Multimodal Biomarkers in Prediction of Diabetic Retinopathy

NCT ID: NCT07098832

Last Updated: 2025-08-01

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

NOT_YET_RECRUITING

Total Enrollment

1538 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-07-31

Study Completion Date

2030-12-31

Brief Summary

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The goal of this observational study is to enroll diabetic patients with diabetic retinopathy and those without diabetic retinopathy, follow up and observe the long-term changes in ocular structure and function of the subjects by comparison, analyze their association with multimodal biomarkers, and explore new methods for the early diagnosis and risk prediction of diabetic retinopathy.

Participants will be followed up over a 5-year follow-up period, during which they will undergo ophthalmic examinations, blood tests, and questionnaires.

Detailed Description

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Conditions

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Diabetic Retinopathy (DR)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Idiopathic Epiretinal Membrane (iERM) Group

No additional interventions will be performed. Only the waste fluid generated during the normal surgical procedures of patients requiring surgery will be collected for control purposes (this will not affect surgical safety or prognosis of the patients).

No interventions assigned to this group

Healthy Control Group

For participants in this group, only anonymous examination data were collected.

No interventions assigned to this group

Proliferative Diabetic Retinopathy (PDR) Group

Disease group, only collect anonymous examination data, and collect the waste fluid generated during the normal surgical procedures of patients requiring surgery will be collected (this will not affect surgical safety or prognosis of the patients).

No interventions assigned to this group

Non-Proliferative Diabetic Retinopathy (NPDR) Group

Disease group, for participants in this group, only anonymous examination data were collected.

No interventions assigned to this group

No Diabetic Retinopathy (NDR) Group

For participants in this group, only anonymous examination data were collected.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Participants must understand the clinical trial, voluntarily participate, and sign the informed consent form.
* Aged 18-80 years, with no restriction on gender.
* Healthy control group: No history or diagnosis of diabetes.
* Diabetic group:

i) Definite diagnosis of diabetes. Both type 1 and type 2 diabetic patients will be included in this study.

ii) Based on dilated fundus examination, subjects are classified into NDR, NPDR, and PDR groups according to the staging of diabetic retinopathy.

* Idiopathic epiretinal membrane (iERM) group is set as the control group for intraocular specimen collection and analysis in PDR patients: Funduscopic examination shows gold foil-like reflection or glass membrane-like substance covering the macular area, causing local retinal folds, with or without tortuosity and deformation of small perimacular blood vessels; OCT examination reveals a hyperreflective band on the retinal surface of the macular area; meeting the indications for pars plana vitrectomy combined with internal limiting membrane-epiretinal membrane peeling: visual acuity \< 0.3, or visual acuity \> 0.5 but accompanied by progressive vision loss, severe metamorphopsia, diplopia, visual field defect, or other symptoms that significantly affect quality of life, and surgical treatment can be performed if actively requested by the patient; no diagnosis or history of diabetes.

Exclusion Criteria

* Complicated with other severe ocular diseases (e.g., glaucoma, age-related macular degeneration, uveitis, etc.).
* A history of previous ocular surgery.
* Complicated with severe systemic diseases (e.g., ischemic heart disease, stroke, malignant tumor, and severe liver or kidney diseases) or a history of systemic surgery (e.g., coronary artery bypass grafting, arterial/venous thrombolysis, organ transplantation, etc.).
* Complicated with cognitive impairment (MMSE score \< 24), mental illness (e.g., schizophrenia, bipolar disorder), or inability to cooperate with questionnaires and ophthalmic examinations due to language comprehension deficits.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Zhongshan Ophthalmic Center, Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Li Tao, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Zhongshan Ophthalmic Center, Sun Yat-sen University

Locations

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Zhongshan Ophthalmic Center, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Central Contacts

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Li Tao, MD, PhD

Role: CONTACT

+86-13724865499

Kangjie Kong, MD, PhD

Role: CONTACT

+86-15623426876

Facility Contacts

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Clinical Research Center, Zhongshan Ophthalmic Center

Role: primary

+86-020-66610720

Other Identifiers

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2025KYPJ064

Identifier Type: -

Identifier Source: org_study_id

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