A prospective randomised controlled trial assessing the efficacy of Pegatanib sodium (Macugen®) in the prevention of proliferative diabetic retinopathy

ISRCTN ISRCTN27864936
DOI https://doi.org/10.1186/ISRCTN27864936
Protocol serial number 6648
Sponsor Frimley Park Hospital NHS Foundation Trust (UK)
Funder Pfizer (UK)
Submission date
29/04/2010
Registration date
29/04/2010
Last edited
14/07/2016
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

Ms Narinder Sangha
Scientific

Frimley Park Hospital
Maple House
Surrey
GU16 7UJ
United Kingdom

Study information

Primary study designInterventional
Study designRandomised interventional treatment trial
Secondary study designRandomised controlled trial
Scientific titleA prospective randomised controlled trial assessing the efficacy of Pegatanib sodium (Macugen®) in the prevention of proliferative diabetic retinopathy
Study acronymMacugen®
Study objectivesMulti-centre prospective randomised controlled study to assess the efficacy of intravitreal Macugen® injections to prevent the development of proliferative diabetic retinopathy (early treatment diabetic retinopathy study [ETDRS] = 61) compared to standard care (no treatment) in patients with severe non-proliferative diabetic retinopathy (sNPDR) (ETDRS = 53 A - E).

The objective of the study is to assess whether Macugen® given at these time points of diabetic retinopathy can prevent the conversion to sight threatening PDR.
Ethics approval(s)MREC approved (ref: 08/H1102/91)
Health condition(s) or problem(s) studiedTopic: Eye; Subtopic: Eye (all Subtopics); Disease: Ophthalmology
Intervention90 subjects with ETDRS 53 A - E will be enrolled into the study. Baseline examination will include of best-corrected visual acuity (BCVA), fundus examination, 7-field retina colours and fundus fluorescein angiography with peripheral sweeps. The patients in the treatment arm will have 3 injections of intravitreal Macugen® 0.3 mg at baseline, 6 weeks and 12 weeks. All patients will be followed up at 12 weekly intervals.

Treatment group: baseline, week 6, 12, 24, 36, 48, 60, 72, 84, 96 and 108 weeks
Control arm: baseline, 12, 24, 36, 48, 60, 72, 84, 96 and 108 weeks

Follow up investigation include BCVA, fundus examination and 7-field retinal colour photographs at every visit. FFA with peripheral sweeps will be done at 12, 36, 60, 84 and 108 weeks follow-up. Pan retinal photocoagulation (PRP) will be carried out at any visit if the level of retinopathy progresses to ETDRS = 61. Subjects will be evaluated for ocular and systemic adverse events at all visits and any unscheduled visits.
Intervention typeDrug
PhasePhase IV
Drug / device / biological / vaccine name(s)Pegatanib sodium (Macugen®)
Primary outcome measure(s)

The proportion of eyes that progress to ETDRS = 61 following three injections of intravitreal Macugen®

Key secondary outcome measure(s)

1. The mean change in size of foveal avascular zone (FAZ) from baseline to end of 12 months and 24 months
2. The rate (timepoint) of development of neovascularisation
3. Rates of ocular and non-ocular adverse events
4. The visual outcome in the study eye will be compared to control eyes

Completion date01/01/2011

Eligibility

Participant type(s)Patient
Age groupNot Specified
Sex
Target sample size at registration90
Key inclusion criteriaNot provided at time of registration
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/01/2009
Date of final enrolment01/01/2011

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Frimley Park Hospital
Surrey
GU16 7UJ
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

14/07/2016: No publications found, study status unverified