Topical Avastin for Treatment of Corneal Neovascularization

Phase 1

Completed

Brief Summary: The purpose of this study is to determine the effectiveness and safety of Topical Bevacizumab (Avastin) for treatment of corneal neovascularization.

Detailed Description: Primary outcomes measures included neovascular area (NA), defined as the area of the corneal vessels themselves; vessel caliber (VC), defined as the mean diameter of the corneal vessels; and invasion area (IA), defined as the fraction of the total cornea into which the vessels extend. The occurrence of ocular and systemic adverse events was closely monitored throughout the course of the study.

Recruitment & Eligibility

Inclusion Criteria

Male or female, at least 18 years of age
Clinical stable corneal neovascularization (as defined above)
Ability to understand and provide informed consent to participate in this study and willingness to follow study instructions and likely to complete all required visits.
All female patients of childbearing potential will be excluded. A female is considered to be of childbearing potential unless she is postmenopausal and without menses for 12 months or without a uterus and/or both ovaries.

Exclusion Criteria

Current or recent (≤ 1 month) systemic corticosteroid therapy or periocular corticosteroid injections to the study eye
Current or recent (≤ 3 months) intravitreal drug injection to the study eye; recent (≤ 1 month) change in dose and frequency of topical steroids and/or non-steroidal anti-inflammatory agents
Uncontrolled hypertension defined as systolic blood pressure of ≥ 150 mmHg or diastolic blood pressure of ≥ 90 mmHg; history of a thromboembolic event, including myocardial infarction or cerebral vascular accident
Patients age 75 or older; history of renal abnormalities
Recent (≤ 3 months ) or planned surgery
History of coagulation abnormalities, including end stage liver disease or current anticoagulation medication other than aspirin (warfarin, heparin, enoxaparin, or similar anticoagulant agent)
All female patients of childbearing potential (a female is considered to be of childbearing potential unless she is postmenopausal and without menses for 12 months or without a uterus and/or both ovaries)
Any condition (including language barrier) that precludes patient's ability to comply with study requirements including completion of study

Arm && Interventions

Group	Intervention	Description
Topical Avastin 1.0%	Topical Avastin 1%	Each patient will receive topical Avastin in one eye.

Primary Outcome Measures

Name	Time	Method
The Size and Extent of Corneal Neovascularization Will be Measured by Computerized Image Analysis of Corneal Photographs Taken Throughout the Study.	Six Months	The efficacy of bevacizumab in the treatment of corneal NV was evaluated by comparing corneal photographs taken at baseline with corneal photographs taken at the follow-up visits. Percent change from baseline was measured.
Ocular and Systemic Safety	All study visits	The occurrence of ocular and systemic adverse events was closely monitored over the course of this study. Ocular adverse events were monitored through complete ocular examinations including visual acuity measurement, intraocular pressure measurement, biomicroscopy, and corneal fluorescein staining. Systemic adverse events were identified with physical examinations, patient questioning, and blood pressure measurements taken throughout the study period.

Secondary Outcome Measures