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Combination of Intravitreal Ranibizumab With or Without Micropulse Laser for the Treatment of DME

B

Beijing Hospital

Status and phase

Completed
Phase 4

Conditions

Diabetic Macular Edema

Treatments

Procedure: Micropulse Laser
Drug: Intravitreal Ranibizumab
Drug: Intravitreal Ranibizumab as needed

Study type

Interventional

Funder types

Other

Identifiers

NCT03690947
Z181100001718079

Details and patient eligibility

About

The objective of this study is to evaluate if combination of intravitreal ranibizumab with micropulse laser shows non inferiority compared to intravitreal ranibizumab only in diabetic macular edema.

Full description

To investigate the efficacy of intravitreal ranibizumab injections compared to combination with Micropulse Laser in Chinese patients with visual impairment in DME.

The result of the study will be used to support new therapy in DME patients in China.

Enrollment

72 patients

Sex

All

Ages

30 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Informed consent form must be signed before any tests or procedures are done
  • Male or female of 30 to 80 years of age (inclusive) at the first screening visit
  • Diagnosis of type 2 diabetes, with fasting blood glucose≤10mmol/L, HbA1C≤10.0%
  • Diabetic medication must be stable for at least 3 months before first screening visit and remain stable during study
  • Diagnosis of non-proliferative diabetic retinopathy with diabetic macular edema resulting in visual acuity reduction
  • Study eye's BCVA between 24 to 78 ETDRS letters at screening and baseline of the study
  • Macular edema of the study eye and central retinal thickness ≥300 µm determined by SD-OCT
  • Study eye had not had grid pattern photocoagulation, intraocular surgery, intravitreal corticosteroid injections and intravitreal anti-VEGF injections for at least 3 months before baseline
  • Non-study eye's BCVA ≥ 24 ETDRS letters at screening and baseline of the study
  • Non-study eye had not had intravitreal anti-VEGF injections for at least 3 months before baseline
  • If both eyes qualify, then investigators will choose an eye with worse BCVA as study eye. Only study eye will receive intravitreal ranibizumab and/or Micropulse Laser treatment

Exclusion criteria

  • Failure to follow study or follow-up procedures
  • Pregnant or breast-feeding woman and woman without adequate method of contraception
  • History of stroke or myocardial infarction within 3 months before screening
  • Renal failure or creatinine > 2.0 mg/dl
  • Uncontrolled systemic diseases or systemic treatment that may affect results of the study
  • Active ocular or intraocular infections of either eye
  • Neovascularization of the iris or neovascular glaucoma of either eye
  • A history of uveitis or vitreous macular traction in study eye
  • Glaucoma or IOP≥24 mmHg of study eye

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

72 participants in 2 patient groups

Combination Therapy Group
Experimental group
Treatment:
Drug: Intravitreal Ranibizumab
Procedure: Micropulse Laser
Intravitreal Ranibizumab Group
Active Comparator group
Treatment:
Drug: Intravitreal Ranibizumab as needed
Drug: Intravitreal Ranibizumab

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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