- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07607496
MacuTherm Performance Study in Patients With iAMD
Individualized Navigated Photothermal Therapy in Patients With Intermediate AMD: A Randomized, Double-Blinded, Controlled Clinical Trial to Evaluate the Performance of theTherapy Proposed by Macula Explorer Using Navilas Laser System
The goal of this study is to demonstrate that photothermal therapy with the individually dosed treatment plan proposed by Macula Explorer delivered safely by Navilas® Laser System effectively improves the life of photoreceptors and reduces the progression of intermediate Age-related Macular Degeneration (iAMD) and preserves photoreceptors shown by Ellipsoid Zone Integrity (EZI).
Participants will be randomized to either Treatment or Control Group. There will be 12 visits, monthly for the first 3 months, then quarterly until the end of the study after 2 years.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Jan Tode, Prof. Dr. med.
- Número de teléfono: +49 3328 31 282-100
- Correo electrónico: Jan.Tode@od-os.com
Ubicaciones de estudio
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-
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Detmold, Alemania, 32756
- Reclutamiento
- Gemeinschaftspraxis GbR Dr. Giers, Dr. Faßbender & Partner
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Contacto:
- Jana Riedl, Dr. med.
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Hanover, Alemania, 30625
- Aún no reclutando
- Department of Ophthalmology at Hannover Medical School
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Contacto:
- Maximilian LJ Hamann, Dr. med.
- Número de teléfono: +49 (511) 532-2379
- Correo electrónico: hamann.max@mh-hannover.de
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Lübeck, Alemania, 23538
- Reclutamiento
- Department of Ophthalmology, University Medical Center Schleswig-Holstein
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Contacto:
- Miura Yoko, Prof. Dr. med.
- Número de teléfono: +49 451 3101 3212
- Correo electrónico: yoko.miura@uni-luebeck.de
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Mannheim, Alemania, 68167
- Reclutamiento
- Augenklinik Universitätsmedizin Mannheim, Department Augenheilkunde
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Contacto:
- Robert Finger, Prof. Dr. Dr. med.
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Münster, Alemania, 48145
- Reclutamiento
- Augenklinik am St. Franziskus-Hospital Münster
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Contacto:
- Georg Spital, Dr. med.
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Potsdam, Alemania, 14467
- Reclutamiento
- Potsdam Eye Clinic at Gräfehaus
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Contacto:
- Volker Rasch, Dr. med.
- Número de teléfono: +49 331 280860
- Correo electrónico: macutherm@graefe-haus.de
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Schleswig, Alemania, 24837
- Reclutamiento
- AugenNord Medical Practice and Surgical Center
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Contacto:
- Imke Biedermann, Dr. med.
- Número de teléfono: +49 4351 72 75 0
- Correo electrónico: macutherm@augennord.de
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Trier, Alemania, 54296
- Reclutamiento
- MVZ Augenklinik Petrisberg GmbH, Klinik und Praxis für Augenheilkunde
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Contacto:
- Kai Januschowski, Prof. Dr. med.
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Zschopau, Alemania, 09405
- Reclutamiento
- Praxis Zschopau I
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Contacto:
- Simo Murovski, Dr. med.
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-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Key Inclusion Criteria:
- Male, female, or diverse
- Age of 60 to 90 years old
Clinically confirmed intermediate AMD (iAMD, AREDS category 3) with the presence of:
- At least 3 large drusen (diameter > 125 μm) within the inner ring of 3mm diameter of the ETDRS Grid centered on the fovea (with or without reticular pseudodrusen (RPE))
combined with at least 1 of the following other signs:
- Incomplete RPE and outer retinal atrophy (i-RORA) outside central 1mm ring and/or
- Hyperreflective foci (HRF) adjacent to drusen (within 3 mm)
- Best corrected visual acuity between 65 and 87 letters
- Clear optic media
- Ability to communicate clearly and to understand and comply with the nature and requirements of the study
- Ability to provide written informed consent in accordance with institutional, local and national regulatory guidelines
- Willing to participate
Exclusion Criteria:
- Presence of late-stage AMD, neovascular (nAMD, active or fibrotic) or geographic atrophy (GA)
- Maculopathies showing only pseudodrusen
- Any systemic medication known to be toxic to the lens, retina or optic nerve
- Any intraocular surgery within 6 months prior to study inclusion (except uncomplicated cataract surgery > 3 months)
- Any previous thermal laser treatment in the macula
- History of vitrectomy, filter surgery, corneal transplantation or retinal detachment
- Previous therapeutic radiotherapy in the eye region
- Pregnant or breast-feeding patients
- Participation in an investigational drug, biologic or device study within 6 months prior to study entry (Note: observational clinical studies involving only over-the-counter vitamins, supplements or diets are not excluded)
- Expected participation in an investigational drug, biologic or device study during the duration of this clinical investigation except clinical investigations for diagnostic purposes where examinations are not influencing the outcome of the current clinical investigation. Mandatory for participation in this additional clinical investigation is prior approval from the sponsor of this clinical investigation in writing
- A serious medical condition that prevents the patient from performing study activities (including cardiac, hepatic, renal, respiratory, endocrinological, neurological or haematological conditions) or, in the opinion of the investigator, is likely to require surgery or hospitalization (at any time during his/her participation on this clinical investigation)
- Known allergy to any ingredient required (for dilation of the pupil, if no alternative agent may be applied) or any contraindication to be treated with Navilas® Laser System 577SL
- If, in the opinion of the investigator, it is unlikely that the study protocol will be followed
If only one eye is eligible for inclusion, none of the following criteria must be present in the fellow eye in order to allow inclusion of the study eye:
- Presence of late-stage AMD in need of therapy
- Presence of neovascular AMD (nAMD) in need of therapy
- Presence of geographic atrophy (GA) in need of therapy (e.g. complement-inhibitors)
- All the non-AMD eye diseases mentioned for the study eye as exclusion criteria
- Previous therapeutic radiotherapy in the fellow eye region
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Triple
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Comparador falso: Grupo de control
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Patients receive sham treatment in the study eye
|
|
Experimental: Grupo de tratamiento
|
Patients receive individualized photothermal therapy in the study eye
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Primary endpoint is defined by preservation of Ellipsoid Zone Integrity (EZI).
Periodo de tiempo: 12 months
|
It is reached if at 12 months the EZI change from baseline is significantly better in the Treatment Group than in the Control Group.
|
12 months
|
Medidas de resultado secundarias
Medida de resultado |
Periodo de tiempo |
|---|---|
|
Change in eyes of Treatment Group compared to eyes in Control Group compared to baseline to determine progression of Drusen within ETDRS sector (<6mm)
Periodo de tiempo: 24 months
|
24 months
|
|
Rate of eyes converting to geographic atrophy
Periodo de tiempo: 24 months
|
24 months
|
|
Rate of eyes converting to active exudative nAMD
Periodo de tiempo: 24 months
|
24 months
|
|
Loss in BCVA of > 3 lines compared to baseline
Periodo de tiempo: 24 months
|
24 months
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Jan Tode, Prof. Dr. med., OD-OS MacuTherm GmbH
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- MacuTherm Trial
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
producto fabricado y exportado desde los EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .