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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02800642
Registration number
NCT02800642
Ethics application status
Date submitted
10/06/2016
Date registered
15/06/2016
Date last updated
8/07/2020
Titles & IDs
Public title
Evaluation of a Treat and Extend Regimen of Intravitreal Aflibercept for Macular Edema Secondary to CRVO
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Scientific title
A Multi-center, Single-arm, Interventional Phase 4 Study to Evaluate a Treat and Extend Regimen of Intravitreal Aflibercept for Treatment of Macular Edema Secondary to Central Retinal Vein Occlusion
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Secondary ID [1]
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2014-003193-17
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Secondary ID [2]
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17514
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Universal Trial Number (UTN)
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Trial acronym
CENTERA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Central Retinal Vein Occlusion
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Aflibercept (Eylea, BAY86-5321)
Experimental: Intravitreal (IVT) aflibercept - Participants with macular edema secondary to CRVO were treated with the study drug intravitreal aflibercept
Treatment: Drugs: Aflibercept (Eylea, BAY86-5321)
The recommended dose for intravitreal aflibercept was 2 mg equivalent to 50 µL. Study treatment was administered at baseline and at monthly intervals until stabilization of disease. When stability was achieved, the treatment interval could be extended based on visual and anatomic outcomes as judged by the treating investigator.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Proportion of Participants Who Gained = 15 Letters in Best Corrected Visual Acuity (BCVA) on the Early Treatment Diabetic Retinopathy Score (ETDRS) Chart Compared to Baseline
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Assessment method [1]
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Participants who completed the study with a gain of = 15 letters or dropped the study after Week 24 and having a permanent resolution of macular edema and a gain of = 15 letters from baseline with regard to the latest BCVA assessment. The ETDRS chart includes 70 letters in total, more letters read correctly represents a better visual acuity.
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Timepoint [1]
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Baseline, Week 24 and Week 76
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Primary outcome [2]
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The Proportion of Participants With a Mean Treatment Interval Between Injections of = 8 Weeks
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Assessment method [2]
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Participants who completed the study with a mean treatment interval between injections of = 8 weeks or dropped out of the study after Week 24 and having a permanent resolution of macular edema
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Timepoint [2]
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From the last actual visit of the initiation phase to Week 76
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Secondary outcome [1]
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The Mean Treatment Interval Between Injections
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Assessment method [1]
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Timepoint [1]
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From baseline to Week 76
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Secondary outcome [2]
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The Change in Best Corrected Visual Acuity (BCVA) as Measured by the Early Treatment Diabetic Retinopathy Letter Score (ETDRS) From Baseline
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Assessment method [2]
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The ETDRS chart includes 70 letters in total and the letter score ranges from 0 to 100. More letters read correctly results in a higher letter score, which represents better visual acuity
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Timepoint [2]
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Baseline and Week 24, 52, and 76
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Secondary outcome [3]
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The Change in Central Retinal Thickness (CRT) From Baseline
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Assessment method [3]
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CRT was measured in the study eye by spectral domain optical coherence tomography (SD-OCT).
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Timepoint [3]
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Baseline and Week 24, 52 and 76
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Secondary outcome [4]
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The Number of Injections Per Participant
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Assessment method [4]
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Timepoint [4]
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From baseline to Week 76
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Secondary outcome [5]
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The Proportion of Participants Who Gain = 15 Letters in Best Corrected Visual Acuity (BCVA) on the Early Treatment Diabetic Retinopathy Score (ETDRS) Chart Compared to Baseline
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Assessment method [5]
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The ETDRS chart includes 70 letters in total. More letters read correctly represents a better visual acuity
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Timepoint [5]
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Baseline and Week 24, Week 52
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Secondary outcome [6]
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The Proportion of Participants With Change in Retinal Non-perfusion (FA/FP) Status From Baseline
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Assessment method [6]
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The change in retinal non-perfusion status by fundus angiography (FA)/fundus photography (FP)-confirmed ischemic disc area. The status was categorized into: no non-perfusion, \<10 ischemic disc area, \>=10 ischemic disc area and missing status
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Timepoint [6]
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Baseline and Week 24, 52 and 76
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Secondary outcome [7]
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The Proportion of Participants With Absence of Subretinal Fluid
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Assessment method [7]
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Timepoint [7]
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Baseline, week 24, week 52 and week 76
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Secondary outcome [8]
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Incidence and Severity of Ocular Treatment-emergent Adverse Events
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Assessment method [8]
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Timepoint [8]
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Up to 30 days after week 76
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Eligibility
Key inclusion criteria
* Center-involved macular edema secondary to CRVO for no longer than 3 months (at the screening visit it should be ensured that the subjects will comply with the criterion of = 3 months since onset of macular edema at their scheduled baseline visit).
* Adult subjects diagnosed with macular edema secondary to CRVO who are scheduled to be treated with IVT aflibercept as per investigator's routine treatment practice with the intent to use a T&E regimen after initial dosing.
* Treatment-naïve subjects for macular edema secondary to CRVO.
* Men and women = 18 years of age.
* Documented BCVA of ETDRS letter score of 73 to 24 letters (Snellen equivalent of 20/40 to 20/320) in the study eye.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous PRP or macular laser photocoagulation in the study eye.
* Any prior or concomitant ocular treatment (e.g. anti-VEGF therapy, corticosteroids) in the study eye for macular edema secondary to RVO, except dietary supplements or vitamins prior to inclusion in the study. Intraocular anti-VEGF treatment is permitted for the treatment of diseases of fellow eye except for those that are specifically excluded.
* Prior systemic anti-VEGF or corticosteroid therapy, investigational or approved, within the last 3 months before the first dose in the study.
* Previous use of intraocular corticosteroids in the study eye at any time or use of periocular corticosteroids in the study eye within 12 months prior to Day 1.
* Any active intraocular, extraocular, and periocular inflammation or infection in either eye within 4 weeks of screening.
* Any history of allergy to povidone iodine.
* Known serious allergy to the fluorescein sodium for injection in angiography.
* Presence of any contraindications indicated in the EU commission/locally approved label for IVT aflibercept: hypersensitivity to the active substance IVT aflibercept or to any of the excipients; active or suspected ocular or periocular infection; active severe intraocular inflammation.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
10/06/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/07/2019
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Sample size
Target
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Accrual to date
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Final
162
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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- Albury
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Recruitment hospital [2]
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- Sydney
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Recruitment hospital [3]
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- Parramatta
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Recruitment postcode(s) [1]
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2640 - Albury
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Recruitment postcode(s) [2]
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2000 - Sydney
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Recruitment postcode(s) [3]
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2150 - Parramatta
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Recruitment outside Australia
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Canada
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Alberta
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Canada
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Ontario
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Canada
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Quebec
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Denmark
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Aalborg
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Denmark
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Glostrup
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France
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Bordeaux
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France
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Dijon Cedex
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France
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Lyon
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Germany
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Baden-Württemberg
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Germany
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Bayern
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Germany
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Niedersachsen
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Germany
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Nordrhein-Westfalen
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Germany
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Sachsen
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Italy
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Lazio
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Italy
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Lombardia
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Italy
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Marche
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Italy
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Toscana
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Italy
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Veneto
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Spain
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Asturias
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Spain
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Barcelona
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United Kingdom
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Tyne And Wear
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United Kingdom
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West Yorkshire
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United Kingdom
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Bristol
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United Kingdom
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Colchester
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United Kingdom
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Liverpool
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United Kingdom
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Oxford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bayer
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Central retinal vein occlusion (CRVO) occurs when the main blood vessel that transports blood away from the retina (the very back portion of the eye) becomes blocked, causing the leakage of fluid into the retina and thereby causing a swelling of the macula (the portion of the retina responsible for fine vision). This swelling is called macular edema. When the macula swells with fluid, central vision becomes blurry. The study drug aflibercept has been shown to reduce the amount of fluid and blood leaked into the retina. It can help to stabilize, and in many cases, improve the vision loss related to CRVO. Aflibercept has been approved for the treatment of macular edema secondary to CRVO in the United States (US), European Union (EU), Japan, and other countries. The study was considered research because, although the study drug was already on the market for macular edema secondary to CRVO, there were no studies available that addressed the questions of what were useful intervals for treating and assessing patients, how did they differ among patients, and how were criteria applied for retreatment. The purpose of this study was to evaluate the effectiveness, treatment interval, and safety of the treatment regimen (pattern for administering treatment) in subjects with macular edema secondary to CRVO. In addition, this study explored new imaging methods for assessing the affected eye.
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Trial website
https://clinicaltrials.gov/study/NCT02800642
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Trial related presentations / publications
Korobelnik JF, Larsen M, Eter N, Bailey C, Wolf S, Schmelter T, Allmeier H, Chaudhary V. Efficacy and Safety of Intravitreal Aflibercept Treat-and-Extend for Macular Edema in Central Retinal Vein Occlusion: the CENTERA Study. Am J Ophthalmol. 2021 Jul;227:106-115. doi: 10.1016/j.ajo.2021.01.027. Epub 2021 Feb 6.
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Public notes
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Contacts
Principal investigator
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Bayer Study Director
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Bayer
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/42/NCT02800642/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/42/NCT02800642/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02800642
Download to PDF