Comparison of Intravitreal Ranibizumab and Macular Grid-pattern Laser for Treatment of Diabetic Macular Edema
Comparison of the Effect of Intravitreal Ranibizumab Injections Compared to Macular Grid-pattern Laser Therapy for the Symptomatic Treatment of Diabetic Macular Edema (a Randomized, Controlled, Phase III Trial)
2 other identifiers
observational
50
1 country
3
Brief Summary
This study investigates the hypothesis that ranibizumab injection given into the eye is an efficacious and safe treatment option applied for swelling of the macula (site of sharp vision) in diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jul 2009
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 13, 2009
CompletedFirst Posted
Study publicly available on registry
October 14, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2011
CompletedOctober 16, 2009
October 1, 2009
October 13, 2009
October 15, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Mean change in best corrected visual acuity
12 months
Secondary Outcomes (4)
Mean change in retinal thickness as assessed with OCT
12 months
Change in the extension of foveal avascular zone, foveal thickness and macular volume by FA and OCT, respectively.
12 months
Change in retinal function (color vision,contrast sensitivity, multifocal ERG)
12 months
Rate of adverse events
12 months
Study Arms (2)
ranibizumab group
patients receiving intravitreal ranibizumab for diabetic macular edema
laser
patients receiving macular grid-pattern laser therapy
Interventions
macular grid-pattern laser therapy
Eligibility Criteria
Diabetes patients having clinically significant macular edema due to diabetic retinopathy.
You may qualify if:
- Male or female type I or II diabetic patients over 18 years of age
- Diagnosis of DME secondary to diabetic retinopathy and decrease in vision is due to DME and not due to other causes in the opinion of the investigator
- Patients who have a BCVA score between 78 and 39 letters in the study eye using ETDRS-like visual acuity charts at a testing distance of 4 meters
- Expectation by the investigator that patient will potentially benefit from laser treatment or ranibizumab treatment
- Willing and able to comply with all study procedures
You may not qualify if:
- Active intraocular inflammation, any active infection or history of uveitis
- Uncontrolled glaucoma or neovascularization of the iris in the study eye
- Structural damage within 0.5 disc diameter of the center of the macula in the study eye likely to preclude improvement in visual acuity following the resolution of macular edema, including atrophy of the retinal pigment epithelium, subretinal fibrosis, laser scar(s), epiretinal membrane involving fovea or organized hard exudate plaques
- Concurrent disease in the study eye that could compromise visual acuity or prevent the improvement of visual acuity (including diabetic proliferative retinopathy) or require medical or surgical intervention during the study period, including cataract, retinal vascular occlusion, retinal detachment, macular hole or choroidal neovascularization of any cause
- Panretinal laser photocoagulation in the study eye within 6 months prior to or during the study or focal/grid laser photocoagulation in the study eye within 3 months prior to study entry
- Treatment with anti-angiogenic drugs (pegaptanib sodium, anecortave acetate, bevacizumab, ranibizumab, etc) or intravitreal corticosteroids in the study eye within 3 months prior to randomization
- Any intraocular surgery in the study eye within 3 months prior to randomization
- History of vitrectomy in the study eye
- Ocular conditions in the study eye that require chronic concomitant therapy with topical ocular or systemically administered corticosteroids
- Pregnancy and lactation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Szeged Universitylead
- Semmelweis Universitycollaborator
- Csolnoky Ferenc County Hospitalcollaborator
Study Sites (3)
Semmelweis University Department of Ophthalmology
Budapest, H-1085, Hungary
University of Szeged, Medical and Pharmaceutical Center, Department of Ophthalmology
Szeged, H-6721, Hungary
Csolnoky Ferenc County Hospital Dept of Ophthalmolgy
Veszprém, H-8200, Hungary
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lajos Kolozsvari, prof
Szeged University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
October 13, 2009
First Posted
October 14, 2009
Study Start
July 1, 2009
Study Completion
February 1, 2011
Last Updated
October 16, 2009
Record last verified: 2009-10