Use of Ziv Aflibercept in Different Retinal Diseases
Safety and Efficacy of Ziv Aflibercept in Myopic Choroidal Neovascularisation ,Central Retinal Vein Occlusion and Resistant Diabetic Macular Edema
1 other identifier
interventional
55
1 country
1
Brief Summary
A prospective interventional case series study was conducted on 20 eyes of 20 patients with active myopic choroidal neovascularisation (CNV) ,20 eyes with resistant diabetic macular edema and 15 eyes with non ischaemic central retinal vein occlusion(CRVO) after approval of the Ethical Committee of the Faculty of Medicine, Tanta University . All procedures were carried out under the tenets of the Helsinki Declaration. Written consent was provided by all participants after discussing the procedure, alternative treatment plans, follow-up schedules, and possible benefits and risks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Jun 2019
Shorter than P25 for phase_1
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
June 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2020
CompletedFirst Submitted
Initial submission to the registry
February 23, 2020
CompletedFirst Posted
Study publicly available on registry
February 28, 2020
CompletedOctober 11, 2021
October 1, 2021
6 months
February 23, 2020
October 4, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Improvement of BCVA by log MAR(minimum angle of resolution) and reduction of CMT after intravitreal injection
To assess sustained improvement of BCVA(Best corrected visual acuity) and reduction of the CMT (central macular thickness) after intravitreal injection of zivaflibercept
6 months
Study Arms (1)
ziv aflibercept patients
EXPERIMENTAL20 eyes of myopic CNV,20 eyes with resistant diabetic macular edema and 15 eyes with non ischaemic CRVO
Interventions
Intravitreal injection of 1.25 mg of ziv aflibercept in patients
Eligibility Criteria
You may qualify if:
- The study included treatment naive patients suffering from recently diagnosed active myopic subfoveal or juxtafoveal CNV less than 2 months documented by fundus fluorescein angiography (FFA)and optical coherence tomography (OCT ) , pathological myopia more than 6 D was included .
You may not qualify if:
- Previous intraocular surgery .
- Coincident retinal pathology as diabetic retinopathy, retinal vein occlusion .
- CNV due to other causes like age related macular degeneration ,angioid streaks,trauma and choroiditis.
- Extrafoveal myopic CNV .
- Patients received other lines of treatment for CNV like photodynamic therapy ,laser photocoagulation or intravitreal injection of triamcinolone or other anti VEGF(vascular endothelial growth factor) agents.
- Known glaucoma , clinical suspicion of glaucoma or IOP(intraocular pressure) more than 20 mmHg.
- Prior ocular inflammation.
- The presence of retinal degeneration.
- Patients who didnot complete 6 months of follow up
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Amin El Sayed Nawarlead
- Tanta Universitycollaborator
Study Sites (1)
Tanta University
Tanta, El Gharbia, 31111, Egypt
Related Publications (3)
Chan WM, Ohji M, Lai TY, Liu DT, Tano Y, Lam DS. Choroidal neovascularisation in pathological myopia: an update in management. Br J Ophthalmol. 2005 Nov;89(11):1522-8. doi: 10.1136/bjo.2005.074716.
PMID: 16234465RESULTNawar AE, Wasfy T, Shafik HM. Switching to ziv-aflibercept in resistant diabetic macular edema non responsive to ranibizumab injection. BMC Ophthalmol. 2022 Jun 29;22(1):287. doi: 10.1186/s12886-022-02503-x.
PMID: 35768859DERIVEDNawar AE, Shafik HM. Pilot study of ziv-aflibercept in myopic choroidal neovascularisation patients. BMC Ophthalmol. 2020 Oct 19;20(1):414. doi: 10.1186/s12886-020-01679-4.
PMID: 33076864DERIVED
Related Links
MeSH Terms
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Amin Nawar MD.Lecturer of Ophthalmology
Study Record Dates
First Submitted
February 23, 2020
First Posted
February 28, 2020
Study Start
June 1, 2019
Primary Completion
December 1, 2019
Study Completion
January 1, 2020
Last Updated
October 11, 2021
Record last verified: 2021-10
Data Sharing
- IPD Sharing
- Will not share