Ocular Growth Factors Profile in Proliferative Retinopathies Before and After Intravitreal Bevacizumab (KIA-ProRet)
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Purpose
Aims of the trial: Establishing the profile of the growth factors and other mediators of angiogenesis in different ocular fluids (aqueous humour, vitreous gel and ocular liquid in vitrectomized eyes), in the 2 most frequent proliferative retinopathies - diabetic proliferative retinopathy (PDR) and exudative age related macular degeneration (AMD). Following up the dynamic of this profile before and after intravitreal administration of Bevacizumab (Avastin) as an anti-VEGF blocker.
Materials: The research will be conducted on the following categories of patients groups:
- nondiabetic patients without AMD or any other diagnosed proliferative ocular disease (controls)
- patients with age related macular degeneration (AMD groups) before and after intravitreal injections with Avastin
- diabetic patients with different types of diabetic retinopathy, before and after intravitreal Avastin (diabetic groups) Methods: Samples from different ocular fluids will be collected from each group of patients. 10 growth factors and other 10 cytokines will be determined in the ocular fluids samples.
Results: The results from the biochemical measurements will be statistically interpreted in order to obtain conclusions for the clinical practice.
Conclusions: The conclusions of this trial will be used exclusively for research publications and communications, as well as for clinical practice.
| Condition | Intervention | Phase |
|---|---|---|
|
Proliferative Diabetic Retinopathy Age Related Macular Degeneration |
Drug: Avastin intravitreal injection |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | The Profile of the Growth Factors and Other Mediators of Angiogenesis in the Ocular Fluids in Proliferative Retinopathies (AMD and PDR) Before and After the Intravitreal Administration of Bevacizumab (Avastin) as an Anti-VEGF Blocker |
- Growth Factors and Other Cytokines Measurements [ Time Frame: 1 month interval ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 150 |
| Study Start Date: | October 2008 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | October 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Avastin |
Drug: Avastin intravitreal injection
1,25 mg of Bevacizumab (Avastin) will be intravitreally injected 4 weeks interval in the proliferative retinopathies groups (exudative age related macular degeneration and proliferative diabetic retinopathy)
|
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age over 20 years
- nondiabetic patients requiring cataract surgery or vitrectomy for different posterior segment nonproliferative disorders - controls groups
- diabetic patients asking ophthalmologic treatments for different degrees of decreasing of visual acuity - diabetic groups
- diabetic patients requiring cataract surgery or vitrectomy - diabetic groups
- age related macular degeneration patients asking ophthalmologic treatments for different degrees of decreasing of visual acuity - age related macular degeneration groups
- age related macular degeneration patients requiring cataract surgery or vitrectomy - age related macular degeneration groups
Exclusion Criteria:
- patients under the age of 20 years
- patients that did not accept and signed the informed consent of the trial
- patients that received any anti-VEGF therapy for any proliferative or inflammatory ocular disease
- patients that received any type of intraocular injection with any pharmaceutical agent
- patients with any clinical type of malignancy in their pathologic antecedents
- patients with recent penetrating trauma (less than 1 year old)
- patients operated for different ocular disorders requiring combination with antimetabolites (ex. 5-FU or Mitomycin C with trabeculectomy)
- patients with intraocular inflammations or infections or other pathologies that contraindicate open globe surgery or intraocular injections with anti-VEGF blockers
Contacts and Locations| Romania | |
| Railway Universitary Hospital | |
| Iasi, Romania, 700506 | |
| Principal Investigator: | NARCISA IANOPOL, Researcher | Railway Universitary Hospital |
More Information
No publications provided
| Responsible Party: | NARCISA IANOPOL, Md, PhD, Railway Universitary Hospital |
| ClinicalTrials.gov Identifier: | NCT00776763 History of Changes |
| Other Study ID Numbers: | KIA-ProRet |
| Study First Received: | October 17, 2008 |
| Last Updated: | July 20, 2011 |
| Health Authority: | Romania: Ministry of Public Health |
Additional relevant MeSH terms:
|
Diabetic Retinopathy Macular Degeneration Retinal Diseases Eye Diseases Diabetic Angiopathies Vascular Diseases Cardiovascular Diseases Diabetes Complications Diabetes Mellitus Endocrine System Diseases Retinal Degeneration Mitogens |
Bevacizumab Mitosis Modulators Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Growth Inhibitors Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013