MedPath

Dexamethasone-implant for the Treatment of RVO

Phase 4
Completed
Conditions
Macular Edema Caused by Retinal Vein Occlusion
Interventions
Registration Number
NCT01767545
Lead Sponsor
Ludwig-Maximilians - University of Munich
Brief Summary

To evaluate the efficacy and safety of a dexamethasone-implant alone or in combination with bevacizumab. 64 eyes are prospectively investigated. Group 1 (22 CRVO and 16 BRVO) is treated with dexamethasone-implant alone, Group 2 (14 CRVO 12 BRVO) with three consecutive bevacizumab injections followed by a dexamethasone-implant. Recurrences are treated with dexamethasone-implant only. Patients are seen preoperatively and thereafter in monthly intervals. The primary endpoint was BCVA at twelve months.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria

maximum duration of symptoms of four months and no known history of glaucoma or corticosteroid response in the past -

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Exclusion Criteria

Glaucoma, Diabetic Retinopathy, prior IVOM, Uveitis

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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Dexamethasone-implant (Group 1)Dexamethasone implantGroup 1 included 38 patients (22 with CRVO and 16 with BRVO) and was treated with a dexamethasone-implant injection from the beginning.
Bevacizumab/Dexamethasone-implant (Group 2)Dexamethasone implantGroup 2 included 26 patients (14 CRVO, 12 BRVO) and was treated with three consecutive injections of bevacizumab at a monthly interval, followed by a dexamethasone-implant injection four weeks after the last bevacizumab injection.
Bevacizumab/Dexamethasone-implant (Group 2)BevacizumabGroup 2 included 26 patients (14 CRVO, 12 BRVO) and was treated with three consecutive injections of bevacizumab at a monthly interval, followed by a dexamethasone-implant injection four weeks after the last bevacizumab injection.
Primary Outcome Measures
NameTimeMethod
The primary clinical endpoint was BCVA twelve months after the first intravitreal treatment.12 months
Secondary Outcome Measures
NameTimeMethod
Lens opacity12 months
Central retinal thickness12 months
Saftey of procedure12 months

Trial Locations

Locations (1)

Dept. of Ophthalmology, LMU Munich

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Munich, Germany

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