Pilot Study for the Evaluation of Intravitreal Infliximab in the Treatment of Uveitic Macular Edema
2011年6月21日 更新者:Icahn School of Medicine at Mount Sinai
The purpose of this study is to determine if intravitreal infliximab is a safe and effective treatment for macular edema secondary to uveitis.
研究概览
详细说明
Participants with uveitic macular edema will be treated with one injection of intravitreal infliximab (2.0mg/0.05ml)
and followed for three months.
Outcomes that be assessed include best-corrected visual acuity, macular thickness as measured by optical coherence tomography, and electroretinogram responses.
研究类型
介入性
注册 (预期的)
10
阶段
- 阶段2
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
New York
-
New York、New York、美国、10029
- Department of Ophthalmology, Mount Sinai School of Medicine
-
-
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Participant must be 18 years of age or older.
- Participant must understand and sign the protocol's informed consent document.
Participants must have uveitic macular edema in one eye as defined by all of the following criteria:
- Presence of active intermediate uveitis or posterior uveitis.
- Macular edema defined as a central macular thickness of ≥ 250 μm on OCT.
- Uveitis must be noninfectious as determined by standard investigations used in the diagnostic investigation of uveitis.
- Participant must have visual acuity between 20/40 and hand motions in the study eye.
- Participant must have a steady fixation in the study eye and media clear enough for good quality imaging.
- Female participants of childbearing potential must not be pregnant or breast-feeding, must have a negative pregnancy test at screening and must practice an adequate method of birth control. Males able to father a child must agree to practice birth control. Acceptable methods of birth control include hormonal contraception (birth control pills, injected hormones or vaginal ring), intrauterine device, barrier methods with spermicide (diaphragm with spermicide, condom and spermicide) or surgical sterilization (hysterectomy, tubal ligation or vasectomy in a partner). If a participant is of childbearing potential, she must be willing to undergo monthly urine pregnancy tests. Both males and females must agree to use adequate birth control for three months after the intravitreal infliximab injection.
Exclusion Criteria:
- Participant is in another investigational study and actively receiving study therapy.
- Participant is unable to comply with study procedures or follow-up visits.
- Participant has uveitic macular edema (as defined above) in both eyes.
- Participant has multiple sclerosis or symptoms suggestive of multiple sclerosis.
- Participant has evidence of ocular disease other than uveitis in either eye that may confound the outcome of the study (e.g., diabetic retinopathy, age-related macular degeneration, vitreomacular traction, moderate/severe myopia, etc.).
- Participant is expected to need ocular surgery in the study eye during the course of the study.
- Participant has undergone ocular surgery or an intravitreal/periocular steroid injection in the study eye within the past 3 months.
- Participant has had a YAG laser capsulotomy or intravitreal anti-VEGF treatment in the study eye within the past 6 weeks.
- Participant has had a pars plana vitrectomy in the study eye.
- Participant is on ocular or systemic medications known to be toxic to the lens, retina, or optic nerve.
- Participant with a history of ocular herpes simplex virus infection in the study eye.
- A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., unstable medical status including blood pressure and glycemic control).
- There are no criteria for inclusion/exclusion for the fellow eye. Only one eye can have macular edema in order for the potential participant to be considered for enrollment.
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Intravitreal infliximab
|
一次玻璃体内注射英夫利昔单抗 (2.0mg/0.05ml)。
其他名称:
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
最佳矫正视力
大体时间:三个月
|
三个月
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
黄斑厚度
大体时间:一、二、三个月
|
一、二、三个月
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Farzin Forooghian, MD、Icahn School of Medicine at Mount Sinai
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Theodossiadis PG, Liarakos VS, Sfikakis PP, Vergados IA, Theodossiadis GP. Intravitreal administration of the anti-tumor necrosis factor agent infliximab for neovascular age-related macular degeneration. Am J Ophthalmol. 2009 May;147(5):825-30, 830.e1. doi: 10.1016/j.ajo.2008.12.004. Epub 2009 Feb 10.
- Theodossiadis PG, Liarakos VS, Sfikakis PP, Charonis A, Agrogiannis G, Kavantzas N, Vergados IA. Intravitreal administration of the anti-TNF monoclonal antibody infliximab in the rabbit. Graefes Arch Clin Exp Ophthalmol. 2009 Feb;247(2):273-81. doi: 10.1007/s00417-008-0967-4. Epub 2008 Nov 4.
- Giansanti F, Ramazzotti M, Vannozzi L, Rapizzi E, Fiore T, Iaccheri B, Degl' Innocenti D, Moncini D, Menchini U. A pilot study on ocular safety of intravitreal infliximab in a rabbit model. Invest Ophthalmol Vis Sci. 2008 Mar;49(3):1151-6. doi: 10.1167/iovs.07-0932.
- Olson JL, Courtney RJ, Mandava N. Intravitreal infliximab and choroidal neovascularization in an animal model. Arch Ophthalmol. 2007 Sep;125(9):1221-4. doi: 10.1001/archopht.125.9.1221.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2009年8月1日
研究完成 (实际的)
2009年10月1日
研究注册日期
首次提交
2009年8月11日
首先提交符合 QC 标准的
2009年8月12日
首次发布 (估计)
2009年8月13日
研究记录更新
最后更新发布 (估计)
2011年6月23日
上次提交的符合 QC 标准的更新
2011年6月21日
最后验证
2011年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.