Head-to-head evidence

Pegaptanib (Macugen) vs Ranibizumab

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Age-Related Macular Degeneration

Shared mechanism: VEGF-A · full Age-Related Macular Degeneration pipeline

Pegaptanib (Macugen)

Marketed by Pfizer

Approved in Age-Related Macular Degenerationsmall molecule
Reliable signal

NCT01100307 · Phase 3 · completed

This was a randomized, double-masked, sham-controlled phase 3 trial with 243 participants and a hard clinical visual-acuity endpoint. The primary endpoint was met: 25 of 123 participants receiving pegaptanib versus 6 of 120 receiving sham achieved at least a 10-letter improvement at week 24 (p=0.0003).

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Ranibizumab · Lucentis

Marketed by Roche and partners

Approved in Age-Related Macular Degenerationantibody fragment
Partial signal

NCT00056836 · Phase 3 · completed

The study was randomized and double-masked and enrolled 720 participants, but the registry does not identify the comparator arm or provide results. Because the primary clinical endpoint and whether it was met cannot be verified, the evidence remains limited despite the substantial trial size and controlled design.

Next expected readout: February 2027 · NCT04657289 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Pegaptanib (Macugen)'s landscape · Ranibizumab's landscape