Effects of Lutein Supplementation on Macular Pigment Optical Density and Visual Acuity in Patients With Age-related Macular Degeneration
The macular pigment (MP) in humans consists of the yellow, blue-absorbing carotenoids lutein and zeaxanthin. The highest concentrations of lutein and zeaxanthin are found in the fovea. Since light entering the eye passes through the MP before reaching the photo receptors it absorbs a significant portion of short-wavelength light. There is evidence that this absorbing properties of the MP as well as the ability of inactivating highly reactive oxygen species are protective for the retina.
Age-related macular degeneration is the leading cause of blindness among developed countries. The pathogenesis of this disease remains unknown. There is, however, evidence that low fruit and vegetable consumption increases the risk of Age-Related Macular Degeneration (AMD). Accordingly, it has been hypothesized that lutein supplementation may be beneficial in AMD. The present study investigates whether 6 months lutein supplementation increases MP optical density (OD), influences visual acuity, depth and dimension of central scotoma and alters symptoms in patients with AMD.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Vienna, Austria
- Department of Clinical Pharmacology, Medical University of Vienna
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with nonexudative AMD (either categories 2, 3 or 4 according to the AREDS criteria; in group 4 the eyes with no-advanced AMD will be included, Age-Related Eye Disease Study Research Group 2001)
- Age between 50 and 90 years
- Clear non-lenticular ocular media
- Visual acuity > 0.4
Exclusion Criteria:
- Primary retinal pigment epithelium atrophy > 125 µm
- Moderate or severe non-proliferative diabetic retinopathy, proliferative diabetic retinopathy
- Participation in a clinical trial in the 3 weeks preceding the study
- Previous treatment with lutein within 3 month of study initiation
- History of hypersensitivity to the trial drug or to drugs with a similar chemical structure
- History or presence of gastrointestinal, liver or kidney disease, or other conditions known to interfere with, distribution, metabolism or excretion of study drugs
- Ocular surgery within the last 6 months
- Treatment with photosensitizing drugs
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: 2
Placebo
|
Placebo capsules identical in taste and appearance
|
|
Active Comparator: 1
Lutamax
|
leutein 20 mg for 3 months, then lutein 10 mg
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Macular pigment optical density (MPOD) as measured with optical reflectometry
Time Frame: 5 minutes
|
5 minutes
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Visual acuity using ETDRS charts
Time Frame: 15 minutes
|
15 minutes
|
|
Central visual field defects assessed with scanning laser scotometry
Time Frame: 30 minutes
|
30 minutes
|
|
Changes in fundus appearance as documented with fundus photos
Time Frame: 5 minutes
|
5 minutes
|
|
Determination of an increased systemic antioxidative state in plasma and low density lipoprotein and Plasma lutein concentrations
Time Frame: 5 minutes
|
5 minutes
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ursula Schmidt-Erfurth, Prof. Dr., Department of Opthalmology, Medical University of Vienna
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OPHT-100205
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Age-Related Macular Degeneration
-
NCT04935411TerminatedNeovascular Age-Related Macular Degeneration
-
NCT04662944Completed
-
NCT05126966Withdrawn
-
NCT00383370CompletedNeovascular Age Related Macular Degeneration
-
NCT07088445Not yet recruitingNeovascular Age-related Macular Degeneration(nAMD)
-
NCT06470373Not yet recruitingNeovascular Age-related Macular Degeneration (nAMD)
-
NCT04642183CompletedNeovascular Age-related Macular Degeneration | Intermediate Age Related Macular Degeneration (Disorder)
-
NCT03683251RecruitingNeovascular Age-Related Macular Degeneration
-
NCT06198413Active, not recruitingNeovascular Age-Related Macular Degeneration
-
NCT00709527CompletedNeovascular Age-Related Macular Degeneration