Ranibizumab to Treat Type 2 Idiopathic Macular Telangiectasia (RAMA-Trial)

NCT ID: NCT00504400

Last Updated: 2009-09-22

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

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2009-09-30

Brief Summary

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The purpose of this study is to investigate if a new drug called ranibizumab is effective to treat a rare bilateral disease of the macula: type 2 idiopathic macular telangiectasia (type 2 IMT). 10 patients will receive monthly injections of the drug into one eye over a period of one year.

Detailed Description

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Type 2 idiopathic macular telangiectasia (type 2 IMT) is a retinal disease of unknown etiology that commonly presents with a slow decrease in visual acuity, reading difficulties and metamorphopsia in the fifth to seventh decade. Diagnosis is based on fluorescein angiography which typically reveals parafoveal leakage in the late phase and may show telangiectatic capillaries in the early phase. In a subset of patients, a proliferative stage with secondary neovascularizations may develop late in the disease course. In the past, there has been no effective treatment for the disease stages without neovascularization.

Recent studies in a limited number of patients with nonproliferative disease have shown promising results after intravitreal injection of bevacizumab, an antagonist targeting vascular endothelial growth factor (VEGF). Bevacizumab resulted in a decrease of parafoveal leakage in fluorescein angiography and a decrease in retinal thickness. An increase in visual acuity was reported in a subset of patients.

The RAMA-Trial is initiated in order to investigate the effect of a ranibizumab. The safety and tolerability of this VEGF-antagonist has been extensively studied in large cohorts of patients suffering from age-related macular degeneration.

Patients with type 2 IMT will receive monthly injections over a period of one year. The above mentioned outcome measures will be assessed.

Conditions

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Type 2 Idiopathic Macular Telangiectasia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Group Type EXPERIMENTAL

Intravitreal injection ranibizumab

Intervention Type DRUG

Monthly intravitreal injection of of 0.5mg ranibizumab in one eye over one year

Interventions

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Intravitreal injection ranibizumab

Monthly intravitreal injection of of 0.5mg ranibizumab in one eye over one year

Intervention Type DRUG

Other Intervention Names

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Lucentis

Eligibility Criteria

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Inclusion Criteria

* diagnosis of type 2 idiopathic macular telangiectasia
* minimum of 18 years
* patient must be able to follow protocol
* written informed consent
* best corrected visual acuity between 20/200 - 20/32 in the treated eye

* patients with other retinal vascular disease such as diabetic retinopathy or venous occlusive diseases
* ocular surgery 3 months before study enrollment
* history of uncontrolled glaucoma
* active intraocular inflammation or inflammation of the ocular adnexa
* subfoveal fibrosis in the study eye
* inability to follow study protocol
* major surgery one month before study enrollment
* history of severe cardiovascular disease or history of stroke 6 months before study enrollment
* allergies against substances or components of the study medication
* low anticipated compliance
* patients who participate(d) in clinical trials simultaneously or within the last 60 days
* pregnancy, lactation, women that may become pregnant and don't use safe contraception
* chronic alcohol- or drug abuse within the last year
* lacking legal competence or language ability
* neurologic diseases such as multiple sclerosis
* need of concomitant medication that is not allowed in combination with ranibizumab
* previous intravitreal therapy with anti-angiogenic substances in the study eye within the last 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis

INDUSTRY

Sponsor Role collaborator

University Hospital, Bonn

OTHER

Sponsor Role lead

Responsible Party

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University of Bonn

Principal Investigators

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Frank Holz, MD

Role: PRINCIPAL_INVESTIGATOR

University of Bonn, Department of Ophthalmology

Hendrik PN Scholl, MD, MA

Role: PRINCIPAL_INVESTIGATOR

University of Bonn

Locations

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Department of Ophthalmology, University of Bonn

Bonn, , Germany

Site Status

Countries

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Germany

References

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Charbel Issa P, Finger RP, Kruse K, Baumuller S, Scholl HP, Holz FG. Monthly ranibizumab for nonproliferative macular telangiectasia type 2: a 12-month prospective study. Am J Ophthalmol. 2011 May;151(5):876-886.e1. doi: 10.1016/j.ajo.2010.11.019. Epub 2011 Feb 19.

Reference Type DERIVED
PMID: 21334595 (View on PubMed)

Charbel Issa P, Troeger E, Finger R, Holz FG, Wilke R, Scholl HP. Structure-function correlation of the human central retina. PLoS One. 2010 Sep 22;5(9):e12864. doi: 10.1371/journal.pone.0012864.

Reference Type DERIVED
PMID: 20877651 (View on PubMed)

Related Links

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Other Identifiers

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EudraCT number 2006-006233-40

Identifier Type: -

Identifier Source: secondary_id

CRFB002ADE04

Identifier Type: -

Identifier Source: org_study_id

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