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Trial registered on ANZCTR
Registration number
ACTRN12608000223336
Ethics application status
Approved
Date submitted
23/04/2008
Date registered
28/04/2008
Date last updated
12/12/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Prognostic factors affecting outcome of vascular growth factor inhibitor bevacizumab (Avastin) therapy and reactivation of the disease in the wet age related degeneration of the eye.
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Scientific title
The effect of anterior chamber protein concentration, gene polymorphisms and complement factors on visual acuity, contrast sensitivity, microperimetry, optical coherence tomography (OCT) findings and need of repeated drug injections in patients with exudative age related macular degeneration treated with intravitreal bevacizumab (Avastin) injection therapy.
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Secondary ID [1]
283171
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Age related macular degeneration of the eye (AMD)
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Condition category
Condition code
Eye
3248
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Bevacizumab 25 mg/ml, Avastin, Roche, 0,05 ml, 1,25 mg injected intravitreally once a month for two years when exudative AMD lesion is diagnosed to be active.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Visual acuity tested with charts used in Early Treatment Diabetic Retinopathy Study (ETDRS Charts)
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Assessment method [1]
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Timepoint [1]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Primary outcome [2]
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Retinal thickness measured with Oti Spectral optical coherence tomography/scanning laser ophthalmoscope (OCT/SLO)
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Assessment method [2]
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Timepoint [2]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Primary outcome [3]
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Total number of drug injections needed to treat the exudative AMD lesion
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Assessment method [3]
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Timepoint [3]
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At 2 years
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Secondary outcome [1]
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Central macular sensitivity tested with Oti Spectral optical coherence tomography/scanning laser ophthalmoscope (OCT/SLO) microperimetry
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Assessment method [1]
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Timepoint [1]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Secondary outcome [2]
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Contrast sensitivity tested with Pelli-Robson Contrast Sensitivity Charts
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Assessment method [2]
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Timepoint [2]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Secondary outcome [3]
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Anterior chamber flare levels measured with Kowa Laser Flare Meter FM-500, Kowa Company Ltd., Nagoya, Japan
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Assessment method [3]
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Timepoint [3]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Secondary outcome [4]
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Microperimetry results, measured with the spectral domain OCT/scanning laser ophthalmoscope, Spectral OCT/SLO, Opko/OTI, Miami, FL, USA.
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Assessment method [4]
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Timepoint [4]
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At baseline and at 1, 2, 3 and 4 weeks, then monthly for 2 years
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Eligibility
Key inclusion criteria
Patients with classic, predominantly classic, minimally classic or occult type of exudative AMD and visual acuity at least 20/200.
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Minimum age
50
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
Prior treatment of exudative macular degeneration, prior intraocular surgery other than uncomplicated cataract surgery, uncomplicated cataract surgery within one year, diabetes, intraocular tumors, other retinal diseases or retinal vascular occlusions, prior retinal panphotocoagulation, prior significant intraocular inflammation or infection and poor co-operation.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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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
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/05/2008
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Actual
7/05/2008
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Date of last participant enrolment
Anticipated
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Actual
30/04/2010
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Date of last data collection
Anticipated
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Actual
4/04/2012
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Sample size
Target
60
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
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Finland
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State/province [1]
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Helsingin ja Uudenmaan sairaanhoitopiiri
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Helsinki University Central Hospital Research Foundation
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Address [1]
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HUS yhtymahallinto
Tutkimus- ja opetusryhma
PL 100
00029 HUS
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Country [1]
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Finland
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Primary sponsor type
Individual
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Name
Ilkka Immonen
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Address
HYKS Silmaklinikka
PL 220
00029 HUS
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Country
Finland
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Secondary sponsor category [1]
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Individual
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Name [1]
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Asta Hautamaki
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Address [1]
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HYKS Silmaklinikka
PL 220
00029 HUS
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Country [1]
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Finland
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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NKL NSK:n eettinen toimikunta
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Ethics committee address [1]
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HYKS, NKL NSK eettinen tmk PL 220 00029 HUS
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Ethics committee country [1]
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Finland
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Date submitted for ethics approval [1]
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Approval date [1]
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10/01/2008
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Ethics approval number [1]
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Dnro 387/E9/07 HUS
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Summary
Brief summary
The purpose of the study is to find factors that may affect the efficacy of the intraocular vascular growth factor inhibitor treatment in patients with the wet form of age related degeneration of the eye. Factors studied are specific genetic markers, proteins involved in immune response and protein concentration in the anterior chamber of the eye.
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Trial website
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Trial related presentations / publications
Publications: Hautamäki A, Luoma A, Immonen I. Anterior Chamber Flare during Bevacizumab Treatment in Eyes with Exudative Age-Related Macular Degeneration. Retina 2016;36:2183-2190. Hautamäki A, Seitsonen S, Holopainen J, Moilanen J, Kivioja J, Onkamo P, Järvelä I, Immonen I. The genetic variant rs4073 A/T of the Interleukin-8 promoter region is associated with the earlier onset of exudative age-related macular degeneration. Acta Ophthalmologica 2015;93(8):726-733. Hautamäki, A., Kivioja, J., Seitsonen, S., Savolainen, E-R., Liinamaa, MJ., Luoma, A., Järvelä, I., Immonen, I. The IL-8, VEGF, and CFH Polymorphisms and Bevacizumab in Age-related Macular Degeneration. Ophthalmology 2014;121(4):973-973. Hautamäki, A., Oikkonen, J., Onkamo, P., Immonen, I. Correlation between components of newly diagnosed exudative age-related macular degeneration lesion and focal retinal sensitivity. Acta Ophthalmologica, 2014;92(1):51-58. Hautamäki, A., Kivioja, J., Vavuli, S., Kakko, S., Savolainen, E-R., Savolainen, MJ., Liinamaa, MJ., Seitsonen, S., Onkamo, P., Järvelä, I., Immonen, I. Interleukin-8 promoter polymorphism predicts the initial response to bevacizumab treatment for exudative age-related macular degeneration. Retina 2013;33(9):1815-1827. Presentations: Immonen, IJ., Hautamäki, A. Anterior chamber flare during a prospective 2-year study of pro re nata (PRN) treatment of exudative age-related macular degeneration (AMD) with intravitreal bevacizumab injections. Poster presentation, ARVO 2015, Annual meeting of the Association for Research in Vision and Ophthalmology, Denver, CO, USA. Hautamäki, A., Kivioja, J., Vavuli, S., Kakko, S., Savolainen, E-R., Savolainen, MJ., Liinamaa, MJ., Seitsonen, S., Onkamo, P., Järvelä, I., Luoma, A., Immonen, I. The effects of interleukin-8, VEGF and CFH polymorphisms on the long-term response to bevacizumab therapy in exudative age-related macular degeneration. Oral presentation, EVER 2013, Congress of the European Association for Vision and Eye Research, Nice, France. Immonen, I., Hautamäki, A., Kivioja, J., Vavuli, S., Kakko, S., Savolainen, E-R., Savolainen, MJ., Liinamaa, MJ., Seitsonen, S., Onkamo, P., Järvelä, I. Interleukin-8 promoter polymorphism is associated with the initial repose to bevacizumab in AMD treatment. Poster presentation, EVER 2013, Congress of the European Association for Vision and Eye Research, Nice, France. Hautamäki, A., Kivioja, J., Vavuli, S., Kakko, S., Savolainen, E-R., Savolainen, MJ., Liinamaa, MJ., Seitsonen, S., Onkamo, P., Järvelä, I., Immonen, I. The association of IL-8 promoter polymorphism -251 A/T to the initial bevacizumab treatment response in exudative AMD. Oral presentation, Euretina 2013, Congress of the European Society of Retina Specialists, Hamburg, Germany. Immonen, IJ., Hautamäki, A., Oikkonen, J., Onkamo, P. Correlation Between Components Of Newly Diagnosed Exudative Age-related Macular Degeneration Lesion And Focal Retinal Sensitivity In Oct-microperimetry. Poster presentation, ARVO 2012, Annual meeting of the Association for Research in Vision and Ophthalmology, Fort Lauderdale, FL, USA. Hautamäki, A., Immonen, I. Correlation between components of exudative age-related macular degeneration lesion and local retinal sensitivity. Poster presentation, NOK 2010, Nordic Congress of Ophthalmology, Reykjavik, Iceland.
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Public notes
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Contacts
Principal investigator
Name
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Dr Asta Hautamaki
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Address
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HYKS Silmaklinikka
PL 220
00029 HUS
Finland
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Country
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Finland
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Phone
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+358 40 82 22 911
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Asta Hautamaki
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Address
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HYKS Silmaklinikka
PL 220
00029 HUS
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Country
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Finland
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Phone
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+358 50 427 93 13
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ilkka Immonen
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Address
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HYKS Silmaklinikka
PL 220
00029 HUS
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Country
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Finland
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Phone
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+358 9 471 73 167
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
ANTERIOR CHAMBER FLARE during BEVACIZUMAB TREATMENT in EYES with EXUDATIVE AGE-RELATED MACULAR DEGENERATION.
2016
https://dx.doi.org/10.1097/IAE.0000000000001061
N.B. These documents automatically identified may not have been verified by the study sponsor.
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