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FDA Approves Byooviz (ranibizumab) for Neovascular AMD, Macular Edema Following RVO, and Myopic CNV

FDA Approves Byooviz (ranibizumab) for Neovascular AMD, Macular Edema Following RVO, and Myopic CNV
Photo by Pharmacy Images / Unsplash
Key Takeaway
Consider for monthly intravitreal injection in wet AMD, RVO-related macular edema, or myopic CNV.

The FDA has approved Byooviz (ranibizumab), a vascular endothelial growth factor (VEGF) inhibitor, for the treatment of three retinal conditions: neovascular (wet) age-related macular degeneration (AMD), macular edema following retinal vein occlusion (RVO), and myopic choroidal neovascularization (mCNV). This approval provides a new biosimilar option for clinicians managing these common causes of vision loss, which involve abnormal blood vessel growth and leakage in the retina. The drug is administered via intravitreal injection, with a recommended dose of 0.5 mg (0.05 mL). For wet AMD, the label notes that while monthly dosing is recommended, alternative regimens with less frequent dosing after initial loading doses are described as 'not as effective' but may be used with regular patient assessment. This approval expands the therapeutic landscape for retinal specialists and ophthalmologists treating these chronic conditions.

Clinical Details (Mechanism · Dosing · Trial Data · Warnings)
Mechanism of Action

Byooviz is a vascular endothelial growth factor (VEGF) inhibitor.

Indication & Patient Population

BYOOVIZ is indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (AMD), Macular Edema Following Retinal Vein Occlusion (RVO), and Myopic Choroidal Neovascularization (mCNV).

Dosing & Administration

For ophthalmic intravitreal injection only. The recommended dose is 0.5 mg (0.05 mL of a 10 mg/mL solution). For Neovascular (Wet) AMD: Administer by intravitreal injection once a month (approximately 28 days). Although not as effective, patients may be treated with 3 monthly doses followed by less frequent dosing with regular assessment. Although not as effective, patients may also be treated with one dose every 3 months after 4 monthly doses. Patients should be assessed regularly. For Macular Edema Following RVO: Administer by intravitreal injection once a month (approximately 28 days). The label states patients should be treated monthly, noting that in referenced studies, patients not treated at Month 6 after initial therapy experienced an average loss of visual acuity at Month 7. For Myopic Choroidal Neovascularization (mCNV): Initially administer by intravitreal injection once a month (approximately 28 days) for up to three months. Patients may be retreated if needed. Preparation requires specific, non-included medical devices: a 5-micron sterile filter needle (18-gauge × 1-1/2 inch or 19-gauge × 1-1/2 inch), a 1-mL Luer lock syringe, and a sterile 30-gauge × ½ inch injection needle. Administration must be carried out under controlled aseptic conditions.

Key Clinical Trial Data

Trial data not available in label. The label references Clinical Studies sections 14.1, 14.2, and 14.3 but does not provide the specific efficacy or safety data from those trials within the provided text.

Warnings & Contraindications

Not reported in label.

Place in Therapy

Not reported in label.

Study Details

Study typeFda approval
PublishedSep 2021
View Original Abstract ↓
1 INDICATIONS AND USAGE BYOOVIZ is indicated for the treatment of patients with: BYOOVIZ, a vascular endothelial growth factor (VEGF) inhibitor, is indicated for the treatment of patients with: Neovascular (Wet) Age-Related Macular Degeneration (AMD) ( 1.1 ) Macular Edema Following Retinal Vein Occlusion (RVO) ( 1.2 ) Myopic Choroidal Neovascularization (mCNV) ( 1.3 ) 1.1 Neovascular (Wet) Age-Related Macular Degeneration (AMD) 1.2 Macular Edema Following Retinal Vein Occlusion (RVO) 1.3 Myopic Choroidal Neovascularization (mCNV)
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