Study Results
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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UNKNOWN
PHASE2
60 participants
INTERVENTIONAL
2009-04-30
2011-10-31
Brief Summary
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A rather common adverse event of the surgery is increasing vascularity of the conjunctiva overlying the bleb. This leads to adherence of the conjunctiva to the sclera and fibrosis and finally failure of the bleb (and of the surgery) this study intends to demonstrate that post operative subconjunctival bevacizumab injection will reduce incidence of bleb vascularity and ultimately, bleb failure.
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Detailed Description
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a rather common adverse event of the surgery is increasing vascularity of the conjunctiva overlying the bleb. this leads to adherence of the conjunctiva to the sclera and fibrosis and finally failure of the bleb (and of the surgery) this study wishes to demonstrate that post operative subconjunctival bevacizumab injection will reduce incidence of bleb vascularity and ultimately, bleb failure.
during the study, one study group will be given subconjunctival bevacizumab 1 week after surgery, another study group will be given subconjunctival bevacizumab 2 week after surgery, and a third group will serve as control and will not receive bevacizumab. if bleb vascularity will be diagnosed all patients will be treated according to current guidelines.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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1
20 patients who had an uneventful trabeculectomy with usage of mitomycin C, will receive subconjunctival bevacizumab 1 week after the surgery
Bevacizumab
sub-conjunctival injection of 1.25mg Bevacizumab
2
20 patients who had an uneventful trabeculectomy with usage of mitomycin C, will receive subconjunctival bevacizumab 2 weeks after the surgery
Bevacizumab
sub-conjunctival injection of 1.25mg Bevacizumab
3
20 patients after an uneventful trabeculectomy with usage of mitomycin C, will not receive any bevacizumab injection.
No interventions assigned to this group
Interventions
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Bevacizumab
sub-conjunctival injection of 1.25mg Bevacizumab
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* adult
Exclusion Criteria
* post-operative complications
* ischemic heart disease
* s/p cerebrovascular accident
* allergy to bevacizumab
18 Years
ALL
No
Sponsors
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Rabin Medical Center
OTHER
Responsible Party
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Rabin Medical Center
Principal Investigators
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moshe lusky, MD
Role: PRINCIPAL_INVESTIGATOR
Rabin Medical Center
omer Y bialer, MD
Role: STUDY_CHAIR
rabin medial center
anat robinson, MD
Role: STUDY_CHAIR
Rabin Medical Center
Locations
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Rabin Medical Center
Petah Tikva, , Israel
Countries
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Central Contacts
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References
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Ichhpujani P, Ramasubramanian A, Kaushik S, Pandav SS. Bevacizumab in glaucoma: a review. Can J Ophthalmol. 2007 Dec;42(6):812-5. doi: 10.3129/i07-160.
Schwartz AL, Van Veldhuisen PC, Gaasterland DE, Ederer F, Sullivan EK, Cyrlin MN. The Advanced Glaucoma Intervention Study (AGIS): 5. Encapsulated bleb after initial trabeculectomy. Am J Ophthalmol. 1999 Jan;127(1):8-19. doi: 10.1016/s0002-9394(98)00290-6.
Grewal DS, Jain R, Kumar H, Grewal SP. Evaluation of subconjunctival bevacizumab as an adjunct to trabeculectomy a pilot study. Ophthalmology. 2008 Dec;115(12):2141-2145.e2. doi: 10.1016/j.ophtha.2008.06.009. Epub 2008 Aug 9.
Coote MA, Ruddle JB, Qin Q, Crowston JG. Vascular changes after intra-bleb injection of bevacizumab. J Glaucoma. 2008 Oct-Nov;17(7):517-8. doi: 10.1097/IJG.0b013e31815f5345.
Kahook MY, Schuman JS, Noecker RJ. Needle bleb revision of encapsulated filtering bleb with bevacizumab. Ophthalmic Surg Lasers Imaging. 2006 Mar-Apr;37(2):148-50.
Treatment of Failing Blebs with Ranibizumab. Study number NCT00570726. http://clinicaltrials.gov
Other Identifiers
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005285
Identifier Type: -
Identifier Source: org_study_id
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