Extended Follow-up of Patients With Macular Edema Due to Retinal Vein Occlusion

NCT ID: NCT01198327

Last Updated: 2014-01-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2012-12-31

Brief Summary

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This study evaluates long-term safety in patients with macular edema due to Retinal Vein Occlusion (RVO) originally enrolled in the BRAVO \& CRUISE trials and subsequently followed in the HORIZON extension trial.

Detailed Description

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There is strong evidence that ranibizumab provides benefit in subjects with macular edema due to RVO; however, some subjects required continued injections for years to maintain those benefits. It is likely that such subjects have continued production of VEGF (Vascular Endothelial Growth Factor) from areas of nonperfused retina in the periphery. One strategy is to perform scatter photocoagulation to areas of nonperfusion to reduce continued production of VEGF, but it is important to know if visual benefits are maintained when this is done, because if it is not, it would be better to continue intermittent injections of ranibizumab.

Conditions

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Retinal Vein Occlusion

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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Ranibizumab as needed

Intravitreal ranibizumab, .5mg dose, PRN but not less than 21 days apart; with optional peripheral laser to areas of non-perfusion.

Group Type EXPERIMENTAL

ranibizumab

Intervention Type DRUG

Intravitreal ranibizumab, .5mg dose, PRN but not less than 21 days apart.

Peripheral Laser

Intervention Type OTHER

Areas of nonperfusion identified on wide field angiograms will receive laser, if the patient is continuing to require ranibizumab injections.

Interventions

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ranibizumab

Intravitreal ranibizumab, .5mg dose, PRN but not less than 21 days apart.

Intervention Type DRUG

Peripheral Laser

Areas of nonperfusion identified on wide field angiograms will receive laser, if the patient is continuing to require ranibizumab injections.

Intervention Type OTHER

Other Intervention Names

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RBZ, lucentis Laser

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent and authorization of use and disclosure of protected health information
* Age greater than or equal to 18 years
* Completion of 12 months in BRAVO or CRUISE trials, with subsequent follow-up in the HORIZON extension study. Exit from HORIZON should be within 90 days of enrollment

Exclusion Criteria

* Pregnancy (positive pregnancy test) or lactation
* Premenopausal women not using adequate contraception. The following are considered effective means of contraception: surgical sterilization or use of oral contraceptives, barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel, an IUD, or contraceptive hormone implant or patch.
* Any condition that the investigator believes would pose a significant hazard to the subject if investigational therapy were initiated.
* Inability to comply with study or follow up procedures
* Participation in another simultaneous medical investigation or trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Macula Foundation, Inc.

OTHER

Sponsor Role collaborator

Genentech, Inc.

INDUSTRY

Sponsor Role collaborator

Peter A Campochiaro, MD

OTHER

Sponsor Role lead

Responsible Party

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Peter A Campochiaro, MD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Peter A Campochiaro, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Retina-Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

Retinal Consultants Medical Group

Sacremento, California, United States

Site Status

Southeast Retina

Augusta, Georgia, United States

Site Status

Ophthalmic consultants of Boston

Boston, Massachusetts, United States

Site Status

Retina Associates of New Jersey

Teaneck, New Jersey, United States

Site Status

Retina Consultants of Houston

Houston, Texas, United States

Site Status

Countries

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United States

References

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Campochiaro PA, Hafiz G, Channa R, Shah SM, Nguyen QD, Ying H, Do DV, Zimmer-Galler I, Solomon SD, Sung JU, Syed B. Antagonism of vascular endothelial growth factor for macular edema caused by retinal vein occlusions: two-year outcomes. Ophthalmology. 2010 Dec;117(12):2387-2394.e1-5. doi: 10.1016/j.ophtha.2010.03.060. Epub 2010 Jul 13.

Reference Type BACKGROUND
PMID: 20630595 (View on PubMed)

Campochiaro PA, Heier JS, Feiner L, Gray S, Saroj N, Rundle AC, Murahashi WY, Rubio RG; BRAVO Investigators. Ranibizumab for macular edema following branch retinal vein occlusion: six-month primary end point results of a phase III study. Ophthalmology. 2010 Jun;117(6):1102-1112.e1. doi: 10.1016/j.ophtha.2010.02.021. Epub 2010 Apr 15.

Reference Type BACKGROUND
PMID: 20398941 (View on PubMed)

Other Identifiers

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NA_00040287

Identifier Type: -

Identifier Source: org_study_id

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