NA-AION Risk Factors: New Perspectives

NCT ID: NCT05305079

Last Updated: 2024-11-22

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

Total Enrollment

179 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-08-01

Study Completion Date

2024-08-31

Brief Summary

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The purpose of the study is to use new diagnostic methods (OCT and OCT-A) to shed light on risk factors for the development of NA-AION. The risk factors we are focusing on are comorbidities along with anatomical and vascular characteristics of the optic nerve.

Detailed Description

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Non-arteritic anterior ischemic optic neuropathy (NA-AION) is the most common acute optic neuropathy in the middle-aged and elderly population and can also occur in children and young adults. NA-AION leads to irreversible vision loss, and there is currently no effective treatment. In recent years, acellular calcified deposits in the optic nerve head called optic disc drusen (ODD) have been investigated as an important risk factor for NA-AION in patients under the age of 50.

The purpose of the study is to use new diagnostic methods optical coherence tomography (OCT) and OCT-angiography (OCTA) to shed light on risk factors for the development of NA-AION. We will perform two sub-studies:

1. Characteristics of the optic nerve head anatomy including the presence of ODD as risk factors for the development of NA-AION.
2. Vascular comorbidities and in vivo vasculature as a risk factor for developing NA-AION.

The study is an international prospective multicenter study including 20 sites in 9 different countries. The study population is patients diagnosed with NA-AION in a 1.5-year inclusion period. Each included patient gets 1-2 follow up visits during a 3-month follow up time.

Included patients will be examined as per standard clinical care for that site including OCT and OCT-A. Standard clinical care includes at least: obtaining medical history, measurement of visual acuity, slit lamp examination, and automated perimetry.

Characteristics and risk factors in NA-AION patients with ODD (ODD-AION) will be compared with NA-AOIN patients without ODD (nODD-AION).

Conditions

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Non-arteritic Ischemic Optic Neuropathy Optic Disk Drusen

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ODD-AION

NA-AION patients with ODD aka. Optic disc drusen associated non-arteritic anterior ischemic optic neuropathy.

No interventions assigned to this group

nODD-AION

NA-AION patients without ODD aka Non-optic disc drusen associated non-arteritic anterior ischemic optic neuropathy.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of first episode of NA-AION in study eye with symptom onset within 1 month prior
2. Subject age: Age \>10
3. NA-AION diagnosis requires:

* disc edema seen by site PI or by referring doctor
* visual field defect in the study eye consistent with NA-AION and mean deviation worse than 3.0 dB using the study visual field examination protocol
* relative afferent pupillary defect (unless the fellow eye had previous NA-AION or other optic nerve or retinal disease that is not exclusionary)

Exclusion Criteria

1. Previous episode of NA-AION in the study eye only
2. Intraocular pressure of \>21 mm Hg in the study eye
3. Clinical or pathological evidence of giant cell arteritis
Minimum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Velux Fonden

OTHER

Sponsor Role collaborator

Fight for Sight

OTHER

Sponsor Role collaborator

University of Copenhagen

OTHER

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role collaborator

Aarhus University Hospital

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role collaborator

Farabi Eye Hospital

OTHER

Sponsor Role collaborator

Wellington Hospital

OTHER_GOV

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role collaborator

University of Utah

OTHER

Sponsor Role collaborator

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

OTHER

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role collaborator

Moorfields Eye Hospital NHS Foundation Trust

OTHER

Sponsor Role collaborator

Massachusetts Eye and Ear Infirmary

OTHER

Sponsor Role collaborator

University Hospital, Bordeaux

OTHER

Sponsor Role collaborator

Synoptik-Fonden

UNKNOWN

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Steffen Hamann

MD, PhD, associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Steffen Hamann

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Denmark

Locations

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Stanford Medicine

Palo Alto, California, United States

Site Status

UCSF Medical Center

San Francisco, California, United States

Site Status

University og Colorado

Boulder, Colorado, United States

Site Status

Massachusetts Eye and Ear

Boston, Massachusetts, United States

Site Status

John A. Moran Eye Center

Salt Lake City, Utah, United States

Site Status

Sydney Eye Hospital

Sydney, , Australia

Site Status

University of Calgary

Calgary, , Canada

Site Status

Research St. Joseph's

Hamilton, , Canada

Site Status

Lawson Health Research Institute

London, , Canada

Site Status

Aalborg University Hospital

Aalborg, , Denmark

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Odense University Hospital

Odense, , Denmark

Site Status

Zealand University Hospital

Roskilde, , Denmark

Site Status

Bordeaux University Hospital

Bordeaux, , France

Site Status

Farabi Eye Hospital

Tehran, , Iran

Site Status

Sheba Medical Center

Tel Aviv, , Israel

Site Status

Capital and Coast DHB

Wellington, , New Zealand

Site Status

University of Cambridge

Cambridge, , United Kingdom

Site Status

King's College Hospital

London, , United Kingdom

Site Status

Moorfield's Eye Hospital

London, , United Kingdom

Site Status

Countries

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United States Australia Canada Denmark France Iran Israel New Zealand United Kingdom

References

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Klefter ON, Hansen MS, Lykkebirk L, Subhi Y, Brittain JM, Jensen MR, Dohn UM, Fana V, Wiencke AK, Heegaard S, Terslev L, Hamann S. Combining Paracentral Acute Middle Maculopathy and Peripapillary Fluid as Biomarkers in Anterior Ischemic Optic Neuropathy. Am J Ophthalmol. 2025 Mar;271:329-336. doi: 10.1016/j.ajo.2024.12.001. Epub 2024 Dec 6.

Reference Type DERIVED
PMID: 39645178 (View on PubMed)

Other Identifiers

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H-20073063

Identifier Type: -

Identifier Source: org_study_id

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