Status:

COMPLETED

Intravitreal tPA and C3F8 for the Treatment of Submacular Haemorrhage as a Complication of Neovascular AMD

Lead Sponsor:

King's College Hospital NHS Trust

Conditions:

Exudative Macular Degeneration

Retinal Hemorrhage

Eligibility:

All Genders

50+ years

Phase:

PHASE2

PHASE3

Brief Summary

This study will recruit patients who have recently had a submacular haemorrhage (bleed under the part of the retina responsible for detailed vision), as a complication of wet age-related macular degen...

Detailed Description

Age-related macular degeneration (AMD) is the commonest cause of blindness worldwide. Its prevalence increases with age, being relatively rare under 60 years and reaching its peak incidence in those o...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Adults of either sex aged 50 years and older;
  • SMH associated with treatment-naive or previously treated wet AMD, including retinal angiomatous proliferation (RAP) and idiopathic polypoidal choroidal vasculopathy (IPCV);
  • SMH of at least 1 disc area, involving the fovea, and of sufficient density to obscure RPE detail;
  • Written informed consent to participate in the study.Only one eye will be eligible for inclusion in this study.
  • Exclusion criteria:
  • SMH that is known to have been present for greater than 2 weeks duration, as evidenced by history, pre-trial documentation, or fundus appearance;
  • Presence of significant vitreous haemorrhage precluding accurate retinal assessment in the study eye;
  • Diabetic maculopathy in the study eye;
  • Visually significant cataract in the study eye;
  • Amblyopia in the study eye;
  • Presence of other ocular disease causing concurrent vision loss in the study eye;
  • Advanced glaucoma in the study eye (cup-to-disc ratio greater than 0.8);
  • Pregnant and or lactating women;
  • Women of childbearing potential including those who are not sterilised or at least one year post menopausal;
  • Participation in a clinical interventional trial in the preceding 6 months;
  • Documented evidence of a visual acuity less than 25 ETDRS letters at three consecutive visits in the study eye, prior to the onset of submacular haemorrhage;
  • Participants who are known to have been ineligible for NICE approved ranibizumab therapy prior to the development of the SMH;
  • Current treatment for wet age-related macular degeneration with an intravitreal agent other than ranibizumab, bevacizumab or aflibercept;
  • Patients who, in the opinion of the Investigator, would not be willing or able to comply with the study protocol, including posturing requirements.
  • Patients who show insufficient understanding of the clinical trial or treatment options.

Exclusion

    Key Trial Info

    Start Date :

    September 1 2014

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2019

    Estimated Enrollment :

    55 Patients enrolled

    Trial Details

    Trial ID

    NCT01835067

    Start Date

    September 1 2014

    End Date

    December 1 2019

    Last Update

    July 14 2020

    Active Locations (5)

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    Page 1 of 2 (5 locations)

    1

    Maidstone Hospital

    Maidstone, Kent, United Kingdom, ME16 9QQ

    2

    Sunderland Eye Infimary

    Sunderland, Tyne and Wear, United Kingdom, SR2 9HP

    3

    Hull & East Yorkshire Hospital NHS Trust

    Hull, United Kingdom, HU3 2JZ

    4

    King's College Hospital NHS Foundation Trust

    London, United Kingdom, SE5 9RS