Eplerenone For the Treatment of Chronic Central Serous Chorioretinopathy
1 other identifier
interventional
30
1 country
1
Brief Summary
The aim of the study is to determine the efficacy and safety in treating patients with chronic central serous chorioretinopathy with the drug eplerenone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
1 active site
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, 2014
CompletedFirst Submitted
Initial submission to the registry
May 29, 2014
CompletedFirst Posted
Study publicly available on registry
June 2, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedJune 2, 2014
May 1, 2014
1.2 years
May 29, 2014
May 30, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Decrease of at least 10% in subretinal fluid thickness as measured by optical coherence tomography (OCT)
6 months
Study Arms (2)
Eplerenone
EXPERIMENTAL25mg eplerenone given daily for a week, followed by 50mg given for a total of 3 months since commencement of treatment
Placebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Chronic central serous chorioretinopathy (CSCR): Previous diagnosis of CSCR, persistent subretinal fluid on OCT for more than 4 months after initial presentation to the eye clinic
You may not qualify if:
- Other retinal disease
- Choroidal neovascularization
- Diabetes
- A history of uveitis
- Ocular surgery in the prior 3 months
- Allergy to fluorescein or indocyanine green
- Pregnancy, lactation or female patients in fertility age not treated with contraceptive pills
- Creatinine clearance \< 50 ml/min
- Hyperkalemia \> 5 mmol/l
- Patients treated with drugs deactivated by cytochrome P450 3A4 (CYP3A4)
- Serum creatinine \> 2 mg/dl in men or \> 1.8 mg/dl in women
- Treatment with potassium sparing agents or potassium
- Treatment with Angiotensin converting enzyme (ACE)/angiotensin II receptor blocker (ARB) inhibitors
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Tel Aviv Souraski Medical Center
Tel Aviv, Israel, 64239, Israel
Related Publications (6)
Zhao M, Celerier I, Bousquet E, Jeanny JC, Jonet L, Savoldelli M, Offret O, Curan A, Farman N, Jaisser F, Behar-Cohen F. Mineralocorticoid receptor is involved in rat and human ocular chorioretinopathy. J Clin Invest. 2012 Jul;122(7):2672-9. doi: 10.1172/JCI61427. Epub 2012 Jun 11.
PMID: 22684104BACKGROUNDGemenetzi M, De Salvo G, Lotery AJ. Central serous chorioretinopathy: an update on pathogenesis and treatment. Eye (Lond). 2010 Dec;24(12):1743-56. doi: 10.1038/eye.2010.130. Epub 2010 Oct 8.
PMID: 20930852BACKGROUNDChan WM, Lai TY, Lai RY, Liu DT, Lam DS. Half-dose verteporfin photodynamic therapy for acute central serous chorioretinopathy: one-year results of a randomized controlled trial. Ophthalmology. 2008 Oct;115(10):1756-65. doi: 10.1016/j.ophtha.2008.04.014. Epub 2008 Jun 5.
PMID: 18538401BACKGROUNDReibaldi M, Cardascia N, Longo A, Furino C, Avitabile T, Faro S, Sanfilippo M, Russo A, Uva MG, Munno F, Cannemi V, Zagari M, Boscia F. Standard-fluence versus low-fluence photodynamic therapy in chronic central serous chorioretinopathy: a nonrandomized clinical trial. Am J Ophthalmol. 2010 Feb;149(2):307-315.e2. doi: 10.1016/j.ajo.2009.08.026. Epub 2009 Nov 6.
PMID: 19896635BACKGROUNDRobertson DM, Ilstrup D. Direct, indirect, and sham laser photocoagulation in the management of central serous chorioretinopathy. Am J Ophthalmol. 1983 Apr;95(4):457-66. doi: 10.1016/0002-9394(83)90265-9.
PMID: 6682293BACKGROUNDLange CA, Qureshi R, Pauleikhoff L. Interventions for central serous chorioretinopathy: a network meta-analysis. Cochrane Database Syst Rev. 2025 Jun 16;6(6):CD011841. doi: 10.1002/14651858.CD011841.pub3.
PMID: 40522203DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Deputy Head Department of Ophthalmology
Study Record Dates
First Submitted
May 29, 2014
First Posted
June 2, 2014
Study Start
April 1, 2014
Primary Completion
June 1, 2015
Last Updated
June 2, 2014
Record last verified: 2014-05