OCT Biomarkers for Diabetic Retinopathy
Functional Optical Coherence Tomography-Derived Biomarkers for Diabetic Retinopathy
1 other identifier
observational
165
1 country
1
Brief Summary
Diabetic retinopathy (DR) is caused by changes in the blood vessels of the retina associated with long-term Type 1 or Type 2 diabetes mellitus. DR is a leading cause of blindness in the United States. Standard optical coherence tomography (OCT) cannot directly detect vascular changes, which may occur early affecting the passage of blood through the tiny capillaries (reduced capillary flow) or cause the greatest damage through formation of abnormal blood vessel growth (neovascularization). Currently, fluorescein angiography (FA) is the gold standard for detecting these changes, but FA requires an injection of a dye into the vein of the arm of the patient. This dye can cause undesirable side effects. Recently, OCT has been used to make functional measurements (such as total retinal blood flow among others) and to perform angiography. Thus, functional OCT may provide a useful, alternate way to evaluate diabetic retinopathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2015
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 30, 2014
CompletedFirst Posted
Study publicly available on registry
January 1, 2015
CompletedStudy Start
First participant enrolled
January 26, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 24, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
ExpectedSeptember 9, 2025
September 1, 2025
5.1 years
December 30, 2014
September 5, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of participants with decreased total retinal blood flow by OCT angiography
Total retinal blood flow will be measured in uL/min.
1 year
Number of participants with capillary dropout and/or new abnormal retinal blood vessel growth by OCT angiography
Neovascular membrane area will be measured in mm2.
1 year
Number of participants with measureable macular edema by OCT imaging
Retinal thickening area will be measured in mm2.
1 year
Study Arms (3)
Group A
Patients with: * Type 1 or Type 2 diabetes mellitus * severe non-proliferative diabetic retinopathy (NPDR) or proliferative diabetic retinopathy (PDR).
Group B
Patients with: * Type 1 or Type 2 diabetes mellitus * with or without mild to moderate NPDR
Group C (controls)
Patients without diabetes or evidence of any form of eye disease
Eligibility Criteria
Participants with Type 1 diabetes of greater than 5 years duration OR Type 2 diabetes of any duration. Healthy controls are also being enrolled in this study.
You may qualify if:
- Male or female participants 18-79 years old
- With Type 1 diabetes for over 5 years or Type 2 diabetes of any duration
You may not qualify if:
- Vision worse than 20/200
- Inability to maintain fixation for OCT imaging
- Significant kidney disease, kidney failure or kidney transplant
- Unstable medical status, including blood pressure greater than 180/110 or unstable heart disease
- Pregnant or nursing an infant
- Presence of an eye disease (other than diabetic retinopathy) that can affect retinal blood flow, retinal permeability or retinal anatomy
- Significant cataract, corneal scar, vitreous bleed or other media opacity
- History of major eye surgery within 4 months prior to enrollment in this study
- Male or female participants 18-79 years old
- Vision worse than 20/200
- Inability to maintain fixation for OCT imaging
- Significant kidney disease, kidney failure or kidney transplant
- Unstable medical status, including blood pressure greater than 180/110 or unstable heart disease
- Pregnant or nursing an infant
- Presence of any eye disease that can affect retinal blood flow, retinal permeability or retinal anatomy
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Oregon Health & Science University
Portland, Oregon, 97239, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thomas Hwang, MD
Oregon Health and Science University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Thomas Hwang, MD, Professor of Ophthalmology, Retina & Vitreous Diseases Division
Study Record Dates
First Submitted
December 30, 2014
First Posted
January 1, 2015
Study Start
January 26, 2015
Primary Completion
February 24, 2020
Study Completion (Estimated)
December 1, 2026
Last Updated
September 9, 2025
Record last verified: 2025-09