Status:

COMPLETED

Eplerenone for Central Serous Chorioretinopathy

Lead Sponsor:

Tufts Medical Center

Conditions:

Central Serous Chorioretinopathy

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

* The goal of the study is to examine the short-term effects and safety of a systemic anti-aldosterone medication, eplerenone, in a small group of patients with central serous chorioretinopathy (CSCR)...

Detailed Description

* The investigators hypothesize that aldosterone inhibition with eplerenone will decrease choroidal vessel vasodilation, focal leakage, and choroidal thickness in patients with both acute and chronic ...

Eligibility Criteria

Inclusion

  • Age 18 or over
  • Ability to give written informed consent
  • Presence of sub-retinal fluid under the fovea as seen on OCT
  • Diagnosis of Acute or Chronic CSCR:
  • Acute CSCR: First presentation to eye clinic with visual symptoms, including decreased vision or visual distortion, and the characteristic appearance of CSCR on examination, fluorescein angiography, and OCT.
  • Chronic CSCR: Previous diagnosis of CSCR, persistent subretinal fluid on OCT for more than 3 months after initial presentation to the eye clinic, and \<50% reduction in fluid thickness on OCT after 3 months. Patients who have had previous treatment for CSCR may be included.

Exclusion

  • Age less than 18
  • Persons with impaired decision-making ability.
  • Women who are known to be pregnant or are actively trying to conceive.
  • Additional eye disease affecting the macula or posterior retina.
  • At screening, serum potassium concentration ≥5.0 mEq/L , a serum creatinine concentration \>2 mg/dL in men and \>1.8 mg/dL in women, or a creatinine clearance \<50 mL/min, and during concomitant administration of potassium supplements, potassium-sparing diuretics, and/or potent CYP3A4 inhibitors (amifostine, cyclosporine, fluconazole, itraconazole, ketoconazole, mifepristone, posaconazole, potassium salts, Rituximab, tacrolimus or voriconazole).
  • Patients with type 2 diabetes will be screened for microalbuminuria with a urinalysis. If microalbuminuria is present, these patients will be excluded.

Key Trial Info

Start Date :

May 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2017

Estimated Enrollment :

17 Patients enrolled

Trial Details

Trial ID

NCT01822561

Start Date

May 1 2013

End Date

December 1 2017

Last Update

May 16 2018

Active Locations (1)

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1

New England Eye Center / Tufts Medical Center

Boston, Massachusetts, United States, 02111