Recombinant tissue Plasminogen Activator administration by retinal branch vein route for Central Retinal Vein Occlusion: a randomised conventional therapy controlled trial

ISRCTN ISRCTN58543190
DOI https://doi.org/10.1186/ISRCTN58543190
Secondary identifying numbers OZR-2005-14, NL646 (NTR707)
Submission date
26/09/2006
Registration date
26/09/2006
Last edited
23/09/2021
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

Dr K A van Overdam
Scientific

Oogziekenhuis Rotterdam
Schiedamsevest 180
Rotterdam
3011 BH
Netherlands

Phone +31 (0)10 4017777
Email kvoverdam@oogziekenhuis.nl

Study information

Study designRandomised conventional therapy controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleRecombinant tissue Plasminogen Activator administration by retinal branch vein route for Central Retinal Vein Occlusion: a randomised conventional therapy controlled trial
Study acronymCRVO study
Study objectivesRecombinant tissue Plasminogen Activator (rt-PA) administration by retinal branch vein way in Central Retinal Vein Occlusion (CRVO) patients improves final Best Corrected Visual Acuity (BCVA).
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedCentral Retinal Vein Occlusion (CRVO)
InterventionInjection of rt-PA (0.2 mg/ml, 4 ml) in retinal branch vein.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Recombinant tissue Plasminogen Activator (rt-PA)
Primary outcome measureBCVA on Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
Secondary outcome measuresReduction in:
1. Neovascular changes
2. Neovascular glaucoma
3. Rates of development of macular oedema
Overall study start date01/07/2006
Completion date30/06/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants48
Key inclusion criteria1. Informed consent
2. Over 18 years of age
3. Adequate birth control (if not post-menopausal or sterilised) during a two week pre- and six week post-operative period if assigned to vitreoretinal surgery
4. Subjective decrease in visual acuity starting within four weeks prior to study start, due to CRVO, clinically evident by fundoscopy
5. Non-perfused or perfused CRVO with a visual acuity of less than 20/200

Note : Pseudophakic patients are allowed to participate in this study.
Key exclusion criteria1. Inability to visualize fundus due to corneal or important lenticular opacities
2. Inability to obtain photographs of CRVO due to allergy to fluorescein or lack of veinous access
3. As visual acuity prognosis is better and risk for neovascularisation is reduced in perfused CRVO, patients with a visual acuity of more than 20/200 will not be included
4. Presence of iris neovascularisation (more than grade one) or anterior chamber angle (more than grade one) at the moment of presentation
5. Other retinal or ophthalmic disorders that could influence the macular area
6. Disorders that could be complicated by iris or retinal neovascularisation
7. Disorders that could be complicated by any form of secondary glaucoma
8. Prescription of acetazolamide or high dose systemic steroid (more than 10 mg prednisone daily) or other anti-inflammatory medication (eg. Methotrexate (MTX), Imuran, Endoxan, Humira, Kineret, Infliximab, Thalidomide) except Non Steriodal Anti-Inflammatory Drugs (NSAIDs)
9. Participation in another clinical ophthalmic trial
10. Any surgery of the orbit, ocular adnexae or eye scheduled during the period the study (except for cataract surgery, developed after inclusion to a degree as outlined by the protocol)
11. Monophthalmia or other known ophthalmic disorder in the fellow eye that could be complicated by blindness
12. Previous retinal surgery
13. High myopia (-8 D spherical equivalent or more)
14. Macula affecting drugs
Date of first enrolment01/07/2006
Date of final enrolment30/06/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Oogziekenhuis Rotterdam
Rotterdam
3011 BH
Netherlands

Sponsor information

Oogziekenhuis Rotterdam (OZR) (The Netherlands)
Hospital/treatment centre

P.O. Box 70030
Rotterdam
3000 LM
Netherlands

Phone +31 (0)10 4017777
Email info@oogziekenhuis.nl
ROR logo "ROR" https://ror.org/02hjc7j46

Funders

Funder type

Research organisation

Stichting Wetenschappelijk Onderzoek het Oogziekenhuis (The Netherlands)

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

Editorial Notes

23/09/2021: Proactive update review. No publications found. Search options exhausted.