Diabetic RetinopathyPhase 2/3EUROCONDORNCT01726075
Trial to Assess the Efficacy of Neuroprotective Drugs Administered Topically to Prevent or Arrest Diabetic Retinopathy
A Phase 2/3 study testing COLIRIOBCN070660 and Brimonidine in people with Diabetic Retinopathy, run by BCN Peptides at 11 sites in 7 countries.
Trial summary
To assess whether neuroprotective drugs administered topically (somatostatin and brimonidine) are able to prevent or arrest the development and progression of neurodegenerative changes Read more about this study
- Who is it for?
- Ages 45 to 75 years
- Conditions the study is for
- Diabetic Retinopathy
- What is being tested?
- COLIRIOBCN070660 and Brimonidine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 450 participants
- Where
- 11 sitesin 7 countries
- Study dates
- Feb 2013to Nov 2015
- Phase
- Phase 2/3
- 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 45 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with type 2 diabetes mellitus
- Diabetes duration ≥ 5 years
- Aged between 45-75 years-old
- ETDRS level < 20 (microaneurysms absent) (50% of enrolled patients) Or ETDRS levels 20 or 35 with presence of at least one microaneurysm in Field 2 between the superior and inferior arcades (50% of enrolled patients) in the Study Eye as determined by the Reading Centre.
- Informed Consent
Who cannot join
- Previous laser photocoagulation
- Other diseases which may induce retinal degeneration (e.g. glaucoma)
- Subject with a refractive error ≥ ± 5 diopter
- Inadequate ocular media and/ or pupil dilatation that do not permit good quality fundus photography.
- Renal failure (creatinine > 1.4 mg/dl)
- HbA1C > 10 % in the previous 6 months and at Screening
Show all 11Show fewer
- Subjects taking somatostatin or brimonidine, for any indication, in the previous 3 months
- Subject has a condition or is in a situation which may put the subject at significant risk, may confound the study results or may interfere significantly with the patient's participation in the study.
- Pregnancy or nursing
- Hypersensitivity to the active substances to be tested or to any of the excipients
- Subject receiving systemic monoamine oxidase (MAO) inhibitor therapy or antidepressants which affect noradrenergic transmission (e.g. tricyclic antidepressants and mianserin)
Trial locations and contacts
11 sites in 7 countries.
11 sites in 7 countries
United Kingdom4 sites
Aston University (UAston)Heart of England NHS Foundation Trust
Birmingham
Gloucestershire Hospitals NHS Foundation Trust (CHGH)
Cheltenham, Gloucestershire
The University of Liverpool (UOL)
Liverpool
Moorfields Eye Hospital NHS Foundation Trust (MEH)
London, London, EC1V2PD
Italy2 sites
Universita Vita-Salute San Raffaele (USR)
Milan, 20132
Universita degli Study di Padova(UPadova)
Padova, 35128
Spain1 site
Institut Catala de la Salut - Hospital Universitari Vall d'Hebron (ICS-HUVH)
Barcelona, Barcelona, 08035
About this study
Official title: Neurodegeneration as Early Event in Pathogenesis of Diabetic Retinopathy:Multicentric, Prospective, Ph. II-III,Random.Controlled Trial to Assess Efficacy of Neuroprotective Drugs Administered Topically to Prevent/Arrest Diabetic Retinopathy
To assess whether neuroprotective drugs administered topically (somatostatin and brimonidine) are able to prevent or arrest the development and progression of neurodegenerative changes
Read the detailed description
To assess whether neuroprotective drugs administered topically (somatostatin and brimonidine) are able to prevent or arrest the development and progression of neurodegenerative changes related to diabetic retinopathy.
- Conditions
- Diabetic Retinopathy
- Being tested
- COLIRIOBCN070660, Placebo, Brimonidine
- Keywords
- diabetic retinopathy
- Medical subject headings
- Diabetic Retinopathy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
COLIRIOBCN070660Drug
Also called Somatostatin eye drops
One drop per eye twice a day during 24 months
PlaceboDrug
Also called placebo eye drops
One drop per eye twice a day during 24 months
BrimonidineDrug
Also called Brimonidine eye drops
One drop per eye twice a day during 24 months
| Study group | Role | What they receive |
|---|---|---|
| COLIRIOBCN070660 | Experimental | COLIRIOBCN070660 Somatostatin 1mg/mL Eye drops, solution. One drop/eye administered twice a day. Receives: Drug: COLIRIOBCN070660 |
| Placebo | Placebo comparator | Placebo Eye drops, solution. One drop/eye administered twice a day. Receives: Drug: Placebo |
| Brimonidine | Experimental | Brimonidine tartrate 2mg/mL One drop/eye administered twice a day. Receives: Drug: Brimonidine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in the Implicit Time assessed by mfERG (IT-mfERG) at month 6, 12, 18 and 24
Measured: month 24
Secondary outcomes (27)
Retinal Nerve Fiber Layer (RNFL) assessed by Spectral Domain Optical Coherence Tomography (SD-OCT) at month 0
Measured: month 0
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 6
Measured: month 6
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 12
Measured: month 12
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 18
Measured: month 18
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 24
Measured: month 24
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 0
Measured: month 0
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 6
Measured: month 6
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 12
Measured: month 12
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 18
Measured: month 18
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 24
Measured: month 24
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at baseline
Measured: baseline
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 6
Measured: month 6
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 12
Measured: month 12
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 18
Measured: month 18
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 24
Measured: month 24
Retinal thickness assessed by SD-OCT at month 0
Measured: month 0
Retinal thickness assessed by SD-OCT at month 6
Measured: month 6
Retinal thickness assessed by SD-OCT at month 12
Measured: month 12
Retinal thickness assessed by SD-OCT at month 18
Measured: month 18
Retinal thickness assessed by SD-OCT at month 24
Measured: month 24
Central retinal thickness assessed by SD-OCT at month 0
Measured: month 0
Central retinal thickness assessed by SD-OCT at month 6
Measured: month 6
Central retinal thickness assessed by SD-OCT at month 12
Measured: month 12
Central retinal thickness assessed by SD-OCT at month 18
Measured: month 18
Central retinal thickness assessed by SD-OCT at month 24
Measured: month 24
Diabetic Retinopathy (DR) severity assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) scale CFP - 30º/35º-7 fields at baseline
Measured: baseline
DR severity assessed by ETDRS scale CFP - 30º/35º-7 fields at month 24
Measured: month 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Nov 2012 (estimated)
- Study startFeb 2013
- Primary completionNov 2015
- Study completionNov 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Diabetic RetinopathyStudies 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 2/3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 450 participants (actual)
Sponsor and investigators
- Lead sponsor
- BCN Peptides
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- José Cunha-Vaz, Prof., Principal investigator, Association for Innovation and Biomedical Research on Light and Image
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01726075
- Sponsor's protocol ID
- 4C-2011-02
- Other IDs
- 2012-001200-38
- Acronym
- EUROCONDOR
- Status last verified
- Jan 2016
- First submitted
- 7 Nov 2012
- Last updated
- 12 Jan 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Cunha-Vaz J, Ribeiro L, Costa M, Simo R. Diabetic Retinopathy Phenotypes of Progression to Macular Edema: Pooled Analysis From Independent Longitudinal Studies of up to 2 Years' Duration. Invest Ophthalmol Vis Sci. 2017 May 1;58(6):BIO206-BIO210. doi: 10.1167/iovs.17-21780.
PubMed 28785768Santos AR, Ribeiro L, Bandello F, Lattanzio R, Egan C, Frydkjaer-Olsen U, Garcia-Arumi J, Gibson J, Grauslund J, Harding SP, Lang GE, Massin P, Midena E, Scanlon P, Aldington SJ, Simao S, Schwartz C, Ponsati B, Porta M, Costa MA, Hernandez C, Cunha-Vaz J, Simo R; European Consortium for the Early Treatment of Diabetic Retinopathy (EUROCONDOR). Functional and Structural Findings of Neurodegeneration in Early Stages of Diabetic Retinopathy: Cross-sectional Analyses of Baseline Data of the EUROCONDOR Project. Diabetes. 2017 Sep;66(9):2503-2510. doi: 10.2337/db16-1453. Epub 2017 Jun 29.
PubMed 28663190
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Neurodegeneration as Early Event in Pathogenesis of Diabetic Retinopathy:Multicentric, Prospective, Ph. II-III,Random.Controlled Trial to Assess Efficacy of Neuroprotective Drugs Administered Topically to Prevent/Arrest Diabetic Retinopathy
- ClinicalTrials.gov ID
- NCT01726075
- Acronym / sponsor ID
- EUROCONDOR / 4C-2011-02
- Conditions
- Diabetic Retinopathy
- Keywords
- diabetic retinopathy
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 450 participants (actual)
- Lead sponsor
- BCN PeptidesIndustry (pharma, biotech, devices)
- Study start
- Feb 2013
- Primary completion
- Nov 2015 (actual)
- Study completion
- Nov 2015 (actual)
- First posted
- 14 Nov 2012 (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.
To assess whether neuroprotective drugs administered topically (somatostatin and brimonidine) are able to prevent or arrest the development and progression of neurodegenerative changes
Detailed description
To assess whether neuroprotective drugs administered topically (somatostatin and brimonidine) are able to prevent or arrest the development and progression of neurodegenerative changes related to diabetic retinopathy.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| COLIRIOBCN070660 | Experimental | Drug: COLIRIOBCN070660COLIRIOBCN070660 Somatostatin 1mg/mL Eye drops, solution. One drop/eye administered twice a day. |
| Placebo | Placebo comparator | Drug: PlaceboPlacebo Eye drops, solution. One drop/eye administered twice a day. |
| Brimonidine | Experimental | Drug: BrimonidineBrimonidine tartrate 2mg/mL One drop/eye administered twice a day. |
Who may qualify
- Ages
- 45 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients with type 2 diabetes mellitus
- Diabetes duration ≥ 5 years
- Aged between 45-75 years-old
- ETDRS level < 20 (microaneurysms absent) (50% of enrolled patients) Or ETDRS levels 20 or 35 with presence of at least one microaneurysm in Field 2 between the superior and inferior arcades (50% of enrolled patients) in the Study Eye as determined by the Reading Centre.
- Informed Consent
Key exclusion criteria (11 listed)
- Previous laser photocoagulation
- Other diseases which may induce retinal degeneration (e.g. glaucoma)
- Subject with a refractive error ≥ ± 5 diopter
- Inadequate ocular media and/ or pupil dilatation that do not permit good quality fundus photography.
- Renal failure (creatinine > 1.4 mg/dl)
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 |
|---|---|---|
| COLIRIOBCN070660Also: Somatostatin eye dropsOne drop per eye twice a day during 24 months | Drug | COLIRIOBCN070660 |
| PlaceboAlso: placebo eye dropsOne drop per eye twice a day during 24 months | Drug | Placebo |
| BrimonidineAlso: Brimonidine eye dropsOne drop per eye twice a day during 24 months | Drug | Brimonidine |
Primary outcome
Changes in the Implicit Time assessed by mfERG (IT-mfERG) at month 6, 12, 18 and 24
Time frame: month 24
27 secondary outcomes
Retinal Nerve Fiber Layer (RNFL) assessed by Spectral Domain Optical Coherence Tomography (SD-OCT) at month 0
Time frame: month 0
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 6
Time frame: month 6
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 12
Time frame: month 12
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 18
Time frame: month 18
Retinal Nerve Fiber Layer (RNFL) assessed by SD-OCT at month 24
Time frame: month 24
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 0
Time frame: month 0
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 6
Time frame: month 6
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 12
Time frame: month 12
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 18
Time frame: month 18
Ganglion Cell Layer (GCL) assessed by SD-OCT at month 24
Time frame: month 24
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at baseline
Time frame: baseline
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 6
Time frame: month 6
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 12
Time frame: month 12
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 18
Time frame: month 18
Microaneurysm turnover assessed by Colour Fundus Photography (CFP - 45º/50º Field 2) at month 24
Time frame: month 24
Retinal thickness assessed by SD-OCT at month 0
Time frame: month 0
Retinal thickness assessed by SD-OCT at month 6
Time frame: month 6
Retinal thickness assessed by SD-OCT at month 12
Time frame: month 12
Retinal thickness assessed by SD-OCT at month 18
Time frame: month 18
Retinal thickness assessed by SD-OCT at month 24
Time frame: month 24
Central retinal thickness assessed by SD-OCT at month 0
Time frame: month 0
Central retinal thickness assessed by SD-OCT at month 6
Time frame: month 6
Central retinal thickness assessed by SD-OCT at month 12
Time frame: month 12
Central retinal thickness assessed by SD-OCT at month 18
Time frame: month 18
Central retinal thickness assessed by SD-OCT at month 24
Time frame: month 24
Diabetic Retinopathy (DR) severity assessed by Early Treatment Diabetic Retinopathy Study (ETDRS) scale CFP - 30º/35º-7 fields at baseline
Time frame: baseline
DR severity assessed by ETDRS scale CFP - 30º/35º-7 fields at month 24
Time frame: month 24
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 12 Jan 2016.
- Derived from this study: PubMed 28785768Cunha-Vaz J, Ribeiro L, Costa M, Simo R. Diabetic Retinopathy Phenotypes of Progression to Macular Edema: Pooled Analysis From Independent Longitudinal Studies of up to 2 Years' Duration. Invest Ophthalmol Vis Sci. 2017 May 1;58(6):BIO206-BIO210. doi: 10.1167/iovs.17-21780.
- Derived from this study: PubMed 28663190Santos AR, Ribeiro L, Bandello F, Lattanzio R, Egan C, Frydkjaer-Olsen U, Garcia-Arumi J, Gibson J, Grauslund J, Harding SP, Lang GE, Massin P, Midena E, Scanlon P, Aldington SJ, Simao S, Schwartz C, Ponsati B, Porta M, Costa MA, Hernandez C, Cunha-Vaz J, Simo R; European Consortium for the Early Treatment of Diabetic Retinopathy (EUROCONDOR). Functional and Structural Findings of Neurodegeneration in Early Stages of Diabetic Retinopathy: Cross-sectional Analyses of Baseline Data of the EUROCONDOR Project. Diabetes. 2017 Sep;66(9):2503-2510. doi: 10.2337/db16-1453. Epub 2017 Jun 29.
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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.
José Cunha-Vaz, Prof. principal investigator
Association for Innovation and Biomedical Research on Light and Image
11 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing COLIRIOBCN070660 and Brimonidine in people with Diabetic Retinopathy, run by BCN Peptides at 11 sites in 7 countries.
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 5 inclusion and 11 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 12 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United Kingdom, Italy, Denmark, France, Germany and 2 more countries. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Changes in the Implicit Time assessed by mfERG (IT-mfERG) at month 6, 12, 18 and 24 (time frame: month 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01726075, which also lists 2 linked publications.
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 12 Jan 2016.