NCT02173873

Brief Summary

Aflibercept is FDA approved and the same molecule is available as hyperosmolar for oncology (cost 800 USD for 4ml) and isoosmolar for Ophthalmology (cost 1,770 USD for 0.05ml injection). The 4ml bottle can be fractionated to be used in 40 patients hence the 0.05 ml injection would cost 20 USD for patients. Animal studies showed the injection is safe, knowing that the rabbit vitreous volume is 3-4 times smaller than the human eye. Our pilot study is to ascertain if the approved molecule for oncology when injected in the eye is safe as it is diluted into 5ml vitreous (100 times dilution). If this is so then we can save the patient 100 times for the most efficient antiVEGF that is used for maculopathy in various diseases (AMD, DME, CRVO, etc..)

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Jun 2014

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
unknown

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, 2014

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

June 14, 2014

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 25, 2014

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

June 25, 2014

Status Verified

June 1, 2014

Enrollment Period

2.3 years

First QC Date

June 14, 2014

Last Update Submit

June 23, 2014

Conditions

Keywords

Age related macular degenerationcentral retinal vein occlusion

Outcome Measures

Primary Outcomes (2)

  • Ziv-aflibercept in retinal diseases with poor vision: Safety monitoring by OCT and visual acuity

    anterior chamber, vitreous, lens, retina exam PLUS OCT and visual acuity

    2 years

  • OCT retinal structure

    OCT, visual acuity measure, inflammation measure

    2 years

Study Arms (1)

one injection of ziv aflibercept intravitreal route

EXPERIMENTAL

Intervention: Inject 0.05 ml of zaltrap into the vitreous of blind eyes with various diseases (AMD, CRVO) and monitor vision and OCT 1 day and 1 week after injection

Drug: ziv-aflibercept drug

Interventions

intravitreal injection of ziv-ablicerpt in one eye of each patient with retinal disease and poor vision

Also known as: Zaltrap
one injection of ziv aflibercept intravitreal route

Eligibility Criteria

Age16 Years - 95 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rafic Hariri University Hospital

Beirut, Lebanon

RECRUITING

Related Publications (2)

  • Malik D, Tarek M, Caceres del Carpio J, Ramirez C, Boyer D, Kenney MC, Kuppermann BD. Safety profiles of anti-VEGF drugs: bevacizumab, ranibizumab, aflibercept and ziv-aflibercept on human retinal pigment epithelium cells in culture. Br J Ophthalmol. 2014 Jun;98 Suppl 1(Suppl 1):i11-16. doi: 10.1136/bjophthalmol-2014-305302.

    PMID: 24836865BACKGROUND
  • Mansour AM, Al-Ghadban SI, Yunis MH, El-Sabban ME. Ziv-aflibercept in macular disease. Br J Ophthalmol. 2015 Aug;99(8):1055-9. doi: 10.1136/bjophthalmol-2014-306319. Epub 2015 Feb 12.

Related Links

MeSH Terms

Conditions

Macular DegenerationRetinal Vein Occlusion

Interventions

aflibercept

Condition Hierarchy (Ancestors)

Retinal DegenerationRetinal DiseasesEye DiseasesVenous ThrombosisThrombosisEmbolism and ThrombosisVascular DiseasesCardiovascular Diseases

Study Officials

  • Ahmad Mansour, MD

    RHUH

    STUDY CHAIR

Central Study Contacts

Ahmad Mansour, MD

CONTACT

Muhammad Yunis, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chair, Department of Opthalmology, Rafic Hariri Hospital

Study Record Dates

First Submitted

June 14, 2014

First Posted

June 25, 2014

Study Start

June 1, 2014

Primary Completion

September 1, 2016

Study Completion

December 1, 2016

Last Updated

June 25, 2014

Record last verified: 2014-06

Locations