577nm Micropulse Laser vs Half-dose Photodynamic Therapy on Acute Central Serous Chorioretinopathy
Prospective Randomized Controlled Clinical Trial to Evaluate the Effects of 577nm Micropulse Laser vs Half-dose Photodynamic Therapy on Acute Central Serous Chorioretinopathy
1 other identifier
interventional
68
1 country
1
Brief Summary
The purpose of this study is to determine whether micropulse laser (MPL) is different to half-dose photodynamic therapy on acute central serous chorioretinopathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2016
Longer than P75 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
First Submitted
Initial submission to the registry
October 17, 2015
CompletedFirst Posted
Study publicly available on registry
October 27, 2015
CompletedStudy Start
First participant enrolled
September 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedApril 5, 2022
April 1, 2022
3.2 years
October 17, 2015
April 4, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
the proportion of eyes with complete absorption of subretinal fluid(SRF)
The primary outcome measure is the OCT-based improvement rate (defined as the proportion of eyes with complete absorption of subretinal fluid on OCT images
1 month
Secondary Outcomes (4)
Change of Best Corrected Visual Acuity(BCVA)
1 month, 3 month, 6 month
Change of fundus autofluorescence
1 month, 3 month, 6 month
Change in 10°retinal sensitivity
1 month, 3 month, 6 month
the proportion of eyes with complete absorption of subretinal fluid(SRF)
6 month
Study Arms (2)
577-MPL
EXPERIMENTAL577nm micropulse laser(577-MPL) will be performed of the areas identified on hyperfluorescent "hot spots" on the mid-phase (3 minutes) fluorescein.Multiple laser spots will be applied, covering the leakage area.
HD-PDT
ACTIVE COMPARATORHalf-dose photodynamic therapy (HD-PDT) is administered to the patients. At 15 minutes after the start of the infusion, PDT laser treatment is performed with standard 50 J/cm2 fluency, a wavelength of 689nm, and a treatment duration of 83 seconds.
Interventions
All treatments were provided by a single practitioner with the 577-nm yellow laser system(Supra 577nm LaserSystem) in 577-MPL arm. The individual power for the patient was titrated at a normal area of near the affected area in micropulse model.The power titration was started at 700 milliwatt(mW) and then gradually increased until a just visible burn was seen. When this threshold was reached, the power was reduced by 50%, using a 100-μm spot diameter and a 200-ms duration with 5 % duty cycle.
5 minutes after the start of the half-dose verteporfin infusion, the PDT treatment will been performed in HD-PDT arm. The treatment is performed with standard fluency (50 J/cm2), a PDT laser wavelength of 689 nm, and a standard treatment duration of 83 seconds.
Eligibility Criteria
You may qualify if:
- onset for the first time, as an episode duration of less than 6 months
- patient was between 18 and 55 years of age
- the presence of subretinal fluid(SRF) involving the macula and detected by use of optical coherence tomography (OCT)
- active fluorescein leakage during fluorescein angiography (FA)
- best corrected visual acuity (BCVA) more than 0.1, and less than 1.0
You may not qualify if:
- previous PDT, focal photocoagulation, intravitreal injections of anti-vascular endothelial growth factor, or ocular surgery
- other macular abnormalities such as choroidal neovascularization(CNV) or polypoidal choroidal vasculopathy(PCV)
- retinal atrophy
- pregnancy
- inability to obtain photographs or to perform FA
- use of steroid systemically or topically in the last 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zhongshan Ophthalmic Center, Sun Yat-sen University
Guangzhou, Guangdong, 510060, China
Study Officials
- STUDY DIRECTOR
Chenjin Jin
Zhongshan Ophthalmic Center, Sun Yat-sen University
- PRINCIPAL INVESTIGATOR
Lijun Zhou
Zhongshan Ophthalmic Center, Sun Yat-sen University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
October 17, 2015
First Posted
October 27, 2015
Study Start
September 1, 2016
Primary Completion
December 1, 2019
Study Completion
December 1, 2019
Last Updated
April 5, 2022
Record last verified: 2022-04