NCT01319188

Brief Summary

The investigators assume that ranibizumab might be dangerous in patients with history of coronary artery disease or cerebrovascular events. The main objective of study is to reveal contraindications for ranibizumab prescription in patients with history of coronary artery disease and cerebrovascular events. Moreover, an association between management with ranibizumab and ATE rate in healthy above 50 years old persons is a concern of great interest as well.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
380

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jun 2010

Longer than P75 for phase_4

Geographic Reach
2 countries

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2010

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

March 18, 2011

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 21, 2011

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2012

Completed
2.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2015

Completed
Last Updated

May 19, 2015

Status Verified

May 1, 2015

Enrollment Period

2.3 years

First QC Date

March 18, 2011

Last Update Submit

May 17, 2015

Conditions

Keywords

Age-related macular degenerationranibizumabacute thromboembolic eventscoronary artery diseasecerebrovascular disease

Outcome Measures

Primary Outcomes (1)

  • Arterial thromboembolic events rate

    This is a combined primary outcome that included: * all cause mortality * nonfatal stroke * nonfatal myocardial infarction * vascular death

    at month 6, 12 and 24

Secondary Outcomes (11)

  • Serum concentration of ranibizumab

    at month 6, 12 and 24

  • Serum VEGF

    at month 6, 12 and 24

  • Mean change in visual acuity (letters)

    at month 6, 12 an 24

  • Coronary and/or cerebral stenting, and/or CABG rate

    at month 6, 12 an 24

  • Total cholesterol

    at month 6, 12 and 24

  • +6 more secondary outcomes

Study Arms (3)

0.5 mg of ranibizumab

ACTIVE COMPARATOR
Drug: 0.5 mg of ranibizumab

injection + photodynamic therapy

ACTIVE COMPARATOR
Procedure: 0.5 mg of ranibizumab + photodynamic therapy

Sham injection

SHAM COMPARATOR
Other: Sham injection

Interventions

Intravitreous ranibizumab (0.5 mg, injections at four week intervals for six months followed by further treatment at three month intervals with total duration of treatment until 24 months).

Also known as: Lucentis
0.5 mg of ranibizumab

Photodynamic treatment with ranibizumab for predominantly classic type neovascular age related macular degeneration.

Also known as: Lucentis + laser therapy
injection + photodynamic therapy

Sham treatment for occult or minimally classic type neovascular age related macular degeneration.

Also known as: Sham comparator
Sham injection

Eligibility Criteria

Age50 Years - 90 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age - 50 years old and older
  • male and female
  • age-related macular degeneration (AMD)
  • have a lesion in the study eye with a total size of less than 12 optic disc areas for minimally classic or occult lesions but no more than 5400 μm in greatest linear dimension for predominantly classic lesions
  • have best corrected visual acuity of 6/12 to approximately 6/96 (Snellen equivalent), assessed with the use of charts from the Early Treatment Diabetic Retinopathy Study (ETDRS) (70 to 25 ETDRS 1 m equivalent letter scores; patients initially view the charts at a starting distance of 4 m, the number of correctly read letters are given a correction factor with the final letter score being the equivalent of a patient reading it at 1m. A score of 55 letters approximates to 6/24 Snellen acuity)
  • have no permanent structural damage to the central fovea
  • have had no previous treatment for exudative age related macular degeneration
  • healthy subjects (no history of cardio- or cerebrovascular events), or history of coronary artery disease (cardiovascular events - myocardial infarction, unstable angina), or history of cerebrovascular events (brain ischemia, and/or stroke), but not in the preceding six months

You may not qualify if:

  • history of cardiovascular events (myocardial infarction, unstable angina) or cerebrovascular events in the preceding six months
  • stenting, or any surgery in the preceding six months
  • other acute illnesses in the preceding three months
  • III-IV NYHA functional class of heart failure
  • mental and brain disorders
  • pregnancy
  • family hypercholesterolemia
  • blood disorders
  • malignant tumors
  • participation to any drug investigation during the previous three months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

De Haar Research Foundation

Rotterdam, South Holland, 3071PR, Netherlands

Location

Ural Institute of Cardiology

Yekaterinburg, 620144, Russia

Location

Related Links

MeSH Terms

Conditions

Macular DegenerationCoronary Artery DiseaseCerebrovascular Disorders

Interventions

RanibizumabPhotochemotherapyLaser Therapysalicylhydroxamic acid

Condition Hierarchy (Ancestors)

Retinal DegenerationRetinal DiseasesEye DiseasesCoronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsCombined Modality TherapyTherapeuticsDrug TherapyPhototherapyAblation TechniquesSurgical Procedures, Operative

Study Officials

  • Jan Gabinsky, M.D., Ph.D.

    Ural Institute of Cardiology

    STUDY CHAIR
  • Alexander Kharlamov, M.D., Ph.D.

    Ural State Medical University

    STUDY DIRECTOR
  • Olga Kovtun, M.D., Ph.D.

    Ural State Medical University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Scientific Assistant of C.E.O., Ural Institute of Cardiology

Study Record Dates

First Submitted

March 18, 2011

First Posted

March 21, 2011

Study Start

June 1, 2010

Primary Completion

October 1, 2012

Study Completion

April 1, 2015

Last Updated

May 19, 2015

Record last verified: 2015-05

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