The Effect of Intravitreal Avastin on the Retina Measured by Electroretinogram

NCT ID: NCT00478530

Last Updated: 2009-02-05

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

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2008-10-31

Brief Summary

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To evaluate the scotopic and photopic ERG responses before and after one month of intravitreal avastin injection in patients with choroidal neovascularization.

A positive finding that will reveal a toxic effect of intravitreal avastin injection on any component of the retina will have a significant important clinical impact regarding the decision whether the benefit of avastin treatment for CNV will prevail over toxic effect.

Detailed Description

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The study will include 20 patients who are diagnosed with CNV and were submitted for intravitreal injection of avastin. Patients with uncontrolled glaucoma, any ocular operation two months prior to the injection, ocular inflammatory disease, systemic hypertension treated with more than one medication, myocardial infarct, congestive heart disease will not be included in the study. After the patient will approve to participate in the study and will fall in with the inclusion and exclusion criteria, the patient will sign a written consent statement (enclosed).

Medical history and ophthalmic examination will be written in the study file. The patients will undergo the full-field ERG test using the ISCEV Protocol. Since the ERG is a non invasive test the patient will be admitted on the same day for intravitreal avastin in the designated eye. After one month the patient will undergo identical ERG protocol in addition to the standard follow-up examinations protocol for intravitreal avastin injection (1 day, 1 week, 1 month). The other eye will serve as control group.

Conditions

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Macular Degeneration

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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ELECTRORETINOGRAM

Bevacizumab 1.25 mg/0.05 ml unilaterally into the vitreous cavity as part of the standard management for choroidal neovascular AMD. ERG responses form both eyes will be measured at baseline and 1 month after intravitreal injection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients who were diagnosed with CNV caused by ARMD
2. ERG can be performed in both eyes

Exclusion Criteria

1. Treatment within 7 days with VERTOPROFIN
2. Treatment within one month with laser photocoagulation
3. Ocular surgery for AMD (besides laser).
4. Participation in other medical study
5. Sub-fovea RPE atrophy in the study eye.
6. CNV with ocular histoplasmosis, trauma, pathological myopia.
7. Uveitis or history of uveitis.
8. Retinal pigment epithelium tear in the fovea of the injected eye.
9. Vitreous hemorrhage
10. Conjunctivitis, keratitis, scleritis, endophthalmitis.
11. Intraocular surgery (including cataract) within two months
12. Uncontrolled glaucoma (IOP≄30 mmHg under glaucoma medications)
13. Hypertension treated with two or more medication
14. History of myocardial infarct
15. History of myocardial insufficiency -
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Sheba Medical Center

Principal Investigators

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YGAL ROTENSTREICH

Role: PRINCIPAL_INVESTIGATOR

Sheba Medical Center

Locations

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Sheba Medical Center

Ramat Gan, , Israel

Site Status

Countries

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Israel

References

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Pai SA, Shetty R, Vijayan PB, Venkatasubramaniam G, Yadav NK, Shetty BK, Babu RB, Narayana KM. Clinical, anatomic, and electrophysiologic evaluation following intravitreal bevacizumab for macular edema in retinal vein occlusion. Am J Ophthalmol. 2007 Apr;143(4):601-6. doi: 10.1016/j.ajo.2006.12.037. Epub 2007 Feb 15.

Reference Type BACKGROUND
PMID: 17306753 (View on PubMed)

Rotenstreich Y, Harats D, Shaish A, Pras E, Belkin M. Treatment of a retinal dystrophy, fundus albipunctatus, with oral 9-cis-beta-carotene. Br J Ophthalmol. 2010 May;94(5):616-21. doi: 10.1136/bjo.2009.167049. Epub 2009 Dec 2.

Reference Type DERIVED
PMID: 19955196 (View on PubMed)

Other Identifiers

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SHEBA-07-4573-YR-CTIL

Identifier Type: -

Identifier Source: org_study_id

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