Prompt Panretinal Photocoagulation Versus Ranibizumab+Deferred Panretinal Photocoagulation for Proliferative Diabetic Retinopathy
NCT01489189 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 305
Last updated 2021-10-29
Summary
The primary objective of the protocol is to determine if visual acuity outcomes at 2 years in eyes with proliferative diabetic retinopathy (PDR) that receive anti-vascular endothelial growth factor (anti-VEGF) therapy with deferred panretinal photocoagulation (PRP) are non-inferior to those in eyes that receive standard prompt PRP therapy.
Secondary objectives include:
* Comparing other visual function outcomes (including Humphrey visual field testing and study participant self-reports of visual function) in eyes receiving anti-VEGF with deferred PRP with those in eyes receiving prompt PRP.
* Determining percent of eyes not requiring PRP when anti-VEGF is given in the absence of prompt PRP.
* Comparing safety outcomes between treatment groups.
* Comparing associated treatment and follow-up exam costs between treatment groups.
Conditions
- Proliferative Diabetic Retinopathy
Interventions
- OTHER
-
Prompt Panretinal Photocoagulation
Panretinal photocoagulation alone at baseline (full session completed within 56 days).
- DRUG
-
0.5-mg Ranibizumab
Intravitreal injection of 0.5 mg ranibizumab (Lucentis™) at baseline and up to every 4 weeks using defined retreatment criteria.
- OTHER
-
Deferred panretinal photocoagulation
PRP is deferred until failure/futility criteria for intravitreal injection are met.
Sponsors & Collaborators
-
National Eye Institute (NEI)
collaborator NIH -
Genentech, Inc.
collaborator INDUSTRY -
Jaeb Center for Health Research
lead OTHER
Principal Investigators
-
Jeffrey G Gross, MD · Carolina Retina Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-03-31
- Primary Completion
- 2015-01-31
- Completion
- 2018-02-05
Countries
- United States
Study Locations
More Related Trials
-
Retrospective Review of Proliferative Diabetic Retinopathy Patients
NCT03609996 ·Status: UNKNOWN
-
Prospective, Randomized, Multicenter, Open Label, Phase II Study to Access Efficacy and Safety of Lucentis® Monotherapy Compared With Lucentis® Plus Panretinal Photocoagulation (PRP) and PRP in the Treatment of Patients With High Risk Proliferative Diabetic Retinopathy
NCT01280929 ·Status: COMPLETED ·Phase: PHASE2
-
Ranibizumab for Treatment of Persistent Diabetic Neovascularization Assessed by Wide-Field Imaging
NCT00606138 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Intravitreal Ranibizumab for Vitreous Hemorrhage Due to Proliferative Diabetic Retinopathy (N)
NCT00996437 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Intravitreal Ranibizumab to Treat Macular Edema After Panretinal Photocoagulation (Phase II)
NCT00668785 ·Status: TERMINATED ·Phase: PHASE2
-
A Safety and Efficacy Trial of a Treat and Extend Protocol Using Ranibizumab With and Without Laser Photocoagulation for Diabetic Macular Edema
NCT01934556 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Ranibizumab and Reduced Fluence PDT for AMD
NCT00527475 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of Ranibizumab in Diabetic Macular Edema
NCT01131585 ·Status: TERMINATED ·Phase: PHASE3
-
Phacoemulsification Combined With Intravitreal Injection of Ranibizumab Prevent Postoperative Capillary Non-perfusion Zone Progress in Non-proliferative Diabetic Retinopathy
NCT05386160 ·Status: UNKNOWN ·Phase: PHASE4
-
Ranibizumab Supplementing Panretinal Photocoagulation as Treatment for Iris/Angle Neovascularization in Retinal Ischemic Disease
NCT00841373 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Ranibizumab in Hemorrhagic Choroidal Neovascularization Trial
NCT00363168 ·Status: COMPLETED ·Phase: PHASE1
-
Reduced-fluence Verteporfin Photodynamic Therapy Plus Ranibizumab for Choroidal Neovascularization in Pathologic Myopia
NCT01968486 ·Status: COMPLETED ·Phase: PHASE1
-
Multicenter Clinical Study of Anti-VEGF Treatment on High Risk Diabetic Retinopathy (DR)
NCT03452657 ·Status: UNKNOWN ·Phase: PHASE3
-
Intravitreal Injection of Ranibizumab Versus Sham Before Vitrectomy in Patients With Proliferative Diabetic Retinopathy
NCT02857491 ·Status: COMPLETED ·Phase: NA
-
Preoperative Intravitreal Ranibizumab for Persistent Diabetic Vitreous Haemorrhage:
NCT01030770 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Ranibizumab in Idiopathic Parafoveal Telangiectasia (RIPT) Trial
NCT00378196 ·Status: COMPLETED ·Phase: PHASE1
-
Ranibizumab and Peripheral Scatter Laser in Patients With Diabetic Macular Edema and Peripheral Nonperfusion
NCT00815360 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of Treatment Regimens Using Ranibizumab: Intensive (Resolution of Intra- and Sub-retinal Fluid) vs Relaxed (Resolution of Intra-retinal Fluid and/or Sub-retinal Fluid >200µm at the Foveal Centre)
NCT01972789 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of PDT Combination With Ranibizumab vs. Ranibizumab Monotherapy in Persistent PCV With Initial Loading Dose
NCT02864472 ·Status: UNKNOWN ·Phase: PHASE4
-
Study To Determine Safety/Efficacy of Lucentis For Treatment Of Retinal Angiomatous Proliferation Secondary To Age Related Macular Degeneration
NCT00395707 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
High Dose Intravitreal Ranibizumab for Recalcitrant Radiation Retinopathy
NCT01334879 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of Ranibizumab in Proliferative Diabetic Retinopathy (PDR) Requiring Vitrectomy
NCT00516464 ·Status: UNKNOWN ·Phase: PHASE3
-
The Effect of Intravitreal Ranibizumab on Visual Acuity and Hard Exudate Resolution in the Treatment of Diabetic Macular Edema With Center Involved Edema and Lipid Exudates
NCT02448446 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Efficacy/Safety of Verteporfin Photodynamic Therapy and Ranibizumab Compared With Ranibizumab in Patients With Subfoveal Choroidal Neovascularization
NCT00436553 ·Status: COMPLETED ·Phase: PHASE3
-
Study of Ranibizumab Administered in Conjunction With Photodynamic Therapy With Verteporfin in Patients With Subfoveal Choroidal Neovascularization and Age-Related Macular Degeneration
NCT00288561 ·Status: COMPLETED ·Phase: PHASE2