Study Stopped
Withdrawn before recruitment started.
Erythrocyte Ghost Mediated Retinal Diagnosis
EGMRetinalDx
1 other identifier
interventional
N/A
1 country
1
Brief Summary
Instead of the usual procedure of injecting ICG dye directly into an arm vein, now the dye can be placed inside of RBCs. When a small volume of the RBC's with the dye is injected into a person's arm, the individual RBCs can be seen as they flow through the retinal blood vessels.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Oct 2013
Typical duration for not_applicable
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
Study Start
First participant enrolled
October 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 28, 2013
CompletedFirst Posted
Study publicly available on registry
May 15, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2016
CompletedJanuary 22, 2016
January 1, 2016
2.3 years
October 28, 2013
January 20, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Capillary erythrocyte movement
To demonstrate in each subject eye the differences between erythrocyte movement through retinal and choroidal capillaries in normal fundus areas and their movement through abnormal areas associated with vascular disease
1 hour
Secondary Outcomes (1)
Retinal capillary movement
1 hour
Study Arms (1)
ICG loaded erythrocytes
EXPERIMENTALAbility to directly visualize erythrocyte dynamics within the retinal and choroidal microcirculations would facilitate focused investigations into the relationships between vasomotion (i.e., pulsatile erythrocyte movement through capillaries) and oxygen distribution to localized tissue regions.
Interventions
For each subject, on the morning of the day angiography was scheduled, or no longer than 4 days prior to angiography, 9 ml of blood will be withdrawn from an antecubital vein. Using sterile procedures, erythrocyte ghosts produced from the blood will be loaded with ICG dye (for the diagnostic part of the study) or with ICG and one of several drugs (for the therapeutic part of the study) by the following procedure, which requires about 2 hours and yields approximately 1 ml of packed cells (80% Ht) that, after microscopic examination, are ready for autologous re-injection
Eligibility Criteria
You may qualify if:
- A male or female, of any race who is at least 40 years of age and has clinical signs of CNV or exudative manifestations of AMD, has clinical signs of DR, or clinical signs of retinal occlusive disease.
- Patients with subfoveal, extrafoveal or juxtafoveal CNV, which is classic, minimally classic or occult and has dimensions less than 25.0 mm2 as measured on the sodium fluorescein angiogram (SFA).
- Patient with recurrent CNV, where previous treatment never involved the foveal avascular zone (FAZ).
- Analysis of highspeed ICGA must show one or more welldefined feeder vessel.
- Patient must have best corrected visual acuity based on the ETDRS chart between 20/40 and 20/320 in the study eye.
- Patient must be willing, be able to comply with the protocol and provide informed consent.
You may not qualify if:
- CNV secondary to any cause other than AMD or DR.
- Patient with significantly compromised visual acuity in the study eye due to concomitant ocular conditions.
- Patient participating in any other investigational drug study.
- Patient with significant liver disease or uremia.
- Patient with known adverse reaction to indocyanine green or iodine.
- Patient is pregnant or nursing.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northwell Healthlead
Study Sites (1)
Northshore LIJ/MEETH Campus
New York, New York, 10065, United States
Related Publications (1)
Flower RW. Experimental studies of indocyanine green dye-enhanced photocoagulation of choroidal neovascularization feeder vessels. Am J Ophthalmol. 2000 Apr;129(4):501-12. doi: 10.1016/s0002-9394(99)00411-0.
PMID: 10764860BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lawrence A Yannuzzi, MD
NSLIJ/MEETH
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 28, 2013
First Posted
May 15, 2015
Study Start
October 1, 2013
Primary Completion
January 1, 2016
Study Completion
January 1, 2016
Last Updated
January 22, 2016
Record last verified: 2016-01