Combination of Ranibizumab and Verteporfin Therapy in Neovascular Age-related Macular Degeneration
Changes in Preferential Hyperacuity Perimeter (PHP) and Fundus Autofluorescence (FAF) in Patients With Neovascular Age-related Macular Degeneration Receiving Combination of Ranibizumab and Verteporfin Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Seoul, Korea, Republic of, 130-702
- Dept. of Ophthalmology, KyungHee Medical Center, #1 Hoegi, Dongdaemun-gu
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed written informed consent
- Age ≥ 50 years old
- Patients with primary active subfoveal CNV secondary to AMD
- Baseline best-corrected visual acuity (BCVA) in the study eye was from 20/40 to 20/400 using ETDRS chart
Characteristics of AMD lesion
- predominantly or minimally classic, or occult
- absence of prior subfoveal treatment for macular disease
- total lesion size ≤ 9 optic disc areas, with CNV component ≥ 50% of the lesion (unless a serous pigment epithelial detachment was present, in which case < 50% CNV was acceptable)
- active choroidal neovascularization leakage
- submacular blood < 50% and subretinal fibrosis < 25% of the total lesion
Exclusion Criteria:
- additional eye disease that could compromise VA
- CNV unrelated to AMD
- ocular inflammation
- vitreous hemorrhage
- retinal hemorrhage (other than AMD related submacular blood) > 1 disc areas
- intraocular surgery ≤ 1 month before day 0
- uncontrolled glaucoma
- prior treatments with verteporfin PDT
- laser photocoagulation or other intervention for AMD
- previous treatment with external-beam radiation therapy or transpupillary thermotherapy
- history of vitrectomy
Study Plan
How is the study designed?
Design Details
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: Ranibizumab
three session of monthly injection of Lucentis® (week 0, 4, 8).
After 4 weeks from third injection, a session of verteporfin PDT (week 12) and fourth injection of Lucentis® (week 16) will be added at intervals of 4 weeks.
Two more combined treatment with verteporfin PDT and Lucentis® injection 4 weeks apart can be added at the treating physician's discretion in 3-month intervals (week 28, week 40).
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Lucentis® (ranibizumab) 0.3mg (0.05ml volume) intravitreal injection.
Eligible patients will be initially received three session of monthly injection of Lucentis® (week 0, 4, 8).
After 4 weeks from third injection, a session of verteporfin PDT (week 12) and fourth injection of Lucentis® (week 16) will be added at intervals of 4 weeks.
Two more combined treatment with verteporfin PDT and Lucentis® injection 4 weeks apart can be added at the treating physician's discretion in 3-month intervals (week 28, week 40).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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The change in ETDRS visual acuity letter scores from baseline.
Time Frame: every 4 weeks (up to 52 weeks)
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every 4 weeks (up to 52 weeks)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Effect on CNV and RPE using preferential hyperacuity perimeter (PHP) and fundus autofluorescence (FAF). Retinal thickness using optical coherence tomography (OCT). Recurrence of fluorescein leakage. The need for additional PDT treatment
Time Frame: every 4 weeks (up to 52 weeks)
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every 4 weeks (up to 52 weeks)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Hyung-Woo Kwak, Dept. of ophthalmology, KyungHee Medical Center
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary 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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CBPD952AKR03
- CCT-NAPN-18335
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