An Assistant Model for Anti-VEGF Therapy Decision

NCT ID: NCT07328776

Last Updated: 2026-01-09

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

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-01

Study Completion Date

2026-08-31

Brief Summary

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We present FM-VEGF-CDSS system, the first foundation model-based AI system specifically designed for the decision of anti-VEGF therapy by emulating clinician decision-making reasoning process for those with exudative retinal diseases. FM-VEGF-CDSS is capable of processing multimodal input including optical coherence tomography (OCT) and descriptive medical metadata. Trained and validated on cases from centers across China, the system performed well in both internal and external validation dataset, and could generate the convenient report to enhance decision-making interpretability. To validate its clinical practice, we conducted a prospective multicenter RCT, rigorously assessing FM-VEGF-CDSS system's prediction accuracy and real-world utility. This will improve the standardized decision for anti-VEGF therapy, promoting health equity.

Detailed Description

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Conditions

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Exudative Age-Related Macular Degeneration DME Retinal Vein Occlusion (RVO)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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FM-VEGF-CDSS assisted arm

Group Type EXPERIMENTAL

FM-VEGF-CDSS assisted

Intervention Type OTHER

A Comprehensive Deep Learning Model for Assisting the decision of anti-VEGF therapy: FM-VEGF-CDSS system

without FM-VEGF-CDSS assisted arm

Group Type ACTIVE_COMPARATOR

without FM-VEGF-CDSS

Intervention Type OTHER

without FM-VEGF-CDSS

Interventions

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FM-VEGF-CDSS assisted

A Comprehensive Deep Learning Model for Assisting the decision of anti-VEGF therapy: FM-VEGF-CDSS system

Intervention Type OTHER

without FM-VEGF-CDSS

without FM-VEGF-CDSS

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Presenting with clinical features suggestive of exudative retinal diseases based on the initial assessment by the physician

Exclusion Criteria

* Refusal to undergo OCT testing; Refusal to complete the 6-month follow-up period; Screening for a history of intraocular surgery in both eyes within the past 6 months; Subjects with severe systemic diseases, intellectual developmental disorders, psychiatric illnesses, etc.

Patient data that the investigator deems necessary to exclude.
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Xiaodong Sun

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xiaodong Sun, PhD

Role: PRINCIPAL_INVESTIGATOR

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Locations

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Shanghai general hospital, Shanghai Jiao Tong University, Shanghai, 200080

Shanghai, , China

Site Status

Shanghai general hospital

Shanghai, , China

Site Status

Countries

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China

Central Contacts

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Xiaodong Prof. Sun, PhD

Role: CONTACT

86 18017317575

Huixun Jia, PhD

Role: CONTACT

86 18017317575

Facility Contacts

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Xiaodong Sun, PhD

Role: primary

+86-02163240090

Huixun Jia, PhD

Role: primary

86 18017317575

Other Identifiers

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SXD20251227

Identifier Type: -

Identifier Source: org_study_id

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