Near to Infrared (NIR) Light Neuroprotection in Glaucomatous Optic Neuropathy
Recruitment status was Active, not recruiting
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Purpose
The purpose of the study is to evaluate if near-to-infrared light stimulation can improve retinal ganglion cell function in glaucomatous patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Open Angle Glaucoma |
Device: Near to infrared light retinal stimulation Device: Green light stimulation |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Near to Infrared Light Stimulation Effect on Ganglion Cell Function in Glaucomatous Optic Neuropathy |
- Pattern electroretinogram response [ Time Frame: Every two weeks for 4 months ] [ Designated as safety issue: No ]
- OCT ganglion cell layer average thickness, Visual Field defects [ Time Frame: Every month for four months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | March 2010 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: NIR light
Group of patients stimulated with near to infrared light daily stimulation
|
Device: Near to infrared light retinal stimulation
Patients will be stimulated with 660 nm light frequency through a LED device. Patients will be stimulated daily for two minutes for a 6 month period.
|
|
Placebo Comparator: Green light
Group of patients stimulated with green light.
|
Device: Green light stimulation
Patients will be stimulated with 530 nm LED light frequency through a LED device. Patients will be stimulated daily for two minutes for a 6 month period.
|
Detailed Description:
Ganglion cell dysfunction in glaucomatous optic neuropathy has been ascribed to ganglion cell electrophysiological inactivation and to apoptotic cell death. Near-to-infrared light stimulation has been used to induce mitochondrial activation and to prevent apoptotic death through mitochondrial cytochrome oxidase c stimulation. Near-to-infrared light stimulation might be useful to induce ganglion cell activation and inhibit apoptotic cell death.
We propose that near-to-infrared light stimulation can be used as an adjuvant treatment combined with ocular hypotensive treatment in glaucomatous patients.
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Clinical diagnose of Ocular Hypertension (cup to disk ratio 0,6 or less, normal Humphrey 24-2 visual field with aplanatic IOP over 21 mmHg) or Mild Glaucoma (cup to disk ratio 0,6 to 0,8, characteristic Humphrey 24-2 visual field defect PSD between 3 and 6 dB).
- Visual acuity 20/40 or better
Exclusion Criteria:
- Diabetic retinopathy, Multiple Sclerosis, Parkinson disease
- Refractive error of 3 diopters or more
Contacts and Locations| Chile | |
| Servicio de Oftalmología Hospital Van Buren | |
| Valparaiso, Chile | |
| Principal Investigator: | Tatiana E Cevo, M.D | Universidad de Valparaiso |
| Study Director: | Adrian Palacios, PhD | Universidad de Valparaiso |
More Information
No publications provided
| Responsible Party: | Tatiana Cevo, Universidad de Valparaíso |
| ClinicalTrials.gov Identifier: | NCT00844389 History of Changes |
| Other Study ID Numbers: | ACT45-GLAUC |
| Study First Received: | February 13, 2009 |
| Last Updated: | September 30, 2009 |
| Health Authority: | Chile: Comisión Nacional de Investigación Científica y Tecnológica |
Keywords provided by Universidad de Valparaiso:
|
Open Angle Glaucoma Biophotomodulation Near to Infrared light stimulation Neuroprotection |
Additional relevant MeSH terms:
|
Glaucoma Glaucoma, Open-Angle Optic Nerve Diseases Ocular Hypertension |
Eye Diseases Cranial Nerve Diseases Nervous System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013