Patients with retinopathy, due to irradiation in uveal melanoma MedDRA version: 14.1 Level: PT Classification code 10064714 Term: Radiation retinopathy System Organ Class: 10022117 - Injury, poisoning and procedural complications
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Clinical signs of radiation retinopathy (cotton wool spots, hemorrhages, vascular ischemia) • Visual impairment due to focal or diffuse radiation induced ME in the irradiated eye that is eligible for laser treatment • Age =18 years • BCVA less than 20/32 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: • Concomitant conditions in the study eye which could, in the opinion of the investigator, prevent VA improvement, e.g. tumor recurrence, tumor growth underneath the macula • Endoresection and / or previous vitrectomy • Patients with proliferative retinopathies or macular edema due to reasons other than irradiation: e.g. diabetic retinopathy, vein occlusion, or Irvine-Gass syndrome • Treatment with anti-angiogenic drugs or intravitreal corticosteroids or any other investigational drug within 3 months prior to randomisation • Prior laser photocoagulation treatment within 3 months (focal / grid laser) or 6 months (panretinal) prior to study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To demonstrate superiority of ranibizumab 0.5 mg to laser treatment regarding change from baseline in BCVA over a 6-month treatment period;Secondary Objective: Secondary endpoints: • Change from baseline in macular thickness and the size of areas of macular and peripheral capillary drop out over 6 months (area under the curve / 6 months) • Change from baseline in BCVA, macular thickness and the size of areas of macular and peripheral capillary drop out over 12 months (area under the curve / 12 months) • Proportion of patients with improvement of visual acuity after 6 and 12 months • Rate of vitreous hemorrhages ;Primary end point(s): Change from baseline in BCVA over 6 months (area under curve / 6 months);Timepoint(s) of evaluation of this end point: change after 6 months from baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Change from baseline in macular thickness and the size of areas of macular and peripheral capillary drop out over 6 months (area under the curve / 6 months) • Change from baseline in BCVA, macular thickness and the size of areas of macular and peripheral capillary drop out over 12 months (area under the curve / 12 months) • Proportion of patients with improvement of visual acuity after 6 and 12 months • Rate of vitreous hemorrhages ;Timepoint(s) of evaluation of this end point: change after 6 and 12 months from baseline | — |
Countries
Germany
Contacts
Charité University Medicine Berlin