Autologous Plasmin and Fibrinolytic System in Diabetic Retinopathy

NCT ID: NCT01478516

Last Updated: 2011-12-02

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2013-11-30

Brief Summary

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The purpose of this study is to evaluate in a prospective study the efficacy of intravitreal autologous plasmin enzyme in macular edema and to analyze the fibrinolytic system in vitreous body.

Detailed Description

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Autologous plasmin enzyme has been used to liquefy the gel structure of the vitreous body and to decrease the adherence of the posterior vitreous cortex to the inner limiting membrane in clinical studies. The investigators performed intravitreal autologous plasmin enzyme for macular edema. in addition, the investigators collected vitreous body in macular edema and analyzed fibrinolytic system.

Conditions

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Macular Edema

Keywords

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autologous plasmin macular edema vitreous

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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Plasmin

eyes with macular edema

Group Type EXPERIMENTAL

Intravitreal injection

Intervention Type PROCEDURE

autologous plasmin was prepared in the operation department. Samples (3.5 mL) of autologous whole blood, collected by sterile vacuum blood collection tubes, were obtained from a peripheral vein. The blood was centrifuged at 4,000 rounds per minute for 15 minutes to obtain complete sedimentation of the cells; 1.5 mL of the plasma was aspirated and transferred under sterile conditions in a vial of urokinase(10,000 IU) that had been incubated for 15 minutes at 37°C. By gently moving the vial for 5 minutes, the solution was incubated for 15 minutes at 37°C; 0.2 mL of the obtained solution was used for intravitreal injection.

Interventions

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Intravitreal injection

autologous plasmin was prepared in the operation department. Samples (3.5 mL) of autologous whole blood, collected by sterile vacuum blood collection tubes, were obtained from a peripheral vein. The blood was centrifuged at 4,000 rounds per minute for 15 minutes to obtain complete sedimentation of the cells; 1.5 mL of the plasma was aspirated and transferred under sterile conditions in a vial of urokinase(10,000 IU) that had been incubated for 15 minutes at 37°C. By gently moving the vial for 5 minutes, the solution was incubated for 15 minutes at 37°C; 0.2 mL of the obtained solution was used for intravitreal injection.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* eyes with macular edema
* those who showed poor outcomes in visual acuity or macular thickness after grid laser,triamcinolone,or bevacizumab therapy or a combination of these treatments.

Exclusion Criteria

* uncontrolled blood pressure (systolic and diastolic blood pressure greater than 150 and 90 mm Hg, respectively)
* renal insufficiency
* intraocular surgery or any intravitreal treatment during the previous 3 months
* history of ocular hypertension and/or glaucoma
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hallym University

OTHER

Sponsor Role collaborator

Hallym University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jiwon Lim

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiwon Lim, MDPhD

Role: PRINCIPAL_INVESTIGATOR

Chuncheon Sacred Heart Hospital

Locations

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Ji Won Lim

Chuncheon, Gangwon-do, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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JiWOn Lim, MDPhD

Role: CONTACT

Phone: 82-33-240-5176

Email: [email protected]

Facility Contacts

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Jj Won Lim, MD PhD

Role: primary

Other Identifiers

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2011-72

Identifier Type: -

Identifier Source: org_study_id