Trial Outcomes & Findings for Effects of Pneumatic Vitreolysis on Macular Hole (NCT NCT03677869)

NCT ID: NCT03677869

Last Updated: 2022-09-19

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

at 8 weeks

Results posted on

2022-09-19

Participant Flow

One eye that did not have full-thickness macular hole was enrolled, received PVL, and completed the 24-week visit but is not included in any analyses or subsequent levels in the participant flow

Participant milestones

Participant milestones
Measure
Pneumatic Vitreolysis (PVL)
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Overall Study
STARTED
35
Overall Study
COMPLETED
34
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Pneumatic Vitreolysis (PVL)
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Effects of Pneumatic Vitreolysis on Macular Hole

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pneumatic Vitreolysis (PVL)
n=35 Participants
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Age, Continuous
69 years
STANDARD_DEVIATION 9 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-Hispanic White
27 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
5 Participants
n=5 Participants
Race/Ethnicity, Customized
non-Hispanic Black/African American
3 Participants
n=5 Participants
Diabetes Type
No
27 Participants
n=5 Participants
Diabetes Type
Type 2
8 Participants
n=5 Participants
E-ETDRS visual acuity letter score
55.8 units on a scale
STANDARD_DEVIATION 14 • n=5 Participants
Intraocular pressure
16 mmHg
STANDARD_DEVIATION 3 • n=5 Participants
Lens Status on Clinical Exam
Phakic (natural lens)
28 Eyes
n=5 Participants
Lens Status on Clinical Exam
Prosthetic intraocular lens
7 Eyes
n=5 Participants
Epiretinal membrane in central subfield
1 Eyes
n=5 Participants
Width of vitreomacular attachment that extends within the central subfield
325 Microns
n=5 Participants
Loss of ellipsoid zone integrity in central subfield
35 Eyes
n=5 Participants
Loss of ellipsoid zone integrity in foveal center
35 Eyes
n=5 Participants
Macular hole width at narrowest point
79 micron
n=5 Participants

PRIMARY outcome

Timeframe: at 8 weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Proportion of Eyes With Macular Hole Closure of Inner Retinal Layers Without Rescue Vitrectomy
10 Eyes

SECONDARY outcome

Timeframe: Baseline to 8 weeks

Best-corrected visual acuity following protocol-defined refraction. Visual Acuity was measured with the Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) visual acuity test on a scale from 100 letters (Snellen equivalent of 20/10) to 0 letters (Snellen equivalent \<20/800). Higher scores indicate better visual acuity and lower scores indicate worse visual acuity.

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Mean Change in E-ETDRS Visual Acuity Letter Score From Baseline
-1.5 units on a scale
Standard Deviation 25.6

SECONDARY outcome

Timeframe: 8 weeks

Best-corrected visual acuity following protocol-defined refraction. Visual Acuity was measured with the Electronic Early Treatment Diabetic Retinopathy Study (E-ETDRS) visual acuity test on a scale from 100 letters (Snellen equivalent of 20/10) to 0 letters (Snellen equivalent \<20/800). Higher scores indicate better visual acuity and lower scores indicate worse visual acuity.

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
E-ETDRS Visual Acuity Letter Score
54.2 units on a scale
Standard Deviation 23.8

SECONDARY outcome

Timeframe: up to 8 Weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Number of Eyes With Rescue Treatment Before the 8-week Visit
12 Eyes

SECONDARY outcome

Timeframe: 8 Weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Macular Hole Closure Without Rescue Vitrectomy
10 Eyes

SECONDARY outcome

Timeframe: 8 weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Macular Hole Closure With Rescue Vitrectomy
10 Eyes

SECONDARY outcome

Timeframe: 8 weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
No Macular Hole Closure and no Rescue Vitrectomy
13 Eyes

SECONDARY outcome

Timeframe: 8 weeks

Outcome measures

Outcome measures
Measure
Pneumatic Vitreolysis (PVL)
n=35 Eyes
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
No Macular Hole Closure Despite Rescue Vitrectomy
2 Eyes

Adverse Events

Pneumatic Vitreolysis (PVL)

Serious events: 5 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pneumatic Vitreolysis (PVL)
n=35 participants at risk
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Eye disorders
Retinal tear
8.6%
3/35 • Number of events 3 • 24-Weeks
Eye disorders
Rhegmatogenous retinal detachment
11.4%
4/35 • Number of events 4 • 24-Weeks
Vascular disorders
Embolism - blood clot
2.9%
1/35 • Number of events 1 • 24-Weeks

Other adverse events

Other adverse events
Measure
Pneumatic Vitreolysis (PVL)
n=35 participants at risk
Pneumatic vitreolysis is an in-office intraocular injection of an expansile gas (C3F8) to induce release of vitreomacular traction.
Eye disorders
Anterior chamber cell
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Anterior chamber opacity
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Cataract
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Corneal abrasion
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Corneal defect
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Corneal edema
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Corneal pigmentation
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Dry eye
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Eye irritation
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Eye itching
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Eye pain
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Floaters
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Macular hole
5.7%
2/35 • Number of events 2 • 24-Weeks
Eye disorders
Ocular discomfort
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Ocular hypertension
11.4%
4/35 • Number of events 4 • 24-Weeks
Eye disorders
Posterior capsule opacification
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Posterior vitreous detachment
5.7%
2/35 • Number of events 2 • 24-Weeks
Eye disorders
Red eye
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Subconjunctival hemorrhage
8.6%
3/35 • Number of events 3 • 24-Weeks
Eye disorders
Visual acuity decreased
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Visual flashes
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Vitreous debris
2.9%
1/35 • Number of events 1 • 24-Weeks
Eye disorders
Vitreous hemorrhage
2.9%
1/35 • Number of events 1 • 24-Weeks

Additional Information

Adam Glassman

JAEB CENTER FOR HEALTH RESEARCH

Phone: 8139758690

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place