Eylea and Lucentis for Macular Edema in Branch Retinal Vein Occlusion

NCT ID: NCT03709745

Last Updated: 2024-10-28

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-18

Study Completion Date

2022-07-10

Brief Summary

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Comparing time to recurrence of macular edema after an initial loading dose of at least three monthly anti VEGF injections (aflibercept or ranibizumab) for macular edema in BRVO.

Detailed Description

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One hundred and ten patients with macular edema (ME) secondary to BRVO are randomized (1:1) to treatment with intravitreal injections of aflibercept or ranibizumab. An initial loading dose of at least three monthly injections is given in the study eye until the ME is resolved. Then patients are observed at regular intervals, initially every four weeks until study completion. Total follow-up time is nine months from baseline to completion. If ME recurs, patients are treated according to a treat-and-extend algorithm.

At every visit, visual acuity (VA) is measured with an ETDRS chart at 4 m. The fundus is examined by indirect ophthalmoscopy and by optical coherence tomography (OCT). Macular ischemia is evaluated with OCT angiography (OCT-A), visual field status with computerised perimetry and retinal sensitivity with microperimetry. Choroidal thickness is evaluated with enhanced depth imaging (EDI) OCT. Vision related quality of life (QoL) with NEI VFQ25.

Conditions

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Branch Retinal Vein Occlusion with Macular Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Aflibercept

Aflibercept is given monthly (at least 3 times) until resolution of macular edema after which the patient is observed monthly. If there is recurrence of macula edema, the patient is given aflibercept according to a treat-and-extend regimen.

Group Type ACTIVE_COMPARATOR

Aflibercept Injection [Eylea]

Intervention Type DRUG

Intravitreal injection is given as described in the arm description

Ranibizumab

Ranibizumab is given monthly (at least 3 times) until resolution of macular edema after which the patient is observed monthly. If there is recurrence of macula edema, the patient is given ranibizumab according to a treat-and-extend regimen.

Group Type ACTIVE_COMPARATOR

Ranibizumab Injection [Lucentis]

Intervention Type DRUG

Intravitreal injection is given as described in the arm description

Interventions

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Aflibercept Injection [Eylea]

Intravitreal injection is given as described in the arm description

Intervention Type DRUG

Ranibizumab Injection [Lucentis]

Intravitreal injection is given as described in the arm description

Intervention Type DRUG

Other Intervention Names

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Eylea Lucentis

Eligibility Criteria

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Inclusion Criteria

* BRVO naïve patients, disease duration 1-6 months, BCVA 23-73 ETDRS letters (20/40-20/320), macula edema with intraretinal cysts and CRT \> 300 micrometers (Cirrus)

Exclusion Criteria

* BRVO with neovascular component, intraocular surgery during the previous 3 months, earlier vitreoretinal surgery, vascular retinopathy of other cause, intraocular infection/inflammation, myocardial infarction och cerebrovascular stroke during the last 3 months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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St. Erik Eye Hospital

OTHER

Sponsor Role lead

Responsible Party

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Anders Kvanta

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anders Kvanta, MD PhD

Role: PRINCIPAL_INVESTIGATOR

St. Erik Eye Hospital

Locations

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St Eriks Eye Hospital

Stockholm, Stockholm County, Sweden

Site Status

Countries

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Sweden

Other Identifiers

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2017/2422-31

Identifier Type: -

Identifier Source: org_study_id

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