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Trial registered on ANZCTR
Registration number
ACTRN12617001436369
Ethics application status
Approved
Date submitted
9/08/2017
Date registered
10/10/2017
Date last updated
24/09/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Anti-VEGF treatment associated with laser photocoagulation in patients with macular edema due to branch vein occlusion
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Scientific title
Efficacy of bevacizumab and laser photocoagulation for preventing the recurrence of macular edema due to branch vein occlusion.
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Secondary ID [1]
292621
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None
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Universal Trial Number (UTN)
u1111-12005271
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Macular Edema due to Branch Vein Occlusion
304309
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Condition category
Condition code
Eye
303663
303663
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients with macular edema due to branch vein retina occlusion (BRVO) were included. Complete ophthalmological examination was performed at baseline, including optical coherence tomography (OCT) and fluorescein angiography (FA). Enrolled patients were seen monthly up to the sixth month. Patients were treated with 1.25 mg intravitreous bevacizumab up to six injections. Best corrected visual acuity (BCVA) and OCT were measured in each visit. After the third injection, monthly, if the BCVA reached a plateau (same measurement of visit 3) or achieved 20/20 and there was no foveal OCT fluid, the injections were withheld and laser was applied at the same visit (once only). The type of laser is the argon laser. Macular photocoagulation settings were 50 to 100 um spot size, 50 to 100 ms pulse duration, and power titrated to achieve mild burn intensities. Patient was then followed monthly with BCVA and OCT. If after the third injection the patient did not reach the visual acuity (VA) plateau and/or had foveal fluid on OCT, the injections were continued until reaching the plateau or VA 20/20 or up to the maximum of 6 injections monthly. Retreatment criteria were: central macular thickness (CMT) > 300 microns with presence of foveal fluid and/or loss of 10 or more letters BCVA. If retinal neovascularization developed, laser photocoagulation would be applied.
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Intervention code [1]
298839
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Treatment: Drugs
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Intervention code [2]
298842
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Treatment: Other
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
303026
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Proportion of participants with recurrence of macular edema following maximal visual acuity stabilisation, assessed by best corrected visual acuity and optical coherence tomography (OCT).
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Assessment method [1]
303026
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Timepoint [1]
303026
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12 months post enrolment
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Secondary outcome [1]
337718
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Number of bevacizumab injections administered to each patient.
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Assessment method [1]
337718
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Timepoint [1]
337718
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12 months post enrolment
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Eligibility
Key inclusion criteria
inclusion criteria: BRVO less than or equal to 12 months; best corrected visual acuity (BCVA) > 20/320 and < 20/40; all participants must have macular edema.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Main exclusion criteria: previous intravitreous drugs or macular laser treatment, macular surgery, cataract extraction in the previous 6 months, macular edema due to other causes.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
24/05/2016
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Date of last participant enrolment
Anticipated
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Actual
13/02/2017
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Date of last data collection
Anticipated
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Actual
13/03/2018
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Sample size
Target
15
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Accrual to date
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Final
12
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Recruitment outside Australia
Country [1]
9138
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Brazil
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State/province [1]
9138
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São Paulo
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Funding & Sponsors
Funding source category [1]
297249
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Hospital
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Name [1]
297249
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Hospital Oftalmológico de Sorocaba
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Address [1]
297249
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Rua Nabek Shiroma, 210
Jardim Emilia
Sorocaba - São Paulo
CEP 18031-060
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Country [1]
297249
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Brazil
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Primary sponsor type
Hospital
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Name
Hospital Oftalmológico de Sorocaba
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Address
Rua Nabek Shiroma, 210
Jardim Emilia
Sorocaba - São Paulo
CEP 18031-060
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Country
Brazil
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Secondary sponsor category [1]
296222
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None
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Name [1]
296222
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Address [1]
296222
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Country [1]
296222
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298369
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Ethics committee address [1]
298369
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Ethics committee country [1]
298369
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Brazil
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Date submitted for ethics approval [1]
298369
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Approval date [1]
298369
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01/01/2016
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Ethics approval number [1]
298369
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CAAE:50931115.4.0000.0088
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Summary
Brief summary
Purpose: To evaluate the use of up to six monthly treatments of anti-angiogenesis therapy followed by laser photocoagulation reduces the recurrence rate of macular edema secondary to branch retinal vein occlusion (BRVO) after maximal visual acuity (VA) stabilization. Methods: patients with macular edema due to BRVO were included. Main inclusion criteria: BRVO less than or equal to 12 months; best corrected visual acuity (BCVA) > 20/320 and < 20/40. Main exclusion criteria: previous intravitreous drugs or macular laser treatment, macular surgery, cataract extraction in the previous 6 months, macular edema due to other causes. Complete ophthalmological examination was performed at baseline, including optical coherence tomography (OCT) and fluorescein angiography (FA). Enrolled patients were seen monthly up to the sixth month. Patients were treated with 1.25 mg intravitreous bevacizumab up to six injections. BCVA and OCT were measured in each visit. After the third injection, if the BCVA reached a plateau (same measurement of visit 3) or achieved 20/20 and there was no foveal OCT fluid, the injections were withheld and laser was applied at the same visit. Patient was then followed monthly with BCVA and OCT. If after the third injection the patient did not reach the VA plateau and/or had foveal fluid on OCT, the injections were continued until reaching the plateau or VA 20/20 or up to the maximum of 6 injections. Retreatment criteria were: central macular thickness (CMT) > 300 microns with presence of foveal fluid and/or loss of 10 or more letters BCVA. If retinal neovascularization developed, laser photocoagulation would be applied. This study was approved by Ethics Committee of the Institution.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
76850
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Dr Arnaldo F. Bordon
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Address
76850
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Hospital Oftalmológico de Sorocaba
Rua Na bek Shiroma, 210
Jardim Emilia
Sorocaba - São Paulo
Cep 18031-060
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Country
76850
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Brazil
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Phone
76850
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+551532127000
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Fax
76850
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Email
76850
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[email protected]
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Contact person for public queries
Name
76851
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Arnaldo F. Bordon
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Address
76851
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Hospital Oftalmológico de Sorocaba
Rua Na bek Shiroma, 210
Jardim Emilia
Sorocaba - São Paulo
Cep 18031-060
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Country
76851
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Brazil
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Phone
76851
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+551532127000
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Fax
76851
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Email
76851
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[email protected]
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Contact person for scientific queries
Name
76852
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Arnaldo F. Bordon
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Address
76852
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Hospital Oftalmológico de Sorocaba
Rua Na bek Shiroma, 210
Jardim Emilia
Sorocaba - São Paulo
Cep 18031-060
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Country
76852
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Brazil
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Phone
76852
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+551532127000
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Fax
76852
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Email
76852
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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