Expired Study
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Baltimore, Maryland 21287


Purpose:

Treatment of exudative age-related macular degeneration has been significantly improved by the advent of Lucentis™( which provides improved vision rather than simply stabilization) is common; however, monthly injections may be required to maintain this effect. It is hypothesized that sustained release fluocinolone acetonide will allow maintenance of the improved vision with fewer Lucentis injections.


Study summary:

Treatment of exudative age-related macular degeneration has been significantly improved by the advent of Lucentis™( which provides improved vision rather than simply stabilization) is common; however, monthly injections may be required to maintain this effect. The use of the glucocorticoids such as triamcinolone acetonide as adjunct treatment for exudative age-related macular degeneration has been reported to enhance the efficacy of photodynamic therapy with Visudyne® (verteporphin for injection). It is hypothesized that sustained release fluocinolone acetonide will allow maintenance of the improved vision with fewer Lucentis injections. This study is a pilot phase 2b study to test this hypothesis. The safety assessments will continue through 36 months.This study will compare the safety 2 doses of FA/Medidur in conjunction with Lucentis (as needed) in patients with neovascular AMD who have have been treated with Lucentis for at least 6 months and have reached a plateau.


Criteria:

Inclusion Criteria: - Patients 50 or greater - Treated with intraocular injections of Lucentis for at least 6 months and have reached a plateau, defined as 2 consecutive visits (4-6 weeks apart) with no improvement in VA (worse or within one line better) or center subfield thickening (worse or within 30 um better). - Best Corrected Visual Acuity 20/320 or better in the study eye Exclusion Criteria: - Pregnant, lactating females or females of child bearing potential (unless using reliable contraception, i.e. double barrier, surgical sterilization, oral contraceptives, Norplant , intrauterine device (IUD). - Glaucoma or ocular hypertension (defined as IOP > 21 mmHg or concurrent therapy at screening with IOP-lowering agents) in the study eye - Laser or photodynamic therapy within 12 weeks of screening - Any ocular surgery in the study eye within 12 weeks of screening - Yag capsulotomy in the study eye within 15 days of screening - Treatment with intravitreal, subtenon, or periocular steroid or anti-VEGF therapy other than Lucentis within 6 months prior to enrollment (e.g., triamcinolone injection, Avastin, Macugen.) Systemic treatment with Avastin is also not allowed within 6 months prior to screening or at any time during the study. - Any change in systemic steroid therapy within 3 months of screening - Retinal or choroidal neovascularization due to ocular conditions other than AMD. - Any active viral, fungal or bacterial disease of the cornea or conjunctiva or any history of a potentially recurrent infection which could be activated by treatment with a steroid, (e.g., ocular herpes simplex virus). - Known or suspected hypersensitivity to any of the ingredients of Lucentis, the investigational product or to other corticosteroids. - History of vitrectomy in the study eye - History of uncontrolled IOP elevation with steroid use that did not respond to topical therapy - History or presence of any disease or condition (malignancy) that in the investigator's opinion would preclude study treatment or follow-up - Any lens opacity which impairs visualization of the posterior pole - Participation in another clinical trial within 12 weeks before the screening visit or during the study - Subjects who are a poor medical risk because of other systemic diseases or active uncontrolled infections.


NCT ID:

NCT00605423


Primary Contact:

Principal Investigator
Peter A Campochiaro, MD
Johns Hopkins University


Backup Contact:

N/A


Location Contact:

Baltimore, Maryland 21287
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: March 16, 2018

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