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Ranibizumab in Combination With Proton Beam Irradiation for Choroidal Melanoma

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Mass Eye and Ear

Status and phase

Completed
Phase 1

Conditions

Choroidal Melanoma

Treatments

Drug: ranibizumab

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT00765921
07-06-040
FVF4384s (Other Identifier)

Details and patient eligibility

About

The purpose of the study is to investigate the safety and tolerability of the anti-VEGF (vascular endothelial cell growth factor) treatment, ranibizumab, in combination with proton beam irradiation for the treatment of choroidal melanoma by determining the incidence and severity of ocular adverse events. Systemic adverse events will also be evaluated. A secondary objective is to assess the efficacy of ranibizumab in reducing ocular complications that can occur after irradiation.

Enrollment

40 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with newly diagnosed choroidal melanoma undergoing proton therapy
  • Tumors >15 mm in largest diameter and/or >5 mm in height
  • Tumors ≤ 15 mm in largest diameter and ≤ 5 mm in height located ≤ 3 mm from optic disc and/or macula, with best-corrected visual acuity 20/100 or better in study eye

Exclusion criteria

  • History of prior treatment for choroidal melanoma
  • Pregnancy or lactation
  • Presence of diabetic retinopathy
  • History of retinal vascular occlusion or other retinal vascular disease
  • Active ocular inflammation or history of uveitis in either eye
  • History of uncontrolled glaucoma (defined as intraocular pressure >30mmHg despite treatment with anti-glaucoma medication) or filtering surgery in the study eye
  • Previous intravitreal injections of Avastin® in the study eye or in the non-study eye within 30 days.
  • Concurrent use of systemic anti-VEGF therapy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

40 participants in 2 patient groups

1.0 mg ranibizumab
Experimental group
Description:
1.0 mg intravitreal injection given bi-monthly for 22 months
Treatment:
Drug: ranibizumab
0.5 mg ranibizumab
Experimental group
Description:
0.5 mg intravitreal injection given bi-monthly for 22 months
Treatment:
Drug: ranibizumab

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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