TAC-PF, Avastin® in Combination With Photodynamic Therapy to Treat Age Related Macular Degeneration

NCT ID: NCT00464347

Last Updated: 2010-03-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2007-09-30

Brief Summary

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VERTACL will investigate whether a triple therapy, Avastin®, half fluence verteporfin photodynamic therapy (PDT), and triamcinolone acetonide-preservative free (TAC- PF), results in improved 12-month vision outcome compared to Avastin® alone in participants with neovascular AMD.

Detailed Description

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The VERTACL study is a multi-center, randomized, Phase II trial to investigate whether a triple therapy, Avastin®, half fluence verteporfin PDT, and TAC- PF, results in improved 12-month vision outcome compared to Avastin® alone in participants with neovascular AMD.

Participants will be randomized (similar to the flip of a coin) in a 1:1 ratio to one of the two study groups: single therapy (Avastin®), or triple therapy (Avastin®, half fluence verteporfin PDT, and TAC- PF). Participants in the Avastin® alone arm will receive 1.25 mg intravitreal Avastin®, at every study visit. Participants in the triple-therapy arm will receive all treatments (Avastin®, half fluence verteporfin PDT, and TAC- PF) at baseline.

Following baseline, participants in the triple therapy study arm will receive study treatment on an as-needed (PRN) basis if protocol-specific re-treatment criteria are met. After randomization, participants will return to the clinic approximately every six weeks for one year for study assessments and possible re-treatment.

Participants will return to the clinic at month 24 for a final study assessment. Study assessments include: visual acuity, optical coherence tomography, and fundus photography.

Conditions

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Age-Related Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Interventions

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Avastin

Intervention Type DRUG

Photodynamic Therapy (PDT)

Intervention Type PROCEDURE

Preservative-Free Triamcinolone Acetonide (TAC-PF)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Drusen \> 63 mm
* Choroidal neovascularization under the fovea (Predominantly Classic, Minimally Classic, and Occult lesions acceptable)
* Greatest linear dimension (GLD) of entire lesion \< 5400 µm (no reading center confirmation required)
* ETDRS best corrected visual acuity of 20/40 - 20/320 (73 - 24 letter score)
* Total area of lesion must \< 9 MPS DA
* 0-3 intravitreal injections of anti-VEGF monotherapy within 6 months of randomization with continuing evidence of exudative activity confirmed by FA or OCT within 4-8 weeks after the last injection

Exclusion Criteria

* Oral steroid use within 6 months
* Prior complications from steroid therapy
* Prior stroke, myocardial infarction, or end-stage malignancy


* Geographic atrophy or fibrosis under the fovea
* Fibrosis, hemorrhage, pigment epithelial detachments and other hypofluorescent lesions obscuring more than 50% of total lesion
* Prior treatment with verteporfin within 12 months
* IOP is \>25 mmHg and the participant is on Cosopt
* Intraocular surgery within 6 weeks
* Prior vitrectomy
* Peribulbar steroid injection within 6 months
* Poor reactions to topical or periocular steroid treatment including elevated IOP
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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QLT Inc.

INDUSTRY

Sponsor Role collaborator

National Eye Institute (NEI)

NIH

Sponsor Role lead

Principal Investigators

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Karl G Csaky, MD, PhD

Role: STUDY_CHAIR

Duke University

Locations

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Retinal Group of Florida

Fort Lauderdale, Florida, United States

Site Status

Central Florida Retina- Orlando

Orlando, Florida, United States

Site Status

Retina Specialists

Pensacola, Florida, United States

Site Status

Elman Retina Group- Baltimore

Baltimore, Maryland, United States

Site Status

Associated Retinal Consulants

Grand Rapids, Michigan, United States

Site Status

VitroRetinal Surgery

Minneapolis, Minnesota, United States

Site Status

Duke University Eye Center

Durham, North Carolina, United States

Site Status

Palmetto Retina Center

Columbia, South Carolina, United States

Site Status

Southeastern Retina Associates

Knoxville, Tennessee, United States

Site Status

Texas Retina Associates-Arlington

Arlington, Texas, United States

Site Status

Texas Retina Associates-Dallas

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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05-EI-0064

Identifier Type: -

Identifier Source: org_study_id

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