Subretinal Lucentis for Hemorrhagic Age-related Macular Degeneration (AMD)

NCT ID: NCT00538538

Last Updated: 2016-08-08

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

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2008-10-31

Brief Summary

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Visual outcomes of the eye with large subretinal hemorrhages (bleeding under the retina) due to Age-Related Macular Degeneration (AMD) are poor. The Submacular Surgery Trial (SST) showed that no statistically significant improvement in vision resulted from surgical removal of the layer of abnormal blood vessels causing the bleeding. However, placement of a gas bubble into the gel of the eye along with removal of the blood has shown some success. However, this does not treat the underlying condition of the AMD.

Intravitreal injections (into the gel of the eye) of a drug called Lucentis has been shown to be highly effective in the treatment of AMD, yet its penetration through areas of thick blood caused by subretinal hemorrhage is not known.

This study is proposing to treat the AMD causing the subretinal hemorrhage with a vitrectomy (surgery involving removing the gel inside the eye, and membrane layers of the eye) followed by Lucentis placed between the layers of the retina and then with or without a gas bubble.

In order to determine if the the subretinal Lucentis alone is beneficial, 5 of the 10 patients enrolled will get a gas bubble and the other 5 will not.

Detailed Description

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Subjects will be followed for a period of 12 months. Based on photographs and other testing procedures, if it is deemed in the subject's best interest, the subject may receive monthly injections of Lucentis to help treat the AMD.

Conditions

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Retinal Hemorrhage Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Does not receive Gas bubble

Group Type ACTIVE_COMPARATOR

vitrectomy with subretinal lucentis

Intervention Type DRUG

These patients will have a vitrectomy where the gel is removed but will not receive the gas bubble.

B

Does receive gas bubble

Group Type ACTIVE_COMPARATOR

vitrectomy with subretinal lucentis

Intervention Type DRUG

A gas bubble will be placed in the eye after the gel has been removed.

Interventions

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vitrectomy with subretinal lucentis

A gas bubble will be placed in the eye after the gel has been removed.

Intervention Type DRUG

vitrectomy with subretinal lucentis

These patients will have a vitrectomy where the gel is removed but will not receive the gas bubble.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age over 50 years
* Vision 20/200 or worse
* AMD with submacular hemorrhage
* Hemorrhage more than 25% of the lesion
* Fibrosis or scar not more than 25% of the entire lesion
* Hemorrhage less than 3 months old
* Vision loss occuring within 3 months

Exclusion Criteria

* Pregnancy
* Participating in any other clinical trial
* Prior treatment for AMD
* Other medical conditions causing compromised vision
* Intraocular eye surgery within the previous 12 months
* Inability to obtain necessary eye photographs
* Systemic use of anti-VEGF agents
* Allergy to fluorescein dye
* Unable to complete all study visits
* Glaucoma filtering surgery
* Use of 2 or more treatments for glaucoma
* Lack of lens in the eye or absence of a posterior capsule
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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William Beaumont Hospitals

OTHER

Sponsor Role lead

Responsible Party

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Associated Retinal Consultants, P.C.

Principal Investigators

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Tarek Hassan, MD

Role: PRINCIPAL_INVESTIGATOR

Associated Retinal Consultants/William Beaumont Hosp.

Locations

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William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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HIC 2007-073

Identifier Type: -

Identifier Source: org_study_id

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