This date has not been verified as actual or estimated.
Primary Completion
December 2014
Actual (reported)
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
Topcon's Endpoint Management (EM) is a new software from the Pascal® laser which allows us to decrease the intensity of the burns (invisible burns) showing some landmarks with normal intensity so the investigators can see the area which has been treated. The Pascal® system with EM utilizes 577nm laser wavelength compared to the 532nm laser wavelength which was utilized in previous Pascal® laser studies.
This study aims to demonstrate that 577nm Pascal® with EM has the same efficacy and effectiveness as 532nm Pascal® in the treatment of diabetic macular oedema.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
withdrawn
Actual enrollment (reported)
0 participants
Study completion date
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
October 2012
Date type not reported
This date has not been verified as actual or estimated.
First Submitted
September 29, 2014
Actual (reported)
Primary Completion
December 2014
Actual (reported)
First Posted
December 5, 2014
Actual (reported)
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
reduction of diabetic macular edema (central retinal thickness) within the 6 arms of the study
To compare Green Pascal® laser and Yellow Pascal® laser using EM among 6 groups of participants using Pascal® laser with an application of full grid 112 burns in a single session
12 months
Secondary Outcomes (2)
Improvement in visual acuity (> 10 letters or two lines in the ETDRS chart)
12 months
increase in retinal sensitivity within the 6 arms of the study
12 months
Study Arms (6)
PASCAL Laser, Green Laser 0.75
EXPERIMENTAL
Barely Visible Pascal laser grid using 532nm "green" wavelength, 0.75 burn-widths-apart. Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: barely visible burn Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, Green Laser 0.75
PASCAL Laser, Green Laser 1 burn
EXPERIMENTAL
Barely Visible Pascal laser grid using 532nm "green" wavelength, 1 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: barely visible burn Average power: 100 to 1000 mW Spot spacing: 1 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, Green Laser 1
PASCAL Laser, 70% Yellow Laser 0.75
EXPERIMENTAL
Interventions
PASCAL Laser, Green Laser 0.75Device
Barely Visible Pascal laser grid using 532nm "green" wavelength, 0.75 burn-widths-apart. Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: barely visible burn Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
PASCAL Laser, Green Laser 0.75
PASCAL Laser, Green Laser 1Device
Barely Visible Pascal laser grid using 532nm "green" wavelength, 1 burn-widths-apart. Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: barely visible burn Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
Pascal EM at 70% 577nm "yellow" laser grid, 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 70% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, 70% Yellow Laser 0.75
PASCAL Laser, 70% Yellow Laser 1
EXPERIMENTAL
Pascal EM at 70% 577nm "yellow", 1 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 70% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 1 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, 70% Yellow Laser 1
PASCAL Laser, 40% Yellow Laser 0.75
EXPERIMENTAL
Pascal EM at 40% 577nm "yellow", 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 40% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, 40% Yellow Laser 0.75
PASCAL Laser, 40% Yellow Laser 1
EXPERIMENTAL
Pascal EM at 40% 577nm "yellow" laser grid, 1 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 40% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 1 burn-widths-apart Distribution: Grid
Device: PASCAL Laser, 40% Yellow Laser 1
PASCAL Laser, Green Laser 1 burn
PASCAL Laser, 70% Yellow Laser 0.75Device
Pascal EM at 70% 577nm "yellow" laser grid, 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 70% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
PASCAL Laser, 70% Yellow Laser 0.75
PASCAL Laser, 70% Yellow Laser 1Device
Pascal EM at 70% 577nm "yellow" laser grid, 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 70% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 1 burn-widths-apart Distribution: Grid
PASCAL Laser, 70% Yellow Laser 1
PASCAL Laser, 40% Yellow Laser 0.75Device
Pascal EM at 40% 577nm "yellow" laser grid, 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 740% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
PASCAL Laser, 40% Yellow Laser 0.75
PASCAL Laser, 40% Yellow Laser 1Device
Pascal EM at 40% 577nm "yellow" laser grid, 0.75 burn-widths-apart Intervention: macular laser grid Number of burns: Full grid 112 burns Spot size: 100micron Duration: 10 ms Exposure: A barely visible burn will be aimed at for the "Landmark" burn and EndPoint Management will be set at 740% to achieve non-visible burns Average power: 100 to 1000 mW Spot spacing: 0.75 burn-widths-apart Distribution: Grid
PASCAL Laser, 40% Yellow Laser 1
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Male or female patients with diabetes mellitus type I or type 2 who meet the WHO or ADA criteria for diabetes
Able to give informed consent
Study Eye eligibility
ETDRS visual acuity equivalent to 35 letters or better (Snellen equivalent 20/200 or better)
The patient must have non-proliferative diabetic retinopathy (NPDR) with diffuse macular oedema
Mean average central retinal thickness at least 300 microns as measured by Deep Range Imaging Optical Coherence Tomography (DRI -OCT) scans
Adequate pupil dilatation and clear media to perform wide-field colour, red-free imaging and fundus fluorescein angiography (WF-FFA), wide-field fundus autofluorescence imaging (WF-AF) and DRI-OCT
Ability to perform accurate Humphmrey visual field test
You may not qualify if:
Patient-eligibility
History of chronic renal failure or renal transplant for diabetic nephropathy
Recent (last 6 months) or on-going poor glycaemic control. H1Ac greater than 10.0mg/dL
Creatinine greater than 1.2 mg/dL
HDL equal to or greater than 40 mg/dL
Uncontrolled hypertension. Blood pressure greater or equal to 180/110 mmHg
Patient is unavailable for follow-up visits
Pregnant women or breast-feeding females
Study Eye eligibility
Lens opacity that could influence vision and results
Proliferative Diabetic Retinopathy.
Any surgical or non-retinal laser treatment to the study eye within 2 months
Narrow drainage angles with raised intraocular pressure and angle closure glaucoma.
Planned YAG peripheral iridotomy
Previous retinal laser photocoagulation, intraocular drug therapy, or macular laser treatment to treatment eye in last year
+5 more criteria
Contact the study team to confirm eligibility.
Industrycollaborator
Primary Completion
December 2014
Actual (reported)
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
March 17, 2020
Record last verified: 2020-03
Source record
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Source: ClinicalTrials.gov.
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