Optical Coherence Tomography Angiography in Subjects With Retinal Vascular Disease

NCT ID: NCT04505618

Last Updated: 2025-06-16

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

RECRUITING

Clinical Phase

NA

Total Enrollment

1050 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2026-09-01

Brief Summary

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This study will perform a prospective, longitudinal analysis of clinical and imaging findings from normal controls and subjects with retinal vascular disease to better define the diagnostic imaging criteria that signify change in disease stage. This includes disease progression in early stages of disease or disease regression with appropriate standard-of-care treatment.

Detailed Description

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The objective of this study is to perform a prospective, longitudinal analysis of clinical and imaging findings from normal controls and subjects with retinal vascular disease to better define the diagnostic imaging criteria that signify change in disease stage. This includes disease progression in early stages of disease or disease regression with appropriate standard-of-care treatment.

Subjects will be identified from healthy subjects (seen for screening eye exams) and diseased subjects undergoing standard-of-care treatment or screening at eye clinic locations. The study population will include subjects with retinal vascular disease including but not limited to diabetic retinopathy, hypertension, retinal vein/arterial occlusion, and macular degeneration. Subjects who are enrolled will undergo non-invasive, minimal risk, FDA approved diagnostic imaging procedures to identify vascular changes.

The study methods will include retrospective review and collection of clinically approved imaging data that is obtained through standard-of-care methods for subjects who meet inclusion and exclusion criteria. Subjects who are identified in this manner will be asked to participate in a prospective study by each clinical study site.

The study end-points include the correlation of diagnostic imaging findings from Optical Coherence Tomography (OCT) based images with fundus photographs, clinical disease stage and visual acuity.

Conditions

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Diabetic Retinopathy Retinal Vein Occlusion Hypertension,Essential Retinal Vascular Disorder

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Controls

Subjects in this group do not have any ocular pathology and are also not hypertensive. Some subjects in this arm will undergo retinal vascular reactivity assessments.

Group Type OTHER

Swept-Source (SS) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Spectral-Domain (SD) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Fundus Imaging

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Axial Length Measurement Device

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Diabetics with and without Diabetic Retinopathy Only

Subjects in this group only have diabetes with or without diabetic retinopathy. Some subjects in this arm will undergo retinal vascular reactivity assessments.

Group Type OTHER

Swept-Source (SS) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Spectral-Domain (SD) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Fundus Imaging

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Axial Length Measurement Device

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Hypertension Only

Subjects in this group only have hypertension with or without ocular pathology related to hypertension. Some subjects in this arm may undergo retinal vascular reactivity assessments.

Group Type OTHER

Swept-Source (SS) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Spectral-Domain (SD) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Fundus Imaging

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Axial Length Measurement Device

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Diabetics w/ or w/o Diabetic Retinopathy & Hypertension

Subjects in this group have diabetes with or without diabetic retinopathy and hypertension with or without ocular pathology related to hypertension. Some subjects in this arm may undergo retinal vascular reactivity assessments.

Group Type OTHER

Swept-Source (SS) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Spectral-Domain (SD) OCT Angiography

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Fundus Imaging

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Axial Length Measurement Device

Intervention Type DEVICE

Non-invasive, minimal risk, ocular imaging study

Interventions

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Swept-Source (SS) OCT Angiography

Non-invasive, minimal risk, ocular imaging study

Intervention Type DEVICE

Spectral-Domain (SD) OCT Angiography

Non-invasive, minimal risk, ocular imaging study

Intervention Type DEVICE

Fundus Imaging

Non-invasive, minimal risk, ocular imaging study

Intervention Type DEVICE

Axial Length Measurement Device

Non-invasive, minimal risk, ocular imaging study

Intervention Type DEVICE

Other Intervention Names

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SS-OCTA SD_OCTA Intraocular Lens (IOL) Master

Eligibility Criteria

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Exclusion Criteria

* Both subjects with diseases and controls:
* Children (age\<18)
* Pregnant females
* Developmentally delayed subjects
* Subjects unable to provide informed consent
* Inability to cooperate with tests and study instructions
* Images with motion artifact or signal strength \< 7
* History of glaucoma
* History of age-related macular degeneration
* History of any visually significant eye disease
* History of proliferative diabetic retinopathy
* History of any inflammatory disease
* History of heart disease
* History of thyroid disease.
* Additional criteria for controls:
* History of any type of Diabetes Mellitus
* History of any type of Hypertension
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Eye Institute (NEI)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amir Kashani, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Wilmer Eye Institute

Baltimore, Maryland, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Amir H Kashani, MD, PhD

Role: CONTACT

410-502-2789

Ana C Martinez, MPH

Role: CONTACT

410-502-2789

Facility Contacts

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June Hall

Role: primary

410-502-2789

Ana C Martinez

Role: backup

Other Identifiers

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R01EY030564

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00276904

Identifier Type: -

Identifier Source: org_study_id

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