The Effects of Bevacizumab and Ranibizumab on Ocular Pulse Amplitude in Neovascular Age Related Macular Degeneration (AMD)

NCT ID: NCT00640640

Last Updated: 2008-03-21

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-08-31

Study Completion Date

2009-02-28

Brief Summary

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One concern about repeated intravitreal injections of bevacizumab (Avastin) and ranibizumab (Lucentis) in wet age related macular degeneration, is that in addition to blocking the proteins that triggers the development and proliferation of abnormal vessels in the center of the retina, they may also result in changes in the normal vessels that feeds the outer part of the retina.

Small vessels with fenestrations (such as those that feed the outer part of the retina, which are called choriocapillaris) appear to be especially sensitive to this protein (called vascular endothelial growth factor, VEGF) withdrawal.

It is estimated that global blood flow in the vascular layer under the retina (called choroid) may be indirectly assessed by measuring the amplitude of the ocular pulsation (the pressure inside the eye change according to the cardiac cycle, similar to the change in blood pressure) which is called Ocular Pulse Amplitude (OPA). The Pascal Dynamic Contour Tonometer (Pascal DCT) is a new tonometer (a device which measures the pressure within the eye) designed to measure intraocular pressure and ocular pulse amplitude.

No published study has yet assessed the effect of bevacizumab (Avastin) or ranibizumab (Lucentis) treatment for wet AMD (or on any other retinal disease) on OPA. This is our aim in this pilot study, in which we will measure the pressure within the eye just prior to bevacizumab/Ranibizumab treatment, followed by repeated measurements a week and a month after the treatment.

For this purpose, up to 60 patients with wet AMD will be recruited.

Detailed Description

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Conditions

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Neovascular Age Related Macular Degeneration

Keywords

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IOP OPA AMD bevacizumab ranibizumab choroidal blood flow DCT Ocular Pulse Amplitude change following anti VEGF Ocular Pulse Amplitude

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Study Groups

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A

All study patients will be evaluated in a similar way

Group Type EXPERIMENTAL

Pascal Dynamic Contour Tonometer

Intervention Type DEVICE

Pascal Dynamic Contour Tonometer is an ocular device that is able to safely measure the intraocular pressure and the ocular pulse amplitude

Ranibizumab

Intervention Type DRUG

measure the effect of intravitreal 0.5mg/0.05ml ranibizumab on the intraocular pressure and ocular pulse amplitude with the Pascal Dynamic Contour Tonometer

Bevacizumab

Intervention Type DRUG

measure the effect of intravitreal 1.25mg/0.05ml bevacizumab on the intraocular pressure and ocular pulse amplitude with the Pascal Dynamic Contour Tonometer

Interventions

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Pascal Dynamic Contour Tonometer

Pascal Dynamic Contour Tonometer is an ocular device that is able to safely measure the intraocular pressure and the ocular pulse amplitude

Intervention Type DEVICE

Ranibizumab

measure the effect of intravitreal 0.5mg/0.05ml ranibizumab on the intraocular pressure and ocular pulse amplitude with the Pascal Dynamic Contour Tonometer

Intervention Type DRUG

Bevacizumab

measure the effect of intravitreal 1.25mg/0.05ml bevacizumab on the intraocular pressure and ocular pulse amplitude with the Pascal Dynamic Contour Tonometer

Intervention Type DRUG

Other Intervention Names

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Pascal Dynamic Contour Tonometer = Pascal DCT Lucentis Avastin

Eligibility Criteria

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Inclusion Criteria

1. Male or female in the ages of 50 year or older
2. Willing and able to sign an inform consent

Exclusion Criteria

1. Any history, signs or symptoms of any retinal or optic nerve disease, except AMD and mild hypertensive retinopathy
2. In the presently bevacizumab/ranibizumab treated eye, prior PDT and/or intravitreal Kenalog, during the last 3 months.
3. History of ocular surgery with the following exception: extra capsular cataract extraction with implantation of a posterior chamber intra-ocular lens.
4. History of ocular laser treatment, with the following exceptions: Posterior capsulotomy following cataract surgery.
5. Cataract or other media opacity precluding adequate fundus visualization of both eyes
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role collaborator

Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Goldschleger Eye Institute, Sheba Medical Center

Principal Investigators

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Ehud Rechtman, MD

Role: PRINCIPAL_INVESTIGATOR

Sheba Medical Center

Locations

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University Hospitals Leuven

Leuven, , Belgium

Site Status RECRUITING

Goldschleger Eye Institute Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Countries

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Belgium Israel

Central Contacts

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Ehud Rechtman, MD

Role: CONTACT

Phone: 972-52-2528871

Email: [email protected]

Facility Contacts

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Ingeborg Stalmans, MD, PhD

Role: primary

Ehud Rechtman, MD

Role: primary

Other Identifiers

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SHEBA-07-4739-ER-CTIL

Identifier Type: -

Identifier Source: org_study_id