NCT01614158

Brief Summary

This present research project intends to collect five quantitative test series:

  • perimetric examination using static stimuli, assessing the entire (80 degree) visual field with a fast thresholding algorithm (GATE) \[Schiefer 2008\] to know the extent/ magnitude of the visual field defect and its variability within the cohort and over time
  • D-BCVA, using FrACT \[Bach 2007\] and EDTRS chart \[Ferris 1982\]
  • RAPD (using swinging flashlight test).
  • IOP (using applanation tonometer)
  • RNFT and RNFV using Spectralis OCT (star scan, ring scan 2,8 mm, and volume scan) Optic disk morphology will be documented by fundus photography. This assessment of the above-mentioned data is needed in order to allow for estimation of the spontaneous course / fluctuation of the (quantified) functional and morphometric parameters of the N-AION patients during the follow-up period. This is essential for the estimation of the sample size of the subsequently intended SINN study, that is intended to compare different therapeutic strategies in N-AION patients.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
16

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Apr 2009

Geographic Reach
1 country

1 active site

Status
completed

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

April 1, 2009

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2011

Completed
1.3 years until next milestone

First Submitted

Initial submission to the registry

June 4, 2012

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 7, 2012

Completed
Last Updated

May 28, 2014

Status Verified

May 1, 2014

Enrollment Period

1.8 years

First QC Date

June 4, 2012

Last Update Submit

May 27, 2014

Conditions

Keywords

N-AIONperimetryvisual field lossMean DefectTotal Loss VolumeD-BCVARAPDretinal nerve fibre thickness/volumeoptic nerve head

Outcome Measures

Primary Outcomes (1)

  • Assessment of visual field (VF)-related endpoints in patients with non-arteritic ischemic optic neuropathy (N-AION)

    This present research project intends to collect five quantitative test series in order to allow the estimation of the spontaneous course / fluctuation of the (quantified) functional and morphometric parameters of the N-AION patients during the follow-up period. This is essential for the estimation of the sample size of the subsequently intended SINN study, that is intended to compare different therapeutic strategies in N-AION patients

    2 years

Study Arms (1)

acute N-AION (< 7 d)

physical, intellectual and linguistic abilities, in order to understand the test requirements * willingness to comply with the protocol (4 visits) * 45 - 80 years, informed consent * acute N-AION (\< 7 d) * D-BCVA \> 0.1 (2/20) * RAPD ≥ 0.3 logE steps (neutral density filters)

Device: perimetryOther: D-BCVAOther: RAPDDevice: IOPDevice: Spectralis OCTOther: Fundus photography

Interventions

perimetryDEVICE

perimetric examination using static stimuli, assessing the entire (80 degree) visual field with a fast thresholding algorithm (GATE) \[Schiefer 2008\] to know the extent/ magnitude of the visual field defect and its variability within the cohort and over time

Also known as: Static Perimetry, Octopus 101, thresholding algorithm
acute N-AION (< 7 d)
D-BCVAOTHER

D-BCVA using EDTRS chart

Also known as: Best Corrected Visual Acuity, EDTRS Chart
acute N-AION (< 7 d)
RAPDOTHER

RAPD using swinging flashlight test

Also known as: SWIFT-Test
acute N-AION (< 7 d)
IOPDEVICE

IOP using applanation tonometer

Also known as: intraocular pressure
acute N-AION (< 7 d)

RNFT and RNFV using Spectralis OCT (star scan, ring scan 2,8 mm and volume scan)

Also known as: RNFT, RNFV, volume scan, star scan, Spectralis OCT
acute N-AION (< 7 d)

Optic disk morphology will be documented by fundus photography

acute N-AION (< 7 d)

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with acute N-AION (less then 7 days); male and female \> 18 years

You may qualify if:

  • willingness to comply with the protocol (4 visits)
  • years, informed consent
  • acute N-AION (\< 7 d)
  • D-BCVA \> 0.1 (2/20)
  • RAPD ≥ 0.3 logE steps (neutral density filters) and:
  • spherical ametropia max. ± 8 dpt, cylindrical ametropia max. ± 3 dpt
  • isocoria, pupil diameter \> 3 mm

You may not qualify if:

  • diabetic retinopathy and any other orbital, intracranial or optic nerve disease
  • history of epilepsy or significant psychiatric disease
  • medications known to affect visual field sensitivity
  • infections (e.g. keratitis, conjunctivitis, uveitis)
  • severe dry eyes
  • miotic drug
  • amblyopia
  • strabismus
  • any ocular pathology, in either eye, that may interfere with the ability to obtain visual fields, disc imaging or accurate IOP readings
  • cataract with relevant impairment of vision
  • keratoconus
  • intraocular surgery (except for uncomplicated cataract surgery) performed \< 3 month prior to screening
  • history or signs of any visual pathway affection other than N-AION
  • history or presence of macular disease and / or macular edema
  • ocular trauma

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre for Ophthalmology Institute for Ophthalmic Research University of Tübingen

Tübingen, Baden-Wurttemberg, Germany

Location

Related Publications (1)

  • Kernstock C, Beisse F, Wiethoff S, Mast A, Krapp E, Grund R, Dietzsch J, Lagreze W, Fischer D, Schiefer U. Assessment of functional and morphometric endpoints in patients with non-arteritic anterior ischemic optic neuropathy (NAION). Graefes Arch Clin Exp Ophthalmol. 2014 Mar;252(3):515-21. doi: 10.1007/s00417-014-2572-z. Epub 2014 Jan 31.

MeSH Terms

Interventions

Visual Field TestsTonometry, Ocular

Intervention Hierarchy (Ancestors)

Vision TestsDiagnostic Techniques, OphthalmologicalDiagnostic Techniques and ProceduresDiagnosis

Study Officials

  • Ulrich Schiefer, Prof.

    Centre for Ophthalmology Institute for Ophthalmic Research University of Tübingen

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Dr. med. Ulrich Schiefer

Study Record Dates

First Submitted

June 4, 2012

First Posted

June 7, 2012

Study Start

April 1, 2009

Primary Completion

February 1, 2011

Study Completion

February 1, 2011

Last Updated

May 28, 2014

Record last verified: 2014-05

Locations