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Raniviz

Australian Prescription Medicine Decision Summary
Published
Product name
Raniviz
Active ingredient
Ranibizumab (rbe)
Submission type
Biosimilar
Decision
Approved
Decision date
Registration date
What this medicine was approved for

Raniviz (ranibizumab) was approved for the following therapeutic use:

Raniviz (ranibizumab) is indicated in adults for: 

  • the treatment of neovascular (wet) age-related macular degeneration (AMD),
  • the treatment of visual impairment due to diabetic macular oedema (DME),
  • treatment of proliferative diabetic retinopathy (PDR),
  • the treatment of visual impairment due to choroidal neovascularisation,
  • the treatment of visual impairment due to choroidal neovascularisation (CNV) secondary to pathologic myopia (PM),
  • the treatment of visual impairment due to macular oedema secondary to retinal vein occlusion (RVO). 

Not recommended for use in preterm infants.

How this medicine works

Raniviz is a biosimilar medicine to Lucentis. The evidence for comparability supports the use of Raniviz for the listed indications.

Ranibizumab is a humanised recombinant monoclonal antibody fragment targeted against human vascular endothelial growth factor A (VEGF-A). It binds with high affinity to the VEGF-A isoforms (for example, VEGF110, VEGF121 and VEGF165), thereby preventing binding of VEGF-A to its receptors VEGFR1 and VEGFR-2. 

Binding of VEGF-A to its receptors leads to endothelial cell proliferation and neovascularisation, as well as vascular leakage, which are thought to contribute to the progression of the neovascular form of age-related macular degeneration, to the development of choroidal neovascularisation (CNV), including CNV secondary to pathologic myopia or to the macular oedema causing visual impairment in diabetes and retinal vein occlusion.
 

Why the TGA approved or did not approve this medicine

The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Raniviz was considered favourable for the therapeutic use approved.