Trial Outcomes & Findings for Citicoline in Non-Arteritic Ischemic Optic Neuropathy (NCT NCT03758118)

NCT ID: NCT03758118

Last Updated: 2023-11-24

Results Overview

Increase of Visual Acuity evaluated by Early Treatment Diabetic Retinopathy Study (ETDRS) charts and measured as a logarithm of the minimum angle of resolution (LogMAR)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

9 months vs baseline

Results posted on

2023-11-24

Participant Flow

Participant milestones

Participant milestones
Measure
NAION Patients OS-Citicoline Treated
In 20 patients with NAION, OS-Citicoline was administered (500 mg/day) for 6 months followed by three months of suspension (19 completed the study, NC Group) Citicoline: Citicoline administered in oral solution
NAION Patients Untreated
In 20 patients with NAION no type of treatment was performed during 9 months of observation (17 patients completed the study, NN Group)
Overall Study
STARTED
20
20
Overall Study
COMPLETED
19
17
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Citicoline in Non-Arteritic Ischemic Optic Neuropathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NAION Patients OS-Citicoline Treated
n=20 eyes
In 20 patients with NAION, OS-Citicoline will be administered (500 mg/day) for 6 months followed by three months of suspension (NC Group)
NAION Patients Untreated
n=20 eyes
In 20 patients with NAION, no type of treatment will be performed during 9 months of observation (NN Group)
Total
n=40 eyes
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
13 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Italy
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants
Number of Participants with NAION diagnosis in the last 6 - 12 months
20 Participants
n=5 Participants
20 Participants
n=7 Participants
40 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 9 months vs baseline

Increase of Visual Acuity evaluated by Early Treatment Diabetic Retinopathy Study (ETDRS) charts and measured as a logarithm of the minimum angle of resolution (LogMAR)

Outcome measures

Outcome measures
Measure
NAION Patients OS-Citicoline Treated
n=19 Participants
19 eyes completed the study, 1 eye drop-out
NAION Patients Untreated
n=17 Participants
17 eyes completed the study, 3 eyes drop-out
Change From Baseline in Visual Acuity at 9 Month
-0.0574 LogMAR
Standard Deviation 0.1147
0.0535 LogMAR
Standard Deviation 0.0914

SECONDARY outcome

Timeframe: 9 months vs Baseline

Pattern-Electroretinogram recordings. Increase of P50-N95 amplitude (measured in microvolt)

Outcome measures

Outcome measures
Measure
NAION Patients OS-Citicoline Treated
n=19 Participants
19 eyes completed the study, 1 eye drop-out
NAION Patients Untreated
n=17 Participants
17 eyes completed the study, 3 eyes drop-out
Change From Baseline in Retinal Ganglion Cells Function at 9 Month
1.32 microvolt
Standard Deviation 0.39
1.38 microvolt
Standard Deviation 0.28

SECONDARY outcome

Timeframe: 9 months vs baseline

Visual Evoked Potentials recordings. Shortening of the main parameter P100 Implicit time measured in milliseconds

Outcome measures

Outcome measures
Measure
NAION Patients OS-Citicoline Treated
n=19 Participants
19 eyes completed the study, 1 eye drop-out
NAION Patients Untreated
n=17 Participants
17 eyes completed the study, 3 eyes drop-out
Change From Baseline in Optic Nerve Function at 9 Months
127.05 milliseconds
Standard Deviation 8.35
126.88 milliseconds
Standard Deviation 6.50

SECONDARY outcome

Timeframe: 9 months vs baseline

Reduction of Overall Retinal Nerve Fiber Thickness by Optical Coherence Tomography measured in micron

Outcome measures

Outcome measures
Measure
NAION Patients OS-Citicoline Treated
n=19 Participants
19 eyes completed the study, 1 eye drop-out
NAION Patients Untreated
n=17 Participants
17 eyes completed the study, 3 eyes drop-out
Change From Baseline in Optic Nerve Morphology at 9 Months
57.71 micron
Standard Deviation 9.43
63.99 micron
Standard Deviation 8.44

SECONDARY outcome

Timeframe: 9 months vs baseline

improvement of the visual field by static perimetry (increase of the main indexes Mean Deviation measured in dB).

Outcome measures

Outcome measures
Measure
NAION Patients OS-Citicoline Treated
n=19 Participants
19 eyes completed the study, 1 eye drop-out
NAION Patients Untreated
n=17 Participants
17 eyes completed the study, 3 eyes drop-out
Change From Baseline in Visual Field Defects at 9 Months
-15.61 dB
Standard Deviation 6.43
-13.02 dB
Standard Deviation 7.15

Adverse Events

NAION Patients OS-Citicoline Treated

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

NAION Patients Untreated

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr, Vincenzo Parisi

IRCCS Fondazione Bietti

Phone: +390686356727

Results disclosure agreements

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