Molecular Imaging Exploration of Ocular Angiogenic Activity and Evaluation of Its Interest in the Therapeutic Follow-up of Patients With AMD (Age-related Macular Degeneration)

NCT ID: NCT04005443

Last Updated: 2023-02-08

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

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-02

Study Completion Date

2024-12-30

Brief Summary

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The main objective of this pilot study is to evaluate the ability of 68Ga-NODAGA-RGD PET imaging to demonstrate, in patients with unilateral AMD, a molecular therapeutic response to intraocular antiangiogenic injections at the end of the first phase. induction (after 3 months of treatment).

Detailed Description

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To date, no functional imaging modality has been validated to assess the level angiogenic activity of choroidal neovascularization in AMD, while the therapeutic use of antiangiogenic agents is almost systematically in the form of intraocular injections.

The therapeutic response is observed anatomically and functionally only after 6 months of treatment. Several arguments in the literature suggest that the therapeutic response occurs earlier at the molecular level, as soon as the induction phase is complete (after 3 months of treatment). The main objective of this pilot study is to evaluate the ability of 68Ga-NODAGA-RGD PET imaging to demonstrate, in patients with unilateral AMD, a molecular therapeutic response to intraocular antiangiogenic injections at the end of the first phase. induction (after 3 months of treatment).

Conditions

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Age Related Macular Degeneration

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

In this study, two 68Ga-NODAGA-RGD PET scans will be performed for each patient included :

* The first PET will be carried out within a maximum of one month following the assessment initial ophthalmologic including OCT and measurement of visual acuity (M0);
* The second PET scan will be performed at the same time as the ophthalmic assessment including OCT and measurement of visual acuity (at M4), before the 5th intraocular injection antiangiogenic.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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PET at 68Ga-NODAGA-RGD

The first PET scan will be performed within a maximum of one month following the initial ophthalmologic assessment including OCT and measurement of visual acuity (M0);

Group Type OTHER

radiopharmaceutical

Intervention Type OTHER

his study will consist of a monthly intra-ocular injection of antiangiogenic and a follow-up ophthalmological consultation with OCT and visual acuity score

Interventions

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radiopharmaceutical

his study will consist of a monthly intra-ocular injection of antiangiogenic and a follow-up ophthalmological consultation with OCT and visual acuity score

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18, membership of a social security scheme. Signature of informed consent,
* Subject presenting AMD with unilateral involvement, involving at least 1 Choroidal neovascularization objectified in OCT, naive to any treatment antiangiogenic.
* Initial assessment including at least OCT and measurement of visual acuity, dating from maximum 1 month at the time of PET 68Ga-NODAGA-RGD.

Exclusion Criteria

* Pregnant or breastfeeding women, as a result of radiation protection.
* Subjects under 18 years of age and / or not affiliated to a social security scheme.
* Subjects with AMD with bilateral involvement.
* Subjects with AMD without a focus of neovascularization objectified by the classic diagnostic battery.
* Subjects having already been treated with antiangiogenic therapy.
* Subjects with any other ophthalmological pathology. Monophthalmic subjects
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique Hopitaux De Marseille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emilie Garrido Pradalie

Role: STUDY_DIRECTOR

Assistance Publique-Hôpitaux de Marseille

Locations

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APHM

Marseille, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Philippe Garrigue

Role: CONTACT

+33671701443 ext. +33

DRS AP-HM

Role: CONTACT

+33491381245 ext. +33

Facility Contacts

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Philippe Garrigue

Role: primary

+33 671701443 ext. +33

Pierre Gascon, MD

Role: backup

+334 91 96 49 92 ext. +33

Other Identifiers

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2019-000946-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2019-06

Identifier Type: -

Identifier Source: org_study_id

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