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临床试验/EUCTR2017-004982-28-ES
EUCTR2017-004982-28-ES进行中(未招募)1 期

Phase IIb prospective, unicentric, randomized, parallel, double-blind, placebo-controlled clinical trial to evaluate the intravenous infusion of prostaglandins as therapy in patients with non-arteritic anterior ischemic optic neuropathy. - PG-NAIO

Fundación para la Formación e Investigación Sanitarias de la Región de Murcia0 个研究点目标入组 24 人开始时间: 2018年3月14日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
24

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients of both sexes between the ages of 50 and 80, both inclusive.
  • Patients with the first episode of NOIANA.
  • Patients with NOIANA with a time of evolution from the beginning of the clinic less than or equal to 15 days.
  • Potentially fertile patients should have a negative pregnancy test in serum or urine.
  • Patients who offer sufficient guarantees of adherence to the protocol.
  • Patients who give written informed consent to participate in the study.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 20
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 4

排除标准

  • Patients with previous optic neuropathy of any etiology in the affected eye.
  • Patients with previous diagnosis or signs / symptoms at the time of arteritis of the temporal artery.
  • Patients with optic neuropathy with bilateral clinical presentation of any etiology.
  • Patients with loss of vision due to acute hypotension in the context of a surgical intervention, acute hemorrhage or hemodynamic shock.
  • Patients with severe loss of previous vision in the eye affected by ophthalmologic causes: severe cataract, glaucoma or intraocular pressure greater than 30 mmHg, severe diabetic retinopathy, macular degeneration associated with severe age.
  • Patients with clinical onset in the month following major non-ocular or intraocular surgery, except phakectomy.
  • Patients with abnormal elevation of ESR or CRP (> 2 times the upper limit of normal)
  • Patients with creatinine levels above 1.5 mg / dL.
  • Patients on steroid treatment in the month prior to the episode.
  • Patients under treatment with oral anticoagulants.
  • Patients on treatment with hydroxychloroquine, ethambutol, vigabatrin at any time before the episode.
  • Patients in whom the use of PGE1 (Alprostadil) is contraindicated:
  • - Hypersensitivity to Alprostadil or to any of the excipients.
  • - Cardiac insufficiency grade III-IV of the NYH.
  • - Inadequately treated heart failure or coronary artery disease.
  • - Alteration of the hemodynamically relevant cardiac rhythm.
  • - Myocardial infarction or stroke in the 6 months prior to the start of treatment.
  • - Severe hypotension.
  • - Clinical or radiological signs of acute pulmonary edema or patients with a history of heart failure who have developed pulmonary edema.
  • - Severe chronic obstructive pulmonary disease (COPD) or pulmonary veno-occlusive disease (PVOD).
  • - Signs of acute liver injury (elevated transaminases and gamma GT) or with a history of severe liver injury.
  • - Patients in whom complications due to bleeding can be expected (eg, recent gastrointestinal ulcer, multiple trauma.
  • - Stenosis and / or insufficiency of the aortic valve or miter.
  • Patients with participation in a clinical trial in the last 6 months.
  • Patients with inability to understand informed consent.
  • Pregnant patients, in postpartum period or during active lactation period.
  • Physically fertile patients, defined as all women physiologically capable of becoming pregnant, including women whose track record, lifestyle or sexual orientation excludes intercourse with a male and women whose partners have been sterilized with vasectomy or other methods, NOT TO BE WHO are using a reliable contraceptive method (see Appendix C). This contraceptive method can be:
  • - Complete abstinence from sexual intercourse
  • - Surgical sterilization (tubal ligation)
  • - Surgical sterilization of the couple (vasectomy)
  • - Oral implanted or injectable hormonal contraceptives *
  • * Because hormonal contraceptives present a risk of thrombosis, other effective contraceptive methods should be considered.
  • These reliable contraceptive methods must be maintained during your participation in the study.

研究者

发起方
Fundación para la Formación e Investigación Sanitarias de la Región de Murcia

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