Effects of Lutein Supplementation on Macular Pigment Optical Density and Visual Acuity in Patients With Age-related Macular Degeneration
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Purpose
The macular pigment (MP) in humans consists of the yellow, blue-absorbing carotenoids lutein and zeaxanthin. The highest concentrations of lutein and zeaxanthin are found in the fovea. Since light entering the eye passes through the MP before reaching the photo receptors it absorbs a significant portion of short-wavelength light. There is evidence that this absorbing properties of the MP as well as the ability of inactivating highly reactive oxygen species are protective for the retina.
Age-related macular degeneration is the leading cause of blindness among developed countries. The pathogenesis of this disease remains unknown. There is, however, evidence that low fruit and vegetable consumption increases the risk of Age-Related Macular Degeneration (AMD). Accordingly, it has been hypothesized that lutein supplementation may be beneficial in AMD. The present study investigates whether 6 months lutein supplementation increases MP optical density (OD), influences visual acuity, depth and dimension of central scotoma and alters symptoms in patients with AMD.
| Condition | Intervention |
|---|---|
|
Age-Related Macular Degeneration |
Dietary Supplement: lutamax (leutein) Dietary Supplement: placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Effects of Lutein Supplementation on Macular Pigment Optical Density and Visual Acuity in Patients With Age-related Macular Degeneration |
- Macular pigment optical density (MPOD) as measured with optical reflectometry [ Time Frame: 5 minutes ] [ Designated as safety issue: No ]
- Visual acuity using ETDRS charts [ Time Frame: 15 minutes ] [ Designated as safety issue: No ]
- Central visual field defects assessed with scanning laser scotometry [ Time Frame: 30 minutes ] [ Designated as safety issue: No ]
- Changes in fundus appearance as documented with fundus photos [ Time Frame: 5 minutes ] [ Designated as safety issue: No ]
- Determination of an increased systemic antioxidative state in plasma and low density lipoprotein and Plasma lutein concentrations [ Time Frame: 5 minutes ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 126 |
| Study Start Date: | November 2006 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Lutamax
|
Dietary Supplement: lutamax (leutein)
leutein 20 mg for 3 months, then lutein 10 mg
|
|
Placebo Comparator: 2
Placebo
|
Dietary Supplement: placebo
Placebo capsules identical in taste and appearance
|
Eligibility| Ages Eligible for Study: | 50 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with nonexudative AMD (either categories 2, 3 or 4 according to the AREDS criteria; in group 4 the eyes with no-advanced AMD will be included, Age-Related Eye Disease Study Research Group 2001)
- Age between 50 and 90 years
- Clear non-lenticular ocular media
- Visual acuity > 0.4
Exclusion Criteria:
- Primary retinal pigment epithelium atrophy > 125 µm
- Moderate or severe non-proliferative diabetic retinopathy, proliferative diabetic retinopathy
- Participation in a clinical trial in the 3 weeks preceding the study
- Previous treatment with lutein within 3 month of study initiation
- History of hypersensitivity to the trial drug or to drugs with a similar chemical structure
- History or presence of gastrointestinal, liver or kidney disease, or other conditions known to interfere with, distribution, metabolism or excretion of study drugs
- Ocular surgery within the last 6 months
- Treatment with photosensitizing drugs
Contacts and Locations| Contact: Gerhard Garhöfer, MD | +431404002981 |
| Austria | |
| Department of Clinical Pharmacology, Medical University of Vienna | Recruiting |
| Vienna, Austria | |
| Sub-Investigator: Leopold Schmetterer, Prof. Dr. | |
| Principal Investigator: | Ursula Schmidt-Erfurth, Prof. Dr. | Department of Opthalmology, Medical University of Vienna |
More Information
No publications provided by Medical University of Vienna
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Leopold Schmetterer, PhD, Prof., Department of Clinical Pharmacology, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT00879671 History of Changes |
| Other Study ID Numbers: | OPHT-100205 |
| Study First Received: | April 9, 2009 |
| Last Updated: | October 9, 2009 |
| Health Authority: | Austria: Agency for Health and Food Safety |
Keywords provided by Medical University of Vienna:
|
lutein nonexudative AMD MPOD Supplementary Concepts |
Additional relevant MeSH terms:
|
Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases |
ClinicalTrials.gov processed this record on May 19, 2013