Subconjunctival Bevacizumab Effect on Bleb Vascularity

NCT ID: NCT00854529

Last Updated: 2009-03-03

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2011-10-31

Brief Summary

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Trabeculectomy is an ocular surgery intended to reduce intra-ocular pressure the surgery creates a sub-conjunctival filtering bleb which filters aqueous humor fluid out.

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.

Detailed Description

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trabeculectomy is an ocular surgery intended to reduce intra-ocular pressure the surgery creates a sub-conjunctival filtering bleb which filters aqueous humor fluid out.

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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Bleb Vascularity Bleb Fibrosis Trabeculectomy Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

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

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

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

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

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.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Bevacizumab

sub-conjunctival injection of 1.25mg Bevacizumab

Intervention Type DRUG

Other Intervention Names

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Avastin

Eligibility Criteria

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Inclusion Criteria

* post uneventful trabeculectomy with mitomycin c application during surgery
* adult

Exclusion Criteria

* usage of 5-fluorouracil in trabeculectomy
* post-operative complications
* ischemic heart disease
* s/p cerebrovascular accident
* allergy to bevacizumab
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rabin Medical Center

OTHER

Sponsor Role lead

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

Site Status

Countries

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Israel

Central Contacts

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moshe lusky, MD

Role: CONTACT

972-39376113

omer Y bialer, MD

Role: CONTACT

972-39376100

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.

Reference Type BACKGROUND
PMID: 18026201 (View on PubMed)

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.

Reference Type RESULT
PMID: 9932993 (View on PubMed)

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.

Reference Type RESULT
PMID: 18692246 (View on PubMed)

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.

Reference Type RESULT
PMID: 18854726 (View on PubMed)

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.

Reference Type RESULT
PMID: 16583638 (View on PubMed)

Treatment of Failing Blebs with Ranibizumab. Study number NCT00570726. http://clinicaltrials.gov

Reference Type RESULT

Other Identifiers

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005285

Identifier Type: -

Identifier Source: org_study_id

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