NCT06351033

Brief Summary

Macular degeneration, also called age-related macular degeneration (AMD), is a leading cause of visual impairment and severe vision loss. AMD is a disease with a multifactorial etiology. The main factors which, associated with the genetic ones, increase the risk of WMD onset are represented by smoking, obesity, hypertension, cardio-vascular diseases, a diet rich in dietary fat and alcohol intake. From an organic point of view, AMD is a disease that affects the macular region of the retina, causing progressive loss of central vision. Retinal cells are characterized by high oxygen consumption. Reactive oxygen species (ROS), such as superoxide anion, hydrogen peroxide and hydroxyl radical are the standard product of cellular metabolism within the mitochondria. Under physiological conditions, ROS are neutralized by a system of antioxidants. In case of cellular metabolism disturbances or insufficiency of the antioxidant system, an excess of ROS can be produced which contributes to oxidative stress, widely described as exerting deleterious effects on cells. The high oxygen requirement and low levels of antioxidant enzymes make the retina extremely sensitive to oxidative stress and more susceptible to cell death. Prevention of neuronal death in the retina becomes a crucial aspect for the management of WMD. The treatment of choice for AMD today is the use of anti-VEGF (Vascular Endothelial Growth Factor) drugs, they are effective for neo-vascular AMD, acting on the inhibition of the angiogenic protein VEGF, which is produced in the retina and induced by hypoxia and other conditions. It is practice, however, to support the integration of nutritional supplements such as zinc, resveratrol, carotenoids such as lutein and zeaxanthin, vitamin E and Omega-3 fatty acids. The aim of this study is to evaluate the efficacy of ozonated oil with high ozonides (HOO) administered orally as gastro-resistant capsules (O3Zone, GS Pharma, Malta), as an integrative and complementary treatment in patients affected by macular degeneration in the possible slowing of disease progression.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Oct 2023

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

March 14, 2023

Completed
8 months until next milestone

Study Start

First participant enrolled

October 31, 2023

Completed
5 months until next milestone

First Posted

Study publicly available on registry

April 8, 2024

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

April 8, 2024

Status Verified

April 1, 2024

Enrollment Period

1.1 years

First QC Date

March 14, 2023

Last Update Submit

April 3, 2024

Conditions

Outcome Measures

Primary Outcomes (4)

  • evaluation of any slowing down of the maculopathy

    field of view

    3 months from the beginning of the ozonated oil administration

  • evaluation of any slowing down of the maculopathy

    field of view

    6 months from the beginning of the ozonated oil administration

  • evaluation of any slowing down of the maculopathy

    field of view

    9 months from the beginning of the ozonated oil administration

  • evaluation of any slowing down of the maculopathy and closure of the study

    field of view

    12 months from the beginning of the ozonated oil administration

Study Arms (2)

Placebo

Placebo: control group made up of subjects affected by maculopathy - eligible according to the study protocol - subjected to traditional elective treatments only (including intravitreal Anti-VEGF injections).

Ozonized Oil

Ozonized Oil: intervention group made up of subjects affected by maculopathy - eligible according to the study protocol - subjected to the traditional treatments of choice (including anti-VEGF intravitreal injections) who receive supplementary treatment with the intake of HOO gastro-resistant capsules.

Dietary Supplement: High ozonide (HOO) ozonated oil

Interventions

ozonated oil with high ozonides (HOO) administered orally (os) in gastro-resistant capsules

Ozonized Oil

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All subjects participating in the study will be recruited at the Neuro-Ophthalmology Unit of the IRCCS Neuromed according to the selected inclusion and exclusion criteria. They will then be sent to genetic counseling for the reconstruction of the family genealogy, medical history collection and determination of the genetic predisposition to AMD. All recruited individuals will be entered into a database dedicated to the project.

You may not qualify if:

  • Psychiatric diseases
  • Type I and II diabetes
  • Patients with high refractive defects: myopia \> 6 d; hyperopia \> 4 d; astigmatism \> 4 d
  • Corneal pathologies
  • Hereditary retinal diseases
  • Autoimmune diseases (uveitis)
  • Glaucoma
  • Oncological diseases
  • Liver and kidney disease
  • Inability to understand informed consent and the purpose of the study
  • Women who are pregnant or who may become pregnant during treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

IRCCS Neuromed

Pozzilli, Italy

Location

MeSH Terms

Conditions

Macular Degeneration

Condition Hierarchy (Ancestors)

Retinal DegenerationRetinal DiseasesEye Diseases

Study Officials

  • Eliana Palermo

    IRCCS Neuromed

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

March 14, 2023

First Posted

April 8, 2024

Study Start

October 31, 2023

Primary Completion

December 1, 2024

Study Completion

December 1, 2024

Last Updated

April 8, 2024

Record last verified: 2024-04

Locations