Influence of Systemic Parameters in Diabetic Macular Edema - LIPSIA Study

NCT ID: NCT03762226

Last Updated: 2018-12-03

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

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-01

Study Completion Date

2021-12-31

Brief Summary

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This study aims to evaluate the influence and prognostic value of systemic factors (such as the cardiovascular and metabolic status) on the treatment response to anti-VEGF therapy in macular edema due to diabetes or retinal vein occlusion.

Detailed Description

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This study includes patients with macular edema (ME) due to diabetes or retinal vein occlusion in the need of treatment.

At baseline patients underwent an extensive ophthalmological examination (best-corrected visual acuity, OCT, OCT-angiography, fluorescein angiography, fundus photography). Besides that, systemic work-up (including 24h blood pressure measurement, electrocardiogram, and serological blood testing) is conducted.

Patients underwent routine ME treatment including at least 4 monthly anti-VEGF injections, as first-line therapy. Further injections will be conducted if needed. Re-treatment criteria are: persistent intra- and/or subretinal fluid seen on SD-OCT, central subfield thickness \> 300 µm. Ophthalmological examination will be repeated at month 3, 6 and month 12. Systemic work-up will be repeated at month 6.

Primary outcome is the correlation of systemic parameters with functional and anatomical response at month 6. Secondary outcome is the correlation of systemic parameters with functional and anatomical response at month 12.

Conditions

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Diabetic Macular Edema Macular Edema Retinal Vein Occlusion

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patient with Macular edema

Patients with clinically significant macular edema due to diabetes or retinal vein occlusion, undergoing at least 4 monthly intravitreal anti-VEGF injections.

Anti-VEGF

Intervention Type DRUG

Patients will undergo as part of the routine care 4 monthly anti-VEGF injections.

Interventions

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Anti-VEGF

Patients will undergo as part of the routine care 4 monthly anti-VEGF injections.

Intervention Type DRUG

Other Intervention Names

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Intravitreal anti-VEGF injection

Eligibility Criteria

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Inclusion Criteria

1. Age \>= 18 years
2. Diagnosis of diabetes mellitus (type 1 or type 2) and/or retinal vein occlusion
3. macular edema causing visual loss, with study eye VA of 0.1 - 1.0 logMAR (20/25 - 20/200 Snellen equivalent)
4. macular edema defined clinically and by retinal thickness of \> 300 µm in the central subfield thickness (CST) with intra +/- subretinal fluid seen on spectral domain optical coherence tomography
5. last intravitreal treatment \> 3 months ago.

Exclusion Criteria

1. concomitant ocular disease that could cause macular edema (including choroidal neovascularization from any cause, uveitis or intraocular surgery less than 6 months ago).
2. any concomitant ocular or neurological condition that could affect Vision except of cataract.
3. pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Leipzig

OTHER

Sponsor Role lead

Responsible Party

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PD Dr. habil. Matus Rehak

Prof. MUDr. Matus Rehak

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matus Rehak, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Leipzig, Department of Ophthalmology

Locations

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University Hospital Leipzig, department of ophthalmology

Leipzig, Saxony, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Matus Rehak, MD, PhD

Role: CONTACT

+493419721650

Catharina Busch, MD

Role: CONTACT

+493419721650

Other Identifiers

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72311607

Identifier Type: -

Identifier Source: org_study_id

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