Changes to the Retina Following Anti-VEGF Treatments for Diabetic Macular Edema
A Clinico-Pathological Study of the Structural and Functional Changes to the Retina Following Anti-VEGF Treatments for Diabetic Macular Edema
1 other identifier
observational
51
0 countries
N/A
Brief Summary
anti-VEGF therapy is an established method to control leakage and abnormal growth of retinal blood vessels. Questions on the long-term effect on the retina, intraocular pressure and on the overall retinal perfusion from these treatments remain to be answered. The purpose of the study was to evaluate changes in the retina following anti-VEGF treatment over time, using structural and functional diagnostic tests.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Sep 2014
Typical duration for all trials
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
September 1, 2014
CompletedFirst Submitted
Initial submission to the registry
November 25, 2016
CompletedFirst Posted
Study publicly available on registry
December 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedMay 2, 2019
April 1, 2019
2.9 years
November 25, 2016
April 30, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Effects of anti-VEGF drugs on intraocular pressure (mmHg)
2 year
Secondary Outcomes (1)
Effects of anti-VEGF drugs on macular thickness (um)
2 year
Study Arms (2)
Ranibizumab Ophthalmic
DME consults requiring anti-VEGF treatment
Control
DME consults not requiring anti-VEGF
Interventions
Ranibizumab (trade name Lucentis among others) is a monoclonal antibody fragment (Fab) created from the same parent mouse antibody as bevacizumab. It is an anti-angiogenic that has been approved to treat the "wet" type of age-related macular degeneration (AMD, also ARMD), a common form of age-related vision loss and diabetic macular edema (DME).
Eligibility Criteria
DR consults referred to the Ivey Eye Institute and requiring anti-VEGF injections in at least one eye due to DME will be recruited into the study.
You may qualify if:
- DME patients
- Require anti-VEGF injections in at least one eye
You may not qualify if:
- Advanced lens opacity or cataract that could affect diagnostic testing
- Prior retinal treatment (PRP, focal laser or surgery within 6 months of participation)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (5)
Simo R, Hernandez C. Intravitreous anti-VEGF for diabetic retinopathy: hopes and fears for a new therapeutic strategy. Diabetologia. 2008 Sep;51(9):1574-80. doi: 10.1007/s00125-008-0989-9. Epub 2008 Apr 11.
PMID: 18404258BACKGROUNDOsaadon P, Fagan XJ, Lifshitz T, Levy J. A review of anti-VEGF agents for proliferative diabetic retinopathy. Eye (Lond). 2014 May;28(5):510-20. doi: 10.1038/eye.2014.13. Epub 2014 Feb 14.
PMID: 24525867BACKGROUNDSingh RS, Kim JE. Ocular hypertension following intravitreal anti-vascular endothelial growth factor agents. Drugs Aging. 2012 Dec;29(12):949-56. doi: 10.1007/s40266-012-0031-2.
PMID: 23179897BACKGROUNDMathalone N, Arodi-Golan A, Sar S, Wolfson Y, Shalem M, Lavi I, Geyer O. Sustained elevation of intraocular pressure after intravitreal injections of bevacizumab in eyes with neovascular age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol. 2012 Oct;250(10):1435-40. doi: 10.1007/s00417-012-1981-0. Epub 2012 Mar 21.
PMID: 22434210BACKGROUNDNeubauer AS, Kook D, Haritoglou C, Priglinger SG, Kampik A, Ulbig MW, Ceklic L. Bevacizumab and retinal ischemia. Ophthalmology. 2007 Nov;114(11):2096. doi: 10.1016/j.ophtha.2007.05.057. No abstract available.
PMID: 17980746BACKGROUND
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cindy Hutnik, MD, PhD
St. Joseph's Health Care London
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 25, 2016
First Posted
December 1, 2016
Study Start
September 1, 2014
Primary Completion
August 1, 2017
Study Completion
August 1, 2017
Last Updated
May 2, 2019
Record last verified: 2019-04