Age Related Macular DegenerationPhase 4NCT00331435
PDT Study for Exudative AMD With PCV
A Phase 4 study testing Ocular photodynamic therapy with verteporfin in people with Age Related Macular Degeneration, run by Ophthalmic PDT Study Group at 17 sites in Japan.
Trial summary
The purpose of this study is to evaluate and conduct an exploratory comparison of the efficacy and safety of indocyanine green angiography (ICGA) guided photodynamic therapy (PDT) and fluorescein angiography (FA) guided PDT for exudative age-related macular degeneration (AMD) accompanied with polypoidal choroidal… Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Age Related Macular Degeneration
- What is being tested?
- Ocular photodynamic therapy with verteporfin
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 113 participants
- Where
- 17 sitesJapan
- Study dates
- Jun 2006to Jan 2010
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Japanese patients aged 50 years old or older
- Exudative AMD with subfoveal PCV
- Eyes with PCV meets the definite criteria of PCV issued from Japanese study group of Polypoidal Choroidal Vasculopathy
- PCV lesion with subfoveal hemorrhage or exudation
- Lesion size (GLD) of less than 12 MPS Disc area measured by FA and IA.
- Decimal BCVA of 0.1-0.5 at baseline period.
Who cannot join
- Patients who have RPE tear, vitelliform retinal dystrophy, and central Serous Chorioretinopathy.
- Patients who have other ocular disease with irreversible VA
- Study eyes unable to be taken fundus photos of CNV
- Study eyes received surgery operation within 2 months of the participation to this study or ND:YAG operation within one month
- Pathological myopia
- PCV with cleary identified subsensory retinal CNV (on the RPE) at the baseline examination
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- Study eyes which have received any treatments for CNV, such as PDT, transpupillary thermotherapy, laser photocoagulation, and so on.
- Patients who have any physical problem for using angiography or PDT (such as systemic debility, significant diabetes mellitus, significant heart disease, and so on)
- Medical history of porphyria, porphyrin sensitivity, or hypersensitivity to sunlight or bright light.
- Patients with medical history of hypersensitivity to ingredients of Visudyne
- Patients with medical history of hypersensitivity to ingredients of fluorescein or indocyanine green injection
- Patients with hypersensitivity to iodine
- Patients judged inappropriate for this study by the investigator
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
Japan17 sites
Nagoya City University Hospital
Aichi
Nagoya University
Aichi
Kyushu University
Fukuoka, 812-0054
Fukushima Medical University School of Medicine
Fukushima, 960-1295
Gunma University
Gunma
Kagawa University
Kagawa, 761-0793
Kyoto University
Kyoto, 606-8507
Osaka University
Osaka, 565-0871
Kansai Medical University Takii Hospital
Osaka, 570-8507
Kansai Medical University Hirakata Hospital
Osaka, 573-1191
Sapporo City general hospital
Sapporo, 060-8604
Shiga University of Medical Science
Shiga
Surugadai Nihon University Hospital
Tokyo, 101-8309
Kyorin University
Tokyo, 181-8611
Toho University
Tokyo
Tokyo University Ohashi Medical Center
Tokyo
Yamanashi University
Yamanashi
About this study
Official title: Clinical Research of Photodynamic Therapy for Exudative Age-related Macular Degeneration Accompanied With Polypoidal Choroidal Vasculopathy
The purpose of this study is to evaluate and conduct an exploratory comparison of the efficacy and safety of indocyanine green angiography (ICGA) guided photodynamic therapy (PDT) and fluorescein angiography (FA) guided PDT for exudative age-related macular degeneration (AMD) accompanied with polypoidal choroidal vasculopathy (PCV).
Read the detailed description
PDT with verteporfin has been proven beneficial for patients with AMD. The laser spot size is decided based on FA finding (FA guided PDT). ICGA is needed to detect PCV lesions, such as polypoidal lesions or abnormal network vessels. In clinical practice, PDT based on ICGA (ICGA guided PDT) has and is being conducted for the treatment of AMD with PCV. However, there are no reports on the outcomes of prospective research of PDT for PCV in Japanese patients. Furthermore, there are no reports comparing FA guided PDT and ICGA guided PDT.
We propose to conduct this clinical research in order to investigate the efficacy and safety of PDT for PCV in Japanese patients, and to compare results of FA guided PDT and ICGA guided PDT.
- Conditions
- Age Related Macular Degeneration
- Being tested
- Ocular photodynamic therapy with verteporfin
- Keywords
- AMD, PCV, PDT
- Medical subject headings
- Macular Degeneration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ocular photodynamic therapy with verteporfinProcedure or surgery
Also called photodynamic therapy
Ocular photodynamic therapy with 6 mg per meter squar of body sarface of verteporfin with PDT lazer application for 83 seconds
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | FA-guided PDT Receives: Procedure: Ocular photodynamic therapy with verteporfin |
| 2 | Experimental | ICG-guided PDT Receives: Procedure: Ocular photodynamic therapy with verteporfin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of study eyes which best corrected visual acuity (BCVA) improves 2 lines or more or maintains (+/-1 line changes) at 12 months after first treatment, as compared with the visual acuity at baseline period.
Measured: 12 months
Secondary outcomes (10)
Proportion of number of study eyes which BCVA improves 3 lines or more or maintains (+/-1 line), as compared with baseline examination.
Measured: 12 month
Factor affecting to change in visual acuity.
Measured: 12month
Proportion of eyes with decimal BCVA of 0.5 or more.
Measured: 12 month
Change of findings of polypoidal lesions.
Measured: 0-12 month
Change of findings of abnormal network vessels.
Measured: 0-12 month
Change in greatest linear dimension (GLD) based on FA.
Measured: 0-12 month
PCV lesion size based on ICGA.
Measured: 0-12 month
Choroidal neovascularization (CNV) closure based on FA.
Measured: 0-12 month
Change in subretinal fluid at the fovea and central retinal thickness based on optical coherence tomography (OCT).
Measured: 0-12month
Mean number of PDT treatments required during the study period.
Measured: 12 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2006 (estimated)
- Study startJun 2006
- Primary completionJan 2009
- Study completionJan 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Age Related Macular DegenerationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ophthalmic PDT Study Group
- Sponsor type
- University, hospital or other
- Investigators
- Tomohiro Iida, MD, Principal investigator, Ophthalmic PDT Study Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00331435
- Sponsor's protocol ID
- PCV-PDT-1
- Status last verified
- Mar 2011
- First submitted
- 30 May 2006
- Last updated
- 31 Mar 2011
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 31 Mar 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Research of Photodynamic Therapy for Exudative Age-related Macular Degeneration Accompanied With Polypoidal Choroidal Vasculopathy
- ClinicalTrials.gov ID
- NCT00331435
- Acronym / sponsor ID
- PCV-PDT-1
- Conditions
- Age Related Macular Degeneration
- Keywords
- AMD, PCV, PDT
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- Ophthalmic PDT Study GroupUniversity, hospital or other
- Study start
- Jun 2006
- Primary completion
- Jan 2009 (actual)
- Study completion
- Jan 2010 (actual)
- First posted
- 31 May 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate and conduct an exploratory comparison of the efficacy and safety of indocyanine green angiography (ICGA) guided photodynamic therapy (PDT) and fluorescein angiography (FA) guided PDT for exudative age-related macular degeneration (AMD) accompanied with polypoidal choroidal vasculopathy (PCV).
Detailed description
PDT with verteporfin has been proven beneficial for patients with AMD. The laser spot size is decided based on FA finding (FA guided PDT). ICGA is needed to detect PCV lesions, such as polypoidal lesions or abnormal network vessels. In clinical practice, PDT based on ICGA (ICGA guided PDT) has and is being conducted for the treatment of AMD with PCV. However, there are no reports on the outcomes of prospective research of PDT for PCV in Japanese patients. Furthermore, there are no reports comparing FA guided PDT and ICGA guided PDT.
We propose to conduct this clinical research in order to investigate the efficacy and safety of PDT for PCV in Japanese patients, and to compare results of FA guided PDT and ICGA guided PDT.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Procedure: Ocular photodynamic therapy with verteporfinFA-guided PDT |
| 2 | Experimental | Procedure: Ocular photodynamic therapy with verteporfinICG-guided PDT |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Japanese patients aged 50 years old or older
- Exudative AMD with subfoveal PCV
- Eyes with PCV meets the definite criteria of PCV issued from Japanese study group of Polypoidal Choroidal Vasculopathy
- PCV lesion with subfoveal hemorrhage or exudation
- Lesion size (GLD) of less than 12 MPS Disc area measured by FA and IA.
Key exclusion criteria (13 listed)
- Patients who have RPE tear, vitelliform retinal dystrophy, and central Serous Chorioretinopathy.
- Patients who have other ocular disease with irreversible VA
- Study eyes unable to be taken fundus photos of CNV
- Study eyes received surgery operation within 2 months of the participation to this study or ND:YAG operation within one month
- Pathological myopia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ocular photodynamic therapy with verteporfinAlso: photodynamic therapyOcular photodynamic therapy with 6 mg per meter squar of body sarface of verteporfin with PDT lazer application for 83 seconds | Procedure or surgery | 1, 2 |
Primary outcome
Proportion of study eyes which best corrected visual acuity (BCVA) improves 2 lines or more or maintains (+/-1 line changes) at 12 months after first treatment, as compared with the visual acuity at baseline period.
Time frame: 12 months
10 secondary outcomes
Proportion of number of study eyes which BCVA improves 3 lines or more or maintains (+/-1 line), as compared with baseline examination.
Time frame: 12 month
Factor affecting to change in visual acuity.
Time frame: 12month
Proportion of eyes with decimal BCVA of 0.5 or more.
Time frame: 12 month
Change of findings of polypoidal lesions.
Time frame: 0-12 month
Change of findings of abnormal network vessels.
Time frame: 0-12 month
Change in greatest linear dimension (GLD) based on FA.
Time frame: 0-12 month
PCV lesion size based on ICGA.
Time frame: 0-12 month
Choroidal neovascularization (CNV) closure based on FA.
Time frame: 0-12 month
Change in subretinal fluid at the fovea and central retinal thickness based on optical coherence tomography (OCT).
Time frame: 0-12month
Mean number of PDT treatments required during the study period.
Time frame: 12 month
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Mar 2011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tomohiro Iida, MD principal investigator
Ophthalmic PDT Study Group
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Ocular photodynamic therapy with verteporfin in people with Age Related Macular Degeneration, run by Ophthalmic PDT Study Group at 17 sites in Japan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 Mar 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of study eyes which best corrected visual acuity (BCVA) improves 2 lines or more or maintains (+/-1 line changes) at 12 months after first treatment, as compared with the visual acuity at baseline period. (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Mar 2011; AzTrials last refreshed its copy on 27 Oct 2026.