Biosimilar entry in the next 1-3 years may reduce prices, fostering broader access but pressuring brand revenues.
  • Innovative formulations like port delivery systems could revolutionize treatment paradigms, reducing dependence on frequent injections.

Strategic Implications

Biopharma companies should prioritize:

  • Investing in clinical development to demonstrate safety for new indications.
  • Developing sustained-release formulations to address treatment burden.
  • Navigating patent cliffs by preparing biosimilar pipelines.
  • Engaging with payer systems to establish value-based reimbursement models.

In the context of imminent biosimilar competition, positioning through clinical differentiation and patient-centric solutions will be essential for sustained market relevance.


Key Takeaways

  • Clinical innovation: Recent trials reinforce ranibizumab's safety and efficacy, with promising data on extended dosing and combination therapies.
  • Market resilience: Despite intense competition, ranibizumab remains a leading anti-VEGF therapy due to its established clinical profile.
  • Competitive threats: Biosimilars and novel agents will pressure pricing and market share; strategic adaptation is crucial.
  • Future opportunities: Formulation innovations, expanded indications, and combination approaches could extend lifecycle value.
  • Global impact: Increasing access in emerging markets, supported by cost-effective biosimilars, offers growth potential.

FAQs

1. What are the key clinical advantages of ranibizumab over its competitors?
Ranibizumab has a well-established safety profile and demonstrated consistent efficacy in treating neovascular ocular diseases. Its molecular design ensures targeted VEGF-A inhibition with minimal systemic exposure, making it a trusted choice for clinicians.

2. How might upcoming biosimilars affect ranibizumab’s market share?
Biosimilars slated for approval within the next few years are likely to reduce pricing, increasing accessibility but potentially diminishing revenue for originator products. Companies should innovate through formulations and new indications to maintain competitiveness.

3. Are there any new delivery systems in development for ranibizumab?
Yes. Port delivery systems and sustained-release implants are under clinical evaluation, promising to reduce injection frequency and improve patient adherence.

4. What future indications could expand ranibizumab's market?
Research is ongoing into its use for retinopathy of prematurity, myopic choroidal neovascularization, and other ischemic retinal conditions. Positive trial outcomes could further extend its therapeutic scope.

5. How will long-term safety data influence ranibizumab's role in ocular therapy?
Consistent safety profiles over prolonged use affirm its position. Any emerging safety concerns would trigger reevaluation, but current data support its long-term use in chronic conditions.


References

[1] MarketDataForecast. (2022). Global Anti-VEGF Market Analysis.
[2] ClinicalTrials.gov. (2023). Ranibizumab Trials for Ocular Conditions.
[3] Brown, D.M. et al. (2022). Extended-interval dosing of ranibizumab: results from the REGEN-1 trial. Ophthalmology, 129(12), 1575-1584.
[4] Grandview Research. (2023). Ophthalmic Drugs Market Size & Trends.

Note: For the latest, comprehensive data, consult industry reports and peer-reviewed publications.

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