Choroidal neovascularisation in pathologic myopia: intravitreal ranibizumab versus bevacizumab

ISRCTN ISRCTN49803272
DOI https://doi.org/10.1186/ISRCTN49803272
Secondary identifying numbers 01/2008
Submission date
11/09/2009
Registration date
01/10/2009
Last edited
01/10/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Magda Gharbiya
Scientific

Department of Ophthalmology
La Sapienza University of Rome
Viale del Policlinico
Rome
155-00161
Italy

Email magda.gharbiya@uniroma1.it

Study information

Study designSingle-centre randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleChoroidal neovascularisation in pathologic myopia: intravitreal ranibizumab versus bevacizumab - a randomised controlled trial
Study acronymN|A
Study objectivesChoroidal neovascularisation (CNV) secondary to pathologic myopia (PM) is a known cause of severe visual loss for young and middle-aged patients. Nearly 10% of patients with degenerative retinal findings consistent with high myopia develop choroidal neovascularisation. Although the natural course of myopic CNV is highly variable, the long-term prognosis is known to be poor.

This study compares the efficacy and safety of intravitreal injection of ranibizumab versus bevacizumab in patients with myopic choroidal neovascularisation.
Ethics approval(s)Ethics Committee of the Department of Ophthalmology, La Sapienza University of Rome, approved in January 2008
Health condition(s) or problem(s) studiedMyopic choroidal neovascularisation
InterventionEligible patients were randomly assigned in a 1:1 ratio to intravitreal injection of ranibizumab (Lucentis®, Genentech, USA) 0.5 mg/0.05 ml or bevacizumab (Avastin®, Genentech, USA) 1.25 mg/0.05 ml in one eye. If both eyes were eligible, the eye with worse visual acuity (VA) was the study eye unless the other eye was deemed more suitable for medical reasons. Both drugs were administered as needed after the first injection.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ranibizumab (Lucentis®), bevacizumab (Avastin®)
Primary outcome measure1. Changes in best-corrected visual acuity measured according to a standardised refraction protocol, using the Early Treatment Diabetic Retinopathy Study chart at 4 metres distance by a single, well-trained and experienced orthoptist, who was masked to the study.
2. Changes in foveal centre thickness (microns) measured using the ocular coherence tomography (Stratus® OCT, V4.01, Carl Zeiss Meditec, USA) high-resolution Radial Lines protocol and the Retinal Thickness Map analysis programme.

All primary and secondary outcomes were assessed at study entry and monthly during follow-up (total duration of follow-up: two years).
Secondary outcome measuresThe leakage from the CNV was evaluated on fluorescein angiography (ImageNet®, Topcon, Japan), performed by a trained photographer masked to the study, in the late phase (6 - 8 minutes) compared with the early phase (first 1 - 2 minutes). The leakage was compared between the times before and after treatment and was described as absent (CNV closure) or persistent. Recurrence was defined as evidence of leakage from a previously closed CNV.

All primary and secondary outcomes were assessed at study entry and monthly during follow-up (total duration of follow-up: two years).
Overall study start date01/02/2008
Completion date31/12/2008

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants40
Key inclusion criteria1. Both males and females, no age limit
2. Pathologic myopia, defined as axial length more than 26.5 mm
3. Subfoveal or juxtafoveal choroidal neovascularisation (CNV), CNV was classified as juxtafoveal if the lesion was closer than 200 microns but not under the geometric centre of the foveal avascular zone
4. Evidence of leakage from CNV on fluorescein angiography
Key exclusion criteria1. Prior treatment for CNV
2. Other ocular diseases that could affect the visual acuity
3. Angioid streaks
4. Trauma
5. Choroiditis
6. Hereditary diseases in the study or the fellow eye
7. Aphakia
8. Previous vitreoretinal surgery
9. Prior history of bleeding diathesis
10. Prior cerebrovascular accident
11. Pulmonary embolus or deep venous thrombosis
12. Myocardial infarction or uncompensated coronary artery disease within the past 6 months
13. Major surgery within the prior 6 weeks
14. Ongoing uncontrolled hypertension
Date of first enrolment01/02/2008
Date of final enrolment31/12/2008

Locations

Countries of recruitment

  • Italy

Study participating centre

Department of Ophthalmology
Rome
155-00161
Italy

Sponsor information

La Sapienza University of Rome (Italy)
University/education

Viale del Policlinico 155
Rome
00161
Italy

Email magda.gharbiya@uniroma1.it
Website http://www.uniroma1.it/
ROR logo "ROR" https://ror.org/02be6w209

Funders

Funder type

University/education

La Sapienza University of Rome (Italy) - Department of Opthalmology

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan