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A Retrospective Chart Review of Patients Treated With Ocriplasmin for Symptomatic VMA

Completed
Conditions
Symptomatic Vitreomacular Adhesion (VMA)
Registration Number
NCT02193945
Lead Sponsor
ThromboGenics
Brief Summary

The purpose of this study is to retrospectively review and further characterize anatomic and symptomatic changes over six months immediately following treatment of symptomatic vitreomacular adhesion (VMA) with JETREA® (ocriplasmin), including incidence, time to onset and resolution of anatomy and symptoms.

Detailed Description

This study (TG-MV-022) is a retrospective study utilizing Spectral-domain optical coherence tomography (SD-OCT) in patients treated previously with JETREA® for VMA. The objectives of this study are to retrospectively review and further characterize anatomic and symptomatic changes over six months immediately following treatment of VMA with JETREA® (ocriplasmin), including incidence, time to onset and resolution of anatomy and symptoms. The retrospective study will collect Heidelberg Spectralis® SD-OCT images which will be masked and uploaded to a Central Reading Center (CRC) for review and analysis. The CRC will evaluate anatomic endpoints of interest from both baseline optical coherence tomography (OCT) images and all follow-up OCT scans over the 6 month follow up period. Endpoints of interest include ellipsoid zone disruption, development of subretinal fluid, resolution of VMA and macular hole changes. Further, trained clinical personnel at the participating centers will transcribe data from the patients' records, to be entered into the study database.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
134
Inclusion Criteria
  1. Must be at least 18 years of age or older.
  2. Have been treated with JETREA® for vitreomacular adhesion (VMA) between April 1, 2013 and December 31, 2013 with at least six months of follow up visits post injection. Note: If a patient's second eye was treated, only the first eye treated is eligible for study participation.
  3. Have been imaged with Heidelberg Spectralis SD-OCT at least one time within 30 days prior to JETREA® injection.
  4. Have been imaged with Heidelberg Spectralis SD-OCT at least two times post JETREA® injection with at least one scan between Days 1-21 and the second scan within six months,, including a corresponding visual acuity (VA).
  5. Be willing and able to provide informed consent.
Exclusion Criteria
  1. Patients treated with JETREA® for medical conditions outside of the product label.

  2. Patients with other retinal conditions that affect the vitreo-retinal interface, or can lead to retinal atrophy, including but not limited to:

    • Neovascular age-related macular degeneration;
    • Fibrovascular scar;
    • Diabetic macular edema; and
    • Proliferative diabetic retinopathy.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients with ellipsoid zone disruption by Day 21 post-JETREA® injection, determined by a Central Reading Center (CRC), that was not present at baseline.Day 21
Secondary Outcome Measures
NameTimeMethod
Time to resolution of VMAUp to 6 months
Proportion of patients with ellipsoid zone disruption, not present at baselineUp to 6 months
Proportion of patients with ellipsoid zone disruption with resolutionUp to 6 months
Time to onset of ellipsoid zone disruptionUp to 6 months
Time to resolution of ellipsoid zone disruptionUp to 6 months
Proportion of patients with nonsurgical resolution of VMA by Day 28Day 28
Proportion of patients that developed subretinal fluid, not present at baselineUp to 6 months
Proportion of patients that developed subretinal fluid with resolutionUp to 6 months
Time to onset of subretinal fluidUp to 6 months
Time to resolution of subretinal fluidUp to 6 months
Proportion of patients that developed a macular hole by Day 28, not present at baselineDay 28
Proportion of patients with nonsurgical closure of macular hole, if present at baseline by Day 28Day 28
Proportion of patients with worsening (enlargement) of macular hole, if present at baselineUp to 6 months
No change of macular hole, if present at baselineUp to 6 months
Proportion of patients that underwent vitrectomyUp to 6 months
Visual Acuity (VA) changes from baselineUp to 6 months
Other findings as examined and documented in the patient's medical recordsUp to 6 months

* Impaired pupillary reflex

* Dyschromatopsia

* ERG changes

* Vascular changes

* Visual field constriction

* Lens changes post- JETREA® injection including, subluxation, dislocation, phacodenesis

* Other changes in quality of vision including, darkness of vision, dark adaptation changes

Monitoring of Adverse Drug Reactions (ADRs)Up to 6 motnths

Trial Locations

Locations (24)

Southeastern Retina Associates, P.C.

🇺🇸

Kingsport, Tennessee, United States

Retinal Diagnostic Center

🇺🇸

Campbell, California, United States

Orange County Retina Medical Group

🇺🇸

Santa Ana, California, United States

California Retina Consultants

🇺🇸

Santa Barbara, California, United States

Retina Vitreous Associates of Florida

🇺🇸

St. Petersburg, Florida, United States

Marietta Eye Clinic

🇺🇸

Marietta, Georgia, United States

Rush university medical center-Dept ophthalmology

🇺🇸

Chicago, Illinois, United States

Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Sabates Eye Centers

🇺🇸

Leawood, Kansas, United States

Carl W. Baker

🇺🇸

Paducah, Kentucky, United States

Harvard Vanguard Medical Associates

🇺🇸

Boston, Massachusetts, United States

Ophthalmic Consultants of Boston

🇺🇸

Boston, Massachusetts, United States

Sierra Eye Associates

🇺🇸

Reno, Nevada, United States

Eyesight Ophthalmic Services

🇺🇸

Portsmouth, New Hampshire, United States

MaculaCare

🇺🇸

New York, New York, United States

Black Hills Regional Eye Institute

🇺🇸

Rapid City, South Dakota, United States

Wills Eye Institute

🇺🇸

Philadelphia, Pennsylvania, United States

Retina Consultants of Houston

🇺🇸

Houston, Texas, United States

Valley Retina Institute, PA

🇺🇸

McAllen, Texas, United States

Retina Specialists

🇺🇸

Plano, Texas, United States

West Virginia University Eye Institute

🇺🇸

Morgantown, West Virginia, United States

Duke University Eye Center

🇺🇸

Durham, North Carolina, United States

Retina Associates of Utah, P.C.

🇺🇸

Salt Lake City, Utah, United States

Scripps Clinic

🇺🇸

La Jolla, California, United States

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