Transcorneal Electrostimulation for Therapy of Retinitis Pigmentosa
NCT ID: NCT01837901
Last Updated: 2021-03-18
Study Results
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View full resultsBasic Information
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COMPLETED
NA
88 participants
INTERVENTIONAL
2011-07-31
2014-02-28
Brief Summary
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Detailed Description
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Patients were seen at 14 visits over a period of 78 weeks: one baseline visit (screening), followed by 12 visits (in week 1-4 weekly, then in weeks 10, 16, 22, 28, 34, 40, 46 and 52; dates varied a maximum of ± 1 week) including application of TcES for 52 weeks and one follow-up visit (in week 78, dates varied a maximum of ± 1 week).
After inclusion patients were randomly assigned to TcES with 0 mA (sham), 150% or 200% of their individual electrical phosphene threshold (EPT) current at 20 Hz.
Patients and technicians who performed kinetic perimetry, as well as full-field electrophysiology (ERG), multifocal ERG (mfERG) and dark adaptation, were blinded to the treatment group for the entire study period. The physicians who performed all other examinations and TcES were not blinded to study treatment because they were responsible for setting the stimulation parameters.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Sham
OkuStim is used to determine the phosphene threshold, device is turned on but no stimulation is performed.
Transcorneal electrostimulation
150%
OkuStim is used to determine the phosphene threshold, and then to administer transcorneal electrostimulation with a stimulation strength corresponding to 150% of the patient's phosphene threshold.
Transcorneal electrostimulation
200%
OkuStim is used to determine the phosphene threshold, and then to administer transcorneal electrostimulation with a stimulation strength corresponding to 200% of the patient's phosphene threshold.
Transcorneal electrostimulation
Interventions
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Transcorneal electrostimulation
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* BCVA 0.02 to 0.9
* Reliable visual field measurements
* Reliable ERG measurements
* Skillful enough to use the device at home
* Able to give consent and take part during the whole study
Exclusion Criteria
* Neovascularisation of any origin
* After arterial or venous occlusion
* After retinal detachment
* Silicone oil tamponade
* Dry or exudative age-related macular degeneration
* Macular edema
* All forms of glaucoma
* Any form of corneal degeneration that reduces visual acuity
* Systemic diseases that are difficult to control or manage, that could endanger the normal study schedule
* Patients in a permanently poor general condition, which could hinder the regular attendance at control examinations in the clinic
* Forms of mental illness related to the bipolar affective and schizoid-affective disorders, and all forms of dementia
* Simultaneous participation in another interventional study or history of interventions whose effect may still persist
18 Years
80 Years
ALL
No
Sponsors
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Okuvision GmbH
INDUSTRY
Responsible Party
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Principal Investigators
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Florian Gekeler, Prof. Dr.
Role: PRINCIPAL_INVESTIGATOR
Eberhard-Karls-Universität Tübingen
Locations
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Department für Augenheilkunde, Eberhard-Karls-Universität
Tübingen, , Germany
Countries
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References
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Naycheva L, Schatz A, Rock T, Willmann G, Messias A, Bartz-Schmidt KU, Zrenner E, Gekeler F. Phosphene thresholds elicited by transcorneal electrical stimulation in healthy subjects and patients with retinal diseases. Invest Ophthalmol Vis Sci. 2012 Nov 1;53(12):7440-8. doi: 10.1167/iovs.12-9612.
Gekeler F; Arbeitsgruppe Elektrostimulation des Department fur Augenheilkunde am Universitats-Klinikum Tubingen. [Transcorneal electrostimulation]. Ophthalmologe. 2012 Feb;109(2):129-35. doi: 10.1007/s00347-011-2450-6. German.
Schatz A, Rock T, Naycheva L, Willmann G, Wilhelm B, Peters T, Bartz-Schmidt KU, Zrenner E, Messias A, Gekeler F. Transcorneal electrical stimulation for patients with retinitis pigmentosa: a prospective, randomized, sham-controlled exploratory study. Invest Ophthalmol Vis Sci. 2011 Jun 23;52(7):4485-96. doi: 10.1167/iovs.10-6932.
Schatz A, Arango-Gonzalez B, Fischer D, Enderle H, Bolz S, Rock T, Naycheva L, Grimm C, Messias A, Zrenner E, Bartz-Schmidt KU, Willmann G, Gekeler F. Transcorneal electrical stimulation shows neuroprotective effects in retinas of light-exposed rats. Invest Ophthalmol Vis Sci. 2012 Aug 15;53(9):5552-61. doi: 10.1167/iovs.12-10037.
Rock T, Schatz A, Naycheva L, Gosheva M, Pach J, Wilhelm B, Peters T, Bartz-Schmidt KU, Zrenner E, Willmann G, Gekeler F. [Effects of transcorneal electrical stimulation in patients with Stargardt's disease]. Ophthalmologe. 2013 Jan;110(1):68-73. doi: 10.1007/s00347-012-2749-y. German.
Schatz A, Pach J, Gosheva M, Naycheva L, Willmann G, Wilhelm B, Peters T, Bartz-Schmidt KU, Zrenner E, Messias A, Gekeler F. Transcorneal Electrical Stimulation for Patients With Retinitis Pigmentosa: A Prospective, Randomized, Sham-Controlled Follow-up Study Over 1 Year. Invest Ophthalmol Vis Sci. 2017 Jan 1;58(1):257-269. doi: 10.1167/iovs.16-19906.
Other Identifiers
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EST2
Identifier Type: -
Identifier Source: org_study_id
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