Neuroregenerative effects of transorbital extremely low-frequency low-amplitude pulsed electromagnetic therapy in retinal vein occlusion

ISRCTN ISRCTN17248612
DOI https://doi.org/10.1186/ISRCTN17248612
Sponsor Peoples' Friendship University of Russia
Funders RUDN University, Medical Dental Institute, Russia, I.M. Sechenov First Moscow State Medical University
Submission date
21/03/2026
Registration date
25/03/2026
Last edited
25/03/2026
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Plain English summary of protocol not provided at time of registration

Contact information

Prof Mustafa Al-Zamil
Scientific, Public, Principal investigator

St. Sherbinka 2-42
Moscow-Sherbinka
108851
Russian Federation

ORCiD logoORCID ID 0000-0002-3643-982X
Phone +7 89262893810
Email alzamil@mail.ru

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlActive
AssignmentParallel
PurposeBasic science, Device feasibility, Diagnostic, Health services research, Prevention, Screening, Supportive care, Treatment
Scientific titleNeuroregenerative effects of transorbital extremely low-frequency low-amplitude pulsed electromagnetic therapy in non-ischemic branch retinal vein occlusion
Study acronymTrabsorbital ELF-LA-PEMT for RVO
Study objectivesThe purpose of this study is to evaluate the efficacy of transorbital ELF-LA-PEMT combined with intravitreal ranibizumab for the management of Retinal Vein Occlusion (RVO). The study analyzes longitudinal changes in central retinal thickness (CRT), total macular volume (TMV), and best-corrected visual acuity (BCVA) immediately post-treatment and at a three-month follow-up.
Ethics approval(s)

Approved 14/03/2025, Ethic Comittee of Medical Dental Institute (Pskovskaya, 9, Moscow, 127253, Russian Federation; +7 (499) 5045476; medinstmcu@inbox.tu), ref: 185

Health condition(s) or problem(s) studiedConfirmed diagnosis of macular edema secondary to branch retinal vein occlusion or central retinal vein occlusion.
InterventionThis research is a two-arm, longitudinal, prospective analysis of patients with non-ischemic superior temporal RVO.
Randomization was generated using IBM SPSS Statistics software (version 20). Patients in the intervention group received a course of transorbital ELF-LA-PEMT using a contact ophthalmic emitter applied to the closed affected eye while in a supine position. The therapy involved a continuous, clockwise running magnetic field with an induction of 6 mT and a frequency of 12 Hz. Treatment sessions lasted 20 minutes and were administered on alternate days for a total of 15 sessions. The TMT procedures were initiated one month after the first ranibizumab injection and were carried out over one month. Procedures were conducted using the POLIMAG-02 magnetotherapeutic complex (Elamed, Russia), a specialized system for low-frequency, low-intensity pulsed electromagnetic field (PEMF) therapy. The device (Registration No. RZN 2017/6315, dated October 3, 2017) is manufactured in the Ryazan region, Russia. The control group received anti-VEGF monotherapy only.

Central retinal thickness (CRT) and total macular volume (TMV) were measured using optical coherence tomography (OCT) at baseline, as well as at the first and third months post-treatment. BCVA and visual evoked potential (VEP) tests were evaluated at the same intervals.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)POLIMAG-02 magnetotherapeutic complex
Primary outcome measure(s)
  1. Regenerative and recovery effects, via assessments of central retinal thickness, total macular volume, best corrected visual acuity (BCVA), and visual evoked potentials measured using optical coherence tomography (OCT), BCVA and visual evoked potential (VEP) tests at before treatment, after treatment, and at the end of the third month of follow-up
Key secondary outcome measure(s)
  1. Well-being, activity, and mood quality of life of patients after RVO measured using 36-Item Short Form Survey (SF-36) and SAN (translated from the Russian САН: Самочувствие, Активность, Настроение) questionnaires at before treatment, after treatment, and at the end of the third month of follow-up
Completion date01/06/2031

Eligibility

Participant type(s)
Age groupMixed
Lower age limit40 Years
Upper age limit70 Years
SexAll
Target sample size at registration40
Total final enrolment200
Key inclusion criteria1. European
2. Men and women from 40 to 70 years old
3. Non-ischemic rvo of the superior temporal branch of the central retinal vein
4. Recent onset of retinal vein thrombosis ≤15 days
5. Central retinal thickness: between 350 µm and 600 µm
6. Total macular volume: between 9 mm³ and 15 mm³
Key exclusion criteria1. Presence of acute inflammatory diseases of the eye or systemic infections
2. Exudative retinal detachment
3. Poor response to the first anti-vegf injection (decreae of central retinal thickness < 20%)
4. Paroxysmal and mental disorders
5. Systemic thrombophilic disorders
6. Exacerbation of comorbid conditions during the study period
7. Intercurrent illness during the course of treatment
8. History of previously administered antiangiogenic therapy for the current condition
9. Failure to meet follow-up requirements
10. Presence or possibility of pregnancy
11. Decompensation of hypertension and diabetes mellitus
12. History of stroke or multiple sclerosis
Date of first enrolment19/03/2025
Date of final enrolment19/03/2031

Locations

Countries of recruitment

  • Russian Federation

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

23/03/2026: Study’s existence confirmed by the Ethics Committee of Medical Dental Institute, Moscow, Russia.