Serial Retinal Thickness Changes And Scotoma Size Measured With Lucentis Therapy (FVF4193s)
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Purpose
The rationale for evaluating LucentisTM (a recombinant humanized anti-human Vascular Endothelial Growth Factor (VEGF) monoclonal antibody (Fab) in patients with neovascular (wet) Age related Macular Degeneration (AMD) is based on the strong correlation between VEGF levels in aqueous and vitreous humor and active blood vessel formation. LucentisTM has been shown to maintain or improve vision in wet AMD. Since the treatments do not halt the loss of visual acuity in wet AMD, it is important to accurately measure anatomic response to treatments thereby enhancing the ability to understand patterns of response and predict the necessity for continued therapy.
| Condition | Intervention | Phase |
|---|---|---|
|
Age Related Macular Degeneration |
Drug: ranibizumab |
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: | Serial Retinal Thickness Changes And Scotoma Size Measured With Lucentis Therapy Measured Using The Optical Coherence Tomography (OCT) Scanning Laser Ophthalmoscope (SLO) And The Foresee Preferential Hyperacuity Perimeter |
- Central retinal thickness [ Time Frame: 12 months ] [ Designated as safety issue: No ]To measure the mean change in central retinal thickness as measured by OCT/ SLO and Stratus OCT from Baseline to Month 12.
- change in central scotoma lesion size, density and distortion due to neovascularization [ Time Frame: 12 months ] [ Designated as safety issue: No ]
To measure the mean change in central scotoma lesion size and density as measured on OCT/ SLO microperimeter from Baseline to Month 12.
To measure the mean change in the scotoma size and distortion due to neovascularization as measured on the PHP from Baseline to Month 12.
| Estimated Enrollment: | 20 |
| Study Start Date: | June 2007 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Ranibizumab
Open Label use of Ranibizumab for wet age related macular degeneration
|
Drug: ranibizumab
An open-label, study of intravitreally administered ranibizumab
Other Name: Lucentis
|
Eligibility| Ages Eligible for Study: | 51 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Ability to provide written informed consent and comply with study assessments for the full duration of the study
- Subjects of either gender, Age > 50 years
- Best corrected visual acuity in the study eye between 20/40 and 20/320.
- Subfoveal choroidal neovascularization, secondary to age related macular degeneration.
- Any subretinal hemorrhage must comprise no more than 50% of total lesion size.
- Clear ocular media and adequate papillary dilation to permit good quality stereoscopic fundus photography
- Men must use barrier contraception or abstinence throughout the study.
- Ability to return for all study visits
Exclusion Criteria:
- Had ocular surgery within the past 60 days in the study eye.
- Had previous refractive eye surgery (RK, PRK, LASIK, ALK, etc.) within the past 3 months for the study eye.
- Has intraocular pressure ≥ 25 mmHg in the study eye.
- Has posterior uveitis in the study eye.
- Has ongoing infection in the study eye.
- Has retinal or optic nerve disease that could independently affect visual acuity including high axial myopia (>-8.00 D) and diabetic retinopathy in the study eye.
- Has anterior segment and vitreous abnormalities that would preclude adequate observation of the fundus for photographs and fluorescein angiography in the study eye.
- Has received investigational therapy within 60 days prior to study entry.
- Has been previously enrolled in or previous treatment with MSI-1256F for injection.
- Has received prior approved treatment for subfoveal CNV within 60 days to study entry.
- Has clinically uncontrolled diabetes mellitus.
- Has other condition the investigator considers to be sound reasons for exclusion (e.g., lack of motivation, history of poor compliance, concomitant illnesses, personality disorder, mental condition, drug abuse, use of neuroleptics, physical or social condition predicting difficulty in long-term follow-up).
- Has an allergy to sodium fluorescein dye.
- Currently uses systemic or topical medications known to be toxic to the retina, lens, or optic nerve, such as deferoxamine, chloroquine/hydrochloroquine, tamoxifen, chlorpromazine, phenothiazines, steroids and ethambutol.
- 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.
Contacts and Locations| Contact: Katy W Tai, CCRC | 212-979-4251 | ktai@nyee.edu |
| United States, New York | |
| New York Eye and Ear Infirmary | Recruiting |
| New York, New York, United States, 10003 | |
| Contact: Katy W Tai, CCRC 212-979-4251 ktai@nyee.edu | |
| Principal Investigator: | Richard B Rosen, MD | New York Eye and Ear Infirmary |
More Information
Additional Information:
No publications provided
| Responsible Party: | Richard Rosen, MD, Vice Chairman of Dept of Ophthalmology and Director of Research, New York Eye and Ear Infirmary |
| ClinicalTrials.gov Identifier: | NCT01255774 History of Changes |
| Other Study ID Numbers: | NYEE-07.14 |
| Study First Received: | December 4, 2010 |
| Last Updated: | December 2, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by The New York Eye & Ear Infirmary:
|
subfoveal CNV Wet (Exudative) AMD macular degeneration |
Additional relevant MeSH terms:
|
Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases |
ClinicalTrials.gov processed this record on May 23, 2013