Extended Follow-up of Patients With Macular Edema Due to Retinal Vein Occlusion (RETAIN)
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Purpose
This study evaluates long-term safety in patients with macular edema due to Retinal Vein Occlusion (RVO) originally enrolled in the BRAVO & CRUISE trials and subsequently followed in the HORIZON extension trial.
| Condition | Intervention | Phase |
|---|---|---|
|
Retinal Vein Occlusion |
Drug: RBZ |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Extended Follow-up of Patients With Macular Edema Due to bRanch rETinal Vein Occlusion (BRVO) or centrAl Retinal veIn occlusioN (CRVO) Previously Treated With Intravitreal Ranibizumab |
- Incidence and severity of adverse events. [ Time Frame: 12 mos ] [ Designated as safety issue: Yes ]Record the adverse events, both ocular and non-ocular to gather long-term safety data.
- Evaluate functional outcome [ Time Frame: 12 mos ] [ Designated as safety issue: No ]Mean changes in visual acuity
- Evaluate anatomic outcome [ Time Frame: 12 mos ] [ Designated as safety issue: No ]Mean change in OCT (Optical Coherence Tomography) retinal thickness
- Evaluate treatment pattern [ Time Frame: 12 mos ] [ Designated as safety issue: No ]Ranibizumab treatment frequency
| Estimated Enrollment: | 25 |
| Study Start Date: | August 2010 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Ranibizumab as needed
Ranibizumab as needed, with optional peripheral laser to areas of non-perfusion.
|
Drug: RBZ
Intravitreal ranibizumab, .5mg dose, PRN but not less than 21 days apart.
Other Name: RBZ, lucentis
|
Detailed Description:
There is strong evidence that ranibizumab provides benefit in subjects with macular edema due to RVO; however, some subjects required continued injections for years to maintain those benefits. It is likely that such subjects have continued production of VEGF (Vascular Endothelial Growth Factor) from areas of nonperfused retina in the periphery. One strategy is to perform scatter photocoagulation to areas of nonperfusion to reduce continued production of VEGF, but it is important to know if visual benefits are maintained when this is done, because if it is not, it would be better to continue intermittent injections of ranibizumab.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Signed informed consent and authorization of use and disclosure of protected health information
- Age greater than or equal to 18 years
- Completion of 12 months in BRAVO or CRUISE trials, with subsequent follow-up in the HORIZON extension study. Exit from HORIZON should be within 90 days of enrollment
Exclusion Criteria:
- Pregnancy (positive pregnancy test) or lactation
- Premenopausal women not using adequate contraception. The following are considered effective means of contraception: surgical sterilization or use of oral contraceptives, barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel, an IUD, or contraceptive hormone implant or patch.
- Any condition that the investigator believes would pose a significant hazard to the subject if investigational therapy were initiated.
- Inability to comply with study or follow up procedures
- Participation in another simultaneous medical investigation or trial
Contacts and Locations| United States, California | |
| Retina-Vitreous Associates Medical Group | |
| Beverly Hills, California, United States, 90211 | |
| Retinal Consultants Medical Group | |
| Sacremento, California, United States, 95819 | |
| United States, Georgia | |
| Southeast Retina | |
| Augusta,, Georgia, United States, 30909 | |
| United States, Massachusetts | |
| Ophthalmic consultants of Boston | |
| Boston, Massachusetts, United States, 02114-2587 | |
| United States, New Jersey | |
| Retina Associates of New Jersey | |
| Teaneck, New Jersey, United States, 07666 | |
| United States, Texas | |
| Retina Consultants of Houston | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Peter A Campochiaro, MD | Johns Hopkins University |
More Information
Publications:
| Responsible Party: | Peter A Campochiaro, MD, Principal Investigator, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT01198327 History of Changes |
| Other Study ID Numbers: | NA_00040287 |
| Study First Received: | August 31, 2010 |
| Last Updated: | December 6, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Johns Hopkins University:
|
RVO CRVO BRVO |
Horizon Bravo Cruise |
Additional relevant MeSH terms:
|
Macular Edema Retinal Vein Occlusion Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases |
Venous Thrombosis Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 19, 2013