Safety & Tolerability of the IRay System in Subjects With Exudative Choroidal Neovascularization (CNV) Secondary to Age-Related Macular Degeneration (AMD)

NCT ID: NCT01217762

Last Updated: 2012-01-19

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

PHASE1

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2014-10-31

Brief Summary

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The purpose of this study is to evaluate the safety and clinical feasibility of the IRay System for the treatment of wet age-related macular degeneration (AMD).

Detailed Description

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The primary objective is to evaluate the safety and clinical feasibility of stereotactic radiotherapy with the Oraya IRay system for the treatment of choroidal neovascularization (CNV) associated with age-related macular degeneration (AMD), as measured by incidence and severity of ocular radiation related serious adverse events (SAE) and adverse events (AE) in subjects treated with an 11, 16 or 24 Gray (Gy) macular dose through the 60-month follow-up visit.

Conditions

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Age-Related Macular Degeneration Wet Age-Related Macular Degeneration Macular Degeneration Eye Diseases Retinal Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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11 Gy IRay

Day 0 Lucentis followed by 11 Gy IRay, Lucentis at Month 1 and Lucentis PRN (N = 2)

Group Type EXPERIMENTAL

IRay

Intervention Type DEVICE

Low voltage stereotactic radiotherapy system

16 Gy IRay

Day 0 Lucentis followed by 16 Gy IRay, Lucentis at Month 1 and Lucentis PRN (N = 27)

Group Type EXPERIMENTAL

IRay

Intervention Type DEVICE

Low voltage stereotactic radiotherapy system

16 Gy IRay - Radiation First

16 Gy IRay and Lucentis PRN (N = 13)

Group Type EXPERIMENTAL

IRay

Intervention Type DEVICE

Low voltage stereotactic radiotherapy system

24 Gy IRay

Day 0 Lucentis followed by 24 Gy IRay, Lucentis at Month 1 and Lucentis PRN (N = 19)

Group Type EXPERIMENTAL

IRay

Intervention Type DEVICE

Low voltage stereotactic radiotherapy system

Interventions

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IRay

Low voltage stereotactic radiotherapy system

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects must be age 50 or older
* Women must be post-menopausal ≥1 year or surgically sterilized
* Subjects must have choroidal neovascularization lesion size of ≤11 total disc areas (28.26mm), and a greatest linear dimension of ≤6 mm
* Subjects must have Early Treatment Diabetic Retinopathy Study (ETDRS) best corrected visual acuity of 69 to 24 letters (20/40 to 20/320 Snellen Equivalent) in the study eye
* Subretinal hemorrhage (if any) must not comprise more than 50% of total lesion size, and may not involve the subfoveal space

Exclusion Criteria

* Subjects with prior or concurrent therapies including submacular surgery, thermal laser photocoagulation (with or without photographic evidence), photodynamic therapy and transpupillary thermotherapy (TTT)
* Subjects with concomitant disease in the study eye, including uveitis, diabetic retinopathy,presence of RPE tears or rips, acute ocular or periocular infection
* Subjects with advanced glaucoma (\>0.8 cup to disk ratio) or intraocular pressure ≥30 mmHg in the study eye
* Previous glaucoma filtering surgery in the study eye
* Refractive error in the study eye demonstrating more than -8 diopters of myopia (or globe axial length ≥26 mm). For subjects who have undergone prior refractive or cataract surgery in the study eye, the preoperative refractive error cannot exceed -8 diopters of myopia
* Subjects with any retinal vasculopathies, including diabetic retinopathy, retinal vein occlusions, etc. in the study eye
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oraya Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Denis O'Shaughnessy, Ph.D.

Role: STUDY_DIRECTOR

Oraya Therapeutics, Inc.

Locations

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Asociación Para Evitar la Ceguera en México, I.A.P.

Mexico City, Delegación Coyoacán, Mexico

Site Status

Countries

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Mexico

References

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Moshfeghi AA, Morales-Canton V, Quiroz-Mercado H, Velez-Montoya R, Zavala-Ayala A, Shusterman EM, Kaiser PK, Sanislo SR, Gertner M, Moshfeghi DM. 16 Gy low-voltage x-ray irradiation followed by as needed ranibizumab therapy for age-related macular degeneration: 12 month outcomes of a 'radiation-first' strategy. Br J Ophthalmol. 2012 Oct;96(10):1320-4. doi: 10.1136/bjophthalmol-2011-301222. Epub 2012 Aug 15.

Reference Type DERIVED
PMID: 22895887 (View on PubMed)

Other Identifiers

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CLH001

Identifier Type: -

Identifier Source: org_study_id

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